Notice2022-24752
Agency Information Collection Activities: Proposed Collection; Comment Request
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
November 15, 2022
Issuing agencies
Health and Human Services DepartmentAgency for Healthcare Research and Quality
Abstract
This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) reapprove the proposed information collection project "Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home and Community Based Services (HCBS) Survey Database." This proposed information collection was previously published in the Federal Register on August 19, 2022, and allowed 60 days for public comment. AHRQ did not receive any substantive comments during this period. The purpose of this notice is to allow an additional 30 days for public comment.
Full Text
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<title>Federal Register, Volume 87 Issue 219 (Tuesday, November 15, 2022)</title>
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[Federal Register Volume 87, Number 219 (Tuesday, November 15, 2022)]
[Notices]
[Pages 68496-68498]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-24752]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice.
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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) reapprove the proposed information
collection project ``Consumer Assessment of Healthcare Providers and
Systems (CAHPS) Home and Community Based Services (HCBS) Survey
Database.'' This proposed information collection was previously
published in the Federal Register on August 19, 2022, and allowed 60
days for public comment. AHRQ did not receive any substantive comments
during this period. The purpose of this notice is to allow an
additional 30 days for public comment.
DATES: Comments on this notice must be received by December 15, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by email at
<a href="/cdn-cgi/l/email-protection#c0a4afb2a9b3eeaca5a6abafb7a9b4ba8081889291eea8a8b3eea7afb6"><span class="__cf_email__" data-cfemail="2f4b405d465c01434a49444058465b556f6e677d7e0147475c01484059">[email protected]</span></a>.
[[Page 68497]]
SUPPLEMENTARY INFORMATION:
Proposed Project
``Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home
and Community Based Services (HCBS) Survey Database''
AHRQ requests that OMB reapprove AHRQ's collection of information
for the AHRQ Consumer Assessment of Healthcare Providers and Systems
(CAHPS) Database for Home and Community-Based Services: OMB Control
number 0935-0245, expiration October 31, 2022.
The CAHPS Home and Community-Based Services (HCBS) Survey Database
consists of data from the HCBS CAHPS Survey, which is the first cross-
disability survey of home and community-based service beneficiaries'
experience receiving long-term services and supports. It is designed to
facilitate comparisons across state Medicaid HCBS programs throughout
the country that target adults with disabilities, e.g., including older
adults, individuals with physical disabilities, persons with
developmental or intellectual disabilities, those with acquired brain
injury and persons with severe mental illness.
The HCBS CAHPS Survey was developed by the Centers for Medicare &
Medicaid Services (CMS) for voluntary use by state Medicaid programs,
including both fee-for-service HCBS programs as well as managed long-
term services and supports (MLTSS) programs. States with adequate
sample sizes may consider using survey metrics in value-based
purchasing initiatives.
The HCBS CAHPS Database serves as a primary source of data
available to states, agency programs and researchers to help answer
important questions related to beneficiary experiences. AHRQ, through
its contractor, collects and makes available de-identified survey data,
enabling HCBS programs to identify areas where quality can be improved.
Aggregated HCBS Database results are made publicly available on
AHRQ's CAHPS website. Technical assistance is provided by AHRQ, through
its contractor, at no charge to programs, to facilitate the access and
use of these materials for quality improvement and research. Technical
assistance is also provided to support HCBS CAHPS data submission.
The HCBS CAHPS Database supports AHRQ's goals of promoting
improvements in the quality and patient-centeredness of health care in
home or community-based care settings. This research has the following
goals:
1. Improve care provided by individual providers and state
programs.
2. Offer several products and services, including providing survey
results presented through the AHRQ Data Tools website, summary
chartbooks, custom analyses, private reports and data for research
purposes.
3. Provide information to help identify strengths and areas with
potential for improvement in patient care.
This study is being conducted by AHRQ through its contractor,
Westat, pursuant to AHRQ's statutory authority to conduct and support
research on health care and on systems for the delivery of such care,
including activities with respect to the quality, effectiveness,
efficiency, appropriateness and value of healthcare services; quality
measurement and improvement; and health surveys and database
development 42 U.S.C 299a(a)(1), (2), and (8).
