Attachment 2 - 60 Day FR Notice

Attachment 2 - 60 Day FR Notice.pdf

Improving Quality through Health IT: Testing the Feasibility and Assessing the Impact of Using Existing Health IT Infrastructure for Better Care Delivery

Attachment 2 - 60 Day FR Notice

OMB: 0935-0140

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8874

Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices

Estimated Annual Costs to the Federal
Government

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

The total cost to the Federal
Government for this project is $399,970
over a two year period. The average
annual cost is $199,985. The following
is a breakdown of the average annual
costs:

Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request

Agency for Healthcare Research
and Quality, HHS.
$159,488.5 ACTION: Notice.
AGENCY:

Direct Costs:
Personnel ....................
Consultancies ..............
Data support ................
Indirect Costs:
Indirect costs ...............
Total .....................

5,475
5,336.5

29,685
199,985

Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on AHRQ’s information
collection are requested with regard to
any of the following: (a) Whether the
proposed collection of information is
necessary for the proper performance of
AHRQ health care research and health
care information dissemination
functions, including whether the
information will have practical utility;
(b) the accuracy of AHRQ’s estimate of
burden (including hours and costs) of
the proposed collection(s) of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection.
All comments will become a matter of
public record.
Dated: February 6, 2008.
Carolyn M. Clancy,
Director.
[FR Doc.08–659 Filed 2–14–08; 8:45 am]

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SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Improving Quality through Health IT:
Testing the Feasibility and Assessing the
Impact of Using Existing Health IT
Infrastructure for Better Care Delivery.’’
In accordance with the Paperwork
Reduction Act of 1995, 44 U.S.C.
3506(c)(2)(A), AHRQ invites the public
to comment on this proposed
information collection.
DATES: Comments on this notice must be
received by April 15, 2008.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov.
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:

Proposed Project
Improving Quality Through Health IT:
Testing the Feasibility and Assessing the
Impact of Using Existing Health IT
Infrastructure for Better Care Delivery
AHRQ proposes to assess how the use
of health information technology (IT)
can improve care delivery and outcomes
in community health centers. AHRQ is
specifically interested in improving the
quality of care provided in a community
clinic setting through better
management of laboratory information.
The study will measure the impact of
health IT tools on two problems:
duplicate laboratory tests and the failure

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to follow up on laboratory test results of
HIV patients and women screened for
cervical cancer. In addition, AHRQ will
measure the impact of health IT on
compliance with evidence-based
guidelines for laboratory tests. The
study will also investigate whether
disparities between vulnerable
populations and the general population
exist in both laboratory screening rates
and rates of abnormal laboratory test
results without follow up. To assess the
extent of these problems and the impact
of health IT, AHRQ will evaluate both
quantitative and qualitative
components. The qualitative component
will use interviews with key informants
in two community health centers to
gather data on laboratory information
processes, laboratory information
communication problems and use of
health IT tools.
Method of Collection
Quantitative data will be collected
directly from the clinical data
warehouse used by the participating
community health centers to routinely
collect laboratory data. The collection
will be accomplished using database
reports. Qualitative data will be
collected through key informant
interviews conducted in each of the two
participating community health centers.
Key informants will include physicians,
nurses, medical assistants, IT personnel,
and administrators. The total number of
interviews to be conducted at both sites
is forty-one.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours. A total of
forty-one in-person interviews will be
conducted with administration and
clinical personnel: eighteen interviews
from administrative personnel and
twenty-three interviews from clinical
personnel. The question set is the same
for both clinical and administrative
personnel. The estimated time per
response is 1.5 hours for a total of 61.5
burden hours.
Exhibit 2 shows the estimated
annualized burden for the respondents’
time to provide the requested data. The
hourly rate of $32.13 is a weighted
average of the administrative personnel
hourly wage of $19.68 and the clinical
personnel hourly wage of $41.88. The
total cost burden is $1,976.

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Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices
EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Data collection

Number of
responses per
respondent

Hours per
response

Total burden
hours

In-person interviews .........................................................................................

41

1

1.5

61.5

Total ..........................................................................................................

43

na

na

61.5

EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Data collection

Total burden
hours

Average
hourly wage
rate*

Total cost
burden

In-person interviews .........................................................................................

41

61.5

$32.13

$1,976

Total ..........................................................................................................

41

na

na

1,976

* Based upon the actual site personnel wages. Clinical personnel averages are weighted by the number of physicians, nurses and medical assistants in the sample. Administrative personnel averages are weighted by the number of administrators, lab, IT and other support personnel.
Total average is weighted by relative number of administrative and clinical personnel being interviewed.

Estimated Annual Costs to the Federal
Government
The total cost to the Federal
Government for this project is $393,457
over a two-year period. The average
annual cost is $196,728. the following is
a breakdown of average annual costs:

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Direct Costs:
Personnel ......................
Consultancies ................
Data support ..................
Travel .............................
Supplies .........................
IRB review .....................
Indirect Costs:
Indirect costs 40% .........

$108,320
24,400
5,000
2,575
100
125

15:58 Feb 14, 2008

Dated: February 6, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. 08–660 Filed 2–14–08; 8:45 am]
BILLING CODE 4160–90–M

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–08–0493]

56,208

Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on AHRQ’s information
collection are requested with regard to
any of the following: (a) Whether the
proposed collection of information
necessary for the proper performance of
AHRQ’s health care research and health
care information dissemination
functions, including whether the
information will have practical utility;
(b) the accuracy of AHRQ’s estimate of
burden (including hours and costs) of
the proposed collection(s) of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection.

VerDate Aug<31>2005

All comments will become a matter of
public record.

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Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960, send
comments to Maryam I. Daneshvar, CDC
Acting Reports Clearance Officer, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an e-mail to
omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and

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clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
2009 and 2011 National Youth Risk
Behavior Surveys (YRBS) (OMB No.
0920–0493)—Reinstatement—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The purpose of this request is to
obtain OMB approval to continue data
collection for the National Youth Risk
Behavior Survey (YRBS), a school-based
survey that has been conducted
biennially since 1991. OMB approval for
the 2005 YRBS and 2007 YRBS expired
November 30, 2007 (OMB No. 0920–
0493). CDC seeks a three-year approval
to conduct the YRBS in Spring 2009 and
Spring 2011. Minor changes
incorporated into this reinstatement
request include: An updated title for the
information collection, to accurately
reflect the years in which the survey
will be conducted; minor changes to the
burden estimate; and minor changes to
the data collection instrument.
The YRBS assesses priority health risk
behaviors related to the major
preventable causes of mortality,
morbidity, and social problems among
both youth and young adults in the
United States. Data on health risk
behaviors of adolescents are the focus of
approximately 40 national health

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