Notice2024-27394
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Health Resources and Services Administration Uniform Data System
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 22, 2024
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR.
Full Text
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<title>Federal Register, Volume 89 Issue 226 (Friday, November 22, 2024)</title>
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[Federal Register Volume 89, Number 226 (Friday, November 22, 2024)]
[Notices]
[Pages 92692-92694]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-27394]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request; Health Resources and Services Administration
Uniform Data System
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects of the Paperwork Reduction
Act of 1995, HRSA announces plans to submit an Information Collection
Request (ICR), described below, to the Office of Management and Budget
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the
public regarding the burden estimate, below, or any other aspect of the
ICR.
DATES: Comments on this ICR should be received no later than January
21, 2025.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#641405140116130b160f240c1617054a030b12"><span class="__cf_email__" data-cfemail="146475647166637b667f547c6667753a737b62">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14NWH04, 5600 Fishers
Lane, Rockville, Maryland 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
[[Page 92693]]
proposed project or to obtain a copy of the data collection plans and
draft instruments, email <a href="/cdn-cgi/l/email-protection#3747564752454058455c775f45445619505841"><span class="__cf_email__" data-cfemail="740415041106031b061f341c0607155a131b02">[email protected]</span></a> or call Joella Roland, the
HRSA Information Collection Clearance Officer, at (301) 443-3983.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: Health Resources and Services
Administration (HRSA) Uniform Data System (UDS), OMB No. 0915-0193--
Revision.
Abstract: The Health Center Program, administered by HRSA, is
authorized under section 330 of the Public Health Service (PHS) Act (42
U.S.C. 254b). Health centers are community-based and patient-directed
organizations that deliver affordable, accessible, quality, and cost-
effective primary health care services to patients regardless of their
ability to pay. Nearly 1,400 health centers operate approximately
15,500 service delivery sites that provide primary health care to more
than 31 million people in every U.S. state, the District of Columbia,
Puerto Rico, the U.S. Virgin Islands, and the Pacific Basin.
HRSA uses the UDS for annual reporting of program-specific data by
Health Center Program awardees (those funded under section 330 of the
PHS Act), Health Center Program look-alikes (entities meeting
requirements of, but not funded under, section 330 of the PHS Act), and
Nurse Education, Practice, Quality and Retention (NEPQR) and Advanced
Nursing Education (ANE) Program awardees (specifically those funded
under the practice priority areas of sections 831(b) and 811 of the PHS
Act).
Some NEPQR and ANE Program awardees establish and expand nursing
practice arrangements in noninstitutional settings to demonstrate
methods to improve access to primary health care in medically
underserved communities. Nursing grantees implementing nursing practice
arrangements have historically used the same data collection system as
the Health Center Program.
Need and Proposed Use of the Information: HRSA requires the
collection of information through UDS to monitor and evaluate the
performance of health centers under section 330 and select NEPQR and
ANE recipients under sections 831(b) and 811. These data aid in program
compliance, guide quality improvement initiatives, and inform federal
health policy decisions. HRSA also leverages UDS data to assess the
impact of health centers and NEPQR and ANE recipients on patient health
outcomes and to allocate funding and resources effectively across the
Health Center Program. To keep this instrument relevant and responsive
to the health center program's needs and the evolving healthcare
landscape, periodic updates are essential. HRSA plans to make the
following updates for the performance year 2025 UDS data collection:
Table 6A (Selected Diagnoses and Services Rendered) Additions
<bullet> Tobacco Use Cessation Pharmacotherapies: A new measure is
being added to line 26c2 to identify the number of visits where
patients received tobacco cessation pharmacotherapies as an
intervention and the number of patients who received this pharmacologic
treatment. While the Preventive Care and Screening: Tobacco Use:
Screening and Cessation Intervention electronic-specified clinical
quality measures (CMS138v12) (Table 6B, Line 14a) that is currently
reported in the UDS assesses for cessation, it lacks the capacity to
disaggregate and report a distinct percentage for patients receiving
counseling or recommendation to cessation pharmacotherapies. Adding a
line for reporting of tobacco use cessation pharmacotherapies will
promote greater understanding of the breadth of tobacco cessation
interventions provided at health centers, specifically allowing HRSA to
see differences in tobacco use cessation approaches.
<bullet> Medications for Opioid Use Disorder (MOUD): A new measure
for MOUD services will be reported on line 26c3 for the number of
visits where MOUD was administered and the number of patients who
received this medication-based intervention. This new measure will
enhance the existing MOUD related measures that health centers
currently report on in Appendix E: Other Data Elements (e.g., number of
providers who treat opioid use disorder with MOUD). The inclusion of
this measure is critical for supporting public health efforts to
address the ongoing opioid epidemic. Greater understanding of the use
of MOUD in health centers is necessary both to understand existing
services and identify remaining healthcare gaps.
<bullet> Alzheimer's Disease and Related Dementias (ADRD)
Screening: A new measure is being added to line 26f to capture the
number of visits where patients received ADRD screenings and the number
of patients who received the screenings. This measure will encompass
assessments representing standardized tools used for the evaluation of
cognition and mental status of older adults. The addition of a measure
to capture screening of ADRD will be valuable in understanding the
level of need and resources required to continue to support the growing
aging population served by the Health Center Program and will foster
early detection for those at risk for ADRD.
