65318 Federal Register / Vol. 78, No. 211 / Thursday, October 31, 2013 / Notices 

The meeting will include an overview of 

where and how health data standards are 

used across public health functions, and the 

current status of public health data 

standards. The hearing will provide an 

opportunity for the Standards Subcommittee 

to hear from individuals representing public 

health data standards organizations, public 

health agencies, standards developers, and 

software/application vendors. Important 

work has been done in standard development 

organizations to advance the development of 

public health standards, and these 

developments will be highlighted in the 

discussion. 

In addition, the Subcommittees on 

Population Health and Privacy, 

Confidentiality and Security will explore the 

need for convening a future hearing to focus 

on important considerations for standardized 

definitions of public health variables, privacy 

and security, population health management, 

and community health data, building on 

recent work by the Committee on health 

information standardization and community 

health data initiatives. 

Contact Person for More Information: 

Marjorie S. Greenberg, Executive Secretary, 

NCVHS, National Center for Health Statistics, 

Centers for Disease Control and Prevention, 

3311 Toledo Road, Room 2402, Hyattsville, 

Maryland 20782, telephone (301) 458–4245 

or Kamahanahokulani Farrar, Centers for 

Medicare and Medicaid Services, Office of EHealth Standards and Services, 7500 Security 

Boulevard, Baltimore, Maryland 21244, 

telephone (410) 786–6711. Program 

information as well as summaries of meetings 

and a roster of committee members are 

available on the NCVHS home page of the 

HHS Web site: http://www.ncvhs.hhs.gov/, 

where further information including an 

agenda will be posted when available. 

Should you require reasonable 

accommodation, please contact the CDC 

Office of Equal Employment Opportunity on 

(301) 458–4EEO (4336) as soon as possible. 

Dated: October 22, 2013. 

James Scanlon, 

Deputy Assistant Secretary for Planning and 

Evaluation (Science and Data Policy), Office 

of the Assistant Secretary for Planning and 

Evaluation. 

[FR Doc. 2013–25835 Filed 10–30–13; 8:45 am] 

BILLING CODE 4151–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Committee on Vital and Health 

Statistics: Meeting Full Committee 

Pursuant to the Federal Advisory 

Committee Act, the Department of 

Health and Human Services (HHS) 

announces the following advisory 

committee meeting. 

Name: National Committee on Vital and 

Health Statistics (NCVHS), Full Committee 

Meeting. 

Time and Date: 

November 13, 2013 9:00 a.m.–2:15 p.m. 

EST. 

November 14, 2013 9:30 a.m.–12:00 p.m. 

EST. 

Place: Centers for Disease Control and 

Prevention, National Center for Health 

Statistics, 3311 Toledo Road, Auditorium B 

& C, Hyattsville, Maryland 20782, (301) 458– 

4524. 

Status: Open. 

Purpose: The purpose of this meeting is to 

review the status of NCVHS activities, 

strategically plan for 2014 objectives and 

deliverables, and examine the Committee 

efforts in light of its Guiding Principles and 

Convergence Framework. The Working 

Group on HHS Data Access and Use will 

continue strategic discussions on community 

health data issues. 

The times shown above are for the Full 

Committee meeting. Subcommittee breakout 

sessions are scheduled for late in the 

afternoon on the first day and early morning 

the second day. Agendas for these breakout 

sessions will be posted on the NCVHS Web 

site (URL below). 

Contact Person for More Information: 

Substantive program information may be 

obtained from Marjorie S. Greenberg, 

Executive Secretary, NCVHS, National Center 

for Health Statistics, Centers for Disease 

Control and Prevention, 3311 Toledo Road, 

Room 2402, Hyattsville, Maryland 20782, 

telephone (301) 458–4245. Summaries of 

meetings and a roster of committee members 

are available on the NCVHS home page of the 

HHS Web site: http://www.ncvhs.hhs.gov/, 

where further information including an 

agenda will be posted when available. 

Should you require reasonable 

accommodation, please contact the CDC 

Office of Equal Employment Opportunity on 

(301) 458–4EEO (4336) as soon as possible. 

Dated: October 24, 2013. 

James Scanlon, 

Deputy Assistant Secretary for Planning and 

Evaluation (Science and Data Policy), Office 

of the Assistant Secretary for Planning and 

Evaluation. 

[FR Doc. 2013–25834 Filed 10–30–13; 8:45 am] 

BILLING CODE 4151–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: 

‘‘Evaluation of the Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA) Quality 

Demonstration Grant Program: 

Qualitative Data Collection.’’ In 

accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3521, 

AHRQ invites the public to comment on 

this proposed information collection. 

