Ehe Pims_supporting Statement

EHE PIMS_SUPPORTING STATEMENT.docx

Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS)

OMB: 0915-0384

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SUPPORTING STATEMENT


Health Resources and Services Administration

Rural Health Network Development Planning Program

Performance Improvement and Measurement System (PIMS)


Revision


Terms of Clearance: None


A. Justification

  1. Circumstances Making the Collection of Information Necessary


The Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy (FORHP) is requesting OMB approval to continue to collect information on grantee activities and performance measures electronically through the HRSA Electronic Handbook (EHB). The EHB is a web-based portal that grantees use to submit information to HRSA.

The Ending the HIV Epidemic Rural Health Network Development Planning Program (EHE Network Planning) Performance Measures form is a tool that allows FORHP to measure the impact of the grant funding. These measures last received OMB review and approval under OMB Number 0915-0384 and have a current expiration date of July 31, 2020. Minor revisions to the performance measures are proposed (see track changes in the attached instrument) and the scope of this information collection request is being revised to include the EHE Network Planning Program. Similar to the Network Planning Program, the EHE Network Planning Program focuses on building rural health care network capacity. In addition, the EHE Network Planning Program specifically addresses HIV related health service delivery in response to the Administration’s ‘Ending the HIV Epidemic’ Initiative.  

In its authorizing language (SEC. 711. [42 U.S.C. 912]), Congress charged FORHP with “administering grants, cooperative agreements, and contracts to provide technical assistance and other activities as necessary to support activities related to improving health care in rural areas.” FORHP’s mission is to improve access to quality health care in rural communities.


This activity will collect information for the EHE Network Planning Program. The EHE Network Planning Program is authorized by Section 330A(f) of the Public Health Service Act, 42 U.S.C. 254c f), as amended by section 201, P.L. 107-251 of the Health Care Safety Net Amendments of 2002. The purpose of the EHE Network Planning program is targeted to the seven states (Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma and South Carolina) with a disproportionate number of HIV diagnoses in rural areas, to assist in the development of an integrated health network for HIV care and treatment, specifically with network participants who do not have a history of formal collaborative efforts. EHE Network Planning aims are: (i) to achieve efficiencies; (ii) to expand access to, coordinate, and improve the quality of essential health care services; and (iii) to strengthen the rural health care system as a whole. To address the aims of the EHE Network Planning program, applicants must describe planning activities that support at least one of the four key strategies specified in the ‘Ending the HIV Epidemic: A Plan for America’ initiative: (i) Diagnose; (ii) Treat; (iii) Prevent; and (iv) Respond. The Network Planning Performance Improvement and Measurement System (PIMS) is the reporting system for the Network Planning Program grantees. PIMS is a tool that allows FORHP to measure the impact of the grant funding.

  1. Purpose and Use of Information Collection


FORHP conducts annual data collection of user information for the Network Planning Program. The purpose of this data collection is to provide HRSA with information on how well each grantee is meeting the needs of implementing network planning and development activities in a rural setting.


Data is proposed to be collected annually to provide quantitative information about the programs, specifically the characteristics of: a) network infrastructure, b) network collaboration, c) sustainability, and d) network assessment.


This assessment will provide useful information on the Network Planning program and will enable HRSA to assess the success of the program. It will also ensure that funded organizations have demonstrated a need for further partnership development and collaboration in their communities and those federal funds are being effectively used to meet those needs.


The type of information requested in the Network Planning PIMS enables FORHP to assess the following characteristics about its programs:

  • The types and number of organizations in the consortium or network.

  • The types of collaboration and/or integration among the network members.

  • The contribution by network members and the network’s sustainability efforts.

  • The network’s assessment of effectiveness and during the project period.


The HRSA EHB is capable of identifying and responding to the needs of the grantees that receive Network Planning Program funding. The EHB:

  • Provides uniformly defined data for major FORHP grant programs.

  • Facilitates the electronic transmission of data by the grantees, through use of standard formats and definitions.



  1. Use of Information Technology and Burden Reduction


This activity is fully electronic. Data will be collected through and maintained in a database in the HRSA EHB. The EHB is a website that all HRSA grantees, including those for the Rural Quality program, are required to use when applying electronically for grants using OMB approved Standard Forms. Grantees can email or call EHB staff for help with the website.

As this database is fully electronic, burden is reduced for the grantee and program staff. The time burden is minimal, since there is no data entry element for program staff due to the electronic transmission from grantee systems to EHB; additionally, there is less chance of error in translating data and analysis of the data.

  1. Efforts to Identify Duplication and Use of Similar Information


There is no other data source available that tracks the network planning in rural areas.

  1. Impact on Small Businesses or Other Small Entities


Every effort has been made to ensure the data requested is data that is currently being collected by the projects or can be easily incorporated into normal project procedures. Data being requested by projects is useful in determining whether grantee goals and objectives are being met. The data collection activities will not have a significant impact on small entities.

  1. Consequences of Collecting the Information Less Frequently


It is proposed that respondents will respond to this data collection on an annual basis. This information is needed by the program, FORHP and HRSA in order to measure effective use of grant dollars to report on progress toward strategic goals and objectives.


  1. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5


This request is consistent with the guidelines in 5 CFR 1320.5.


  1. Comments in Response to the Federal Register Notice/Outside Consultation


Section 8A:


A 60-day notice published in the Federal Register on August 26, 2019 (Vol. 84, No. 165, pages 44626-44627). There were no public comments.


Section 8B:

The following individuals were consulted regarding the burden estimates for the Network Planning PIMS form.




Amy Adams, Project Director

Pines Health Services



PO Box 40, 74 Access Highway



Caribou, ME 04736



207-498-2356 x2039



[email protected]


Tyler Hemsely, Project Director

St. Luke’s McCall, LTD



1000 State Street



McCall, ID 83638



208.634.2221



[email protected]




Beth O’Connor, Project Director


Virginia Rural Health Telecommunications


200 Memorial Drive


Luray, VA 22835


540-231-7923


[email protected]


  1. Explanation of any Payment/Gift to Respondents


Respondents will not receive any payments or gifts.


  1. Assurance of Confidentiality Provided to Respondents


The data system does not involve the reporting of information about identifiable individuals; therefore, the Privacy Act is not applicable to this activity. The proposed performance measures will be used only in aggregate data for program activities.


  1. Justification for Sensitive Questions


There are no sensitive information collected for the Network Planning measures.


  1. Estimates of Annualized Hour and Cost Burden


12A. Estimated Annualized Burden Hours


Total Estimated Annualized Burden – Hours – Network Planning Program



Form Name

Number of Respondents



Number of Responses per Respondent



Total Responses



Average Burden per Response (in hours)

Total Burden Hours

Rural Health Network Development Planning Program

Performance Improvement Measurement System

21

1

21

1

21

Total

21


21


21



Total Estimated Annualized Burden – Hours – EHE Network Planning Program


Type of

Respondent


Form

Name


No. of

Respondents

No.

Responses

per

Respondent


Total Responses

Average

Burden per

Response

(in hours)


Total Burden Hours

EHE Network Planning Grantee key personnel (Project Director)

EHE Rural Health Network Development Planning Program Performance Improvement and Measurement System Form

10

1

10

1

10

Total


10


10


10



These estimates were determined by consultations with three (3) current grantees from the program. These grantees were sent a draft of the questions that pertain to their program. They were asked to estimate how much time it would take to answer the questions.







12B. Estimated Annualized Burden Costs


Type of

Respondent


Total Burden

Hours


Hourly

Wage Rate


Total Respondent Costs


Project Director

31

$42.62

$1321.22

Total

31


$1321.22


  1. Estimates of other Total Annual Cost Burden to Respondents or Recordkeepers/Capital Costs


Other than their time, there is no cost to respondents.


  1. Annualized Cost to Federal Government


Annual data collection for this program is expected to be carried out at a cost to the Federal Government of $1,022.88. Staff at FORHP monitor the grants and provide guidance to grantee project staff at a cost of $3,256.56 per year (72 hours per year at $45.23 per hour at a GS-13, Step 4 salary level). The total annualized cost to the government for this project is $4,279.44.


  1. Explanation for Program Changes or Adjustments


The burden estimate is increasing by 10 hours to add respondents from the EHE Rural Health Network to this information collection request.


  1. Plans for Tabulation, Publication, and Project Time Schedule


There are no plans to publish the data. The data may be used on an aggregate program level to document the impact and success of program. This information might be used in the FORHP Annual Report produced internally for the agency.


  1. Reason(s) Display of OMB Expiration Date is Inappropriate


The OMB number and Expiration date will be displayed on every page of every form/instrument.


  1. Exceptions to Certification for Paperwork Reduction Act Submissions


There are no exceptions to the certification.



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