Notice2022-19493
Request for Public Comment: 30-Day Information Collection: Urban Indian Organization On-Site Review
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
September 9, 2022
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Abstract
In compliance with the Paperwork Reduction Act of 1995, the Indian Health Service (IHS) invites the general public to comment on a new information collection titled, "Urban Indian Organization On-Site Review." IHS is requesting the Office of Management and Budget (OMB) to approve this new collection. The purpose of this notice is to announce the IHS' intent to submit this collection to OMB and to allow 30 days for public comment to be submitted directly to OMB.
Full Text
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<title>Federal Register, Volume 87 Issue 174 (Friday, September 9, 2022)</title>
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[Federal Register Volume 87, Number 174 (Friday, September 9, 2022)]
[Notices]
[Pages 55448-55449]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-19493]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day Information Collection: Urban
Indian Organization On-Site Review
AGENCY: Indian Health Service, HHS.
ACTION: Notice and request for comments; request for approval.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the general public to comment on a
new information collection titled, ``Urban Indian Organization On-Site
Review.'' IHS is requesting the Office of Management and Budget (OMB)
to approve this new collection. The purpose of this notice is to
announce the IHS' intent to submit this collection to OMB and to allow
30 days for public comment to be submitted directly to OMB.
DATES: Consideration will be given to all comments received by October
11, 2022.
ADDRESSES: A copy of the supporting statement is available at
<a href="http://www.regulations.gov">www.regulations.gov</a> (see Docket ID: IHS_FRDOC_0001).
Direct Your Comments to OMB: Send your comments and suggestions
regarding the proposed information collection contained in this notice,
especially regarding the estimated public burden and associated
response time to: Office of Management and Budget, Office of Regulatory
Affairs, New Executive Office Building, Room 10235, Washington, DC
20503, Attention: Desk Officer for IHS.
FOR FURTHER INFORMATION CONTACT: To request additional information,
please contact Evonne Bennett, Information Collection Clearance Officer
at: <a href="/cdn-cgi/l/email-protection#9edbe8f1f0f0fbb0dcfbf0f0fbeaeadef7f6edb0f9f1e8"><span class="__cf_email__" data-cfemail="0d487b62636368234f6863636879794d64657e236a627b">[email protected]</span></a> or 301-443-4750.
SUPPLEMENTARY INFORMATION:
Summary of Comments: There was one comment that was submitted to
the Agency regarding the 60-Day Federal Register Notice published on
February 11, 2022 (87 FR 8020).
Comment Summary: The National Council of Urban Indian Health
(NCUIH) was the only comment to the FRN, and a summary of the comments,
requests, and recommendations in response to the February 11, 2022,
notice, is summarized below. These comments can be found in full on
<a href="http://www.regulations.gov">www.regulations.gov</a> (see Docket ID: IHS_FRDOC_0001) and based on
NCUIH's consultations with Urban Indian Organizations (UIOs) and
NCUIH's subject matter expertise. In summary, the NCUIH recommends the
following:
<bullet> Update the Manual regularly and as needed to remain
consistent with other relevant accreditation processes.
<bullet> Provide greater flexibility in the Manual to accommodate
diverse UIO program/facility goals and services.
<bullet> The IHS to provide a consolidated list of requirement
documents to UIOs prior to the on-site review.
<bullet> Ensure that UIOs can use existing administrative or site
visit data in meeting the requirements of the Manual.
Additional Recommendations for UIOs includes that the Office of
Urban Indian Health Programs (OUIHP) host an Urban Confer with UIOs to
learn directly from UIO leaders about their experiences with the Manual
and overall review process. The NCUIH also wanted consideration on (1)
Provide a timeline for processing information collected in the annual
review process; and (2) Improve overall review by ensuring reviewers
are licensed medical providers.
IHS Response: The IHS Urban Indian Organization On-Site Review is
conducted annually by the IHS Area Offices to evaluate IHS-funded UIOs'
compliance with the Federal Acquisition Regulations (FAR), the Indian
Health Care Improvement Act (IHCIA), and other contract and grant
requirements. The on-site review requirements are based on best-
practice standards for delivering safe and high quality health care.
The OUIHP at IHS Headquarters provides national oversight of the annual
on-site reviews.
