Att B.1

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• One or more individuals with
expertise in developing algorithms
using ICD–9–CM codes to construct or
modify quality indicators using
administrative data is desirable, but not
mandatory
In addition, the workgroup is
expected to include representatives
from impacted provider groups and
their professional organizations, other
stakeholders, consumers and other
users, quality alliances, business
coalitions, medical or specialty
societies, measure developers,
accrediting organizations, and public
and private payers.
Standing Workgroup
The standing workgroup is part of a
structured approach to bring together
individuals from multiple disciplines
for the purpose of providing technical
feedback on proposed updates to the
AHRQ QIs. The intent is to collect
feedback in a standardized fashion, and
to ensure continued improvement of key
measurement aspects of the QIs based
on new data sources, data
enhancements, and methodological
advances. The standing workgroup may
potentially provide guidance for the
development of new indicators or the
modification or retirement of existing
indicators. Annual topics include: (1)
Strategic areas for AHRQ QI program
development for the upcoming year, (2)
measure specification, software and
documentation changes that have been
proposed from users, the literature or
other sources, (3) results from the
analysis of proposed changes and
review of recommendations for
implementation, and (4) general
methodological developments in quality
measurement.
The standing workgroup will consist
of 8–12 members to form a diverse
group of clinicians and other
individuals from a variety of disciplines
and settings with expertise and interest
in quality measurement and
improvement. Members of the standing
workgroup may include:
• One or more currently practicing
clinicians specialized in various
disciplines
• One or more individuals with
inpatient nursing and/or nursing
management experience
• One or more individuals with
experience using AHRQ 01 measures for
assessing hospital performance and/or
public reporting
• One of more individuals with
expertise in developing algorithms for
relevant quality indicators using
administrative data
• One or more individuals with
expertise in validating ICD–9–CM codes

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using chart abstraction (to assess
criterion validity), or assessing their
accuracy in identifying individuals at
risk for specific adverse outcomes
(predictive validity)
• One or more individuals with
experience using HCUP or similar data
for the purpose of quality measurement
• One or more individuals with
knowledge of ICD–9–CM and ICD–10–
CM coding guidelines and practices
Submission Criteria
To be considered for membership on
either workgroup, please send the
following information for each nominee:
1. A brief nomination letter
highlighting experience and knowledge
in the use of the AHRQ QIs, including
any experience with the National
Quality Forum (NQF) Consensus
Development Process, and the
workgroup of interest. The nominee’s
profession and specialty, and the
spectrum of his or her experience
related to the QIs should be described.
Please include full contact information
of nominee: name, title, organization,
mailing address, telephone and fax
numbers, and email address.
2. Curriculum vita (with citations to
any pertinent publications related to
quality measure development or use).
3. Description of any financial
interest, recent conduct, or current or
planned commercial, non-commercial,
institutional, intellectual, public
service, or other activities pertinent to
the potential scope of the workgroup,
which could be perceived as influencing
the workgroup’s process or
recommendations. The objective is not
to prevent nominees with potential
conflicts of interest from serving on the
workgroups, but to obtain such
information so as to best inform the
selection of workgroup members, and to
help minimize such conflicts.
Nominee Selection Criteria
Selection of standing workgroup
members will be based on the following
criteria:
• Knowledge of and experience with
health care quality measurement using
administrative data, including issues of
coding, specification, and risk
adjustment
• Peer-reviewed publications relevant
to developing, testing, or applying
health care quality measures based on
ICD-coded administrative data
• Knowledge of current quality
measurement methodologies published
in the literature
• Clinical expertise in the use and
applications of the AHRQ QIs
• Knowledge of the NQF measure
submission and maintenance process

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The selection process will be adapted
to ensure that the standing workgroup
includes a diverse group of clinicians
and other individuals from a variety of
disciplines and settings.
Time Commitment
Time-limited and standing workgroup
participants will hold a minimum twoyear term with an optional extension.
The time-limited workgroup will meet
by teleconference approximately three
times for approximately two hours each
year, with a total time commitment
including preparation and follow-up
time of approximately 8–12 hours. The
standing workgroup will meet quarterly
by teleconference for approximately two
hours with an annual time commitment
including preparation and follow-up
time of approximately 12–16 hours.
Workgroup Activities
1. Workgroup members will receive
pre-meeting material to review and to
provide written feedback (1.0 hours).
2. The workgroup meeting will be
convened by phone or web conference.
Initial feedback and revisions will be
discussed during the live meetings
along with other relevant topics (2.0
hours).
3. Post meeting, members will review
and comment on meeting minutes and
associated documents along with any
follow-up action items (1 hour).
4. There may be opportunities for
workgroup members to collaboratively
publish peer-reviewed journal articles
or reports based on workgroup
activities. However, this is not a
mandatory requirement of workgroup
members and is not included in the
estimated time commitment.
Dated: April 5, 2013.
Carolyn M. Clancy,
Director, AHRQ.
[FR Doc. 2013–08834 Filed 4–16–13; 8:45 am]
BILLING CODE 4160–90–M

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60 Day–13–13QQ]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic

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Federal Register / Vol. 78, No. 74 / Wednesday, April 17, 2013 / Notices
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to Ron Otten, 1600 Clifton
Road, MS–D74, Atlanta, GA 30333 or
send an email to [email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is 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. Written comments should
be received within 60 days of this
notice.

