[Federal Register Volume 82, Number 197 (Friday, October 13, 2017)]
[Pages 47738-47740]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-22200]



Centers for Disease Control and Prevention

[60Day-17-17BAM; Docket No. CDC-2017-0080]

Proposed Data Collection Submitted for Public Comment and 

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.


SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project entitled Implementing the 6[verbar]18 
Initiative: Case Studies. CDC proposes to seek a three-year clearance 
to conduct semi-structured interviews with state public health 
department and Medicaid agency officials. CDC designed this information 
collection project to improve understanding of facilitators and 
barriers to increased utilization of evidence-based interventions for 
selected chronic and infectious diseases.

DATES: CDC must receive written comments on or before December 12, 

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0080 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Leroy A. Richardson, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE., MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov. Access Regulations.gov.
    Please note: Submit all public comments through the Federal 
eRulemaking portal (regulations.gov) or by U.S. mail to the address 
listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Leroy A. Richardson, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE., MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
[email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the

[[Page 47739]]

functions of the agency, including whether the information will have 
practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.

Proposed Project

    Implementing the 6[verbar]18 Initiative: Case Studies--New--Office 
of the Director (OD), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Major trends in health care are providing new opportunities to pay 
for and deliver prevention and to improve population health. New and 
alternative health care payment and delivery models are more patient-
centered and facilitate the delivery of greater comprehensive care and 
prevention. Public health departments have been eager to leverage their 
skill sets and resources to complement those of the health care sector, 
to maximize impact for population health in this time of dynamic health 
system change and opportunity.
    In this context, CDC developed the CDC's 6[verbar]18 Initiative to 
provide health care purchasers, payers, and providers with rigorous 
evidence about high-burden health conditions and associated evidence-
based interventions. With a focus on the greatest short-term health and 
potential cost impact (generally in less than five years), the evidence 
informs their coverage decisions.
    The name ``6[verbar]18'' comes from the initial focus on six 
common, costly and preventable health conditions (tobacco use, high 
blood pressure, diabetes, asthma, healthcare-associated infections and 
unintended pregnancies) and 18 evidence-based prevention and control 
interventions, which form the content of dialogue with health care 
purchasers, payers and providers. More information on the Initiative 
content and progress can be found at http://www.cdc.gov/sixeighteen.
    The 6[verbar]18 initiative links the health care and public health 
sectors by providing a shared focus across a spectrum of prevention 
interventions, from traditional clinical settings to care outside the 
clinical setting. Public health's strength in identifying and analyzing 
scientific evidence complements the purchaser, payer, and provider role 
of financing and delivering care.
    Since cross-sector public health-health care collaboration to 
improve population health is still not a standard practice, information 
regarding public-payer collaboration with public health agencies is 
scarce. There are few or no case studies related to public health-
health care collaboration around increasing preventive service 
utilization. CDC intends to fill this knowledge gap through this data 
collection effort.
    As part of the 6[verbar]18 Initiative, CDC and its partners (Center 
for Health Care Strategies, Inc. (CHCS) and the Centers for Medicare 
and Medicaid Services (CMS)) provided technical assistance to state 
teams (i.e., State Medicaid and Public Health Agencies), to support and 
accelerate their implementation of the 6[verbar]18 Initiative's 
interventions. In Year 1 of the 6[verbar]18 Initiative (2016), CDC and 
its partners worked with nine state teams. In Year 2 (2017), CDC and 
its partners will work with 8 new teams from 6 states, the District of 
Columbia, and a large city (hereafter, ``states''). No data has been 
collected to date.
    To document qualitative lessons learned related to the 
collaboration, CDC and its cooperative agreement sub-contractor, George 
Washington University, plan to conduct in-person and telephone semi-
structured individual interviews with state Public Health Department 
and State Medicaid Agency officials.
    Interview participants will have been directly involved in 
conceptualizing, planning, and/or implementing 6[verbar]18 Initiative-
related activities, and will have participated in the cross-sector 
collaboration. CDC plans to engage up to 82 respondents (four to seven 
officials from each of the 17 state teams who participated in the 
6[verbar]18 Initiative). The officials from each state team will be 
leadership and staff from public health agencies at the state, city, 
and tribal level. For each state, we will request interviews with: One 
Public Health Division Director, one to four Public Health Services 
Managers (one per health condition), one Medicaid Director, and one 
Medicaid Services Manager. When joining the 6[verbar]18 Initiative, 
each state selected one to four conditions from the list of 6[verbar]18 
conditions, and assigned one public health manager to each condition.
    CDC plans to administer the interviews from 2018 to 2021, to allow 
time for unanticipated delays; and to accommodate state team schedules, 
busy seasons, and holidays. All participants will speak in their 
official capacity as state public health department or Medicaid agency 
officials. Prior to granting public access to written products, CDC 
will provide participants the opportunity to review written products.
    CDC anticipates using the interview findings: (1) To describe, 
disseminate, and scale best practices to participating and non-
participating states, and (2) for program improvement of the CDC's 
6[verbar]18 Initiative. CDC will disseminate findings via written 
products such as peer-reviewed manuscripts and in-depth written case 
studies. The written products, which will share lessons learned and 
effective approaches to collaboration, can inform and potentially 
accelerate related efforts by other state teams. In addition, 
6[verbar]18 participants can use findings and written products to 
highlight their accomplishments to their stakeholders, such as their 
Medicaid leadership, and/or governors.
    Participants will have a maximum estimated burden of one hour and 
15 minutes: One hour for the interview, and fifteen minutes for any 
needed preparation. CDC will base all interviews on the same interview 
    CDC will seek a three-year OMB approval for this information 
collection project. CDC estimates that they will conduct 29 interviews 
per year. Participation is voluntary and respondents will not receive 
incentives for participation. There are no costs to respondents other 
than their time.

[[Page 47740]]

                                        Estimated Annualized Burden Hours
                                                                            Number of     Average
                                                               Number of    responses    burden per     Total
      Type of respondents                 Form name           respondents      per        response    burden (in
                                                                            respondent   (in hours)     hours)
State Public Health Director...  Interview Guide............            6            1        75/60            8
State Public Health Manager....  Interview Guide............           11            1        75/60           14
State Medicaid Director........  Interview Guide............            6            1        75/60            8
State Medicaid Manager.........  Interview Guide............            6            1        75/60            8
    Total......................  ...........................  ...........  ...........  ...........           38

Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2017-22200 Filed 10-12-17; 8:45 am]