Attachment B -- 30 Day FR Notice

Attachment B -- 30 Day FR Notice.pdf

Feasibility of secure messaging for pediatric patients with chronic disease: Pilot implementation in pediatric respiratory medicine

Attachment B -- 30 Day FR Notice

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21954

Federal Register / Vol. 73, No. 79 / Wednesday, April 23, 2008 / Notices
License No.

Name/Address

011170N ..................................................................................

Sage Freight System Inc. dba Sage Container Lines, 182–
30 150th Road, #108 Jamaica, NY 11413.

Sandra L. Kusumoto,
Director, Bureau of Certification and
Licensing.
[FR Doc. E8–8808 Filed 4–22–08; 8:45 am]

Office of Public Health and Science,
Office of Minority Health.
ACTION: Notice of meeting.

BILLING CODE 6730–01–P

FEDERAL RESERVE SYSTEM
Sunshine Act Meeting
Board of
Governors of the Federal Reserve
System.
TIME AND DATE: 12 p.m., Monday, April
28, 2008.
PLACE: Marriner S. Eccles Federal
Reserve Board Building, 20th and C
Streets, NW., Washington, DC 20551.
STATUS: Closed.
MATTERS TO BE CONSIDERED:
1. Personnel actions (appointments,
promotions, assignments,
reassignments, and salary actions)
involving individual Federal Reserve
System employees.
2. Any items carried forward from a
previously announced meeting.
FOR FURTHER INFORMATION CONTACT:
Michelle Smith, Director, or Dave
Skidmore, Assistant to the Board, Office
of Board Members at 202–452–2955.
SUPPLEMENTARY INFORMATION: You may
call 202–452–3206 beginning at
approximately 5 p.m. two business days
before the meeting for a recorded
announcement of bank and bank
holding company applications
scheduled for the meeting; or you may
contact the Board’s Web site at http://
www.federalreserve.gov for an electronic
announcement that not only lists
applications, but also indicates
procedural and other information about
the meeting.
AGENCY HOLDING THE MEETING:

Board of Governors of the Federal Reserve
System, April 18, 2008.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. 08–1175 Filed 4–18–08; 4:07 pm]

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BILLING CODE 6210–01–S

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting of the Advisory Committee on
Minority Health
Department of Health and
Human Services, Office of the Secretary,

AGENCY:

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SUMMARY: As stipulated by the Federal
Advisory Committee Act, the
Department of Health and Human
Services (DHHS) is hereby giving notice
that the Advisory Committee on
Minority Health (ACMH) will hold a
meeting. This meeting is open to the
public. Preregistration is required for
both public attendance and comment.
Any individual who wishes to attend
the meeting and/or participate in the
public comment session should e-mail
[email protected].
DATES: The meeting will be held on May
6, 2008 from 9 a.m. to 5 p.m.
ADDRESSES: The meeting will be held at
the Doubletree Paradise Valley Hotel,
5401 N. Scottsdale Road, Scottsdale,
Arizona 85250.
FOR FURTHER INFORMATION CONTACT: Ms.
Monica A. Baltimore, Tower Building,
1101 Wootton Parkway, Suite 600,
Rockville, Maryland 20852. Phone: 240–
453–2882, Fax: 240–453–2883.
SUPPLEMENTARY INFORMATION: In
accordance with Public Law 105–392,
the ACMH was established to provide
advice to the Deputy Assistant Secretary
for Minority Health in improving the
health of each racial and ethnic
minority group and on the development
of goals and specific program activities
of the Office of Minority Health.
Topics to be discussed during this
meeting will include strategies to
improve the health of racial and ethnic
minority populations through the
development of health policies and
programs that will help eliminate health
disparities, as well as other related
issues.
Public attendance at the meeting is
limited to space available. Individuals
who plan to attend and need special
assistance, such as sign language
interpretation or other reasonable
accommodations, should notify the
designated contact person at least 14
business days prior to the meeting.
Members of the public will have an
opportunity to provide comments at the
meeting. Public comments will be
limited to three minutes per speaker.
Individuals who would like to submit
written statements should mail or fax
their comments to the Office of Minority
Health at least five business days prior
to the meeting. Any members of the

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Date reissued
March 5, 2008.

public who wish to have printed
material distributed to ACMH
committee members should submit their
materials to Garth Graham, M.D.,
M.P.H., Executive Secretary, ACMH,
Tower Building, 1101 Wootton
Parkway, Suite 600, Rockville,
Maryland 20852, prior to close of
business April 28, 2008.
Dated: April 8, 2008.
Garth N. Graham,
Deputy Assistant Secretary for Minority
Health, Office of Minority Health, Office of
Public Health and Science, Office of the
Secretary, U.S. Department of Health and
Human Services.
[FR Doc. E8–8705 Filed 4–22–08; 8:45 am]
BILLING CODE 4150–29–M

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Feasibility of secure messaging for
pediatric patients with chronic disease:
Pilot implementation in pediatric
respiratory medicine.’’ In accordance
with the Paperwork Reduction Act of
1995, 44 U.S.C. 3506(c)(2)(A), AHRQ
invites the public to comment on this
proposed information collection.
This proposed information collection
was previously published in the Federal
Register on February 15th, 2008 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by May 23, 2008.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at [email protected]
(attention: AHRQ’s desk officer).

