Notice2024-13624
Agency Information Collection Activities: Rural Health Care Coordination Program Performance Improvement Measures
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 21, 2024
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the Paperwork Reduction Act of 1995, HRSA 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. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.
Full Text
<html>
<head>
<title>Federal Register, Volume 89 Issue 120 (Friday, June 21, 2024)</title>
</head>
<body><pre>
[Federal Register Volume 89, Number 120 (Friday, June 21, 2024)]
[Notices]
[Pages 52068-52069]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-13624]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Rural Health Care
Coordination Program Performance Improvement Measures
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
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. OMB may act on HRSA's ICR only after the 30-day
comment period for this notice has closed.
DATES: Comments on this ICR should be received no later than July 22,
2024.
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 Review--Open for
Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Joella Roland, the HRSA
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#5626372633242139243d163e24253778313920"><span class="__cf_email__" data-cfemail="3b4b5a4b5e494c5449507b5349485a155c544d">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Rural Health Care
Coordination Program Performance Improvement Measures, OMB No. 0906-
0024--Revision.
Abstract: The Rural Health Care Coordination (Care Coordination)
Program is authorized under 42 U.S.C. 254c(e) (section 330A(e) of the
Public Health Service Act) to promote rural health care services
outreach by improving and expanding the delivery of health care
services through comprehensive care coordination strategies addressing
a primary focus area: (1) heart disease; (2) cancer; (3) chronic lower
respiratory disease; (4) stroke; or (5) maternal health. This authority
permits the Federal Office of Rural Health Policy within HRSA to award
grants to eligible entities to promote rural health care services
outreach by improving and expanding the delivery of health care
services to include new and enhanced services in rural areas, through
community engagement and evidence-based or innovative, evidence-
informed models. HRSA currently collects information about Care
Coordination Program grants using an OMB-approved set of performance
measures and seeks to revise that approved collection. The proposed
changes to this information collection are a result of award recipient
feedback and information gathered from the previously approved Care
Coordination Program measures.
A 60-day notice was published in the Federal Register on January
17, 2024, 89 FR 2960-2961. There were no public comments.
Need and Proposed Use of the Information: This program needs
measures that will 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
HRSA, including: (1) access to care; (2) population demographics and
social determinants of health; (3) care coordination and network
infrastructure; (4) sustainability; (5) leadership and workforce; (6)
electronic health record; (7) telehealth; (8) utilization; and (9)
clinical measures/improved outcomes. All measures will evaluate HRSA's
progress toward achieving its goals.
The proposed changes include additional components under ``Access
to Care'' and ``Population Demographic'' sections that seek information
about the target population, counties served, direct services, and
social determinants
[[Page 52069]]
of health such as transportation barriers, housing, and food
insecurity. Questions about Health Information Technology and
Telehealth have been modified to reflect an updated telehealth
definition and to improve understanding of how these important
technologies are affecting HRSA award recipients. Sections previously
titled ``Care Coordination'' and ``Quality Improvement'' sections were
consolidated into one section titled ``Care Coordination and Network
Infrastructure'' to improve clarity and ease of reporting for
respondents. Part of the previous ``Care Coordination'' section was
revised to include a section titled ``Utilization'' to improve clarity
of instructions for related measures. Previously titled ``Staffing''
section was revised to ``Leadership and Workforce Composition'' to
improve measure clarity and reduce overall burden for respondents by
consolidating measures from previously separate ``Staffing'', ``Quality
Improvement'' and ``Care Coordination'' sections. Revised National
Quality Forum and Centers for Medicare & Medicaid Services measures
were also included to allow uniform collection efforts throughout the
Federal Office of Rural Health Policy.
The total number of measures has increased from 40 total measures
to 48 total measures since the previous information collection request.
Of the 48 measures, 11 measures are designated as ``optional'' or
``complete as applicable''. The measures within Section 6: Electronic
Health Record are noted as optional to grantees. In Section 9:
``Clinical Measures/Improved Health Outcomes'', grantees are only
required to respond to Clinical Measure 1: Care Coordination. Grantees
can choose to provide data for Clinical Measures 2-10 if applicable to
their projects. The total number of responses has remained at 10 since
the previous information collection request. While the new Care
Coordination Program grant cycle maintained the same number of award
recipients and number of respondents, in consideration of the new
cohort of awardees, HRSA has increased the estimated average burden per
response. The increase in burden is largely due to the amount of time
it takes to build systems to capture and report data at the start of a
new project. Recent feedback from grantees indicated that larger
networks with multiple members and programs across different
organizations also experienced higher burdens due to the wait time in
between responses. The increase in burden hours remains consistent with
the proposed changes that better reflect the program scope and intent
of the notice of funding opportunity announcement, HRSA-23-125, under
which the new cohort of grants was awarded.
Likely Respondents: The respondents would be recipients of the
Rural Health Care Coordination Program grants.
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
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
Rural Health Care Coordination 10 1 10 48.67 486.70
Program Performance Improvement
Measures.......................
-------------------------------------------------------------------------------
Total....................... 10 .............. 10 .............. 486.70
----------------------------------------------------------------------------------------------------------------
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024-13624 Filed 6-20-24; 8:45 am]
BILLING CODE 4165-15-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on June 21, 2024.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.