Federal Register / Vol. 78, No. 169 / Friday, August 30, 2013 / Notices 53765 

fields for ICD–9–CM, E and V-codes), 

procedural codes (all available fields for 

ICD–9 CM, CPT–4) From the abstracted 

medical chart data contained in the TBI 

Data Abstraction Tool, a frequency of all 

observed ICD–9 CM codes will be 

created. Calculations of frequencies and 

code sensitivity of the ICD–9 CM codes 

will be calculated to develop 

recommendations for specific ICD–9 CM 

in the CDC IDC–9 Code definition. 

The TBI Data Abstraction tool will be 

used to create the final analytic dataset 

for the ‘Examining Traumatic Brain 

Injury in Youth’ project. Data will be 

abstracted into the dataset in two 

separate phases during the study. 

During the first phase, a trained 

Research Assistant (RA) will review 

each sampled medical chart to 

determine whether the patient 

experienced a TBI during the specified 

visit according to the CDC TBI 

definition. The RA will first review the 

selection criteria to confirm eligibility 

into the study. Approximately, 150 

medical records from Emergency 

Department Patients, obtained from 

emergency medical records (EMR) will 

be abstracted to determine if they fit the 

TBI case definition: (1) Any period of 

observed or self-reported confusion, 

memory dysfunction, or loss of 

consciousness, (2) observed signs of 

neurological/neuropsychological 

dysfunction or (3) an injury to the head 

that resulted in amnesia, skull fracture, 

or intracranial lesion. It is estimated that 

this data abstraction will take 105 

minutes per record, totaling 263 annual 

burden hours. Also, 50 Concussion 

Service Patient records will be obtained 

from a hospital concussion clinic. These 

records will be abstracted to determine 

if they fit the TBI case definition as 

well. It is estimated that this abstraction 

will take 105 minutes per record, 

totaling 88 annual burden hours. The 

total annualized burden hours per year 

are 351. The RA will be blinded to all 

ICD–9 CM codes while reviewing 

medical charts and entering data into 

the TBI Data extraction tool. 

There are no costs to respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Avg. 

burden per 

response 

(in hrs.) 

Total 

burden 

(in hrs.) 

Emergency Department Patient .. Allscripts ED electronic medical 

record (EMR) system.

150 ................... 1 105/60 .............. 263 

Concussion Services Patient ....... Microsoft Access Patient List ..... 50 ..................... 1 105/60 .............. 88 

Total ...................................... .................................................... .......................... ............................ .......................... 351 

Kimberly S. Lane, 

Deputy Director, Office of Scientific Integrity, 

Office of the Associate Director for Science, 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2013–21190 Filed 8–29–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10497] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

any of the following subjects: (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. 

DATES: Comments must be received by 

October 29, 2013. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). To be 

assured consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By Regular Mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number llllll, Room 

C4–26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 


tkelley on DSK3SPTVN1PROD with NOTICES
53766 Federal Register / Vol. 78, No. 169 / Friday, August 30, 2013 / Notices 

CMS–10497 Evaluation of the Medicare 

Health Care Quality (MHCQ) 

Demonstration Evaluation: Focus 

Group and Interview Protocols 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

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

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collections 

1. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Evaluation of 

the Medicare Health Care Quality 

(MHCQ) Demonstration Evaluation: 

Focus Group and Interview Protocols; 

Use: The Medicare Health Care Quality 

(MHCQ) Demonstration was developed 

to address concerns about the U.S. 

health care system, which typically 

fragments care while also encouraging 

both omissions in and duplication of 

care. To rectify this situation, Congress 

has directed the Centers for Medicare & 

Medicaid Services (CMS) to test major 

changes to the delivery and payment 

systems to improve the quality of care 

while also increasing efficiency across 

the health care system. This would be 

achieved through several types of 

interventions: adoption and use of 

information technology and decision 

support tools by physicians and their 

patients, such as evidence-based 

medicine guidelines, best practice 

guidelines, and shared decision-making 

programs; reform of payment 

methodologies; improved coordination 

of care among payers and providers 

serving defined communities; 

measurement of outcomes; and 

enhanced cultural competence in the 

delivery of care. 

Section 1866C of the Social Security 

Act, as amended by Section 646 of the 

Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (Pub. L. 108–173), section 

1866C(b)), requires the Secretary of the 

Department of Health and Human 

Services to establish a 5-year 

demonstration program under which the 

Secretary may approve demonstration 

projects that examine health delivery 

factors that encourage improved quality 

in patient care. This section also 

authorizes the Secretary to waive 

compliance with such requirements of 

Titles XI and XVIII of the Social 

Security Act (42 U.S.C. 1395 et seq.) as 

may be necessary for the purposes of 

carrying out the demonstration project. 

The MHCQ Demonstration programs 

are designed to examine the extent to 

which major, multifaceted changes to 

traditional Medicare’s health delivery 

and financing systems lead to 

improvements in the quality of care 

provided to Medicare beneficiaries 

without increasing total program 

expenditures. Each demonstration site 

uses a different approach for changing 

health delivery and financing systems, 

but all share the goal of improving the 

quality and efficiency of medical care 

provided to Medicare beneficiaries. 

Focus groups and individual interviews 

will be conducted at 2 demonstration 

sites that are active in the 

demonstration: Gundersen Health 

System (GHS) and Meridian Health 

System (MHS). 

This MHCQ Demonstration evaluation 

will include analysis of both 

quantitative and qualitative sources of 

information. This multifaceted approach 

will enable this evaluation to consider 

a broad variety of evidence for 

evaluating the nature and impact of 

each site’s interventions. Form Number: 

CMS–10497 (OCN: 0938–NEW); 

Frequency: Occasionally; Affected 

Public: Individuals or households and 

Private sector (Not-for-profit 

organizations); Number of Respondents: 

36; Total Annual Responses: 36; Total 

Annual Hours: 108. (For policy 

questions regarding this collection 

contact Normandy Brangan at 410–786– 

6640.). 

Dated: August 27, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–21258 Filed 8–29–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–4040, CMS– 

10174, CMS–R–285, CMS–10166, CMS– 

10184, CMS–1572, CMS–10175, CMS–379 

and CMS–10336)] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including any of the 

following subjects: (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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by September 30, 

2013. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974 OR Email: 

OIRA_submission@omb.eop.gov. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/

PaperworkReductionActof1995. 


tkelley on DSK3SPTVN1PROD with NOTICES