49516 Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Meeting of the Presidential Advisory 

Council on HIV/AIDS 

AGENCY: Office of the Assistant 

Secretary for Health, Office of the 

Secretary, Department of Health and 

Human Services. 

ACTION: Notice. 

SUMMARY: As stipulated by the Federal 

Advisory Committee Act, the U.S. 

Department of Health and Human 

Service (DHHS) is hereby giving notice 

that the Presidential Advisory Council 

on HIV/AIDS (PACHA) will hold a 

meeting to discuss the Ryan White 

Program. The meeting will be open to 

the public. 

DATES: The meeting will be held on 

September 18–19, 2013 from 9:00 a.m. 

to approximately 5:30 p.m. (EDT). 

ADDRESSES: U.S. Department of Health 

and Human Services, 200 Independence 

Avenue SW., Washington, DC 20201. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Caroline Talev, Public Health Analyst, 

Presidential Advisory Council on HIV/ 

AIDS, Department of Health and Human 

Services, 200 Independence Avenue 

SW., Room 443H, Hubert H. Humphrey 

Building, Washington, DC 20201; 

phone: (202) 205–1178; email 

caroline.talev@hhs.gov. More detailed 

information about PACHA can be 

obtained by accessing the Council’s Web 

site www.aids.gov/pacha. 

SUPPLEMENTARY INFORMATION: PACHA 

was established by Executive Order 

12963, dated June 14, 1995, as amended 

by Executive Order 13009, dated June 

14, 1996. The Council was established 

to provide advice, information, and 

recommendations to the Secretary 

regarding programs and policies 

intended to promote effective 

prevention and cure of HIV disease and 

AIDS. The functions of the Council are 

solely advisory in nature. 

The Council consists of not more than 

25 members. Council members are 

selected from prominent community 

leaders with particular expertise in, or 

knowledge of, matters concerning HIV 

and AIDS, public health, global health, 

philanthropy, marketing or business, as 

well as other national leaders held in 

high esteem from other sectors of 

society. Council members are appointed 

by the Secretary or designee, in 

consultation with the White House 

Office on National AIDS Policy. The 

agenda for the upcoming meeting will 

be posted on the Council’s Web site at 

www.aids.gov/pacha. 

Public attendance at the meeting is 

limited to space available. Individuals 

who plan to attend and need special 

assistance, such as sign language 

interpretation or other reasonable 

accommodations, should notify the 

designated contact person. Due to space 

constraints, pre-registration for public 

attendance is advisable and can be 

accomplished by contacting Caroline 

Talev at caroline.talev@hhs.gov by 

Wednesday, September 11, 2013. 

Members of the public will have the 

opportunity to provide comments at the 

meeting. Any individual who wishes to 

participate in the public comment 

session must register with Caroline 

Talev at caroline.talev@hhs.gov; 

registration for public comment will not 

be accepted by telephone. Individuals 

who register to participate in the public 

comments session are encouraged to 

provide a hard copy of their comments 

to ensure accuracy of this information in 

the minutes developed for the meeting. 

The hard copy of the comments can be 

brought to the meeting and given to the 

designated PACHA staff member or sent 

in advance of the meeting to Caroline 

Talev at caroline.talev@hhs.gov. Public 

comment will be limited to two minutes 

per speaker. Any members of the public 

who wish to have printed material 

distributed to PACHA members at the 

meeting should submit, at a minimum, 

one copy of the materials to Caroline 

Talev, no later than close of business 

Wednesday, September 11, 2013. 

Dated: July 24, 2013. 

B. Kaye Hayes, 

Executive Director, Presidential Advisory 

Council on HIV/AIDS. 

[FR Doc. 2013–19644 Filed 8–13–13; 8:45 am] 

BILLING CODE 4150–43–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: Survey 

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 May 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 September 13, 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: Survey 

Data Collection 

The Children’s Health Insurance 

Program Reauthorization Act of 2009 

(CHIPRA), Public Law 111–3, included 

funding for five-year grants so that 

States could experiment with and 

evaluate several promising ideas related 

to improving 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 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices 49517 

(with Alaska and West Virginia); 

Pennsylvania; South Carolina; and Utah 

(with Idaho). 

These demonstration States are 

implementing 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 personcentered medical homes or other 

provider-based levels of service 

delivery. 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. 

AHRQ’s goal in supporting an 

evaluation of the CHIPRA Quality 

Demonstration Grant Program is to 

provide insight 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. Identify CHIPRA State activities that 

measurably improve the nation’s health care, 

especially as it pertains to children. 

2. Develop a deep, systematic 

understanding of how CHIPRA 

demonstration States carried out their grantfunded projects. 

3. Understand why the CHIPRA 

demonstration States pursued certain 

strategies. 

4. 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. 

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 these goals AHRQ has 

designed a comprehensive evaluation 

that will make the best use of qualitative 

and quantitative research methods. The 

evaluation will include a survey of 

pediatricians and family physicians. 

This survey will include a random 

sample of physicians in Massachusetts, 

North Carolina, Ohio, and Pennsylvania. 

