Attachment F -- Federal Register Notice

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Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting of the Presidential Advisory
Council on HIV/AIDS
Office of the Assistant
Secretary for Health, Office of the
Secretary, Department of Health and
Human Services.
ACTION: Notice.
AGENCY:

As stipulated by the Federal
Advisory Committee Act, the U.S.
Department of Health and Human
Service (DHHS) is hereby giving notice
that the Presidential Advisory Council
on HIV/AIDS (PACHA) will hold a
meeting to discuss the Ryan White
Program. The meeting will be open to
the public.
DATES: The meeting will be held on
September 18–19, 2013 from 9:00 a.m.
to approximately 5:30 p.m. (EDT).
ADDRESSES: U.S. Department of Health
and Human Services, 200 Independence
Avenue SW., Washington, DC 20201.
FOR FURTHER INFORMATION CONTACT: Ms.
Caroline Talev, Public Health Analyst,
Presidential Advisory Council on HIV/
AIDS, Department of Health and Human
Services, 200 Independence Avenue
SW., Room 443H, Hubert H. Humphrey
Building, Washington, DC 20201;
phone: (202) 205–1178; email
caroline.talev@hhs.gov. More detailed
information about PACHA can be
obtained by accessing the Council’s Web
site www.aids.gov/pacha.
SUPPLEMENTARY INFORMATION: PACHA
was established by Executive Order
12963, dated June 14, 1995, as amended
by Executive Order 13009, dated June
14, 1996. The Council was established
to provide advice, information, and
recommendations to the Secretary
regarding programs and policies
intended to promote effective
prevention and cure of HIV disease and
AIDS. The functions of the Council are
solely advisory in nature.
The Council consists of not more than
25 members. Council members are
selected from prominent community
leaders with particular expertise in, or
knowledge of, matters concerning HIV
and AIDS, public health, global health,
philanthropy, marketing or business, as
well as other national leaders held in
high esteem from other sectors of
society. Council members are appointed
by the Secretary or designee, in
consultation with the White House
Office on National AIDS Policy. The
agenda for the upcoming meeting will
be posted on the Council’s Web site at
www.aids.gov/pacha.
Public attendance at the meeting is
limited to space available. Individuals

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who plan to attend and need special
assistance, such as sign language
interpretation or other reasonable
accommodations, should notify the
designated contact person. Due to space
constraints, pre-registration for public
attendance is advisable and can be
accomplished by contacting Caroline
Talev at caroline.talev@hhs.gov by
Wednesday, September 11, 2013.
Members of the public will have the
opportunity to provide comments at the
meeting. Any individual who wishes to
participate in the public comment
session must register with Caroline
Talev at caroline.talev@hhs.gov;
registration for public comment will not
be accepted by telephone. Individuals
who register to participate in the public
comments session are encouraged to
provide a hard copy of their comments
to ensure accuracy of this information in
the minutes developed for the meeting.
The hard copy of the comments can be
brought to the meeting and given to the
designated PACHA staff member or sent
in advance of the meeting to Caroline
Talev at caroline.talev@hhs.gov. Public
comment will be limited to two minutes
per speaker. Any members of the public
who wish to have printed material
distributed to PACHA members at the
meeting should submit, at a minimum,
one copy of the materials to Caroline
Talev, no later than close of business
Wednesday, September 11, 2013.
Dated: July 24, 2013.
B. Kaye Hayes,
Executive Director, Presidential Advisory
Council on HIV/AIDS.
[FR Doc. 2013–19644 Filed 8–13–13; 8:45 am]
BILLING CODE 4150–43–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Evaluation of the Children’s Health
Insurance Program Reauthorization Act
of 2009 (CHIPRA) Quality
Demonstration Grant Program: Survey
Data Collection.’’ In accordance with

SUMMARY:

