28988 Federal Register / Vol. 76, No. 97 / Thursday, May 19, 2011 / Notices 

ESTIMATED ANNUALIZED BURDEN HOUR TABLE—Continued 

Instrument Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden 

(in hours) per 

response 

Total hour 

burden 

Attachment H: In-depth interviews 

(SSLA).

Stakeholders: patients/consumers ... 10 1 1 10 

Attachment I: In-Depth interviews 

(SSLA).

Stakeholders: employers and payers 10 1 1 10 

Attachment J: In-Depth interviews 

(SSLA).

Stakeholders: researchers ............... 10 1 1 10 

Attachment K: In-Depth interviews 

(SSLA).

Stakeholders: developers of health 

innovations.

10 1 1 10 

Total ........................................... ........................................................... 2,700 ........................ ........................ 1,493 

Mary Forbes, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–12338 Filed 5–18–11; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5502–N] 

Medicare Program; Accelerated 

Development Sessions for 

Accountable Care Organizations— 

June 20, 21, and 22, 2011 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces the 

first of four accelerated development 

sessions (ADSs) that will provide 

executives with the opportunity to learn 

about core functions of an Accountable 

Care Organization (ACO) and ways to 

build their organization’s capacity to 

succeed as an ACO. This 3-day, inperson ADS is to help new ACOs 

deliver better care and reduce costs. We 

invite all new or newly emerging ACOs 

to register a team of senior executives to 

participate. 

DATES: Meeting Dates: Monday, June 20, 

2011, 1 p.m. to 7:15 p.m., central 

standard time (c.d.t.); Tuesday, June 21, 

2011, 8 a.m. to 5:45 p.m., (c.d.t.); 

Wednesday, June 22, 2011, 8 a.m. to 12 

p.m. (c.d.t.). 

Deadline for Meeting Registration: All 

teams must register by Monday, June 20, 

2011. 

ADDRESSES: Meeting Location: The first 

ADS will be held at the Doubletree by 

Hilton, Minneapolis-Park Place, 1500 

Park Place Boulevard, Minneapolis, MN 

55416. Meeting Registration: Individuals 

and teams wishing to participate must 

complete the online registration located 

at https://acoregister.rti.org. Potential 

participants are also strongly 

encouraged to complete the 

comprehensive planning tool discussed 

in section III of this notice before 

arriving to the meeting. 

FOR FURTHER INFORMATION CONTACT: 

Additional information is available on 

the registration Web site at https:// 

acoregister.rti.org. Click on ‘‘contact us’’ 

to send questions or comments via email. Press inquiries are handled 

through the CMS Press Office at (202) 

690–6145. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 1115A of the Social Security 

Act (the Act), as added by section 3021 

the Affordable Care Act, established the 

Center for Medicare and Medicaid 

Innovation (Innovation Center) for the 

purpose of examining new ways of 

delivering health care and paying health 

care providers in ways that can save 

money for Medicare and Medicaid 

while improving the quality of care for 

our beneficiaries. Through accelerated 

development sessions (ADSs), the 

Innovation Center will test whether 

intensive shared learning activities will 

expand and improve the capabilities of 

provider organizations to coordinate the 

care of a population of Medicare 

beneficiaries more effectively than 

organizations that do not participate in 

the ADSs. Well coordinated care can 

improve beneficiaries’ quality outcomes 

and reduce the growth of Medicare 

expenditures. 

Completion of the ADS will not be a 

factor for selection or participation in a 

CMS ACO program. It is intended to 

provide new ACOs with the opportunity 

to learn from their peers about essential 

ACO functions and various ways to 

build capacity needed to achieve better 

care for individuals, better population 

health, and lower growth in health care 

expenditures. 

II. Session Participant Information and 

Agenda 

Faculty at each ADS will be senior 

leadership from organizations that have 

already developed many of the 

characteristics of an ACO, and other 

experts in ACO core competencies— 

practitioners with first-hand experience 

with what is working and not working 

in the field. Each will offer a focused 

curriculum on core competencies for 

ACO development within four main 

areas: leadership and priority-setting; 

the clinical and operating challenge of 

transforming care delivery, including 

use of health IT; the managerial and 

financial challenge of assuming and 

managing risk; and meeting patient 

needs while reducing the total cost of 

care. Individual sessions and faculty 

will help participants complete 

corresponding sections of a 

comprehensive ACO implementation 

plan, including defining ACO goals and 

an action plan for establishing ACO core 

competencies. 