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Federal Register / Vol. 73, No. 79 / Wednesday, April 23, 2008 / Notices
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at [email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
‘‘Feasibility of secure messaging for
pediatric patients with chronic disease:
Pilot implementation in pediatric
respiratory medicine.’’
AHRQ proposes to evaluate how the
implementation of a secure e-mail
messaging (e-messaging) system
between clinicians and adolescent
patients affects: (1) Time spent by
providers communicating with patients,
(2) Emergency Department utilization
for medication refills, and (3) qualitative
satisfaction with care of the patients.
The study will be conducted in the Yale
University School of Medicine Pediatric
Respiratory Medicine Clinic
Several studies have evaluated the use
of e-mail between providers and
patients and found that it is typically
satisfactory to both, has not been abused
by patients, and has not been used
inappropriately for urgent items.
Studies have not evaluated the use of emailing or secure messaging by children
or adolescents with chronic diseases as
well as their families. The setting of
chronic disease provides a natural
forum for discussion about the use of

such technologies since these families
may need more frequent contact with
their care-providers, need more frequent
medication refills, and may have close
relationships with their providers that
encourage a communication genre such
as secure messaging. In particular,
because many adolescents are
comfortable with text messaging and email, the investigators hypothesize that
adolescent patients themselves may feel
empowered to contact their providers
using this medium. This potential shift
to having adolescents communicate
with the providers presents two main
hypotheses of interest. (1) Adolescents
may be more prone to send a message
that may be of an urgent nature because
of the sense that messaging is ‘‘instant’’
as well as a possible feeling of more
privacy. This issue presents the concern
that adolescents in particular could
send a secure message about
information that is potentially urgent in
nature such as a severe asthma
exacerbation or suicidal ideation. Such
messages will need immediate attention.
(2) Adolescents may be more apt to
disclose questions about their care that
they would not have otherwise brought
up with the provider. By giving
adolescents a medium where they feel
comfortable communicating, clinicians
may be able to better meet the medical
and psychosocial needs of adolescents
and their families.
Method of Collection
The project will include 300 patient/
family participants and 138 provider

EXHIBIT 1.

participants. Data will be collected from
(1) E-messaging content, to understand
what children, adolescents and their
parents will send in secure messages to
their provider; (2) a survey, to determine
the demographic characteristics of the
patients and their family; and (3)
qualitative interviews with patients and
their families and clinic staff, to assess
their attitudes and satisfaction with emessaging.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours. Each of the
300 patient/family participants will
complete a demographic survey and use
the e-messaging system, sending an
average of one e-message per month.
Thirty of the patient/family participants
will be randomly selected to participate
in a qualitative interview. Each of the
138 provider participants will use the emessaging system, responding to about
twenty six e-messages per year, and
keep a pre- and post-intervention log of
patient/provider communications. Ten
provider participants will be randomly
selected to participate in a qualitative
interview. The total burden for all
participants is estimated to be 1,898
hours.
Exhibit 2 shows the estimated
annualized cost burden for the
participants’ time to participate in this
study. The total cost burden for all
participants is estimated to be $66,114.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Interview participants

Patient/Family Participants:
Demographic Survey ................................................................................
E-messaging .............................................................................................
Qualitative Interview .................................................................................
Provider Participants:
E-messaging ................................................................................................
Qualitative Interviews ...............................................................................
Pre-intervention Provider Log ...................................................................
Post-intervention Provider Log .................................................................
Total ...................................................................................................

Number of
responses
per
respondent

Hours per
response

Total burden
hours

300
300
30

1
12
1

10/60
15/60
30/60

50
900
15

138
10
138
138

26
1
1
1

15/60
30/60
6/60
6/60

900
5
14
14

438

na

na

1,898

Average hourly wage rate*

Total cost burden

EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

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Interview participants
Patient/Famly Participants:
Demographic Survey ................................................................................
E-messaging .............................................................................................
Qualitative Survey ....................................................................................
Provider Participants:
E-messaging .............................................................................................

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Total burden
hours

300
300
30

50
900
15

$26.20
$26.20
$26.20

$1,310
$23,580
$393

138

900

$43.78

$39,402

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Federal Register / Vol. 73, No. 79 / Wednesday, April 23, 2008 / Notices
EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of
respondents

Interview participants

Total burden
hours

Average hourly wage rate*

Total cost burden

Qualitative Interviews ...............................................................................
Pre-intervention Provider Log ...................................................................
Post-intervention Provider Log .................................................................