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the Paperwork Reduction Act, 44 U.S.C.
3501–3521, AHRQ invites the public to
comment on this proposed information
collection.
This proposed information collection
was previously published in the Federal
Register on May 31st, 2013 and allowed
60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by September 13, 2013.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by
email at
OIRA_submission@omb.eop.gov
(attention: AHRQ’s desk officer). Copies
of the proposed collection plans, data
collection instruments, and specific
details on the estimated burden can be
obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Evaluation of the Children’s Health
Insurance Program Reauthorization Act
of 2009 (CHIPRA) Quality
Demonstration Grant Program: Survey
Data Collection
The Children’s Health Insurance
Program Reauthorization Act of 2009
(CHIPRA), Public Law 111–3, included
funding for five-year grants so that
States could experiment with and
evaluate several promising ideas related
to improving the quality of children’s
health care in Medicaid and CHIP. In
February 2010, the Centers for Medicare
& Medicaid Services (CMS) announced
the award of 10 demonstration grants to
States that convincingly articulated an
achievable vision of what they could
accomplish by the end of the five-year
grant period, described strategies they
would use to achieve the objectives, and
explained how the strategies would
achieve the objectives. Applicants were
encouraged by CMS to address multiple
grant categories (described below) and
to partner with other States in designing
and implementing their projects.
Of the 10 grantee States selected, six
are partnering with other States, for a
total of 18 demonstration States. The
demonstration States are: Colorado
(partnering with New Mexico); Florida
(with Illinois); Maine (with Vermont);
Maryland (with Wyoming and Georgia);
Massachusetts; North Carolina; Oregon

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Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices
(with Alaska and West Virginia);
Pennsylvania; South Carolina; and Utah
(with Idaho).
These demonstration States are
implementing 51 distinct projects in at
least one of five possible grant
categories, A to E. Category A grantees
are experimenting with and/or
evaluating the use of pediatric quality
measures, including those in the initial
core set of children’s health care quality
measures (a group of measures
developed for state Medicaid and CHIP
agencies to report in a standardized
fashion to CMS). Category B grantees are
promoting health information
technologies for improved care delivery
and patient outcomes. Category C
grantees are implementing personcentered medical homes or other
provider-based levels of service
delivery. Category D grantees will
evaluate the impact of a model pediatric
electronic health record. Category E
grantees are testing other State-designed
approaches to quality improvement in
Medicaid and CHIP.
AHRQ’s goal in supporting an
evaluation of the CHIPRA Quality
Demonstration Grant Program is to
provide insight into how best to
implement quality improvement
programs as well as information on how
successful programs can be replicated to
improve children’s health care quality
in Medicaid and CHIP. The specific
goals of this project are as follows:
1. Identify CHIPRA State activities that
measurably improve the nation’s health care,
especially as it pertains to children.
2. Develop a deep, systematic
understanding of how CHIPRA
demonstration States carried out their grantfunded projects.

3. Understand why the CHIPRA
demonstration States pursued certain
strategies.
4. Understand whether and how the
CHIPRA demonstration States’ efforts
affected outcomes related to knowledge and
behavior change in targeted providers and/or
consumers of health care.

This study is being conducted by
AHRQ through its contractor,
Mathematica Policy Research Inc., and
their subcontractors, the Urban Institute
and AcademyHealth, 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 and with respect to quality
measurement and improvement. 42
U.S.C. 299a(a)(1) and (2).
Method of Collection
To meet these goals AHRQ has
designed a comprehensive evaluation
that will make the best use of qualitative
and quantitative research methods. The
evaluation will include a survey of
pediatricians and family physicians.
This survey will include a random
sample of physicians in Massachusetts,
North Carolina, Ohio, and Pennsylvania.
The questionnaire includes questions
that support an analysis of (1) Physician
attitudes towards specific strategies and
resources aimed at improving the
quality of care provided to pediatric
patients; (2) the extent to which
physicians’ practices have attempted to
implement changes in order to improve
the quality of care provided to pediatric
patients; (3) physician attitudes towards
the utility of receiving performance

feedback on nine of measures in the
core quality measure set that are most
relevant to primary care; (4) perceived
usefulness of quality-of-care reports
received by physician practices; (5)
current practices and attitudes towards
pay-for-performance financial incentive
systems based on quality measure
outcomes; (6) physicians’ uses of and
attitudes towards electronic health
records (EHR) in quality measurement
and improvement; (7) current and
expected medical home accreditation
processes; and (8) physician and
practice demographic information.
These data will be analyzed in
conjunction with CMS claims data to
gain insight on physician perspectives
on quality measures and quality
reporting and foster understanding of
the strategies and resources that seemed
to contribute most (or least) to those
outcomes.
A separate information collection
request will be submitted for interviews
and focus groups that are part of this
evaluation. Administrative and survey
data will be analyzed with descriptive
and inferential techniques appropriate
to answering questions about outcomes
and impacts.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to participate in this
evaluation. The survey will be
completed by 1,200 pediatricians and
family physicians working in primary
care settings in four States (300 per
State) and takes 15 minutes to complete.
The total burden is estimated to be 300
hours.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Number of
responses per
respondent

Hours per
response

Total burden
hours

Pediatrician and Family Physician Survey ......................................................