Method of Collection
The development and operation of the HCBS CAHPS Database will
include the following major components undertaken by AHRQ through its
contractor. To achieve the goals of this project, the following
activities and data collections will be implemented:
<bullet> Registration with the site to obtain an account with a
secure username and password: The point-of-contact (POC) completes an
online registration form, providing contact and organizational
information required to initiate the registration process.
<bullet> Submission of signed Data Use Agreements (DUAs) and survey
questionnaires: The data use agreement completed by the participating
organization provides confidentiality assurances and states how the
data submitted will be used.
<bullet> Submission of program information form: The POC completes
an online information form to describe organizational characteristics
of the program.
<bullet> Submission of de-identified survey data files: POCs upload
data files in the format specified in the data file specifications to
ensure data submitted is standardized and consistently named and coded.
<bullet> Follow-up with submitters in the event of a rejected file,
to assist in making corrections and resubmitting the file.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated burden hours for the respondents to
participate in the database. The 51 POCs in Exhibit 1 represent the 51
states or agencies that will administer the Adult HCBS survey. An
estimated thirteen survey vendors will assist them.
Each state or agency will register online for submission. The
online Registration form will require about 5 minutes to complete. Each
submitter will also complete a program information form of information
about each program such as the name of the program, program size,
state, etc. The online program information form takes on average 5
minutes to complete. The data use agreement will be completed by each
of the 51 participating States. Survey vendors do not sign or submit
DUAs. The DUA requires about 3 minutes to sign and return by fax or
mail. Each submitter, which in most cases will be the survey vendor
performing the data collection, will provide a copy of their
questionnaire and the survey data file in the required file format.
Survey data files must conform to the data file layout specifications
provided by the HCBS CAHPS Database. Since the unit of analysis is at
the program level, submitters will upload one data file per program.
Once a data file is uploaded the file will be automatically checked to
ensure it conforms to the specifications and a data file status report
will be produced and made available to the submitter. Submitters will
review each report and will be expected to correct any errors in their
data file and resubmit if necessary. It will take about one hour to
submit the data for each program. The total burden is estimated to be
63 hours annually.
Exhibit 1--Estimated Annualized Burden Hours
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Number of Number of
Form name respondents/ responses per Hours per Total burden
POCs POC response hours
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Registration Form............................... 51 1 5/60 4.25
Program Information Form........................ 51 1 5/60 4.25
[[Page 68498]]
Data Use Agreement.............................. 51 1 3/60 2.5
Data Files Submission........................... 13 4 1 52
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Total....................................... NA NA NA 63
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Exhibit 2 shows the estimated annualized cost burden based on the
respondents' time to complete one submission process. The cost burden
is estimated to be $3,162 annually.
Exhibit 2--Estimated Annualized Cost Burden
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Average
Form name Number of Total burden hourly wage Total cost
respondents hours rate * burden
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Registration Form............................... 51 4.25 \a\ 57.61 $245
Program Information Form........................ 51 4.25 \a\ 57.61 245
Data Use Agreement.............................. 51 2.5 \b\ 102.41 256
Data Files Submission........................... 13 52 \c\ 46.46 2,416
Total....................................... ** 166 63 NA 3,162
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* National Compensation Survey: Occupational wages in the United States May 2021, ``U.S. Department of Labor,
Bureau of Labor Statistics.''
(a) Based on the mean hourly wage for Medical and Health Services Managers (11-9111).
(b) Based on the mean hourly wage for Chief Executives (11-1011).
(c) Based on the mean hourly wages for Computer Programmers (15-1251).
** The 51 POCs listed for the registration form, program information form and the data use agreement are the
estimated POCs from the estimated participating programs.
Request for Comments
In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3520, 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'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. All comments will become a matter of
public record.
Dated: November 8, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022-24752 Filed 11-14-22; 8:45 am]
BILLING CODE 4160-90-P
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