This proposed information collection 

was previously published in the Federal 

Register on July 31st, 2013 and allowed 

60 days for public comment. No 

comments were received. The purpose 

of this notice is to allow an additional 

30 days for public comment. 

DATES: Comments on this notice must be 

received by December 2, 2013. 

ADDRESSES: Written comments should 

be submitted to: AHRQ’s OMB Desk 

Officer by fax at (202) 395–6974 

(attention: AHRQ’s desk officer) or by 

email at OIRA_submission@

omb.eop.gov (attention: AHRQ’s desk 

officer). 

Copies of the proposed collection 

plans, data collection instruments, and 

specific details on the estimated burden 

can be obtained from the AHRQ Reports 

Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ Reports 

Clearance Officer, (301) 427–1477, or by 

email at doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Evaluation of the Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA) Quality 

Demonstration Grant Program: 

Qualitative Data Collection 

Section 401(a) of the Children’s 

Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA), 

Public Law 111–3, amended the Social 

Security Act (the Act) to enact section 

1139A (42 U.S.C. 1320b–9a). AHRQ is 

requesting approval from the Office of 

Management and Budget (OMB) for the 

collection of qualitative data through 

site visit interviews and focus groups to 

support a comprehensive, mixedmethods evaluation of the quality 

demonstration grants authorized under 

section 1139A(d) of the Act. AHRQ’s 

mission of improving the quality and 

effectiveness of health care in the 

United States aligns with evaluating 

whether, and through what mechanism, 

projects funded by the CHIPRA 

demonstration grants improve the 

quality of care received by children in 

Medicaid and the Children’s Health 

Insurance Program (CHIP). 

CHIPRA included funding for fiveyear grants so that States can 

experiment with and evaluate several 

promising ideas related to improving 

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Federal Register / Vol. 78, No. 211 / Thursday, October 31, 2013 / Notices 65319 

the quality of children’s health care in 

Medicaid and CHIP. In February 2010, 

the Centers for Medicare & Medicaid 

Services (CMS) announced the award of 

10 demonstration grants to States that 

convincingly articulated an achievable 

vision of what they could accomplish by 

the end of the five-year grant period, 

described strategies they would use to 

achieve the objectives, and explained 

how the strategies would achieve the 

objectives. Applicants were encouraged 

by CMS to address multiple grant 

categories (described below) and to 

partner with other States in designing 

and implementing their projects. 

Of the 10 grantee States selected, six 

are partnering with other States, for a 

total of 18 demonstration States. The 

demonstration States are: Colorado 

(partnering with New Mexico); Florida 

(with Illinois); Maine (with Vermont); 

Maryland (with Wyoming and Georgia); 

Massachusetts; North Carolina; Oregon 

(with Alaska and West Virginia); 

Pennsylvania; South Carolina; and Utah 

(with Idaho). These demonstration 

States have implemented 51 distinct 

projects in at least one of five possible 

grant categories, A to E. Category A 

grantees are experimenting with and/or 

evaluating the use of pediatric quality 

measures, including those in the initial 

core set of children’s health care quality 

measures (a group of measures 

developed for state Medicaid and CHIP 

agencies to report in a standardized 

fashion to CMS). Category B grantees are 

promoting health information 

technologies for improved care delivery 

and patient outcomes. Category C 

grantees are implementing the patientcentered medical home (PCMH) model 

of primary care, working with schoolbased health centers (SBHCs) to 

improve care, or using other providerbased service delivery models aimed at 

improving care quality. Category D 

grantees will evaluate the impact of a 

model pediatric electronic health 

record. Category E grantees are testing 

other State-designed approaches to 

quality improvement in Medicaid and 

CHIP. This phase of the project will use 

qualitative techniques such as in-depth 

interviews and focus groups. 

The first round of interviews for the 

project was completed in an earlier 

phase of the project in August of 2012 

under an information collection request 

approved by OMB on February 17th, 

2012 (OMB Control No. 0935–0190). 

While the first round of interviews 

focused on demonstration goals and 

early strategies, the second round of 

interviews described in this information 

collection request will focus on 

demonstration outcomes and lessons 

learned. These interviews are designed 

to build on the information gathered in 

the first round to develop a complete 

picture of demonstration 

implementation. 

AHRQ’s goal in performing this 

evaluation of the CHIPRA Quality 

Demonstration Grant Program is to 

produce insights into how best to 

implement quality improvement 

programs as well as information on how 

successful programs can be replicated to 

improve children’s health care quality 

in Medicaid and CHIP. The specific 

goals of this project are as follows: 

1. Develop a deep, systematic 

understanding of how CHIPRA 

demonstration States carried out their 

grant-funded projects. 

2. Understand why the CHIPRA 

demonstration States pursued certain 

strategies. 

3. Understand whether and how the 

CHIPRA demonstration States’ efforts 

affected outcomes related to knowledge 

and behavior change in targeted 

providers and/or consumers of health 

care. 

4. Identify CHIPRA State activities 

that measurably improve the nation’s 

health care, especially as it pertains to 

children. 

This study is being conducted by 

AHRQ through its contractor, 

Mathematica Policy Research Inc., and 

their subcontractors, the Urban Institute 

and AcademyHealth, pursuant to 

AHRQ’s statutory authority to conduct 

and support research on health care and 

on systems for the delivery of such care, 

including activities with respect to the 

quality, effectiveness, efficiency, 

appropriateness and value of healthcare 

services and with respect to quality 

measurement and improvement. 42 

U.S.C. 299a(a)(1) and (2). 

Method of Collection 

To meet the project goals AHRQ will 

implement the following data 

collections: 

1. Key Staff Interviews—Key staff 

members are staff directly involved in 

the design and oversight of grant-funded 

activities. The purpose of these 

interviews is to gain insight into the 

implementation of demonstration 

projects, to understand contextual 

factors, and to identify lessons and 

implications for the broad application 

and sustainability of projects. Semistructured interviews will be conducted 

with up to 4 key staff members per state. 

2. Implementation Staff Interviews— 

Other implementation staff are staff 

involved in the day-to-day 

implementation of grant-funded 

projects. These staff members include 

state agency employees, provider 

trainers or coaches, health IT vendors, 

and/or project consultants. The purpose 

of these interviews is to gain insight into 

the opportunities and challenges related 

to key technical aspects of project 

implementation. Semi-structured 

interviews will be conducted with up to 

16 other implementation staff members 

per state. 

3. Stakeholder Interviews—External 

stakeholders have a direct interest in 

children’s care quality in Medicaid and 

CHIP. Stakeholders include 

representatives of managed care 

organizations, state chapters of the 

American Academy of Pediatrics, 

advocacy organizations for children and 

families, and social service agencies. 

These stakeholders will be familiar with 

the CHIPRA projects and may serve on 

advisory panels or workgroups related 

to one or more projects. The interviews 

will gather insight into the 

opportunities and challenges related to 

project implementation, stakeholder 

satisfaction with their project 

involvement, and contextual factors. 

Semi-structured interviews will be 

conducted with up to 8 external 

stakeholders per state. 

4. Health Care Organization Staff 

Interviews—Depending on the projects a 

state is implementing, health care 

organizations participating in 

demonstration activities can include 

private practices, public clinics, 

federally qualified health centers, care 

management entities, or school based 

health centers. Interviews will capture 

information about project-related 

activities, staff perceptions of outcomes 

and impacts, and the organizations 

involvement in other qualityimprovement initiatives. Semistructured interviews will be conducted 

with up to 12 staff members per state. 

5. Parent Focus Groups—We will hold 

in-person focus groups with parents, 

guardians, or other caregivers of 

children who are enrolled in Medicaid 

or CHIP and are served by the medical 

practices involved in the CHIPRA 

demonstration. There will be four focus 

groups in four of the twelve states 

implementing patient-centered medical 

home demonstration projects. The 

number of participants per focus group 

will range from 8 to 10, resulting in a 

maximum of 160 adults participating. 

They will be conducted in English, and 

also in Spanish in states with high 

proportions of Hispanic individuals 

covered by Medicaid. 

6. Adolescent Focus Groups—We will 

hold in-person focus groups with 

adolescents who are enrolled in 

Medicaid or CHIP and are served by 

school-based health centers involved in 

the CHIPRA demonstration. There will 

be four focus groups in one of the two 

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65320 Federal Register / Vol. 78, No. 211 / Thursday, October 31, 2013 / Notices 

states implementing school-based health 

center projects. The number of 

participants per focus group will range 

from 8 to 10, resulting in a maximum of 

40 adolescents participating. 

This evaluation is designed to 

develop a rich understanding of States’ 

implementation activities (goal 1), 

document the rationale for the selection 

of particular strategies (goal 2), 

document provider and parent reported 

behavior change (goal 3), and assess the 

perceived impact of those changes on 

access, quality, and cost of care (goal 4). 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in this 

evaluation. Key staff interviews will be 

conducted with up to four persons from 

each of the 18 CHIPRA demonstration 

States (72 total) and will last for about 

11⁄2 hours. Implementation staff 

interviews will include up to 16 persons 

from each of the 18 CHIPRA 

demonstration States (288 total) and 

take an hour to complete. Stakeholder 

interviews will include up to 8 persons 

from each of the 18 CHIPRA 

demonstration States (144 total) and 

also take an hour to complete. Health 

care provider interviews will be 

conducted with up to 12 persons from 

each of the 18 CHIPRA demonstration 

States and will last 45 minutes (216 

total). About 229 parents will be 

screened to get a maximum of 160 

parents to participate in 16 focus groups 

across 4 States implementing PCMHfocused demonstration projects. The 

screener takes 25 minutes to complete 

and the focus group will last one and a 

half hours; the burden estimate of 2.5 

hours includes one hour for travel time 

to and from the focus group site. 

About 57 adolescents will be screened 

to get up to 40 adolescents to participate 

in four focus groups completed in one 

State with SBHC demonstration 

projects. The screener takes 25 minutes 

to complete and the focus group will 

last one and a half hours (travel time 

does not apply because the focus groups 

will be held on school premises). The 

total burden for the qualitative 

evaluation is estimated to be 1,281 

hours. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents * 

Number of 

responses per 

respondent 

Hours 

per response 

Total burden 

hours 

Key Staff Interviews ....................................................................................... 72 1 1 .5 108 

Implementation Staff Interviews .................................................................... 288 1 1 288 

Stakeholder Interviews .................................................................................. 144 1 1 144 

Health Care Provider Interviews .................................................................... 216 1 45/60 162 

Parent Focus Group Screener ...................................................................... ** 229 1 25/60 95 

Parent Focus Groups .................................................................................... 160 1 2 .5 400 

Adolescent Focus Group Screener ............................................................... ** 57 1 25/60 24 

Adolescent Focus Groups ............................................................................. 40 1 1 .5 60 

Total ........................................................................................................ 1,206 na na 1,281 

* The number of respondents that will be interviewed in each state will vary depending on the number, scope, complexity, and nature of the 

projects implemented. This table reflects upper bound estimates of total burden hours and the number of respondents per type per state. 

** Based on an expected 70% screen-in rate. 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

the respondent’s time to participate in 

this evaluation. The total cost burden 

for the interviews and focus groups is 

estimated to be $43,303. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total 

burden hours 

Average 

hourly wage 

rate * 

Total 

cost burden 

Key Staff Interviews ..................................................................................... 72 108 a $55 .22 $5,964 

Implementation Staff Interviews .................................................................. 288 288 b 30 .99 8,925 

Stakeholder Interviews ................................................................................ 144 144 b 30 .99 4,463 

Health Care Provider Interviews .................................................................. 216 162 c 80 .59 13,056 

Parent Focus Group Screener .................................................................... 229 95 d 22 .01 2,091 

Parent Focus Groups .................................................................................. 160 400 d 22 .01 8,804 

Adolescent Focus Group Screener ............................................................. 57 24 e 0 0 .00 

Adolescent Focus Groups ........................................................................... 40 60 e 0 0 .00 

Total ...................................................................................................... 1,206 1,281 na 43,303 

* National Compensation Survey: Occupational wages in the United States May 2012, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ aBased on the mean wages for general and operations manager (11–1021). 

bBased on the mean wages for social and community service managers (11–9151). 

cBased on the mean wages for general pediatricians (29–1065). 

dBased on the mean wages for all occupations. 

eWage rates for adolescents are assumed to be zero. 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, comments on AHRQ’s 

information collection are requested 

with regard to any of the following: (a) 

Whether the proposed collection of 

information is necessary for the proper 

performance of AHRQ health care 

research and health care information 

dissemination functions, including 

whether the information will have 

practical utility; (b) the accuracy of 

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Federal Register / Vol. 78, No. 211 / Thursday, October 31, 2013 / Notices 65321 

AHRQ’s estimate of burden (including 

hours and costs) of the proposed 

collection(s) 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 upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: October 1, 2013. 

Richard Kronick, 

Director. 

[FR Doc. 2013–25839 Filed 10–30–13; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Meeting of the National Advisory 

Council for Healthcare Research and 

Quality 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Notice of public meeting. 

SUMMARY: In accordance with section 

10(a) of the Federal Advisory Committee 

Act, 5 U.S.C. App. 2, this notice 

announces a meeting of the National 

Advisory Council for Healthcare 

Research and Quality. 

DATES: The meeting will be held on 

Friday, November 15, 2013, from 8:30 

a.m. to 3:30 p.m. 

ADDRESSES: The meeting will be held at 

the Eisenberg Conference Center, 

Agency for Healthcare Research and 

Quality, 540 Gaither Road, Rockville, 

Maryland 20850. 