Each participating team should 

consist of two to four senior-level 

leaders (including at least one executive 

with financial/management 

responsibility and one with clinical 

responsibility). Participants are also 

asked to attend future Web based 

seminars and complete a full ACO 

implementation plan as part of the 

broader ADS initiative to facilitate ongoing learning and evaluation. 

The agenda for the first ADS is 

available online at https:// 

acoregister.rti.org. 

III. Completion of Planning Tool and 

Session Registration Information 

Registrants need to complete the 

registration form in order to participate 

in an ACO ADS. Potential participants 

are also strongly encouraged to 

complete a comprehensive planning 

tool, which will allow them to take full 

advantage of the hands-on learning 

activities during the ADS. The 


jlentini on DSK4TPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 97 / Thursday, May 19, 2011 / Notices 28989 

registration form and comprehensive 

planning tool are available on the ACO 

ADS Web site at https:// 

acoregister.rti.org. 

This session is open to the public. 

However, space is limited and 

participants are encouraged to register 

as soon as possible. Registration for this 

session will remain open until the date 

specified in the DATES section of this 

notice or the seating capacity has been 

reached. 

Participants are responsible for their 

own travel, parking, meals, and 

overnight-stay expenses. More 

information about the venue and 

accommodations can be found at https: 

//aco-adsregister.rti.org. 

Subsequent ADSs will be offered in 

other locations in different regions 

around the country at later dates to be 

determined. Information for all future 

ADSs will be posted online at https:// 

acoregister.rti.org as they become 

available. 

Authority: Section 1115A of the Act. 

Dated: May 16, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–12342 Filed 5–17–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Measurement Development: 

Quality of Caregiver-Child Interactions 

for Infants and Toddlers (Q–CCIIT). 

OMB No.: New Collection. 

Description: The Office of Planning, 

Research and Evaluation (OPRE), 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS), is 

proposing to develop a new observation 

measure to assess the quality of child 

care settings, specifically the quality of 

caregiver-child interaction for infants 

and toddlers in nonparental care. The 

measure will be appropriate for use 

across child care settings, center-based 

and family child care settings as well as 

single- and mixed-age classrooms. 

The two-year data collection activity 

will include two phases: (1) A pilot test 

and (2) a psychometric field test. We 

will request information about the child 

care setting, its classrooms and families 

for recruitment into the study. 

Information will be collected through 

observations, focus groups, and 

questionnaires. 

In the pilot and field tests, the new Q– 

CCIIT observation measure will include 

observing a small group activity 

structured with a common task and 

asking follow-up observation questions. 

Caregivers observed will also complete 

a background questionnaire. Focus 

groups to obtain stakeholder input on 

caregiver-child interactions will be 

conducted separately with parents, 

caregivers, and training and technical 

assistance providers. Focus group 

participants will also complete a 

demographic questionnaire. Parents of 

children served by caregivers will 

complete a questionnaire on their 

child’s competencies related to 

cognitive, language/communication, 

and social-emotional development. 

Parents will complete this 

questionnaire, which will also include 

family and child characteristics, once in 

the pilot test and twice in the field test, 

at the start of the field test and 6 months 

later to assess growth. 

The purpose of this data collection is 

to support the 2007 reauthorization of 

the Head Start program (Pub. L. 110– 

134), which calls for periodic 

assessments of Head Start’s quality and 

effectiveness. 

Respondents: Child care setting 

representatives (directors or owners), 

caregivers (center-based and family 

child care settings), parents of children 

in those child care settings, and training 

and technical assistance providers. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hour per 

response 

Estimated 

annual burden 

hours 

1. Child care setting recruitment form ........................................................... 190 1 0 .5 95 

2. Q–CCIIT measure—small group activity and follow-up ............................ 290 1 0 .25 73 

3. Caregiver background questionnaire ........................................................ 520 1 0 .25 130 

4. Focus group interview guide ..................................................................... 20 1 1 .90 38 

5. Parent focus group demographic questionnaire ....................................... 10 1 0 .10 1 

6. Caregiver focus group demographic questionnaire .................................. 5 1 0 .10 1 

7. Training and technical assistance provider focus group demographic 

questionnaire .............................................................................................. 5 1 0 .10 1 

8. Parent-report child competence questionnaire ......................................... 880 2 0 .75 1,320 

Estimated Total Annual Burden 

Hours: 1,659. 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade, SW., Washington, DC 

20447, Attn: OPRE Reports Clearance 

Officer. E-mail address: 

OPREinfocollection@acf.hhs.gov. All 

requests should be identified by the title 

of the information collection. 

The Department specifically requests 

comments on (a) whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 


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