10
138
138

5
13.8
13.8

$43.78
$43.78
$43.78

$219
$605
$605

Total ...................................................................................................

438

1,898

na

$66,114

* For Patient/Family Participants: Based upon the mean of the average wages for all occupations, National Compensation Survey, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
* For Provider Participants: Based upon the mean of the average wages for physicians ($65.54/hr) and nurses ($43.85/hr) in the New York,
New Jersey, Connecticut and Pennsylvania region, National Compensation Survey, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ For
Pulmonary Fellows: Based upon internal Yale University School of Medicine data.

Estimated Annual Costs to the Federal
Government

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

The total cost to the Federal
Government for this project is $399,970
over a two year period. The average
annual cost is $199,985. The following
is a breakdown of the average annual
costs:

Agency for Healthcare Research and
Quality

Direct Costs:
Personnel ........................
Consultancies .................
Data support ...................
Indirect Costs:
Indirect costs ..................
Total ............................

$159,488.5
5,475
5,336.5
29,685
$199,985

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Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on AHRQ’s information
collection are requested with regard to
any of the following: (a) Whether the
proposed collection of information is
necessary for the proper performance of
AHRQ health care research and health
care information dissemination
functions, including whether the
information will have practical utility;
(b) the accuracy of AHRQ’s estimate of
burden (including hours and costs) of
the proposed collection(s) 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 upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: April 10, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. E8–8445 Filed 4–22–08; 8:45 am]
BILLING CODE 4160–90–M

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National Advisory Council for
Healthcare Research and Quality:
Request for Nominations for Public
Members
Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Request for nominations for
public members.
AGENCY:

SUMMARY: Section 931 of the Public
Health Service Act (PHS Act), 42 U.S.C.
299c, established a National Advisory
Council for Healthcare Research and
Quality (the Council). The Council is to
advise the Secretary of HHS (Secretary)
and the Director of the Agency for
Healthcare Research and Quality
(AHRQ) on matters related to activities
of the Agency to improve the quality,
safety, efficiency, and effectiveness of
health care for all Americans.
Seven current members’ terms will
expire in November 2008. To fill these
positions in accordance with the
legislative mandate establishing the
Council, we are seeking individuals
who are distinguished: (1) In the
conduct of research, demonstration
projects, and evaluations with respect to
health care; (2) in the fields of health
care quality research or health care
improvement; (3) in the practice of
medicine; (4) in other health
professions; (5) in representing the
private health care sector (including
health plans, providers, and purchasers)
or administrators of health care delivery
systems; (6) in the fields of health care
economics, information systems, law,
ethics, business, or public policy; and,
(7) in representing the interests of
patients and consumers of health care.
Individuals are particularly sought with
experience and success in activities
specified in the summary above.
DATES: Nominations should be received
on or before June 15, 2008.

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Nominations should be sent
to Ms. Deborah Queenan, AHRQ, 540
Gaither Road, Room 3238, Rockville,
Maryland 20850. Nominations also may
be faxed to (301) 427–1341.
FOR FURTHER INFORMATION CONTACT: Ms.
Deborah Queenan, AHRQ, at (301) 427–
1330.
SUPPLEMENTARY INFORMATION: Section
931 of the PHS Act, 42 U.S.C. 299c,
provides that the Secretary shall appoint
to the National Advisory Council for
Healthcare Research and Quality
twenty-one appropriately qualified
individuals. At least seventeen members
shall be representatives of the public
and at least one member shall be a
specialist in the rural aspects of one or
more of the professions or fields listed
in the above summary. In addition, the
Secretary designates, as ex officio
members, representatives from other
Federal agencies specified in the
authorizing legislation, principally
agencies that conduct or support health
care research, as well as Federal officials
the Secretary may consider appropriate.
The Council meets in the Washington,
DC, metropolitan area, generally in
Rockville, Maryland, approximately
three times a year to provide broad
guidance to the Secretary and AHRQ’s
Director on the direction of and
programs undertaken by AHRQ.
Seven individuals will be selected
presently by the Secretary to serve on
the Council beginning with the meeting
in the spring of 2009. Members
generally serve 3-year terms.
Appointments are staggered to permit
an orderly rotation of membership.
Interested persons may nominate one
or more qualified persons for
membership on the Council. Selfnominations are accepted. Nominations
shall include: (1) A copy of the
nominee’s resume or curriculum vitae;
and (2) a statement that the nominee is
willing to serve as a member of the
Council. Selected candidates will be
asked to provide detailed information
concerning their financial interests,
consultant positions and research grants
ADDRESSES:

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