Federal Register / Vol. 71, No. 175 / Monday, September 11, 2006 / Notices 53455 

Please Note: All non-U.S. citizens must 

pre-register by September 29, 2006. Access 

will not be allowed to the campus and 

registration will NOT be allowed on site at 

the time of the meeting. All non-U.S. citizens 

are required to complete the ‘‘Access Request 

Form’’ and register on-line at http:// 

www.cdc.gov/nip/acip. The access request 

form can be obtained from the ACIP Web site 

and should be e-mailed directly back to Ms. 

Demetria Gardner at dgardner@cdc.gov upon 

completion. 

For Further Information Contact: Demetria 

Gardner, Immunization Services Division, 

National Center for Immunization and 

Respiratory Diseases, CDC, 1600 Clifton 

Road, NE., (E–05), Atlanta, Georgia 30333, 

telephone 404/639–8836, fax 404/639–8905. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities for 

both the CDC and ATSDR. 

Dated: September 1, 2006. 

Alvin Hall, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. E6–14949 Filed 9–8–06; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5043–N] 

RIN 0938–ZA90 

Physician-Hospital Collaboration 

Demonstration 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice is to inform 

interested parties of an opportunity to 

apply to participate in a demonstration 

under section 646 of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA), the 

Medicare Health Care Quality 

Demonstration, to examine the effects of 

gainsharing aimed at improving the 

quality of care in a health delivery 

system. More specifically, the 

demonstration will determine if 

gainsharing is an effective means of 

aligning financial incentives to enhance 

quality and efficiency of care across an 

entire system of care. In contrast to 

traditional models of gainsharing, which 

focus on the inpatient stay, this 

demonstration will examine approaches 

that involve long-term follow-up to 

assure both documented improvements 

in quality and reductions in the overall 

costs of care. Projects must also be of 

sufficient size to ensure statistical 

robustness of the results. CMS is 

particularly interested in demonstration 

designs that track patients well beyond 

a hospital episode, to determine the 

impact of hospital-physician 

collaborations on preventing short- and 

longer-term complications, duplication 

of services, coordination of care across 

settings, and other quality 

improvements that hold great promise 

for eliminating preventable 

complications and unnecessary costs. 

From the perspective of implementing 

and evaluating the demonstration, we 

also require some standardization of 

gainsharing approaches, physician 

payments, and hospital savings 

measurement across sites. Therefore, for 

the Section 646 Gainsharing 

Demonstration, CMS will operate 

projects submitted by consortia, 

comprising of health care groups and 

their affiliated hospitals. A limited 

number of projects will be operated in 

various geographic areas; no more than 

72 hospitals can be included across all 

projects. 

DATES: Applications for the 

demonstration under MMA section 646 

will be considered timely if we receive 

them no later than 5 p.m., Eastern 

Standard Time (e.s.t.), on January 9, 

2007. 

FOR FURTHER INFORMATION CONTACT: Lisa 

Waters at (410) 786–6615 or 

GAINSHARING@cms.hhs.gov. 

Interested parties can obtain a complete 

solicitation, application, and supporting 

information on the following CMS Web 

sites at http://www.cms.hhs.gov/Demo

ProjectsEvalRpts/MD/item

detail.asp?filterType=none&filter

ByDID=-99&sortByDID=3&sortOrder= 

ascending&itemID=CMS1186653. 

Paper copies can be obtained by 

writing to Lisa Waters at the address 

listed in the ADDRESSES section of this 

notice. 

ADDRESSES: Mail or deliver applications 

to the following address: Centers for 

Medicare & Medicaid Services, 

Attention: Lisa Waters, Mail Stop: C4–

17–27, 7500 Security Boulevard, 

Baltimore, Maryland 21244. 

Because of staff and resource 

limitations, we cannot accept 

applications by facsimile (FAX) 

transmission or by e-mail. 

