Change Memo OMB Request for Non-Substantive Change

Health Resources and Services DEPARTMENT OF HEALTH & HUMAN SERVICES Administration Healthcare Systems Bureau Rockville, MD 20857

DATE: June 7, 2022

TO: Josh Brammer, OMB Desk Officer

FROM: Samantha Miller, Acting HRSA Information Collection Clearance Officer

______________________________________________________________________________

Request: The Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB) Pediatric Mental Health Care Access (PMHCA) program and the Screening and Treatment for Maternal Depression and Related Behavioral Disorders (MDRBD) program requests approval for changes to the PMHCA and MDRBD Health Care Provider (HCP) Surveys, Practice-Level Surveys, Program Implementation Surveys, and Program Implementation Semi-Structured Interviews (SSIs) (OMB 0906-0052 expiration date 06-30-2023).

Purpose: The purpose of this request is to make changes to the survey and SSI instruments by adding additional questions and expanding response options. Collection of this information will provide more accurate data reporting on several key measures, allowing HRSA to better track and understand differences in program implementation and use, technical assistance and other program needs, and the impact of COVID-19 on cooperative agreement-funded programs.

This memo explains the changes and supporting rationale.

Changes: Instruments:

Table A includes the type of instrument that received the change, the number of the question that was altered/added, a description of the change, and the rationale for the change. Attached are the instruments (Attachment 1) with the changes tracked, for reference. The overall scope of change to each of the instruments is minimal, representing the addition of one new response option in the HCP surveys; two new response options in the practice-level surveys; three new response options in the program implementation surveys; and two new probes and two new questions in the program implementation SSIs.

Time Sensitivity: The data collection changes must be completed in a timely manner to ensure that the data collection schedule will not experience significant delay. Approval of these changes is requested by July 1, 2022, to implement the changes in the data collection instruments and to prepare for the timely collection of data critical to HRSA.

Burden: These changes included herein do not substantially change the estimated reporting burden for respondents. Making these changes will allow HRSA to accurately capture data to determine the effects of the PMHCA and MDRBD cooperative agreement-funded programs on HCPs capacity to address patients’ behavioral health and access to behavioral health care.

PROPOSED CLARIFICATIONS AND NON-SUBSTANTIVE CHANGES:

Table A

Instrument	Question Number	Change implemented	Rationale
PMHCA and MDRBD HCP Survey	1	Add “Other” as a response option	Data on type of behavioral health conditions managed is important, by allowing respondents the ability to include an “other” response, HRSA can better understand conditions providers are managing in addition to those provided in the list.
PMHCA and MDRBD Practice-Level Survey	4	Added “Provide more information or resources to patients/families” as a response option	The addition of this response option allows HRSA to better understand possible changes that the practice has made.
PMHCA and MDRBD Practice-Level Survey	4	Response option added: “No changes have been made”	It is important to add a “no changes have been made” response option to limit missing data for respondents who have not made changes.
PMHCA and MDRBD Program Implementation Survey	12	Added “Impact of public health emergency (e.g., COVID-19) as a response option	It is important to add this response option as COVID-19 has likely impacted program implementation for awardees participating in the PMHCA and MRBD programs.
PMHCA and MDRBD Program Implementation Survey	28	Added “Impact of public health emergency (e.g., COVID-19) as a response option	It is important to add this response option as COVID-19 has likely impacted program implementation for awardees participating in the PMHCA and MRBD programs.
PMHCA and MDRBD Program Implementation Survey	29	Added “Systems/platforms used for data collection” as a response option.	Added an additional response option to better understand technical assistance needs among awardees.
PMHCA and MDRBD Program Implementation SSI	7	Added PROBE 1: Have incentives been used?	Some programs have noted the utilization of incentives to promote HCP and practice recruitment and enrollment, so we want to ensure SSI facilitators capture which awardees are implementing incentives.
PMHCA and MDRBD Program Implementation SSI	32	Added PROBE 3: Please describe how your program has utilized community resource partners (whether informal or formal) to support program implementation and any related barriers and/or facilitators to these partnerships.”	The use of and relationship with community resource partners varies among awardees, so we want to capture this information for all awardees.
PMHCA and MDRBD Program Implementation SSI	35	Added question: Please describe how access to behavioral health services has changed as a result to your state’s PMHCA/MDRBD program.	Added this question to get a better understanding of program outcomes for each program.
PMHCA and MDRBD Program Implementation SSI	36	Added question: What are the biggest accomplishments of the PMHCA/MDRBD program? PROBE 1: What have been the most significant outcomes? PROBE 2: Please describe any factors that supported these accomplishments/outcomes.	Added this question to get a better understanding of program outcomes for each program.

Attachments:

• PMHCA HCP Survey (All changes and additions are tracked in the attached document)

• MDRBD HCP Survey (All changes and additions are tracked in the attached document)

• PMHCA Practice-Level Survey (All changes and additions are tracked in the attached document)

• MDRBD Practice-Level Survey (All changes and additions are tracked in the attached document)

• PMHCA Program Implementation Survey (All changes and additions are tracked in the attached document)

• MDRBD Program Implementation Survey (All changes and additions are tracked in the attached document)

• PMHCA Program Implementation SSI (All changes and additions are tracked in the attached document)

• MDRBD Program Implementation SSI (All changes and additions are tracked in the attached document)