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Proposed Project
Older Adult Safe Mobility Assessment
Tool—NEW—National Center for Injury
Prevention and Control (NCIPC),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
In 2010, there were 40 million adults
aged 65 or older in the U.S.,
representing 13% of the U.S.
population. By 2030, this segment of the
population will increase to an estimated
72 million or 20%. People now aged 65
are expected to live well into their 80s
with the vast majority preferring to ‘‘age
in place’’ (i.e., grow old in their current
homes). With most adults aging in
place, rather than in retirement or
nursing homes, it is absolutely critical
to better prepare communities and older
Americans for what is on the horizon.
There is widespread agreement that
older adults in the U.S. do not
adequately plan for their future mobility
needs, nor are most aware of existing
mobility resources in their
communities. Thus, when an
individual’s mobility becomes impaired
they are ill prepared to adapt their
lifestyle to their changing needs. A
process of mobility assessment would
begin to address this situation and aid
older adults in meeting their changing
mobility needs.
At present there are numerous
mobility-related assessments actively
used throughout the U.S. Most are
designed to collect information from
just one particular mobility silo, such as
assessments that focus on fall

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prevention. None of these existing tools
cut across mobility silos while focusing
on older adults. None create a national
picture of older adult safe mobility that
captures an individual’s physical and
emotional health, their social network,
or the ease of mobility in their home,
transportation, their neighborhood, their
city, and beyond. And no existing older
adult tools are both mobility holistic
and empowerment driven selfadministered assessments. The data
collected in this project will allow CDC
to develop a tool that can help older
adults both assess and improve their
complete mobility.
This project involves developing,
refining and validating a Safe Mobility
Assessment Tool that allows older
adults to assess their current mobility
situation, learn about mobility
challenges that may affect them in the
future, and receive actionable feedback
on how to improve and protect their
mobility. The information collected in
this project will be used to refine and
improve the tool, as well as to conduct
feasibility and audience acceptability
analysis of the tool. This information
will allow CDC to create the most useful
Safe Mobility Assessment Tool possible
for U.S. older adults.
CDC requests OMB approval to collect
both qualitative and quantitative data.
Qualitative data collection will include
key informant interviews, focus groups,
and intercepts in urban and rural
communities. In brief, these methods
will include key informant interviews of
community stakeholders (three
stakeholder interviews in two states for
a total of six key informant interviews);
older adult consumer focus groups (two
focus groups in two states with seven
people each for a total of fourteen
participants); and older adult consumer
intercepts (thirty intercepts in two rural
locations and ten intercepts in two
urban locations for a total of forty
intercepts). The qualitative data
collection will be used to help inform a
quantitative stage of work to include a
national sample of geographically and
socio-demographically diverse older
adults (N = 1,000) who will be recruited
and interviewed by telephone. The key
informant interviews, focus groups,
intercepts and telephone survey data
collection will allow us to gain
information about the feasibility and
usefulness of the Older Adult Safe
Mobility Tool; about what impacts the
tool may have on older adults (e.g.,
motivation to change/behavior intent,
and changes in knowledge, attitudes,
and awareness); about which mobility
domains are most valuable to include in

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the tool (e.g., which are of greatest
interest and can be improved by older
adults); and about what other areas of
the tool could be refined and improved.
This information will allow us to create
a final version of the Safe Mobility
Assessment Tool that can be used by
older adults across the U.S. to protect
and enhance their mobility.
CDC anticipates that data collection
will begin in December 2013 and that all
data collection will be completed by
July 2014. CDC estimates the following
burden for one-time respondents: Key
informant interviews will take
approximately 30 minutes to complete,
focus groups will each take up to 120
minutes, intercept interviews will take
up to 20 minutes each, and the
telephone survey will involve an onyour-own review of materials
(approximately 15 minutes) and a prescheduled telephone survey
(approximately 12 minutes). CDC plans
for 6 individuals to complete the key
informant interviews, 14 older adults to
participate in the focus groups, and 40
older adults to participate in the
intercepts. Additionally, CDC plans to
collect information from 1,000 older
adults for the telephone survey. Each
respondent will only provide
information once. Key informant
interviews and the quantitative survey
will be conducted by telephone. As
telephone survey participants are
recruited, they may elect to receive
stimulus material (i.e., a draft version of
the Tool) prior to the survey either by
mail or electronically via email,
whichever they prefer. In addition,
focus group participants may receive
communications (confirmation and
reminder notices) via email or mail.
Email communication will be used with
key informant, focus group and
telephone survey respondents, however
each will be given the option of mail
rather than email as their preferred
communication method. Email will be
provided not only as a courtesy to
respondents, for those respondents that
prefer email rather than mail, but also,
it will allow more open and swift
communication between the data
collectors and study participants.
Additionally, recruitment/screening for
the focus groups and telephone surveys,
as well as administration of the
telephone surveys will use Computer
Assisted Telephone Interview (CATI)
systems for data collection, which are
designed to reduce the burden to
respondents.
There are no costs to respondents
other than their time.