The questionnaire includes questions 

that support an analysis of (1) Physician 

attitudes towards specific strategies and 

resources aimed at improving the 

quality of care provided to pediatric 

patients; (2) the extent to which 

physicians’ practices have attempted to 

implement changes in order to improve 

the quality of care provided to pediatric 

patients; (3) physician attitudes towards 

the utility of receiving performance 

feedback on nine of measures in the 

core quality measure set that are most 

relevant to primary care; (4) perceived 

usefulness of quality-of-care reports 

received by physician practices; (5) 

current practices and attitudes towards 

pay-for-performance financial incentive 

systems based on quality measure 

outcomes; (6) physicians’ uses of and 

attitudes towards electronic health 

records (EHR) in quality measurement 

and improvement; (7) current and 

expected medical home accreditation 

processes; and (8) physician and 

practice demographic information. 

These data will be analyzed in 

conjunction with CMS claims data to 

gain insight on physician perspectives 

on quality measures and quality 

reporting and foster understanding of 

the strategies and resources that seemed 

to contribute most (or least) to those 

outcomes. 

A separate information collection 

request will be submitted for interviews 

and focus groups that are part of this 

evaluation. Administrative and survey 

data will be analyzed with descriptive 

and inferential techniques appropriate 

to answering questions about outcomes 

and impacts. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in this 

evaluation. The survey will be 

completed by 1,200 pediatricians and 

family physicians working in primary 

care settings in four States (300 per 

State) and takes 15 minutes to complete. 

The total burden is estimated to be 300 

hours. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Pediatrician and Family Physician Survey ...................................................... 1,200 1 15/60 300 

Total .......................................................................................................... 1,200 n/a n/a 300 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

the respondents’ time to participate in 

this evaluation. The total cost burden is 

estimated to be $25,578. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Pediatrician and Family Physician Survey ...................................................... 1,200 300 $85.26 $25,578 


tkelley on DSK3SPTVN1PROD with NOTICES
49518 Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued 

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Total .......................................................................................................... 1,200 300 n/a 25,578 

* Based upon the higher of the two means of the hourly wages for general and family practitioners and general pediatricians, National Compensation Survey: ‘‘May 2011 National Occupational Employment and Wage Estimates, United States.’’ U.S. Department of Labor, Bureau of 

Labor Statistics. 

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 

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: August 2, 2013. 

Carolyn M. Clancy, 

AHRQ Director. 

[FR Doc. 2013–19724 Filed 8–13–13; 8:45 am] 

BILLING CODE 4160–90–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: 

‘‘Collection of Information for Agency 

for Healthcare Research and Quality’s 

(AHRQ) Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) Health Plan Survey 

Comparative Database.’’ In accordance 

with the Paperwork Reduction Act, 44 

U.S.C. 3501–3521, AHRQ invites the 

public to comment on this proposed 

information collection. 

DATES: Comments on this notice must be 

received by October 15, 2013. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by 

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

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 

Collection of Information for Agency for 

Healthcare Research and Quality’s 

(AHRQ) Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) Health Plan Survey 

Comparative Database 

Request for information collection 

approval. The Agency for Healthcare 

Research and Quality (AHRQ) requests 

that the Office of Management and 

Budget (OMB) reapprove, under the 

Paperwork Reduction Act of 1995, 

AHRQ’s collection of information for 

the AHRQ Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) Database for Health Plans: 

OMB Control number 0935–0165, 

expiration July 31, 2013. The CAHPS 

Health Plan Database consists of data 

from the AHRQ CAHPS Health Plan 

Survey. Health plans in the U.S. are 

asked to voluntarily submit data from 

the survey to AHRQ, through its 

contractor, Westat. The CAHPS 

Database was developed by AHRQ in 

1998 in response to requests from health 

plans, purchasers, and the Centers for 

Medicare & Medicaid Services (CMS) to 

provide comparative data to support 

public reporting of health plan ratings, 

health plan accreditation and quality 

improvement. 

Background on the CAHPS Health 

Plan Survey. The CAHPS Health Plan 

Survey is a tool for collecting 

standardized information on enrollees’ 

experiences with health plans and their 

services. The development of the 

CAHPS Health Plan Survey began in 

1995, when AHRQ awarded the first set 

of CAHPS grants to Harvard, RTI, and 

RAND. In 1997 the CAHPS 1.0 survey 

was released by the CAHPS Consortium. 

The CAHPS Consortium refers to the 

research organizations involved in the 

development, dissemination, and 

support of CAHPS products. The 

current Consortium includes AHRQ, 

CMS, RAND, Yale School of Public 

Health, and Westat. 

Since that time, the Consortium has 

clarified and updated the survey 

instrument to reflect field test results; 

feedback from industry experts; reports 

from health plan participants, data 

collection vendors, and other users; and 

evidence from cognitive testing and 

focus groups. In November 2006, the 

CAHPS Consortium released the latest 

version of the instrument: the CAHPS 

Health Plan Survey 4.0. The 

development of this update to the 

Health Plan Survey has been part of the 

‘‘Ambulatory CAHPS (A–CAHPS) 

Initiative,’’ which arose as a result of 

extensive research conducted with 

users. AHRQ released the CAHPS 

Health Plan Survey 4.0, along with 

guidance on how to customize and 

administer it. The National Quality 

Forum endorsed the 4.0 version of the 

Health Plan Survey in July 2007. 

Rationale for the information 

collection. The CAHPS Health Plan 

Database uses data from AHRQ’s 

standardized CAHPS Health plan survey 

to provide comparative results to health 

care purchasers, consumers, regulators 

and policy makers across the country. 

The Database also provides data for 

AHRQ’s annual National Healthcare 

Quality and National Healthcare 

Disparities Reports. Voluntary 

participants include public and private 

employers, State Medicaid agencies, 

State Children’s Health Insurance 


tkelley on DSK3SPTVN1PROD with NOTICES