[Federal Register Volume 81, Number 17 (Wednesday, January 27, 2016)]
[Notices]
[Pages 4635-4636]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-01671]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


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

    Periodically, the Substance Abuse and Mental Health Services 
Administration (SAMHSA) will publish a summary of information 
collection requests under OMB review, in compliance with the Paperwork 
Reduction Act (44 U. S. C. Chapter 35). To request a copy of these 
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

Project: Screening, Brief Intervention, and Referral to Treatment 
(SBIRT) Cross-Site Evaluation--New

    SAMHSA is conducting a cross-site external evaluation of the impact 
of programs of screening, brief intervention (BI), brief treatment 
(BT), and referral to treatment (RT) on

[[Page 4636]]

patients presenting at various health care delivery units with a 
continuum of severity of substance use. SAMHSA's SBIRT program is a 
cooperative agreement grant program designed to help states and Tribal 
Councils expand the continuum of care available for substance misuse 
and use disorders. The program includes screening, BI, BT, and RT for 
persons at risk for dependence on alcohol or drugs. This evaluation 
will provide a comprehensive assessment of SBIRT implementation; the 
effects of SBIRT on patient outcomes, performance site practices, and 
treatment systems; and the sustainability of the program. This 
information will allow SAMHSA to determine the extent to which SBIRT 
has met its objectives of implementing a comprehensive system of 
identification and care to meet the needs of individuals at all points 
along the substance use continuum.
    To evaluate the success of SBIRT implementation at the site level, 
a web-based survey will be administered to staff in sites where SBIRT 
services are being delivered--referred to as performance sites. The 
Performance Site Survey will be distributed to individuals who directly 
provide SBIRT services and staff who interact regularly with SBIRT 
providers and patients receiving SBIRT services. The types of staff 
surveyed will include intake staff, medical providers, behavioral 
health providers, social workers, and managerial and administrative 
staff who oversee these staff. Since cross-site evaluation team members 
will be traveling to selected SBIRT providers and coordinating with 
state and site administrators on a yearly basis, there is an 
opportunity to complete a near-census of all SBIRT-related staff at 
performance sites with a minimal level of burden.
    The 78 question web survey includes the collection of basic 
demographic information, questions about the organization's readiness 
to implement SBIRT, and questions about the use of health information 
technology (HIT) to deliver SBIRT services. The demographic questions 
were tailored from a previous cross-site evaluation survey to fit the 
current set of cross-site grantees. The organizational readiness 
questions were developed through a review of the extant implementation 
science research literature (e.g., Chaudoir, Dugan, & Barr, 2013; 
Damschroder et al., 2009; Garner, 2009; Greenhalgh, MacFarlane, & 
Kyriakidou, 2004; Weiner, 2009; Weiner, Belden, Bergmire, & Johnston, 
2011). Based on this review, the Organizational Readiness for 
Implementation Change (ORIC) (Shea, Jacobs, Esserman, Bruce, & Weiner, 
2014) and the Implementation Climate Scale (ICS) (Jacobs, Weiner, & 
Bunger, 2014) were identified as the two most appropriate instruments. 
In addition to questions from these two instruments, the survey 
includes questions to assess satisfaction, capacity, and infrastructure 
to implement SBIRT screening, BI, and BT.
    To identify relevant HIT measures, the cross-site evaluation team 
modified measures from socio-technical frameworks (Kling, 1980), 
including the DeLone and McClean framework (DeLone & McLean, 2004), the 
Public Health Informatics Institute Framework (PHII, 2005), and the 
Human Organization and Technology (Hot)-FIT Framework (Yusof, 2008). 
Across these three frameworks, the survey captures measures of system 
availability, information availability, organizational structure and 
environment, utilization, and user satisfaction.

                               Total Burden Hours for the Performance Site Survey
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                                     Number of       Number of
           Respondent               respondents     responses/     Total number      Hours per     Annual burden
                                        (a)         respondent     of responses    response  (b)       hours
----------------------------------------------------------------------------------------------------------------
Intake/front desk staff.........             215               1             215            0.22           47.30
Performance site administrators.             191               1             191            0.22           42.02
Clinical supervisors............             101               1             101            0.22           22.22
Medical providers...............             571               1             571            0.22          125.62
Behavioral health providers.....             211               1             211            0.22           46.42
Social workers..................             118               1             118            0.22           25.96
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    TOTAL.......................           1,407  ..............           1,407  ..............          309.54
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(a) The maximum number of annual respondents has been based on estimates from cross-site evaluation site visits.
(b) The average burden per response was estimated based on independent review of the instrument by contractor
  staff.

    Written comments and recommendations concerning the proposed 
information collection should be sent by February 26, 2016 to the 
SAMHSA Desk Officer at the Office of Information and Regulatory 
Affairs, Office of Management and Budget (OMB). To ensure timely 
receipt of comments, and to avoid potential delays in OMB's receipt and 
processing of mail sent through the U. S. Postal Service, commenters 
are encouraged to submit their comments to OMB via email to: 
<a href="/cdn-cgi/l/email-protection#aee1e7fceff1fddbccc3c7ddddc7c1c0eec1c3cc80cbc1de80c9c1d8"><span class="__cf_email__" data-cfemail="2b6462796a74785e49464258584244456b444649054e445b054c445d">[email protected]</span></a>. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, D C 20503.

Summer King,
Statistician.
[FR Doc. 2016-01671 Filed 1-26-16; 8:45 am]
 BILLING CODE 4162-20-P


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