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Federal Register / Vol. 78, No. 74 / Wednesday, April 17, 2013 / Notices
ESTIMATE ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
(in hours)

Form name

Key informant interview respondents
Focus group respondents .................
Intercept respondents .......................
Telephone survey respondents ........

Interview guide .................................
Moderator guide ...............................
Intercept script ..................................
Survey ..............................................

6
14
40
1,000

1
1
1
1

30/60
2
30/60
27/60

3
28
20
450

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

...........................................................

........................

........................

........................

501

Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–08911 Filed 4–16–13; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day–13–0469]

Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–7570 or send an
email to [email protected]. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–6974. Written
comments should be received within 30
days of this notice.
Proposed Project
National Program of Cancer Registries
Cancer Surveillance System—(0920–
0469 Reinstatement Exp. 11/30/2012)—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).

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Number of
respondents

Type of respondent

Background and Brief Description
In 1992, Congress passed the Cancer
Registries Amendment Act, which
established the National Program of
Cancer Registries (NPCR). The NPCR
provides support for central cancer
registries (CCR) that collect, manage and

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analyze data about cancer cases. The
NPCR-funded CCR, which are located in
states, the District of Columbia, and U.S.
territories, report information to CDC
annually through the National Program
of Cancer Registries Cancer Surveillance
System (NPCR CSS)(OMB No. 0920–
0469, exp. 1/31/2010). Many registries
maintain additional data items that are
not part of the standard NPCR CSS
report to CDC.
The NPCR CSS has allowed CDC to
collect, aggregate, evaluate and
disseminate cancer incidence data at the
national and state level, and is the
primary source of information for
United States Cancer Statistics (USCS),
which CDC has published annually
since 2002. The NPCR CSS also allows
CDC to monitor cancer trends over time,
describe geographic variation in cancer
incidence throughout the country, and
provide incidence data on minority
populations and rare cancers. These
activities and analyses further support
CDC’s planning and evaluation efforts
for state and national cancer control and
prevention. Finally, datasets compiled
through the NPCR CSS have been made
available to investigators for secondary
analysis.
CDC plans to request OMB approval
to reinstate the NPCR CSS information
collection, with changes. First, the
frequency of reporting to CDC will be
changed from an annual to a semiannual schedule. The additional report
will allow CDC to compile preliminary
cancer incidence estimates in advance
of the lengthy process of data validation
required for each registry’s final annual
report. Second, data definitions for each
report will be updated to reflect changes
in national standards for cancer
diagnosis, treatment, and coding. These
changes will affect the standard reports
for all NPCR-funded central cancer
registries.
The third set of changes applies to a
subset of 10 cancer registries. These

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CCR received ARRA funding to develop
common standards and reporting
mechanisms for enhanced description of
cases of breast cancer, colorectal cancer,
and chronic myelogenous leukemia. The
enhanced data items will support more
in-depth analysis of treatment strategies
and patient outcomes than is currently
possible with the standard NPCR CSS
information collection. The 10 registries
that participated in the enhancement
process will begin reporting the
additional data items to CDC in 2013 as
part of their routine submission. CDC
plans to make de-identified data
available for comparative effectiveness
research.
OMB approval will be requested for
three years. Respondents will be 48
NPCR-supported central cancer
registries in the U.S. (45 states, the
District of Columbia, Puerto Rico, and
the Pacific Islands jurisdictions).
Information will be reported
electronically to CDC twice per year.
The first report will consist of a singleyear file for data that includes diagnosis
12 months past the close of the
diagnosis year. The second report will
consist of a cumulative file containing
incidence data from the first diagnosis
year for which the cancer registry
collected data with the assistance of
NPCR funds (e.g., 1995) through 24
months past the close of the diagnosis
year (e.g., 2010 data submitted in 2012).
The estimated burden per response is
two hours. Because cancer incidence
data are already collected, aggregated
and used for analyses at the state level,
the additional burden of reporting the
information to CDC is modest and the
number of data items in the report does
not affect the estimated burden per
response.
There are no costs to respondents
except their time. The total estimated
annualized burden hours are 192.

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