[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
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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 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:
[email protected]. 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]
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