[Federal Register Volume 73, Number 229 (Wednesday, November 26, 2008)]
[Notices]
[Pages 72064-72065]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-28048]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Comment Request

    In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, e-mail [email protected] or 
call the HRSA Reports Clearance Officer on (301) 443-1129.
    Comments are invited on: (a) The proposed collection of information 
for the proper performance of the functions of the agency; (b) the 
accuracy of the agency's estimate of the burden of the proposed 
collection 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 on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: Patient Navigator Outreach and Chronic Disease 
Prevention Demonstration Program Patient Data Collection Form--NEW

    The purpose of the Patient Navigator Outreach and Chronic Disease 
Prevention (PN) Demonstration Program is to promote model ``patient 
navigator'' programs to improve health care outcomes for individuals 
with cancer and/or other chronic diseases, with a specific emphasis on 
health disparity populations. This program aims to coordinate 
comprehensive health services for patients in need of chronic disease 
care and management through enhanced chronic disease management 
provided by patient navigators.
    In order to describe successful PN program models and make 
recommendations on the ability of such programs to improve patient 
outcomes, data is needed at the individual patient, patient navigator, 
and PN program levels. This information includes:
     Sociodemographics of patients (e.g., insurance status, 
income, education level, gender, age, race and ethnicity, primary 
language, number of family dependents) served;
     Patient access barriers to standard chronic disease care 
(e.g., access to pharmaceuticals, distance of patient's home from 
health care facilities utilized, primary mode of transportation to 
health care facilities utilized, cultural and linguistic barriers as 
well as literacy levels);
     Health care service utilization (e.g., screening rates, 
compliance rate for appointments and follow-up exams, time interval 
between diagnosis or referral and resolution date);
     Patient health status (e.g., type and stage of diagnosis, 
chronic disease status, final outcome or result); and
     Patient navigation data (e.g., type of navigator, patient 
navigation training plans and outcomes, point at which patient 
navigator was brought into the process, number of patients referred, 
how patient barriers were resolved, patient satisfaction, follow-up 
outcomes--such as number of uninsured who get health coverage).
    This information will be collected from patients or their 
designated caregiver, patient navigators, and PN program 
administrators. Maintaining confidentiality of patient medical 
information is a concern and thus all personal information will be de-
identified to protect the confidentiality of all patients. Data 
collection and disclosure processes will abide by Health Insurance 
Portability and Accountability Act (HIPPA) Privacy Rule provisions and 
procedures. The estimated annual burden is as follows:

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                                     Number of     Responses per       Total         Hours per     Total burden
              Form                  respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Navigated Patient \1\ Data                 6,000               1           6,000             0.5           3,000
 Intake Form....................
Navigated Patient Satisfaction             6,000               1           6,000            0.25           1,500
 Survey.........................
                                 -------------------------------------------------------------------------------
    SubTotal--Patient Burden....           6,000               2          1,2000            0.75           4,500
                                 -------------------------------------------------------------------------------
Patient Navigator Survey........              30               1              30            0.25             7.5
Patient Navigator Encounter/                  30             750          22,500            0.25           5,625
 Tracking Log \2\...............
                                 -------------------------------------------------------------------------------
    SubTotal--Patient Navigator               30             751          22,530             0.5         5,632.5
     Burden.....................
                                 -------------------------------------------------------------------------------
Grantee PN Administrative                      6               1               6             0.5               3
 Records \3\....................
Medical Record and Clinic Data                 6           2,000          12,000               2          24,000
 \4\............................
                                 -------------------------------------------------------------------------------
    SubTotal--Grantee Burden....              12           2,001          12,012             2.5          24,006
                                 ===============================================================================
        Total Average Annual               6,052           2,754          54,052            3.75          36,016
         Burden.................
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\1\ Estimated number of navigated patients per year based on applications was rounded to 6000. See table below
  for projected numbers navigated by Grantee.
\2\ Assumes 5 log entries of PN activities per patient.

[[Page 72065]]

 
\3\ Includes administrative data related to PN recruitment, hiring, and training.
\4\ Includes medical record abstraction and clinic database abstraction on individual patients (note: decreased
  to 2 hours per patient).


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                                                      Over 2
                                                       yrs       Annual
------------------------------------------------------------------------
Goodwin...........................................        400        200
Lutheran..........................................        650        325
Northeast.........................................      6,000      3,000
Palmetto..........................................      3,000      1,500
South Broward.....................................      2,200      1,100
Texas Tech........................................        500        250
                                                   ---------------------
    Total.........................................     12,750      6,375
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    E-mail comments to [email protected] or mail the HRSA Reports 
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane, 
Rockville, MD 20857. Written comments should be received within 60 days 
of this notice.

    Dated: November 20, 2008.
Alexandra Huttinger,
Director, Division of Policy Review and Coordination.
[FR Doc. E8-28048 Filed 11-25-08; 8:45 am]
BILLING CODE 4165-15-P