Table 6B (Quality of Care Measures) Addition
<bullet> Initiation and Engagement of Substance Use Disorder
Treatment: A new measure with two distinct rates is being added to
Lines 23a and b to capture the initiation and engagement of substance
use disorder treatment, in alignment with electronic-specified clinical
quality measure CMS137v13. This measure will report on the percentage
of patients 13 years and older with a new substance use disorder
episode who received treatment, including (a) those who initiated
treatment within 14 days and (b) those who engaged in ongoing treatment
within 34 days. By incorporating this measure, HRSA strengthens its
alignment with national performance standards and gains greater insight
into how effectively health centers are initiating and engaging
patients in substance use disorder treatment.
Table 6B (Quality of Care Measures) and Table 7 (Health Outcomes and
Disparities)
Updates
<bullet> Tables 6B and 7 collect UDS clinical quality measures,\1\
and where applicable, clinical quality measures will be updated in
alignment with specifications of the issued performance year 2025
electronic-specified clinical quality measures. These specifications
were released by the Centers for Medicare and Medicaid Services (CMS)
on May 2, 2024, for use by eligible providers.\2\ Clinical performance
measure alignment across national programs promotes data
standardization, quality, and transparency, and decreases reporting
burden for providers and organizations participating in multiple
federal programs.
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\1\ <a href="https://www.cms.gov/medicare/quality/measures">https://www.cms.gov/medicare/quality/measures</a>.
\2\ <a href="https://ecqi.healthit.gov/now-available-updated-ecqm-specifications-and-implementation-resources-2025-performance/reporting-period">https://ecqi.healthit.gov/now-available-updated-ecqm-specifications-and-implementation-resources-2025-performance/reporting-period</a>.
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[[Page 92694]]
UDS+ Test Submissions for Health Centers
<bullet> Beginning with the 2024 UDS, health centers will be able
to submit de-identified, patient-level data in fulfillment of data
elements on Tables:
[cir] Table PBZC (Patients by ZIP Code)
[cir] Table 3A (Patients by Age and Sex Assigned at Birth)
[cir] Table 3B (Demographic Characteristics)
[cir] Table 4 (Selected Characteristics)
[cir] Table 6A (Selected Diagnoses and Services Rendered)
[cir] Table 6B (Quality of Care Measures)
[cir] Table 7 (Health Outcomes and Disparities
UDS+ Patient-Level Reporting leverages a shift in processes by
which health centers will submit their annual UDS reports while
maintaining historic UDS measures. Health Centers are encouraged to
submit data through UDS+.
UDS+ is currently in the testing phase and data submission supports
system capacity building and progress towards full implementation. The
technical test will inform next steps for scaling this innovation.
High-quality accessible data are critical to strategically meeting the
unique needs of health center patients and identifying training and
technical assistance opportunities for clinical process improvement.
The growth in health information technology coupled with the near
universal adoption of electronic health records across health centers
has transformed patient care delivery and underscored the need for
secure and rapid exchange of health data between disparate systems.
Fast Healthcare Interoperability Resources[supreg] is a Health Level
Seven International[supreg] standard for exchanging health care
information electronically.\3\ The health care community is adopting
this next generation exchange framework to advance interoperability.\4\
Leveraging Fast Healthcare Interoperability Resources[supreg] to
collect patient-level data through the UDS+ system will support
improved data granularity, allowing for the development of robust HRSA-
supported patient care programs and improved equitable access to HRSA-
supported high-quality, cost-effective primary care services. This
electronic reporting mechanism will reduce reliance on manual data
entry to populate the annual UDS report, in turn yielding a reduction
in reporting effort burden, and will greatly increase the analytical
value of UDS data for informing policy and program decision-making.
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\3\ <a href="https://ecqi.healthit.gov/fhir">https://ecqi.healthit.gov/fhir</a>.
\4\ <a href="https://ecqi.healthit.gov/fhir">https://ecqi.healthit.gov/fhir</a>.
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Likely Respondents: Respondents will include Health Center Program
award recipients and Health Center Program look-alikes carrying out
programs under section 330 of the PHS Act and NEPQR and ANE award
recipients funded under the practice priority areas of section 831(b)
and 811 of the PHS Act.
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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Estimated
Estimated number of Average burden Estimated
Form name number of responses per per response total burden
respondents respondent (in hours) hours
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Universal Report................................ * 1,538 1.00 238 366,044
Grant Report.................................... ** 420 1.22 22 11,273
UDS+ Test Submissions........................... 1,507 1.25 10 18,838
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Total....................................... 3,465 .............. 270 396,155
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* Consists of 1,363 health center program awardees, 133 Health Center Look-alikes, and 42 NEPQR and ANE
respondents.
** Health Centers submitted one or more grant reports in 2023: 339 (1 report), 70 (2 reports), 11 (3 reports).
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. 2024-27394 Filed 11-21-24; 8:45 am]
BILLING CODE 4165-15-P
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