Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)

Forms and Documents

Document Name	Status
Form 1 Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System Form and Instruction	Modified
FY 19 330A - Quality Legislation.pdf Supplementary Document	2021-06-10
Published - 60day FRN - 02-24-21.pdf Supplementary Document	2021-06-10
Supporting Statement A Rural Quality Program.docx Supporting Statement A	2021-06-10

IC Document Collections

IC ID	Document Title	Status
211726	Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0387	ICR Reference No: 202106-0915-003
Status: Received in OIRA	Previous ICR Reference No: 201810-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/14/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	32	32
Time Burden (Hours)	256	704
Cost Burden (Dollars)	0	0

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Abstract: The purpose of the Small Health Care Provider Quality Improvement Grant (Rural Quality) Program is to provide support to rural primary care providers for implementation of quality improvement activities. The program promotes the development of an evidence-based culture and delivery of coordinated care in the primary care setting. Additional objectives of the program include improved health outcomes for patients, enhanced chronic disease management, and better engagement of patients and their caregivers. Organizations participating in the program are required to use an evidence-based quality improvement model; develop, implement and assess effectiveness of quality improvement initiatives; and use health information technology (HIT) to collect and report data. HIT may include an electronic patient registry or an electronic health record, and is a critical component for improving quality and patient outcomes. With HIT, it is possible to generate timely and meaningful data, which helps providers track and plan care.

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Authorizing Statute(s): US Code: 42 USC 254c(g)); Section 330A(g) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 11305	02/24/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 31506	06/14/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System	1	FORM Final Quality Program PIMS Measures.docx

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	32	32	0	0	0	0
Annual Time Burden (Hours)	256	704	0	-448	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This decrease is a result of a revised burden estimate from the current Rural Quality Program cohort grant recipients.

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Annual Cost to Federal Government: $1,273

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/14/2021

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