Notice2021-11542
Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Rural Health Care Coordination Program Performance Improvement and Measurement System Database, OMB No. 0906-0024-Reinstate With Changes
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
June 2, 2021
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the Paperwork Reduction Act of 1995, HRSA has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period.
Full Text
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<title>Federal Register, Volume 86 Issue 104 (Wednesday, June 2, 2021)</title>
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[Federal Register Volume 86, Number 104 (Wednesday, June 2, 2021)]
[Notices]
[Pages 29586-29588]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-11542]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Rural Health Care
Coordination Program Performance Improvement and Measurement System
Database, OMB No. 0906-0024--Reinstate With Changes
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
has submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period.
DATES: Comments on this ICR should be received no later than July 2,
2021.
ADDRESSES: Submit your comments, including the ICR Title, to the desk
officer for HRSA, either by email to <a href="/cdn-cgi/l/email-protection#5916100b18062a2c3b34302a2a3036371936343b773c3629773e362f"><span class="__cf_email__" data-cfemail="a4ebedf6e5fbd7d1c6c9cdd7d7cdcbcae4cbc9c68ac1cbd48ac3cbd2">[email protected]</span></a> or by
fax to (202) 395-5806.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email the HRSA Information
Collection Clearance Officer at <a href="/cdn-cgi/l/email-protection#354554455047425a475e755d4746541b525a43"><span class="__cf_email__" data-cfemail="c8b8a9b8adbabfa7baa388a0babba9e6afa7be">[email protected]</span></a> or call (301) 443-
1984.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: Rural Health Care
Coordination Program Performance Improvement and Measurement System
Database, OMB No. 0906-0024--Reinstate with Changes.
Abstract: The Rural Health Care Coordination (Care Coordination)
program is authorized under Section 330A(e) of the Public Health
Service (PHS) Act (42 U.S.C. 254(e)), as amended, to ``improve access
and
[[Page 29587]]
quality of care through the application of care coordination strategies
with the focus areas of collaboration, leadership and workforce,
improved outcomes, and sustainability in rural communities.'' This
authority permits the Federal Office of Rural Health Policy to support
rural health consortiums/networks aiming to achieve the overall goals
of improving access, delivery, and quality of care through the
application of care coordination strategies in rural communities.
This ICR was discontinued in January 2020. HRSA is requesting a
reinstatement with changes as it was decided to re-compete this pilot
program.
The proposed Rural Health Care Coordination Program draft measures
for information collection reflect changes to the Clinical Measures
section which was previously in section eight and now currently in
section six. The Clinical Measures Section now expands previous project
focus from three chronic diseases (i.e., Type 2 diabetes, Congestive
Heart Failure, and Chronic Obstructive Pulmonary Disease) to an
inclusive list of clinical measures in order to reflect a patient's
overall health and well-being as well as the organizations' overall
improved outcomes for the project. Proposed revisions also include
measures to examine key elements cited for a successful rural care
coordination program: (1) Collaboration, (2) leadership and workforce,
(3) improved outcomes, and (4) sustainability.
1. Collaboration--Utilizing a collaborative approach to coordinate
and deliver health care services through a consortium, in which member
organizations actively engage in integrated, coordinated, patient-
centered delivery of health care services.
2. Leadership and Workforce--Developing and strengthening a highly
skilled care coordination workforce to respond to vulnerable
populations' unmet needs within the rural communities.
3. Improved Outcomes--Expanding access and improving care quality
and delivery, and health outcomes through evidence-based model and/or
promising practices tailored to meet the local populations' needs.
4. Sustainability--Developing and strengthening care coordination
program's financial sustainability by establishing effective revenue
sources such as expanded service reimbursement, resource sharing, and/
or contributions from partners at the community, county, regional, and
state levels.
With the continuing shift in the healthcare environment towards
provision of value-based care and utilization of reimbursement
strategies through Centers for Medicare and Medicaid Services quality
reporting programs, the latest competitive Rural Health Care
Coordination Program cohort also aligned with this shift. An increased
number of sophisticated applicants leveraging increasingly intricate
reporting methodologies for quality, data collection, utilization and
analysis has resulted in an estimate of burden hours more in line with
the realities of the health care landscape. In addition, the total
number of responses has increased to 10 since the previous Notice of
Award. This is due to a new Rural Health Care Coordination Program
grant cycle with an increased number of awardees therefore an increased
number of respondents.
A 60-day notice published in the Federal Register on November 30,
2020, vol. 85, No. 230; pp. 76585-86. There were no public comments.
Need and Proposed Use of the Information: For this program,
performance measures were drafted to provide data to the program and to
enable HRSA to provide aggregate program data required by Congress
under the Government Performance and Results Act of 1993. These
measures cover the principal topic areas of interest to the Office of
Rural Health Policy, including: (a) Access to care; (b) population
demographics; (c) staffing; (d) consortium/network; (e) sustainability;
and (f) project specific domains. All measures will speak to HRSA's
progress toward meeting the goals set.
Likely Respondents: The respondents would be recipients of the
Rural Health Care Coordination Program funding.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden Hours
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
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Rural Health Care Coordination 10 1 10 3.5 35
Grant Program Measures.........
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Total....................... 10 .............. 10 .............. 35
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[[Page 29588]]
HRSA specifically requests comments on: (1) The necessity and
utility of the proposed information collection for the proper
performance of the agency's functions, (2) the accuracy of the
estimated burden, (3) ways to enhance the quality, utility, and clarity
of the information to be collected, and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2021-11542 Filed 6-1-21; 8:45 am]
BILLING CODE 4165-15-P
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