[Federal Register Volume 80, Number 172 (Friday, September 4, 2015)]
[Notices]
[Pages 53519-53520]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22058]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than October 5, 
2015.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to 
[email protected] or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION:

Information Collection Request Title: Providing Primary Care and 
Preventive Medical Services in Ryan White-Funded Medical Care Settings, 
OMB No. 0915-xxxx--New

    Abstract: Since 1990, the Ryan White HIV/AIDS Program (Ryan White 
Program) has funded the provision of HIV care to eligible persons 
living with HIV (PLWH). With the advent of effective antiretroviral 
treatment, PLWH are living longer and normal lives. With this shift, 
PLWH are beginning to experience typical health issues that come with 
aging. Ryan White Program-funded clinics are seeing their patients 
develop other common preventable chronic diseases such as diabetes, 
heart disease, and hypertension. In addition, clinicians need to 
address non-primary care issues such mental health and substance abuse 
issues that are prevalent to PLWH and interferes with managing and 
treating HIV and other conditions. By shifting HIV care into a broader 
system of primary care, including preventative care, clinics can offer 
a more holistic approach to further improving the lives of PLWH.
    However, with limited resources, these Ryan White-funded clinics 
may struggle to provide primary and preventative care services in-house 
or have insufficient referral systems. This study will examine how Ryan 
White-funded clinics are integrating the provision of primary and 
preventative care services to the overall HIV care model. Specifically, 
it will look at the protocols and strategies used by clinics to manage 
care for PLWH, specifically care coordination, referral systems, and 
patient-centered strategies to keep PLWH in care.
    Need and Proposed Use of the Information: The proposed study will 
provide the HRSA HIV/AIDS Bureau and policymakers with a better 
understanding of how the Ryan White Program currently provides primary 
and preventative care to PLWH. The first online survey will be targeted 
to clinic directors from a sample of about 160 Ryan White-funded 
clinics and will collect data on care models used; primary care 
services, including preventive services; and coordination of care. Data 
collected from this survey will provide the HIV/AIDS Bureau with a 
general overview of the various HIV care models used as well as insight 
to possible facilitators and barriers to providing primary and 
preventative care services. More in-depth data collection will be 
conducted with a smaller number of 30 clinics representing clinic type 
(publicly funded community health organization, other community-based 
organization, health department, and hospital or university-based) and 
size. There will be three data collection instruments used: (1) an 
online survey completed by three clinicians at each of the clinics, (2) 
a data extraction of select primary and preventative care services, and 
(3) a telephone interview with the medical director. The clinician 
survey will provide a more in-depth look at the clinic protocols and 
strategies and how they are being used and implemented by the 
clinicians. The data extraction will provide quantitative information 
on the provision of select primary and preventative care services 
within a certain time period. With these data, the study team can 
assess the accuracy of information provided in the online surveys on 
the provision of care. Lastly, the interviews with the medical director 
will allow the study team to follow-up on the results of the survey and 
data extraction and collect qualitative data and more in-depth details 
on the provision of primary and preventative

[[Page 53520]]

care services, specifically any facilitators and barriers. These data 
will provide the HIV/AIDS Bureau with the background to make informed 
policies and changes to the Ryan White Program in this new era when the 
well-being of PLWH demands a more complex and long-term HIV care model.
    Likely Respondents: Clinics funded by the Ryan White HIV/AIDS 
Program.
    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

----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden   Total burden
            Form name                Number of     responses per       Total       per response    hours for all
                                     responses      respondents      responses      (in hours)       responses
----------------------------------------------------------------------------------------------------------------
Clinic Director Online Survey...             130               1             130             0.5              65
Clinician Online Survey.........              90               1              90             0.5              45
Data Extraction.................              30               1              30             4.0             120
Medical Director Interview Guide              30               1              30             0.5              15
                                 -------------------------------------------------------------------------------
    Total.......................             280  ..............             280  ..............             245
----------------------------------------------------------------------------------------------------------------


Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-22058 Filed 9-3-15; 8:45 am]
 BILLING CODE 4165-15-P