[Federal Register Volume 80, Number 216 (Monday, November 9, 2015)]
[Notices]
[Pages 69233-69234]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-28415]



[[Page 69233]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration (SAMHSA) will publish periodic summaries of 
proposed projects. To request more information on the proposed projects 
or to obtain a copy of the information collection plans, call the 
SAMHSA Reports Clearance Officer at (240) 276-1243.
    Comments are invited on (a) whether the proposed collections of 
information are necessary for the proper performance of the functions 
of the agency, including whether the information shall have practical 
utility; (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 (IT).

Proposed Project: Screening, Brief Intervention, and Referral to 
Treatment (SBIRT) Cross-Site Evaluation--New

    SAMHSA is conducting a cross-site external evaluation of the impact 
of programs of screening, brief intervention (BI), brief treatment 
(BT), and referral to treatment (RT) on patients presenting at various 
health care delivery units with a continuum of severity of substance 
use. SAMHSA's SBIRT program is a cooperative agreement grant program 
designed to help states and Tribal Councils expand the continuum of 
care available for substance misuse and use disorders. The program 
includes screening, BI, BT, and RT for persons at risk for dependence 
on alcohol or drugs. This evaluation will provide a comprehensive 
assessment of SBIRT implementation; the effects of SBIRT on patient 
outcomes, performance site practices, and treatment systems; and the 
sustainability of the program. This information will allow SAMHSA to 
determine the extent to which SBIRT has met its objectives of 
implementing a comprehensive system of identification and care to meet 
the needs of individuals at all points along the substance use 
continuum.
    To evaluate the success of SBIRT implementation at the site level, 
a web-based survey will be administered to staff in sites where SBIRT 
services are being delivered--referred to as performance sites. The 
Performance Site Survey will be distributed to individuals who directly 
provide SBIRT services and staff who interact regularly with SBIRT 
providers and patients receiving SBIRT services. The types of staff 
surveyed will include intake staff, medical providers, behavioral 
health providers, social workers, and managerial and administrative 
staff who oversee these staff. Since cross-site evaluation team members 
will be traveling to selected SBIRT providers and coordinating with 
state and site administrators on a yearly basis, there is an 
opportunity to complete a near-census of all SBIRT-related staff at 
performance sites with a minimal level of burden.
    The 78 question web survey includes the collection of basic 
demographic information, questions about the organization's readiness 
to implement SBIRT, and questions about the use of health information 
technology (HIT) to deliver SBIRT services. The demographic questions 
were tailored from a previous cross-site evaluation survey to fit the 
current set of cross-site grantees. The organizational readiness 
questions were developed through a review of the extant implementation 
science research literature (e.g., Chaudoir, Dugan, & Barr, 2013; 
Damschroder et al., 2009; Garner, 2009; Greenhalgh, MacFarlane, & 
Kyriakidou, 2004; Weiner, 2009; Weiner, Belden, Bergmire, & Johnston, 
2011). Based on this review, the Organizational Readiness for 
Implementation Change (ORIC) (Shea, Jacobs, Esserman, Bruce, & Weiner, 
2014) and the Implementation Climate Scale (ICS) (Jacobs, Weiner, & 
Bunger, 2014) were identified as the two most appropriate instruments. 
In addition to questions from these two instruments, the survey 
includes questions to assess satisfaction, capacity, and infrastructure 
to implement SBIRT screening, BI, and BT.
    To identify relevant HIT measures, the cross-site evaluation team 
modified measures from socio-technical frameworks (Kling, 1980), 
including the DeLone and McClean framework (DeLone & McLean, 2004), the 
Public Health Informatics Institute Framework (PHII, 2005), and the 
Human Organization and Technology (Hot)-FIT Framework (Yusof, 2008). 
Across these three frameworks, the survey captures measures of system 
availability, information availability, organizational structure and 
environment, utilization, and user satisfaction.

                               Total Burden Hours for the Performance Site Survey
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                                     Number of       Number of
           Respondent               respondents     responses/     Total number      Hours per     Annual burden
                                        (a)         respondent     of responses    response (b)        hours
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Intake/front desk staff.........             215               1             215            0.22           47.30
Performance site administrators.             191               1             191            0.22           42.02
Clinical supervisors............             101               1             101            0.22           22.22
Medical providers...............             571               1             571            0.22          125.62
Behavioral health providers.....             211               1             211            0.22           46.42
Social workers..................             118               1             118            0.22           25.96
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    Total.......................           1,407  ..............           1,407  ..............          309.54
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(a) The maximum number of annual respondents has been based on an estimates from cross-site evaluation site
  visits.
(b) The average burden per response was estimated based on independent review of the instrument by contractor
  staff.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email a copy 
to [email protected].

[[Page 69234]]

Written comments should be received by January 8, 2016.

Summer King,
Statistician.
[FR Doc. 2015-28415 Filed 11-6-15; 8:45 am]
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