1,200

1

15/60

300

Total ..........................................................................................................

1,200

n/a

n/a

300

Exhibit 2 shows the estimated
annualized cost burden associated with
the respondents’ time to participate in

this evaluation. The total cost burden is
estimated to be $25,578.

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EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Form name
Pediatrician and Family Physician Survey ......................................................

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Total burden
hours

1,200

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300

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Average
hourly wage
rate *
$85.26

Total cost
burden
$25,578

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Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of
respondents

Form name
Total ..........................................................................................................

Total burden
hours

1,200

300

Average
hourly wage
rate *
n/a

Total cost
burden
25,578

* Based upon the higher of the two means of the hourly wages for general and family practitioners and general pediatricians, National Compensation Survey: ‘‘May 2011 National Occupational Employment and Wage Estimates, United States.’’ U.S. Department of Labor, Bureau of
Labor Statistics.

Request for Comments
In accordance with the Paperwork
Reduction Act, 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 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: August 2, 2013.
Carolyn M. Clancy,
AHRQ Director.
[FR Doc. 2013–19724 Filed 8–13–13; 8:45 am]
BILLING CODE 4160–90–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
tkelley on DSK3SPTVN1PROD with NOTICES

AGENCY:

This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Collection of Information for Agency

SUMMARY:

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for Healthcare Research and Quality’s
(AHRQ) Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) Health Plan Survey
Comparative Database.’’ In accordance
with the Paperwork Reduction Act, 44
U.S.C. 3501–3521, AHRQ invites the
public to comment on this proposed
information collection.
DATES: Comments on this notice must be
received by October 15, 2013.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by
email at doris.lefkowitz@AHRQ.hhs.gov.
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Collection of Information for Agency for
Healthcare Research and Quality’s
(AHRQ) Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) Health Plan Survey
Comparative Database
Request for information collection
approval. The Agency for Healthcare
Research and Quality (AHRQ) requests
that the Office of Management and
Budget (OMB) reapprove, under the
Paperwork Reduction Act of 1995,
AHRQ’s collection of information for
the AHRQ Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) Database for Health Plans:
OMB Control number 0935–0165,
expiration July 31, 2013. The CAHPS
Health Plan Database consists of data
from the AHRQ CAHPS Health Plan
Survey. Health plans in the U.S. are
asked to voluntarily submit data from
the survey to AHRQ, through its
contractor, Westat. The CAHPS
Database was developed by AHRQ in
1998 in response to requests from health
plans, purchasers, and the Centers for
Medicare & Medicaid Services (CMS) to
provide comparative data to support

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public reporting of health plan ratings,
health plan accreditation and quality
improvement.
Background on the CAHPS Health
Plan Survey. The CAHPS Health Plan
Survey is a tool for collecting
standardized information on enrollees’
experiences with health plans and their
services. The development of the
CAHPS Health Plan Survey began in
1995, when AHRQ awarded the first set
of CAHPS grants to Harvard, RTI, and
RAND. In 1997 the CAHPS 1.0 survey
was released by the CAHPS Consortium.
The CAHPS Consortium refers to the
research organizations involved in the
development, dissemination, and
support of CAHPS products. The
current Consortium includes AHRQ,
CMS, RAND, Yale School of Public
Health, and Westat.
Since that time, the Consortium has
clarified and updated the survey
instrument to reflect field test results;
feedback from industry experts; reports
from health plan participants, data
collection vendors, and other users; and
evidence from cognitive testing and
focus groups. In November 2006, the
CAHPS Consortium released the latest
version of the instrument: the CAHPS
Health Plan Survey 4.0. The
development of this update to the
Health Plan Survey has been part of the
‘‘Ambulatory CAHPS (A–CAHPS)
Initiative,’’ which arose as a result of
extensive research conducted with
users. AHRQ released the CAHPS
Health Plan Survey 4.0, along with
guidance on how to customize and
administer it. The National Quality
Forum endorsed the 4.0 version of the
Health Plan Survey in July 2007.
Rationale for the information
collection. The CAHPS Health Plan
Database uses data from AHRQ’s
standardized CAHPS Health plan survey
to provide comparative results to health
care purchasers, consumers, regulators
and policy makers across the country.
The Database also provides data for
AHRQ’s annual National Healthcare
Quality and National Healthcare
Disparities Reports. Voluntary
participants include public and private
employers, State Medicaid agencies,
State Children’s Health Insurance

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