[Federal Register Volume 80, Number 216 (Monday, November 9, 2015)]
[Notices]
[Pages 69233-69234]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-28415]
[[Page 69233]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, the Substance Abuse and Mental Health
Services Administration (SAMHSA) will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer at (240) 276-1243.
Comments are invited on (a) whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology (IT).
Proposed 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 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
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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 an 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.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email a copy
to [email protected].
[[Page 69234]]
Written comments should be received by January 8, 2016.
Summer King,
Statistician.
[FR Doc. 2015-28415 Filed 11-6-15; 8:45 am]
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