Agency Information Collection Activities: Proposed Collection; Comment Request
| Citation | 85 FR 36203 |
| Record Number | 2020-12804 |
| Published date | 15 June 2020 |
| Section | Notices |
| Court | Agency For Healthcare Research And Quality,Health And Human Services Department |
Federal Register, Volume 85 Issue 115 (Monday, June 15, 2020)
[Federal Register Volume 85, Number 115 (Monday, June 15, 2020)]
[Notices]
[Pages 36203-36205]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-12804]
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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) approve the proposed information collection
project ``AHRQ Managing Unhealthy Alcohol Use in Primary Care
Initiative.'' This proposed information collection was previously
published in the Federal Register on March 30, 2020 and allowed 60 days
for public comment. AHRQ did not receive any comments during the
aforementioned public comment 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 30 days after date
of publication of this notice.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. 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
[email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
AHRQ Managing Unhealthy Alcohol Use in Primary Care Initiative
The Affordable Care Act established the Patient-Centered Outcomes
Research Trust Fund (PCORTF) and authorized AHRQ to broadly disseminate
the research findings published by the Patient-Centered Outcomes
Research Institute (PCORI) and other government-funded research
relevant to comparative clinical effectiveness research. AHRQ's PCORTF-
funded initiative identifies research findings that could significantly
improve patient outcomes through broader implementation in clinical
practice. Under this initiative, in 2019 AHRQ launched a new
initiative, Managing Unhealthy Alcohol Use in Primary Care, in order to
promote the uptake of evidence-based practices for unhealthy alcohol
use (UAU). As part of this initiative, AHRQ selected six grantees and
funded a contractor to support and evaluate the grantees. The grantees
will collectively work with more than 700 primary care practices over
three years to implement and evaluate strategies to increase the use of
evidence-based interventions such as screening for unhealthy alcohol
use, brief interventions for adult patients who drink too much, and
medication-assisted therapy (MAT) for patients with an alcohol use
disorder. The contractor will develop a resource center, convene a
technical expert panel, conduct an ongoing environmental scan, support
a learning community of grantees, and complete a multisite, mixed
methods evaluation.
Unhealthy alcohol use, defined as behaviors ranging from risky
drinking to alcohol use disorders (AUD), is estimated to be the third
leading cause of preventable death in the United States. Between 2006
and 2010, nearly one in ten deaths were alcohol-related. In addition to
early mortality, UAU is associated with a host of adverse outcomes,
including unintentional injuries and the development or exacerbation of
a range of physical and behavioral health conditions. The Centers for
Disease Control and Prevention estimates suggest that excessive alcohol
consumption costs the United States $249 billion annually.
Under the UAU initiative, six AHRQ grantees will work to improve
the management of UAU in primary care by disseminating and implementing
evidence-based practices for screening and brief intervention, referral
to treatment (SBI/RT), and MAT in primary care practices. The multi-
site, mixed-methods evaluation will include primary data collection by
the evaluator,
[[Page 36204]]
NORC at the University of Chicago. The evaluation will also include
secondary data collected by the six grantee teams working with 750
primary care practices. Collectively the data will allow the evaluator
to assess the implementation and impact of the six grants.
The project goals, as laid out in the AHRQ request for applications
include:
Success of recruitment and retention strategies across all
six grantees to engage primary care practices for implementation of
SBI/RT and MAT, across the initiative;
Effectiveness of the grantees' collective dissemination
and implementation strategies, and the factors associated with the
success and/or failure of the strategies as it relates to populations,
settings and the influence of contextual factors;
Success at the practice level in increasing the number of
patients screened, identified, and treated; and
Overall impact on changes in processes or outcomes that
can be attributed to the initiative.
This study is being conducted pursuant to AHRQ's statutory
authority to broadly disseminate research findings published by the
Patient-Centered Outcomes Research Institute and other government-
funded research relevant to comparative clinical effectiveness research
to physicians, health care providers, and patients. 42 U.S.C 299b-37.
Method of Collection
To achieve the goals of the multi-site evaluation (MSE), AHRQ is
requesting OMB approval for three years for new data collection by the
evaluator. The evaluator's primary data collection is requested to
achieve the goals of the MSE and includes the following data collection
activities:
Semi-Structured Qualitative Interviews will take place in-person
and/or by telephone with key staff from each grantee team (i.e.,
principal investigator, co-investigator, evaluation lead, practice
facilitation/implementation lead, and project manager) and with
clinicians and staff at one primary care practice working with each
grantee. Interviews will be conducted annually beginning at the end of
Year 1, for a total of three time points per grantee. During Years 1
and 3 the interviews will be conducted by phone, while Year 2
interviews will be collected in-person. The interviews for both grantee
teams and primary care practice staff will cover domains such as
understanding the practice implementation and changes overtime, methods
of supporting practices, barriers and facilitators to implementation,
strategies to overcome barriers, and the number and type of staff
implementing SBI/RT and MAT.
Secondary data collected by grantees and analyzed by the evaluator
will include:
Aggregated process measure data that will be used to assess whether
the number of patients receiving SBI/RT and/or MAT increased at the
practice level. Grantees will survey all participating primary care
practices at the beginning of the initiative to collect data on basic
practice characteristics (e.g., size, ownership, staff, and patient
population) that can be used to evaluate relationships between practice
characteristics and the number of patients receiving SBI/RT and/or MAT.
Grantees will also collect quantitative information about the number,
duration, and function of contact between practice facilitators and
primary care practices to evaluate the relationship between duration,
frequency, and type of practice facilitator-practice engagement, and
the number of patients screened, receiving brief intervention, and/or
treated for UAU. The practice facilitators will collect data to track
changes in practices over time and facilitate an overall assessment of
what activities the practice is conducting to identify and manage UAU.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondents' time to complete the semi-structured Key Informant
Interviews. For the three-year clearance period, the estimated
annualized burden hours for the interviews are 60.
Exhibit 1
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Number of
Data collection activity Number of responses per Hours per Total burden
respondents respondent response hours
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Semi-Structured Interviews...................... 60 1 1.0 60
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Total....................................... 60 .............. .............. 60
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Exhibit 2 shows the estimated annualized cost burden based on the
respondents' time to complete the Key Informant Interviews. The total
annualized cost burden is estimated to be $6,109.
Exhibit 2--Estimated Annualized Cost Burden
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Number of Total burden Average hourly Total cost
Form name respondents hours wage rate * burden
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Semi-Structured Interviews...................... 60 60 \a\ $101.82 $6,109
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Total....................................... 60 60 .............. 6,109
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* National Compensation Survey: Occupational wages in the United States May 2018 ``U.S. Department of Labor,
Bureau of Labor Statistics'': https://www.bls.gov/oes/current/oes_stru.htm.
\a\ Based on the mean wages for 29-1062 Family and General Practitioners.
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's health care research and
health care information
[[Page 36205]]
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: June 9, 2020.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2020-12804 Filed 6-12-20; 8:45 am]
BILLING CODE 4160-90-P
