DATE: September 27, 2016
TO: Patrick Wells, OMB Desk Officer
Stephanie Mok, OMB Desk Officer
FROM: Lisa Wright-Solomon, HRSA Information Collection Clearance Officer
_____________________________________________________________________________________________
Request: The Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau requests changes to the Discretionary Grant Information System Collection (OMB #0915-0298, expires 06/30/2019).
Purpose: These clarifications are critical to align DGIS performance measures with existing benchmarks and national data sources, as well as to ensure full understanding of requirements by those programs required to report these performance measures.
Time Sensitivity: DGIS data collection is annual, and the development of the reporting system must be completed in a timely manner in order to allow for up to date reporting of 2017 performance measures.
Burden: The revisions included herein do not change the estimated reporting burden. One measure has been added, while two others have been removed and efforts have been made to clarify reporting requirements and align with existing reporting to minimize reporting burden to the extent possible.
PROPOSED EDITS FOR DISCRETIONARY GRANT PERFORMANCE MEASURES:
Table 1: Activity Data Collection Form for Selected Measures – Correction
The description above the table has been corrected to reflect accurate field names.
Rationale: Previously, description and instructions were not consistent with column names.
Performance
Measure CB 2 -- Correction
A
field has been added for ‘developmental screening’.
Rationale:
This was erroneously left off in the original package approved by OMB
on 6/10/2016. The Technical Assistance form has fields that are
consistent with all performance measures, and the developmental
screening measure should be reflected in the table.
Performance
Measure CB 3 -- Correction
A
field has been added for reporting the list of tools used to analyze
data for grant impact.
Rationale:
This was erroneously left off in the original package approved by OMB
on 6/10/2016.
Performance Measure CB 4 – Revision
Tiers 3 and 4 have been removed.
Rationale: Tier 3 and 4 were determined to not be necessary for reporting purposes for this measure, and therefore have been removed.
Performance Measure CB 7 – Addition
The goal of this additional measure is to ensure state capacity for accessing electronic health data on a timely basis for programming and/ or reporting.
Rationale: The State Systems Development Initiative (SSDI) did not have any existing measures, and their work in supporting Title V MCH programs. The addition of this form captures important information about the timeliness and availability of data.
Performance Measure WMH 2 – Clarification
Tier 4 was edited to ‘% of pregnant women who receive prenatal care beginning in the first trimester’ with additional detail related to reporting of numerator and denominator added.
Rationale: Tier 4 has been edited to more directly measure program impact by measuring the portion of women who received timely prenatal care out of the total number of women enrolled prenatally, prior to their second trimester of pregnancy, rather than out of all women who were pregnant in the reporting year. This level of specificity is important to ensuring that data tells an accurate story, measures program impact, and can be meaningfully aggregated.
Performance
Measure WMH 2 – Clarification
Tier
4 was edited to ‘% of women with a postpartum visit between 4
to 6 weeks after delivery’ with additional detail related to
reporting of numerator and denominator added.
Rationale:
Tier 4 has been edited to be consistent with Healthy Start
Benchmarks and other national data sources, as well as to reflect
the recommendations of the American College of Obstetricians and
Gynecologists (ACOG), as ACOG
Committee on Obstetric Practice. Guidelines for Perinatal Care (7th
Edition, p. 207) state that 4 to 6 weeks after delivery, women
should have a postpartum visit with her doctor. Consistency with
Healthy Start Benchmarks minimizes the burden on grantees while
maximizing consistent data collection opportunities, while
consistency with national data sources ensure that the information
collected can be used for evaluation and benchmarking purposes.
Performance
Measure WMH 3 – Clarification
Tier
4 was edited to ‘% of women with a well woman/ preventative
visit in the past year’ with additional detail related to
reporting of numerator, denominator, and definition of each
added.
Rationale:
Tier 4 has been edited to be consistent with Healthy Start
Benchmarks and other national data sources, as well as to reflect
best practices.
Consistency with Healthy Start Benchmarks minimizes the burden on
grantees while maximizing consistent data collection opportunities,
while consistency with national data sources ensures that the
activity being measured is consistent with known best practices,
therefore contributes to health and wellness, and that the
information collected can be used for evaluation and benchmarking
purposes.
