[Federal Register Volume 84, Number 165 (Monday, August 26, 2019)]
[Notices]
[Pages 44623-44624]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-18332]


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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; Information Collection 
Request Title: HIV Quality Measures (HIVQM) Module, OMB No. 0906-0022--
Revision

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, 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 September 
25, 2019.

ADDRESSES: Submit your comments, including the ICR 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 Lisa Wright-Solomon, the 
HRSA Information Collection Clearance Officer at [email protected] or 
call (301) 443-1984.

SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: HIV Quality Measures Module, 
OMB No. 0906-0022--Revision.
    Abstract: HRSA Ryan White HIV/AIDS Program (RWHAP) funds and 
coordinates with cities, states, and local clinics/community-based 
organizations to deliver efficient and effective HIV care, treatment, 
and support to low income people living with HIV. Nearly two-thirds of 
clients (patients) live at or below 100 percent of the federal poverty 
level and approximately three-quarters of RWHAP clients are racial/
ethnic minorities. Since 1990, the RWHAP has developed a comprehensive 
system of safety net providers who deliver high quality direct health 
care and support services to over half a million people living with 
HIV--more than 50 percent of all people living with diagnosed HIV in 
the United States.
    All parts of the RWHAP must follow the legislative requirements for 
the establishment of clinical quality management programs to assess 
their HIV services according to the most recent HHS guidelines and to 
develop strategies to improve access to quality HIV services. The HIVQM 
Module supports recipients and sub recipients in their clinical quality 
management, performance measurement, service delivery, and monitoring 
of client health outcomes; and supports the requirement imposed by the 
Uniform Administrative Requirements, Cost Principles, and Audit 
Requirements for HHS Awards that recipients relate financial data to 
performance accomplishments of their federal awards. 45 CFR 75.301. The 
module is accessible via the Ryan White Services Report, an existing 
online portal that RWHAP recipients already use for required data 
collection of their services. While the use of the module is voluntary 
for RWHAP recipients, its use is strongly encouraged.
    The HRSA performance measures are comprised of the following 
categories: (1) Core medical services, (2) all ages, (3) adolescent/
adult, (4) children with HIV, (5) HIV-exposed children, (6) medical 
case management, (7) oral health, (8) AIDS Drug Assistance Program, and 
(9) systems level performance measures. Recipients can choose the 
performance measures they want to monitor and may enter data on their 
measures into the module up to four times a year and then generate 
reports to assess their performance. Recipients may also compare their 
performance against other recipients regionally and nationally.
    A 60-day notice was published in the Federal Register on March 14, 
2019, vol. 84, No. 50; pp. 9362-63. There were four public comments.
    Need and Proposed Use of the Information: The HIVQM Module provides 
recipients an easy-to-use and structured platform to voluntarily and 
continually monitor their performance. The main purpose for the module 
is to help recipients set goals and monitor performance measures and 
quality improvement projects. For this revised ICR, HRSA is proposing 
to allow recipients the option to enter data for specific populations 
for a subset of performance measures based on age, gender, race, 
ethnicity, and specific risk factors, which will allow for target 
services and quality improvement activities to people most at need. In 
addition, recipients will be able to generate reports of performance 
measures, review them stratified by the recipients or their service 
providers, and compare to results at the state, regional, and national 
levels. HRSA is proposing these enhancements to increase the 
functionality and overall usability of the HIVQM Module.
    The HIVQM Module was piloted for this revision request in June 
2019. Recipients or sub recipients, who submitted data for more than 
two reporting periods in the last year and represented the use of 
various data systems, submitted feedback on the new data stratification 
feature. Their feedback included questions about: (1) How the data 
stratification feature in the HIVQM Module would differ from and 
integrate with CAREWare (CW) reporting; and (2) the availability of the 
template for the data stratification feature. HRSA's responses included 
describing the interface between CW and the HIVQM Module, explaining 
how reports will be produced and further explaining why the HIVQM 
Module will be a useful tool in comparing state, regional, and national 
performance measure data among recipients/sub recipients who use the 
HIVQM Module.
    Likely Respondents: HRSA RWHAP Part A, Part B, Part C, and Part D

[[Page 44624]]

recipients and their service providers and the AIDS Drug Assistance 
Program recipients.
    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
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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response (in        hours
                                                    respondent                        hours)
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HIVQM Module....................           2,316               4           9,264               6          55,584
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    Total.......................           2,316  ..............           9,264  ..............          55,584
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Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019-18332 Filed 8-23-19; 8:45 am]
BILLING CODE 4165-15-P