In Fiscal Year (FY) 2018, the OUIHP executed an Indefinite-
Delivery, Indefinite Quantity contract to revise the outdated 2013
Annual On-site Review Manual using current Accreditation Association
for Ambulatory Health Care (AAAHC), The Joint Commission, and
Commission on Accreditation of Rehabilitation Facilities accreditation
standards, and the IHS Manual to improve consistency and usefulness of
on-site reviews. IHS solicited feedback and recommendations from UIOs
by conducting seven site visits: 1 outreach and referral program, 2
limited ambulatory programs, 2 comprehensive ambulatory programs, and 2
residential and outpatient treatment centers. In FY 2020, the OUIHP
finalized the Annual On-site Review Manual incorporating UIOs' feedback
and recommendations.
In FY 2021, the OUIHP began development of an electronic Annual On-
site Review application to replace the hardcopy and a national
dashboard to enhance the efficiency of on-site reviews. The application
enables IHS Area Office staff and UIOs to document on-site reviews
electronically by (1) completing corrective action plans; (2)
documenting on-site reviews simultaneously at UIOs by IHS and UIO
staff; (3) uploading on-site review documents; (4) calculating
compliance scores to provide real-time feedback; (5)
[[Page 55449]]
generating compliance trend data as a baseline measure; (6) uploading
on-site review data if no internet connection is available; and (7)
printing options for the on-site review manual and completed reviews.
The advantages of automating the Annual On-site Review Manual and
process will increase productivity, increase communication on status of
on-site reviews, increase efficient use of the Annual On-site Review
Manual, and improve implementation of corrective action plans. In FY
2022, the OUIHP continues to develop the electronic Annual On-site
Review Manual and process including seeking OMB approval.
The standardization of the Annual On-site Review Manual and process
was in line with the 2017-2021 OUIHP strategic plan to improve the
consistency, usefulness, and efficiency of annual on-site reviews for
IHS Area Offices and UIOs.
The IHCIA at 25 U.S.C. 1655, states that the IHS will annually
review and evaluate each UIO funded under the law. The IHCIA also
requires IHS to develop procedures for evaluating compliance with
awards made under the statute. Section 1655 states, in part:
(a) Contract Compliance and Performance
The Secretary, through the Service, shall develop procedures to
evaluate compliance with grant requirements under this subchapter and
compliance with, and performance of contracts entered into by [UIOs]
under this subchapter. Such procedures shall include provisions for
carrying out the requirements of this section.
(b) Annual On-Site Evaluation
The Secretary, through the Service, shall conduct an annual on-site
evaluation of each [UIO] which has entered into a contract or received
a grant under Section 1653 of this title for purposes of determining
the compliance of such organization with, and evaluating the
performance of such organization under, such contract or the terms of
such grant.
To meet statutory compliance, the IHS will conduct annual on-site
reviews of UIOs funded under the IHCIA to ensure grant and contract
compliance and the delivery of safe and high-quality health care.
This notice announces our intent to establish a new information
collection.
Title: Urban Indian Organization On-Site Review. Need and Use of
Information Collection: The Office of Urban Indian Health Programs
(OUIHP) at IHS Headquarters provides national oversight of the annual
on-site reviews. The IHS Urban Indian Organization On-Site Review is
conducted annually by the IHS Area Offices to evaluate IHS-funded Urban
Indian Organizations' compliance with Federal Acquisition Regulation
(FAR) contractual requirements and grant requirements established
through the IHCIA. The on-site review requirements are based on best-
practice standards for delivering safe and high quality health care.
Agency Form Number: none. Members of Affected Public: IHS-funded Urban
Indian Organizations. Status of the Proposed Information Collection:
new.
The table below provides: Types of data collection instruments,
Estimated number of respondents, Number of responses per respondent,
Average burden hour per response, and Total annual burden hours.
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Estimated Average burden
Data collection instrument(s) number of Responses per hour per Total annual
respondents respondent response burden hours
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UIOs............................................ 41 1 16 656
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Total....................................... 41 1 16 656
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There are no direct costs to respondents to report.
Requests for Comments: Your written comments and/or suggestions are
invited on one or more of the following points:
(a) whether the information collection activity is necessary to
carry out an agency function;
(b) whether the agency processes the information collected in a
useful and timely fashion;
(c) the accuracy of the public burden estimate (the estimated
amount of time needed for individual respondents to provide the
requested information);
(d) whether the methodology and assumptions used to determine the
estimates are logical;
(e) ways to enhance the quality, utility, and clarity of the
information being collected; and
(f) ways to minimize the public burden through the use of
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology
Elizabeth A. Fowler,
Acting Director, Indian Health Service.
[FR Doc. 2022-19493 Filed 9-8-22; 8:45 am]
BILLING CODE 4165-16-P
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