Performance
Measure WMH 4 – Clarification and Revision
Tier
4 was previously three parts, 1. % of women screened for depression
using a validated tool, 2. % of women who screened positive for
depression who received a referral for services, and 3. % of women
who received services. Tier 4 has been revised to remove the third
part. Further, Tier 4 has been edited to include additional detail
related to reporting of numerator, denominator, and definition of
each, all of which is consistent with related Healthy Start
Benchmark.
Rationale:
Part 3 of Tier 4 was removed because these items were determined to
be beyond the control of most reporting grantees with many
complicating factors existing in many communities (i.e. lack of
mental health professionals that accept certain insurances).
Consistency
with Healthy Start Benchmarks minimizes the burden on grantees while
maximizing consistent data collection opportunities. Revisions to
the numerator and denominator reflect best practices recommended by
ACOG.
Performance
Measure PIH 1 – Clarification
The
numerator, denominator, and definition in Tier 4 have been clarified
and benchmark data sources have been updated with additional
detail.
Rationale:
The numerator, denominator and definition have been edited to be
consistent with Healthy Start Benchmark and national data sources,
as well as to reflect safe sleep recommendations of the American
Association of Pediatrics (AAP). Consistency with Healthy Start
Benchmarks minimizes the burden on grantees while maximizing
consistent data collection opportunities across programs, further
consistency with national data sources ensures that the information
reflects known best practices for safe sleep to minimize risk of
sudden unexpected infant death syndrome according to the AAP, and
that data collected can be used for evaluation and benchmarking
purposes. Updated benchmark data sources further inform the data
collection process and provide reporting grantees valuable
benchmarking information.
Performance
Measure PIH 2 – Clarification
The
numerator, denominator, and definition in Tier 4 have been clarified
and benchmark data sources have been updated with additional
detail.
Rationale:
The numerator, denominator and definition have been edited to be
consistent with Healthy Start Benchmark and national data sources.
Consistency with Healthy Start Benchmarks minimizes the burden on
those grantees while maximizing consistent data collection
opportunities across programs, further consistency with national
data sources ensures that the information collected can be used for
evaluation and benchmarking purposes. Updated benchmark data sources
further inform the data collection process and provide reporting
grantees valuable benchmarking information.
Performance Measure CH 1 – Clarification
The numerator, denominator, and definition in Tier 4 have been clarified updated with additional detail.
Rationale: The numerator, denominator and definition have been edited to be consistent with Healthy Start Benchmark and national data sources. Consistency with Healthy Start Benchmarks minimizes the burden on those grantees while maximizing consistent data collection opportunities across programs, further, consistency with national data sources ensures that the information collected can be used for evaluation and benchmarking purposes.
Performance Measure CH 1 – Data Collection Form
A
data collection form, reflecting the data to be collected in Tiers 3
and 4 has been added.
Rationale:
No appropriate data collection form for this Performance Measure was
included in the initial submission, so one has now been added which
includes the relevant categories from Tier 3 and 4 of the measure. No
change in information to be collected has been made.
Performance
Measure AH 3 – Correction
Tier
2 has been edited to state the following: ‘Through
what processes/ mechanisms are you addressing major depressive
disorder?’ Tier 3 has been corrected to reflect that data will
be collected using Activity Collection form 1.
Rationale:
Previously Tier 2 erroneously referenced injury prevention, rather
than major depressive disorder. This correction reflects the
original intent. Previously, Tier 3 did not reflect where the data
was being collected, thereby not specifying the form that reported
data should take. Collecting data using Activity Collection Form 1
is consistent with collection of other Performance Measures.
Performance
Measures LC 1, LC 2, LC 3 – Data Form Correction
Column
headings in data collection form for three Life Course measures (LC
1, LC 2, LC 3).
Rationale:
Column headings have been edited to be consistent with the Activity
Data Collection form used by the majority of other performance
measures and the Technical Assistance data collection form in
Performance Measure CB 2. This consistency allows information to be
linked directly and aggregated and minimizes the burden of reporting
the same or similar information in different ways across forms.
