[Federal Register Volume 88, Number 102 (Friday, May 26, 2023)]
[Notices]
[Page 34155]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-11252]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Supplemental Evidence and Data Request on Measures for Primary
Healthcare Spending
AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.
ACTION: Request for supplemental evidence and data submissions.
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SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is
seeking scientific information submissions from the public. Scientific
information is being solicited to inform our review on Measures for
Primary Healthcare Spending, which is currently being conducted by the
AHRQ's Evidence-based Practice Centers (EPC) Program. Access to
published and unpublished pertinent scientific information will improve
the quality of this review.
DATES: Submission Deadline on or before June 26, 2023.
ADDRESSES:
Email submissions: [email protected].
Print submissions:
Mailing Address: Center for Evidence and Practice Improvement,
Agency for Healthcare Research and Quality, ATTN: EPC SEADs
Coordinator, 5600 Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857.
Shipping Address (FedEx, UPS, etc.): Center for Evidence and
Practice Improvement, Agency for Healthcare Research and Quality, ATTN:
EPC SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E53A, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: Kelly Carper, Telephone: 301-427-1656
or Email: [email protected].
SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and
Quality has commissioned the Evidence-based Practice Centers (EPC)
Program to complete a review of the evidence for Measures for Primary
Healthcare Spending. AHRQ is conducting this technical brief pursuant
to Section 902 of the Public Health Service Act, 42 U.S.C. 299a.
The EPC Program is dedicated to identifying as many studies as
possible that are relevant to the questions for each of its reviews. In
order to do so, we are supplementing the usual manual and electronic
database searches of the literature by requesting information from the
public (e.g., details of studies conducted). We are looking for studies
that report on Measures for Primary Healthcare Spending, including
those that describe adverse events. The entire research protocol is
available online at: https://effectivehealthcare.ahrq.gov/products/primary-healthcare-spending.
This is to notify the public that the EPC Program would find the
following information on Measures for Primary Healthcare Spending
helpful:
[ssquf] A list of completed studies that your organization has
sponsored for this indication. In the list, please indicate whether
results are available on ClinicalTrials.gov along with the
ClinicalTrials.gov trial number.
[ssquf] For completed studies that do not have results on
ClinicalTrials.gov, a summary, including the following elements: study
number, study period, design, methodology, indication and diagnosis,
proper use instructions, inclusion and exclusion criteria, primary and
secondary outcomes, baseline characteristics, number of patients
screened/eligible/enrolled/lost to follow-up/withdrawn/analyzed,
effectiveness/efficacy, and safety results.
[ssquf] A list of ongoing studies that your organization has
sponsored for this indication. In the list, please provide the
ClinicalTrials.gov trial number or, if the trial is not registered, the
protocol for the study including a study number, the study period,
design, methodology, indication and diagnosis, proper use instructions,
inclusion and exclusion criteria, and primary and secondary outcomes.
[ssquf] Description of whether the above studies constitute ALL
Phase II and above clinical trials sponsored by your organization for
this indication and an index outlining the relevant information in each
submitted file.
Your contribution is very beneficial to the Program. Materials
submitted must be publicly available or able to be made public.
Materials that are considered confidential; marketing materials; or
information on indications not included in the review cannot be used by
the EPC Program. This is a voluntary request for information, and all
costs for complying with this request must be borne by the submitter.
The draft of this review will be posted on AHRQ's EPC Program
website and available for public comment for a period of 4 weeks. If
you would like to be notified when the draft is posted, please sign up
for the email list at: https://www.effectivehealthcare.ahrq.gov/email-updates.
The technical brief will answer the following questions. This
information is provided as background. AHRQ is not requesting that the
public provide answers to these questions.
Guiding Questions
The five questions below guide our work in synthesizing a
description of research, ongoing efforts, and directions in measuring
primary care spending.
1. What are the definitions, data sources, and methodologies used
to estimate primary care spending in published reports?
a. How do these various primary care spending estimation methods
vary by:
i. Relative pros and cons of each estimation method
ii. Administrative burden
iii. Range of spending estimates
iv. Sensitivity analyses
b. What is the evidence of the relationship between different
primary care spending estimation methods and the absolute and relative
levels of primary care spending and health outcomes including
morbidity, mortality, quality of life, and health equity?
2. What are the research gaps in understanding primary care
spending estimation methods based on the findings of the evidence map?
3. What are considerations for developing valid and standardized
estimation of primary care spending?
4. What are approaches that health economists, health services
researchers, payers, health systems, and policymakers can employ to
develop and implement a standardized measure of primary care spending
and to assess spending over time, across payers/populations, and across
states?
5. Contextual Questions:
a. Is there any emerging consensus among experts in the field
toward a standard or preferred method for assessment of primary care
spending?
b. How have policymakers and other decision makers used primary
care spending measures?
Dated: May 22, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023-11252 Filed 5-25-23; 8:45 am]
BILLING CODE 4160-90-P