Eligible Organizations for MMA 646: 

As stipulated in the enabling legislation, 

physician groups, integrated delivery 

systems, or an organization representing 

regional coalitions of physician groups 

or integrated delivery systems are 

eligible to apply. A comprehensive list 

of all eligibility requirements can be 

found in the ‘‘Eligible Organizations’’

section of the solicitation. We envision 

projects that seek to improve quality 

and efficiency in several areas of each 

participating organization. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 646 of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA) (Pub. 

L. 108–173) amends title XVIII (42 

U.S.C. 1395 et seq.) of the Social 

Security Act to establish the Medicare 

Health Care Quality (MHCQ) 

Demonstration Programs. 

The MHCQ demonstration will test 

major changes to improve quality of care 

while increasing efficiency across an 

entire health care system. Broadly 

stated, the goals of the Medicare Health 

Care Quality demonstration are to: 

• Improve patient safety; 

• Enhance quality of care by 

increasing efficiency; and 

• Reduce scientific uncertainty and 

the unwarranted variation in medical 

practice that results in both lower 

quality and higher costs. 

II. Provisions of the Notice 

This notice solicits applications to 

participate in the MMA Section 646 

Medicare Hospital Gainsharing 

Demonstration that will assist in 

determining if gainsharing can align 

incentives between hospitals and 

physicians to improve the quality and 

efficiency of care provided to 

beneficiaries over episodes of care and 

across settings. The focus of each 

demonstration will be to link physician 

incentive payments to improvements in 

quality and efficiency. This 

demonstration will provide measures to 

ensure that the quality and efficiency of 

care provided to beneficiaries is 

monitored and improved. We envision 

projects that seek to improve quality 

and efficiency in several areas of each 

participating organization. 

Overall, we seek demonstration 

models that result in savings to 

Medicare. We will assure this 3-year 

demonstration is budget neutral. 

III. Collection of Information 

Requirements 

This information collection 

requirement is subject to the Paperwork 

Reduction Act of 1995 (PRA); however, 

the collection is currently approved 

under OMB control number 0938–0880 

entitled ‘‘Medicare Demonstration 

Waiver Application.’’

Authority: Section 646 of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003, Public Law 108–

173. 


rwilkins on PROD1PC61 with NOTICES
53456 Federal Register / Vol. 71, No. 175 / Monday, September 11, 2006 / Notices 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program; No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: August 7, 2006. 

Mark B. McClellan, 

Administrator , Centers for Medicare & 

Medicaid Services. 

[FR Doc. 06–7574 Filed 9–6–06; 1:59 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Proposed Data Collection; Comment 

Request; California Health Interview 

Survey 2007 

Summary: In compliance with the 

requirement of section 3506 (c) (2) (A) 

of the Paperwork Reduction Act of 1995 

for opportunity for public comment on 

proposed data collection projects, 

National Cancer Institute (NCI), the 

National Institute of Health (NIH) will 

publish periodic summaries of proposed 

projects to be submitted to the Office of 

Management and Budget (OMB) for 

review and approval. 

The first California Health Interview 

Survey (CHIS) Cancer Control Module 

(CCM) took place in 2001 (2000 CHIS 

CCM, OMB No. 0925–0478, Federal 

Register, May 8, 2000, Vol. 65, No. 89, 

p. 26620). The second survey took place 

in 2003 (2003 CHIS CCM, OMB No. 

0925–0518, Federal Register, October 3, 

2002, Volume 67, No. 192, pp. 62067–

62068) and the third in 2005 (2005 CHIS 

CCM, OMB No. 0925–0000, Federal 

Register, Vol. 69, No. 150, Aug. 5, 2004, 

pp. 47450–47451, and Federal Register, 

Vol. 70, No. 1, Jan. 3, 2005, pp. 93–94). 

Proposed Collection: Title: California 

Health Interview Survey (CHIS) 2007 

Cancer Control Module (CCM). Type of 

Information Collection Request: New. 

Need and Use of Information Collection: 

The NCI has sponsored three Cancer 

Control Modules in the California 

Health Interview Survey (CHIS), and 

will be sponsoring a fourth to be 

administered in 2007. Other Federal 

government agencies have co-sponsored 

previous cycles of the survey. 