Performance
Measure LC 1 – Clarification
Additional
detail was added in Tier 4 regarding timeframe for health insurance
assessment (as of the last assessment) and what is defined as
‘insurance’ for the purposes of reporting this
performance measure.
Rationale:
Numerator, denominator, and definition have been edited to be
consistent with Healthy Start benchmark as well as national data
sources. Consistency
with Healthy Start Benchmarks minimizes the burden on grantees while
maximizing consistent data collection opportunities across programs,
further, consistency with national data sources ensures that the
information collected can be used for evaluation and benchmarking
purposes. Updated benchmark data sources further inform the data
collection process and provide reporting grantees valuable
benchmarking information.
Performance
Measure LC 2 – Correction
Tier
2 has been edited to reflect the following list of checkbox options:
Technical Assistance, Training, Product Development, Research/
Peer-reviewed publications, Outreach/ Information Dissemination/
Education, Tracking/ Surveillance, Screening/ Assessment, Referral/
care coordination, Direct Service, Quality improvement
initiatives.
Rationale:
Previously, the list of check box options shown in Tier 2
erroneously did not match the corresponding data collection form (LC
2 Data Collection Form). This revision aligns Tier 2 and the data
collection form. This correction reflects the original intent of the
performance measure.
Performance
Measures EMSC 01 – Clarification
This
measure was revised to reflect NEMSIS compliant version 3.x or
higher data, updated from NEMSIS compliant version 3.x
data.
Rationale:
This change allows the performance measure to remain relevant in the
event that higher versions of NEMSIS are used, ensuring that
information and data collection remains relevant in coming years.
Performance
Measures EMSC 02 – Clarification
This
measure was revised to reflect that Pediatric Emergency Care
Coordinator (PECC) may be part of the agency or serve multiple
agencies.
Rationale:
Continued feedback from the field reflected that this more
accurately captures the PECC position and capturing this information
provides better program data.
Performance
Measures EMSC 03 – Clarification
This
measure was revised to reflect that a process or plan for EMS
providers to physically demonstrate the correct use of pediatric
specific equipment is appropriate.
Rationale:
In the event that the process has not been implemented, a plan is
appropriate as well. Measure revised to reflect the reality of
implementation for EMSC programs.
Performance
Measure HS 04 – Deletion
Performance
Measure Healthy Start 04, regarding early elective delivery, has
been deleted.
Rationale:
This was removed as a Healthy Start benchmark because it was
determined that while Healthy Start programs could provide education
about potential risks of early elective delivery, the program is not
generally able to impact these choices and is not well positioned to
make medical determinations of this sort. For the same reasons, it
has been removed as a performance measure.
Performance
Measures HS 01 through HS 09 – Clarification/ Alignment
Each
Healthy Start specific measure’s numerator, denominator,
definition and benchmark has been edited to provide additional
detail on reporting, and to align with Healthy Start benchmarks.
Benchmark data sources have been updated where appropriate as well.
The numbering of measures (HS1, HS2, etc.) has also been updated,
because of the removal of one Performance Measure.
Rationale:
Consistency
with Healthy Start Benchmarks minimizes the burden on grantees and
at the same time maximizing consistent data collection
opportunities, while consistency with national data sources ensures
that the information collected can be used for evaluation and
benchmarking purposes. Updated benchmark data sources further inform
the data collection process and provide reporting grantees valuable
benchmarking information.
Additional
Data Element: Healthy Start Site Form -- Correction
A
form capturing the Healthy Start sites has been added.
Rationale:
This was erroneously left off in the original package approved by
OMB on 6/10/2016; this form existed in the previously approved
package, and continues to be valuable for Healthy Start.
Attachments:
All edits are reflected in RED in the attached documents:
Final_Change Memo_Attachment B: Detail Sheets
Final_Change Memo_Attachment D: Additional Data Elements
Requested
Changes to Discretionary Grant Information System Collection (OMB
#0915-0298, expires 06/30/2019), Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Ngai, Heather |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |