[Federal Register Volume 78, Number 116 (Monday, June 17, 2013)]
[Notices]
[Pages 36198-36199]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14289]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day Proposed Information
Collection: Indian Health Service Medical Staff Credentials and
Privileges Files
AGENCY: Indian Health Service, HHS.
ACTION: Notice.
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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995 which requires 30 days for public comment on
proposed information collection projects, the Indian Health Service
(IHS) is submitting to the Office of Management and Budget (OMB) a
request for a revision of an approved collection of information titled,
``Indian Health Service Medical Staff Credentials and Privileges
Files,'' OMB Control Number 0917-0009, which expires June 31, 3013.
This proposed information collection project was previously published
in the Federal Register (78 FR 19721) on April 2, 2013, and allowed 60
days for public comment, as required by 3506(c)(2)(A). The IHS received
one comment concerning the ``Optometric Privileges Request Form'' in
regards to the defining of physicians and optometrists separately. The
IHS responded that it will not include the ``Optometric Privileges
Request Form'' for consideration in this request--pending a review of
ways to enhance the quality, utility and clarity of this particular
form. The purpose of this notice is to allow 30 days for public comment
to be submitted directly to OMB.
Proposed Collection: Title: 0917-0009, ``Indian Health Service
Medical Staff Credentials and Privileges Files.'' Type of Information
Collection Request: Revision of an approved information collection,
0917-0009, ``Indian Health Service Medical Staff Credentials and
Privileges Files.'' Form Numbers: 0917-0009. Need and Use of
Information Collection: This collection of information is used to
evaluate individual health care providers applying for medical staff
privileges at IHS health care facilities. The IHS operates health care
facilities that provide health care services to American Indians and
Alaska Natives. To provide these services, the IHS employs (directly
and under contract) several categories of health care providers
including: Physicians (M.D. and D.O.), dentists, psychologists,
optometrists, podiatrists, audiologists, physician assistants,
certified registered nurse anesthetists, nurse practitioners, and
certified nurse midwives. IHS policy specifically requires physicians
and dentists to be members of the health care facility medical staff
where they practice. Health care providers become medical staff
members, depending on the local health care facility's capabilities and
medical staff bylaws. There are three types of IHS medical staff
applicants: (1) Health care providers applying for direct employment
with IHS; (2) contractors who will not seek to become IHS employees;
and (3) employed IHS health care providers who seek to transfer between
IHS health care facilities.
National health care standards developed by the Centers for
Medicare and Medicaid Services, the Joint Commission, and other
accrediting organizations require health care facilities to review,
evaluate and verify the credentials, training and experience of medical
staff applicants prior to granting medical staff privileges. In order
to meet these standards, IHS health care facilities require all medical
staff applicants to provide information concerning their education,
training, licensure, and work experience and any adverse disciplinary
actions taken against them. This information is then verified with
references supplied by the applicant and may include: Former employers,
educational institutions, licensure and certification boards, the
American Medical Association, the Federation of State Medical Boards,
the National Practitioner Data Bank, and the applicants themselves.
In addition to the initial granting of medical staff membership and
clinical privileges, the Joint Commission standards require that a
review of the medical staff be conducted not less than every two years.
This review evaluates the current competence of the medical staff and
verifies whether they are maintaining the licensure or
[[Page 36199]]
certification requirements of their specialty.
The medical staff credentials and privileges records are maintained
at the health care facility where the health care provider is a medical
staff member. The establishment of these records at IHS health care
facilities is a Joint Commission requirement. Prior to the
establishment of this Joint Commission requirement, the degree to which
medical staff applications were maintained at all health care
facilities in the United States that are verified for completeness and
accuracy varied greatly across the Nation.
The application process has been streamlined and is using
information technology to make the application electronically available
on the Internet. The application may be found at the IHS.gov Web site
address: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p3c1_ex#Manual Exhibit 3-1-A.
Affected Public: Individuals and households. Type of Respondents:
Individuals.
The table below provides: Types of data collection instruments,
Estimated number of respondents, Number of annual number of responses,
Average burden per response, and Total annual burden hours.
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Estimated
Data collection instrument(s) number of Responses per Average burden hour per Total annual
respondents respondent response * burden hours
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Application to Medical Staff.......... 570 1 1.00 (60 mins).......... 570
Reference Letter...................... 1710 1 0.33 (20 mins).......... 570
Reappointment Request................. 190 1 1.00 (60 mins).......... 190
Ob-Gyn Privileges..................... 20 1 1.00 (60 mins).......... 20
Internal Medicine..................... 325 1 1.00 (60 mins).......... 325
Surgery Privileges.................... 20 1 1.00 (60 mins).......... 20
Psychiatry Privileges................. 13 1 1.00 (60 mins).......... 13
Anesthesia Privileges................. 15 1 1.00 (60 mins).......... 15
Dental Privileges..................... 150 1 0.33 (20 mins).......... 50
Psychology Privileges................. 30 1 0.17 (10 mins).......... 5
Audiology Privileges.................. 7 1 0.08 (5 mins)........... 1
Podiatry Privileges................... 7 1 0.08 (5 mins)........... 1
Radiology Privileges.................. 8 1 0.33 (20 mins).......... 3
Pathology Privileges.................. 3 1 0.33 (20 mins).......... 1
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Total............................. 3068 .............. ........................ 1,784
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* For ease of understanding, burden hours are provided in actual minutes.
There are no capital costs, operating costs and/or maintenance costs to respondents.
Request for Comments: Your written comments and/or suggestions are
invited on one or more of the following points: (a) Whether the
information collection activity is necessary to carry out an agency
function; (b) whether the agency processes the information collected in
a useful and timely fashion; (c) the accuracy of public burden estimate
(the estimated amount of time needed for individual respondents to
provide the requested information); (d) whether the methodology and
assumptions used to determine the estimate is logical; (e) ways to
enhance the quality, utility, and clarity of the information being
collected; and (f) ways to minimize the public burden through the use
of automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology.
Send Requests for Further Information: For the proposed collection,
or requests to obtain a copy of the data collection instrument(s) and
instructions, to: Paul R. Fowler D.O., J.D., Risk Management Officer,
801 Thompson Avenue, TMP, Suite 331, Rockville, MD 20852, call non-toll
free (301) 443-6372, send via facsimile to (301) 594-6213, or send your
email requests to email address [email protected].
Direct Your Comments to OMB: Send your comments and suggestions
regarding the proposed information collection contained in this notice,
especially regarding the estimated public burden and associated
response time to: Office of Management and Budget, Office of Regulatory
Affairs, New Executive Office Building, Room 10235, Washington, DC
20503, Attention: Desk Officer for IHS.
Comment Due Date: Your comments regarding this information
collection is best assured of having full effect if received within 30
days of the date of this publication.
Dated: June 10, 2013.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2013-14289 Filed 6-14-13; 8:45 am]
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