The CHIS is a telephone survey 

designed to provide population-based, 

standardized health-related data to 

assess California’s progress in meeting 

Healthy People 2010 objectives for the 

nation and the state. The CHIS sample 

is designed to provide statistically 

reliable estimates statewide, for 

California counties, and for California’s 

ethnically and racially diverse 

population. Initiated by the UCLA 

Center for Health Policy Research, the 

California Department of Health 

Services, and the California Public 

Health Institute, the survey is funded by 

a number of public and private sources. 

It was first administered in 2001 to 

55,428 adults, 5,801 adolescents, and 

12,802 children; subsequently in 2003 

to 42,043 adults, 4,010 adolescents, and 

8,502 children; and in 2005 to 43,020 

adults, 4,029 adolescents, and 11,358 

children. These individuals are a 

representative sample of California’s 

non-institutionalized population living 

in households. 

CHIS 2007, the fourth bi-annual 

survey, is planned for administration to 

48,000 adult Californians. The cancer 

control module, which is similar to that 

administered in CHIS 2001, CHIS 2003, 

and CHIS 2005, will allow NCI and 

other Federal agencies to examine 

various health- and disease-related 

topics. Examples include patterns and 

(when fielded in multiple years) trends 

in breast cancer screening, diet, physical 

activity, obesity, tobacco control and 

other disease risk factors, disease 

outcomes, discrimination, and 

neighborhood cohesion. 

Because California is the most 

populous and the most racially and 

ethnically diverse state in the nation, 

the CHIS 2007 sample will yield 

adequate numbers of respondents in key 

ethnic and racial groups, including 

African Americans, Latinos, Asians, and 

American Indian/Alaska Natives. The 

Latino group will include large numbers 

of respondents in the Mexican, Central 

American, South American, and other 

Latino subgroups; the Asian group will 

include large numbers of respondents in 

the Chinese, Filipino, Japanese, 

Vietnamese, and Korean subgroups. NCI 

and other Federal agencies will use the 

California and National Health 

Interview Survey (CHIS, NHIS) data to 

conduct comparative analyses and 

better estimate cancer risk factors and 

screening among racial/ethnic minority 

populations. The CHIS sample size also 

permits NCI and other federal agencies 

to obtain estimates for ethnic 

subdomains of the population, for 

which NHIS has insufficient numbers 

for analysis. 

Frequency of Response: One-time. 

Affected public: Individuals or 

households. Types of Respondents: U.S. 

adults (persons 18 years of age and 

older) and adolescents (persons of age 

12–17 for whom the adult respondent is 

the parent or legal guardian of the 

adolescent residing in the household). 

The annual reporting burden is as 

follows. 

TABLE A.—ANNUALIZED BURDEN ESTIMATES FOR CHIS 2007 DATA COLLECTION

Data collection 

Estimated 

number of 

respondents 

Frequency of 

response 

Average time 

per response 

Annual hour 

burden 

(1) Pilot Test: 

Demographics ........................................................................................... 150 1 .07 11 

CCM .......................................................................................................... 150 1 .03 4 

2) Full Survey: 

Demographics ........................................................................................... 48,000 1 .07 3,360 

CCM .......................................................................................................... 48,000 1 .03 1,140

Totals ................................................................................................. 48,150 ........................ ........................ 4,515 

There are no Capital Costs to report. 

There are no Operating or Maintenance 

Costs to report. 

Request for Comments: Written 

comments and/or suggestions from the 

public and affected agencies are invited 

on one or more of the following points: 

(1) Whether the proposed collection of 

information is necessary for the 

proposed performance of the functions 

of the agency, including whether the 

information shall have practical utility; 

(2) The accuracy of the agency’s 

estimate of the burden of the proposed 

collection of information including the 

validity of the methodology and 

assumptions used; (3) Ways to enhance 

the quality, utility, and clarity of the 


rwilkins on PROD1PC61 with NOTICES