FOR FURTHER INFORMATION CONTACT: 

Jaime Zimmerman, Designated 

Management Official, at the Agency for 

Healthcare Research and Quality, 540 

Gaither Road, Rockville, Maryland 

20850, (301) 427–1456. For press-related 

information, please contact Alison Hunt 

at (301) 427–1244. 

If sign language interpretation or other 

reasonable accommodation for a 

disability is needed, please contact the 

Food and Drug Administration (FDA) 

Office of Equal Employment 

Opportunity and Diversity Management 

on (301) 827–4840, no later than Friday, 

November 1, 2013. The agenda, roster, 

and minutes are available from Ms. 

Bonnie Campbell, Committee 

Management Officer, Agency for 

Healthcare Research and Quality, 540 

Gaither Road, Rockville, Maryland 

20850. Ms. Campbell’s phone number is 

(301) 427–1554. 

SUPPLEMENTARY INFORMATION: 

I. Purpose 

The National Advisory Council for 

Healthcare Research and Quality is 

authorized by Section 941 of the Public 

Health Service Act, 42 U.S.C. 299c. In 

accordance with its statutory mandate, 

the Council is to advise the Secretary of 

the Department of Health and Human 

Services and the Director, Agency for 

Healthcare Research and Quality 

(AHRQ), on matters related to AHRQ’s 

conduct of its mission including 

providing guidance on (A) Priorities for 

health care research, (B) the field of 

health care research including training 

needs and information dissemination on 

health care quality and (C) the role of 

the Agency in light of private sector 

activity and opportunities for public 

private partnerships. 

The Council is composed of members 

of the public, appointed by the 

Secretary, and Federal ex-officio 

members specified in the authorizing 

legislation. 

II. Agenda 

On Friday, November 15, 2013, there 

will be a subcommittee meeting for the 

National Healthcare Quality and 

Disparities Report scheduled to begin at 

7:30 a.m. The subcommittee meeting is 

open the public. The Council meeting 

will convene at 8:30 a.m., with the call 

to order by the Council Chair and 

approval of previous Council summary 

notes. The meeting is open to the 

public. The meeting will begin with the 

AHRQ Director presenting an update on 

current research, programs, and 

initiatives. Following the Director’s 

Update, the agenda includes updates on 

Affordable Care Act implementation, 

Patient Centered Outcomes Research 

Institute and the subcommittee on 

Strategic Direction. The final agenda 

will be available on the AHRQ Web site 

a www.AHRQ.gov no later than Friday, 

November 8, 2013. 

Richard Kronick, 

AHRQ Director. 

[FR Doc. 2013–25832 Filed 10–30–13; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Notice of Meetings 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Notice of Five AHRQ 

Subcommittee Meetings. 

SUMMARY: The subcommittees listed 

below are part of AHRQ’s Health 

Services Research Initial Review Group 

Committee. Grant applications are to be 

reviewed and discussed at these 

meetings. Each subcommittee meeting 

will commence in open session before 

closing to the public for the duration of 

the meeting. These meetings will be 

closed to the public in accordance with 

5 U.S.C. App. 2 section 10(d), 5 U.S.C. 

section 552b(c)(4), and 5 U.S.C. 

552b(c)(6). 

Note: Due to the Federal government 

shutdown, AHRQ is republishing its Study 

Section meetings with new dates. Please see 

below. 

DATES: See below for dates of meetings: 

1. Healthcare Safety and Quality 

Improvement Research (HSQR) 

Date: October 23–24, 2013 (Open from 

8:00 a.m. to 8:30 a.m. on October 23 

and closed for remainder of the 

meeting) 

2. Healthcare Effectiveness and 

Outcomes Research (HEOR) 

Date: October 28, 2013 (Open from 

8:30 a.m. to 9:00 a.m. on October 28 

and closed for remainder of the 

meeting) 

3. Health Care Research and Training 

(HCRT) (Telephone Conference 

Call) 

Date: October 30, 2013 (Open from 

8:00 a.m. to 8:30 a.m. on October 30 

and closed for remainder of the 

meeting) 

4. Health System and Value Research 

(HSVR) 

Date: October 31, 2013 (Open from 

8:00 a.m. to 8:30 a.m. on October 31 

and closed for remainder of the 

meeting) 

5. Healthcare Information Technology 

Research (HITR) 

Date: October 31–November 1, 2013 

(Open from 8:00 a.m. to 8:30 a.m. 

on October 31 and closed for 

remainder of the meeting) 

ADDRESSES: Meetings of Healthcare 

Safety and Quality Improvement 

Research (HSQR), Healthcare 

Effectiveness and Outcomes Research 

(HEQR), Health System and Value 

Research (HSVR), and Health System 

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