[Federal Register Volume 74, Number 46 (Wednesday, March 11, 2009)]
[Notices]
[Pages 10599-10600]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-5102]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, e-mail 
<a href="/cdn-cgi/l/email-protection#81f1e0f1e4f3f6eef3eac1e9f3f2e0afe6eef7"><span class="__cf_email__" data-cfemail="5e2e3f2e3b2c29312c351e362c2d3f70393128">[email protected]</span></a> or call the HRSA Reports Clearance Office on (301) 
443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: Patient Navigator Outreach and Chronic Disease 
Prevention Demonstration Program Patient Data Collection Form--[New]

    The purpose of the Patient Navigator Outreach and Chronic Disease 
Prevention (PN) Demonstration Program is to promote model ``patient 
navigator'' programs to improve health care outcomes for individuals 
with cancer and/or other chronic diseases, with a specific emphasis on 
health disparity populations. This program aims to coordinate 
comprehensive health services for patients in need of chronic disease 
care and management through enhanced chronic disease management 
provided by patient navigators.
    In order to describe successful PN program models and make 
recommendations on the ability of such programs to improve patient 
outcomes, data is needed at the individual patient, patient navigator, 
and PN program levels. This information includes:
    [dec222] Sociodemographics of patients (e.g., insurance status, 
income, education level, gender, age, race and ethnicity, primary 
language, number of family dependents) served;
    [dec222] Patient access barriers to standard chronic disease care 
(e.g., access to pharmaceuticals, distance of patient's home from 
health care facilities utilized, primary mode of transportation to 
health care facilities utilized, cultural and linguistic barriers as 
well as literacy levels);
    [dec222] Health care service utilization (e.g., screening rates, 
compliance rate for appointments and follow-up exams,

[[Page 10600]]

time interval between diagnosis or referral and resolution date);
    [dec222] Patient health status (e.g., type and stage of diagnosis, 
chronic disease status, final outcome or result); and
    [dec222] Patient navigation data (e.g., type of navigator, patient 
navigation training plans and outcomes, point at which patient 
navigator was brought into the process, number of patients referred, 
how patient barriers were resolved, patient satisfaction, follow-up 
outcomes--such as number of uninsured who get health coverage).

This information will be collected from patients or their designated 
caregiver, patient navigators, and PN program administrators. 
Maintaining confidentiality of patient medical information is a concern 
and thus all personal information will be de-identified to protect the 
confidentiality of all patients. Data collection and disclosure 
processes will abide by Health Insurance Portability and Accountability 
Act (HIPPA) Privacy Rule provisions and procedures.
    The annual estimate of burden is as follows:

----------------------------------------------------------------------------------------------------------------
                                    Number of     Responses per       Total         Hours per     Total  burden
              Form                 respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Navigated Patient \1\ Data                 6000               1            6000            0.5            3000
 Intake Form...................
    SubTotal--Patient Burden...            6000               1            6000            0.5            3000
Patient Navigator Survey.......              30               1              30            0.25              7.5
Patient Navigator Encounter/                 30             750          22,500            0.25           5625
 Tracking Log \2\..............
    SubTotal--Patient Navigator              30             751           22530            0.5            5632.5
     Burden....................
Grantee PN Administrative                     6               1               6            0.5               3
 Records \3\...................
Medical Record and Clinic Data                6            2000           12000            2             24000
 \4\ (Baseline Measures).......
Quarterly Report...............               6               4              24            1                24
    SubTotal--Grantee Burden...              18            2005           12030            3.5           24027
                                --------------------------------------------------------------------------------
        Total Average Annual               6048            2757           40560            4.5           32659.5
         Burden................
----------------------------------------------------------------------------------------------------------------
\1\ Estimated number of navigated patients per year based on applications was rounded to 6000. See table below
  for projected numbers navigated by Grantee.
\2\ Assumes 5 log entries of PN activities per patient.
\3\ Includes administrative data related to PN recruitment, hiring, and training.
\4\ Includes medical record abstraction and clinic database abstraction on individual patients (note: Decreased
  to 2 hours per patient).


------------------------------------------------------------------------
                                                 Over 2 yrs     Annual
------------------------------------------------------------------------
Goodwin.......................................          400          200
Lutheran......................................          650          325
Northeast.....................................         6000         3000
Palmetto......................................         3000         1500
South Broward.................................         2200         1100
Texas Tech....................................          500          250
                                               -------------------------
    Total.....................................        12750         6375
------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to 
the desk officer for HRSA, either by e-mail to <a href="/cdn-cgi/l/email-protection#4e01071c0f113d3b2c23273d3d2721200e21232c602b213e60292138"><span class="__cf_email__" data-cfemail="0d42445f4c527e786f60647e7e6462634d62606f2368627d236a627b">[email protected]</span></a> or by fax to 202-395-6974. Please direct all 
correspondence to the ``attention of the desk officer for HRSA.''

    Dated: February 27, 2009.
Alexandra Huttinger,
Director, Division of Policy Review and Coordination.
 [FR Doc. E9-5102 Filed 3-10-09; 8:45 am]
BILLING CODE 4165-15-P


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