[Federal Register Volume 81, Number 92 (Thursday, May 12, 2016)]
[Notices]
[Pages 29570-29571]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11184]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Substance Abuse and Mental Health Services 
Administration (SAMHSA) will publish a summary of information 
collection requests under OMB review, in compliance with the Paperwork 
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these 
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

Project: Primary and Behavioral Health Care Integration Evaluation--NEW

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Behavioral Health Statistics and Quality (CBHSQ) is 
requesting approval from the Office of Management and Budget (OMB) for 
new data collection activities associated with their Primary and 
Behavioral Health Care Integration (PBHCI) program.
    This information collection is needed to provide SAMHSA with 
objective information to document the reach and impact of the PBHCI 
program. The information will be used to monitor quality assurance and 
quality performance outcomes for organizations funded by this grant 
program. The information will also be used to assess the impact of 
services on behavioral health and physical health services for 
individuals served by this program. .
    Collection of the information included in this request is 
authorized by Section 505 of the Public Health Service Act (42 U.S.C. 
290aa-4)--Data Collection.
    SAMHSA launched the PBHCI program in FY 2009 with the understanding 
that adults with serious mental illness (SMI) experience heightened 
rates of morbidity and mortality, in large part due to elevated 
incidence and prevalence of risk factors such as obesity, diabetes, 
hypertension, and dyslipidemia. These risk factors are influenced by a 
variety of factors, including inadequate physical activity and poor 
nutrition; smoking; side effects from atypical antipsychotic 
medications; and lack of access to health care services. Many of these 
health conditions are preventable through routine health promotion 
activities, primary care screening, monitoring, treatment and care 
management/coordination strategies and/or other outreach programs.

[[Page 29571]]

    The purpose of the PBHCI grant program is to establish projects for 
the provision of coordinated and integrated services through the co-
location of primary and specialty care medical services in community-
based behavioral health settings. The program's goal is to improve the 
physical health status of adults with serious mental illnesses (and 
those with co-occurring substance use disorders) who have or are at 
risk for co-occurring primary care conditions and chronic diseases.
    As the largest federal effort to implement integrated behavioral 
and physical health care in community behavioral health settings, 
SAMHSA's PBHCI program offers an unprecedented opportunity to identify 
which approaches to integration improve outcomes, how outcomes are 
shaped by the characteristics of the treatment setting and community, 
and which models have the greatest potential for sustainability and 
replication. SAMHSA awarded the first cohort of 13 PBHCI grants in 
fiscal year (FY) 2009, and between FY 2009 and FY 2014, SAMHSA funded a 
total of seven cohorts comprising 127 grants. An eighth cohort, funded 
in fall 2015, included 60 new grants.
    The data collection described in this request will build upon the 
first PBHCI evaluation and provide essential data on the implementation 
of integrated primary and behavioral health care, along with rigorous 
estimates of its effects on health.
    The Center for Behavioral Health Statistics and Quality is 
requesting clearance for ten data collection instruments and forms 
related to the implementation and impact studies to be conducted as 
part of the evaluation:

1. PBHCI grantee director survey
2. PBHCI frontline staff survey
3. Telephone interview protocol
4. On-site staff interview protocol
5. Client focus group guide
6. Data extraction tool for grantee registry/electronic health records 
(EHRs)
7. Initial client letter for physical exam and health assessment
8. Consent form for client physical exam and health assessment
9. Consent form for client focus group
10. Client physical exam and health assessment questionnaire
    The table below reflects the annualized hourly burden.

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                                     Number of     Responses per       Total         Hours per      Total hour
      Respondents/activity          respondents     respondent       responses       response         burden
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                                                   Web surveys
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Grantee director................              78               2         \b\ 149             0.5          \b\ 75
Grantee frontline staff survey..             782               2       \c\ 1,494             0.5         \c\ 747
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                                                Phone interviews
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Grantee director................              60               1              60             1.0              60
Grantee director--site interview              10               2              20             2.0              40
Grantee mental health providers--             40               2              80             1.0              80
 site interview.................
Grantee primary care providers--              40               2              80             1.5             120
 site interview.................
Grantee care coordinators--site               20               2              40             1.5              60
 interview......................
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                                                  Focus groups
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Focus group participants........             120               2             240             1.0             240
Extraction of grantee registry/               92              11           1,012             8.0           8,096
 EHR data.......................
SMI clients--baseline physical             2,500               1           2,500             1.0           2,500
 exam and health assessment.....
SMI clients--follow-up physical            1,750               1           1,750             1.0           1,750
 exam and health assessment.....
Comparison group clinic                       10               1              10             8.0              80
 director--coordination \d\.....
                                 -------------------------------------------------------------------------------
    Total.......................       \e\ 3,752  ..............           7,435  ..............          13,848
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\a\ Hourly wage estimates are based on salary information provided in 10 PBHCI grant proposals representing
  mostly urban locations across the country and represent an average across responders of each type.
\b\ Cohort VI funding ends before the administration of the second survey. Total number of responses excludes
  the Cohort VI directors, who will not receive the second survey.
\c\ Cohort VI funding ends before the administration of the second survey. Total number of responses excludes
  the Cohort VI frontline staff, who will not receive the second survey.
\d\ Includes logistical coordination between the evaluation and site staff to conduct the physical exam and
  health assessment as well as oversight of client recruitment.
\e\ Excludes physical exam and health assessment follow-up respondents.

    Written comments and recommendations concerning the proposed 
information collection should be sent by June 13, 2016 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB). To ensure timely receipt of 
comments, and to avoid potential delays in OMB's receipt and processing 
of mail sent through the U.S. Postal Service, commenters are encouraged 
to submit their comments to OMB via email to: 
[email protected]. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2016-11184 Filed 5-11-16; 8:45 am]
 BILLING CODE 4162-20-P