```

[Federal Register Volume 80, Number 69 (Friday, April 10, 2015)]
[Notices]
[Pages 19325-19326]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-08284]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection: 
Public Comment Request

AGENCY: Health Resources and Services Administration.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995), the Health Resources and Services 
Administration (HRSA) announces plans to submit an Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks 
comments from the public regarding the burden estimate, below, or any 
other aspect of the ICR.

DATES: Comments on the Information Collection Request must be received 
no later than June 9, 2015.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 10-29, Parklawn 
Building, 5600 Fishers Lane, Rockville, MD 20857.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the data collection plans and 
draft instruments, email [email protected] or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Providing Primary Care and 
Preventative Medical Services in Ryan White-funded Medical Care 
Settings: OMB No. 0915-xxxx--New.
    Abstract: Since Congress passed the Ryan White Comprehensive AIDS 
Resource Emergency (CARE) Act in 1990, the Ryan White HIV/AIDS Program 
(Ryan White Program) has funded the provision of care eligible to 
persons living with HIV (PLWH). Many Ryan White-funded clinics have 
long promoted the medical home model, which involves the provision of 
comprehensive and coordinated care services, including prevention and 
other non-medical care services to promote access and adherence to HIV/
AIDS treatment. As PLWH live longer and normal lives with effective 
antiretroviral treatment, this model has become more complex. In recent 
years, clinics providing care to PLWH are also seeing their patients 
develop other common chronic diseases such as diabetes, heart disease, 
and hypertension associated with normal and aging populations. 
Guidelines \1\ on primary care for PLWH have recently been released to 
help providers navigate the integration of primary and preventative 
care into HIV care. With already limited budgets, staffing and other 
resources, Ryan White-funded clinics may struggle to provide primary 
and preventative care services in-house or have insufficient referral 
systems. However, under the Affordable Care Act, most PLWH can obtain 
more affordable health insurance which can alleviate some burden on

[[Page 19326]]

clinics and improve accessibility to primary and preventative care 
services.
---------------------------------------------------------------------------

    \1\ JA Aberg, JE Gallant, KG Ghanem, P Emmanuel, BS Zingman and 
MA Horberg. Primary Care Guidelines for the Management of Persons 
Infected with HIV: 2013 Update by the HIV Medicine Association of 
the Infectious Disease Society of America; CID 201_58 (January 1, 
2014). New York State Department of Health AIDS Institute, Office of 
the Medical Director. Primary Care Approach to the HIV-infected 
Patient; http://www.hivguidelines.org/clinical-guidelines/adults/primary-care-approach-to-the-hiv-infected-patinet/ (Updated November 
2014).
---------------------------------------------------------------------------

    This study will examine how Ryan White-funded clinics are 
integrating the provision of primary and preventative care services to 
the overall HIV care model. Specifically, it will look at the protocols 
and strategies used by clinics to manage care for PLWH, specifically 
care coordination, referral systems, and patient-centered strategies to 
keep PLWH in care.
    Need and Proposed Use of the Information: The proposed study will 
provide the HRSA HIV/AIDS Bureau (HAB) and policymakers with a better 
understanding of how the Ryan White Program currently provides primary 
and preventative care to PLWH. The first online survey will be targeted 
to clinic directors from a sample of about 160 Ryan White-funded 
clinics and will collect data on care models used; primary care 
services, including preventative services; and coordination of care. 
Data collected from this survey will provide a general overview of the 
various HIV care models used as well as insight to possible 
facilitators and barriers to providing primary and preventative care 
services. More in-depth data collection will be conducted with a 
smaller number of 30 clinics representing clinic type (publicly funded 
community health organization, other community-based organization, 
health department, and hospital or university-based) and size. There 
will be three data collection instruments used: (1) An online survey 
completed by three clinicians at each of the clinics (clinician 
survey); (2) a data extraction of select primary and preventative care 
services; and (3) a telephone interview with the medical director. The 
clinician survey will provide a more in-depth look at the clinic 
protocols and strategies and how they are being used and implemented by 
the clinicians. The data extraction will provide quantitative 
information on the provision of select primary and preventative care 
services within a certain time period. With these data, the study team 
can assess the accuracy of information provided in the online surveys 
on the provision of care as well as the frequency at which primary and 
preventative care screenings are provided. Lastly, the interviews with 
the medical director will allow the study team to follow-up on the 
results of the clinician survey and data extraction and collect 
qualitative data and more in-depth details on the provision of primary 
and preventative care services from a clinic wide perspective, 
specifically any facilitators and barriers.
    These data will provide HAB the background to make informed 
policies and changes to the Ryan White Program in this new era when the 
well-being of PLWH demands a more complex and long-term HIV care model.
    Likely Respondents: Clinics funded by the Ryan White Program.
    Burden Statement: Burden in this context means the time expanded by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this Information Collection Request are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response  (in       hours
                                                    respondent                        hours)
----------------------------------------------------------------------------------------------------------------
Clinic Director of Online Survey             130               1             130               1             130
Clinician Online Survey.........              30               1              30               1              30
Data Extraction.................              30               1              30               3              90
Medical Director Interview......              30               1              30               1              30
                                 -------------------------------------------------------------------------------
    Total.......................             220  ..............             220               6             280
----------------------------------------------------------------------------------------------------------------

    HRSA specifically requests comments on (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions, (2) the accuracy of the 
estimated burden, (3) ways to enhance the quality, utility, and clarity 
of the information to be collected, and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-08284 Filed 4-9-15; 8:45 am]
 BILLING CODE 4165-15-P
```