Request for Public Comment: 30-Day Information Collection: Indian Health Service Medical Staff Credentials Application, 48896-48898 [2023-16011]
Download as PDF
<![CDATA[
48896
Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
lotter on DSK11XQN23PROD with NOTICES1
importer in FY 2024 based on these
figures would be $4,359 + ($10,608 × 1⁄4)
+ ($7,616 × 3⁄4) + ($4,504 × 1⁄2) =
$14,975.
IV. How must the fee be paid?
An invoice will be sent to VQIP
importers approved to participate in the
program. Payment must be made prior
to October 1, 2023, to be eligible for
VQIP participation for the benefit year
beginning October 1, 2023. FDA will not
refund the VQIP user fee for any reason.
The payment must be made in U.S.
currency from a U.S. bank by one of the
following methods: wire transfer,
electronically, check, bank draft, or U.S.
postal money order made payable to the
Food and Drug Administration. The
preferred payment method is online
using an electronic check (Automated
Clearing House (ACH), also known as
eCheck) or credit card (Discover, VISA,
MasterCard, American Express). Secure
electronic payments can be submitted
using the User Fees Payment Portal at
https://userfees.fda.gov/pay. (Note: only
full payments are accepted. No partial
payments can be made online.) Once
you have found your invoice, select
‘‘Pay Now’’ to be redirected to Pay.gov.
Electronic payment options are based on
the balance due. Payment by credit card
is available only for balances less than
$25,000. If the balance exceeds this
amount, only the ACH option is
available. Payments must be made using
U.S. bank accounts as well as U.S. credit
cards.
When paying by check, bank draft, or
U.S. postal money order, please include
the invoice number in the check stub.
Also write the FDA post office box
number (P.O. Box 979108) on the
enclosed check, bank draft, or money
order. Mail the payment including the
invoice number on the check stub to:
Food and Drug Administration, P.O.
Box 979108, St. Louis, MO 63197–9000.
When paying by wire transfer, it is
required that the invoice number is
included; without the invoice number
the payment may not be applied. The
originating financial institution may
charge a wire transfer fee. If the
financial institution charges a wire
transfer fee, it is required to add that
amount to the payment to ensure that
the invoice is paid in full. For
international wire transfers, please
inquire with the financial institutions
prior to submitting the payment. Use the
following account information when
sending a wire transfer: U.S. Department
of the Treasury, TREAS NYC, 33 Liberty
St., New York, NY 10045, Account
Name: Food and Drug Administration,
Account No.: 75060099, Routing No.:
021030004, Swift No.: FRNYUS33.
VerDate Sep<11>2014
17:16 Jul 27, 2023
Jkt 259001
To send a check by a courier such as
Federal Express, the courier must
deliver the check to: U.S. Bank, Attn:
Government Lockbox 979108, 1005
Convention Plaza, St. Louis, MO 63101.
(Note: This address is for courier
delivery only. If you have any questions
concerning courier delivery, contact
U.S. Bank at 314–418–4013. This phone
number is only for questions about
courier delivery.)
The tax identification number of FDA
is 53–0196965. (Note: Invoice copies do
not need to be submitted to FDA with
the payments.)
V. What are the consequences of not
paying this fee?
The consequences of not paying these
fees are outlined in Section J of ‘‘FDA’s
Voluntary Qualified Importer Program;
Guidance for Industry’’ document
(available at https://www.fda.gov/
media/92196/download). If the user fee
is not paid before October 1, a VQIP
importer will not be eligible to
participate in VQIP. For the first year a
VQIP application is approved, if the
user fee is not paid before October 1,
2023, you are not eligible to participate
in VQIP. If you subsequently pay the
user fee, FDA will begin your benefits
after we receive the full payment. The
user fee may not be paid after December
31, 2023. For a subsequent year, if you
do not pay the user fee before October
1, FDA will send a Notice of Intent to
Revoke your participation in VQIP. If
you do not pay the user fee within 30
days of the date of the Notice of Intent
to Revoke, we will revoke your
participation in VQIP.
Dated: July 24, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023–15920 Filed 7–27–23; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day
Information Collection: Indian Health
Service Medical Staff Credentials
Application
Indian Health Service, HHS.
Notice and request for
comments; request for revision to a
collection.
AGENCY:
ACTION:
In compliance with the
Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the
general public to comment on the
information collection titled, ‘‘Indian
SUMMARY:
PO 00000
Frm 00111
Fmt 4703
Sfmt 4703
Health Service Medical Staff Credentials
Application,’’ OMB Control Number
0917–0009, which expires August 31,
2023.
DATES:
Comment Due Date: August 28, 2023.
Your comments regarding this
information collection are best assured
of having full effect if received within
30 days of the date of this publication.
Direct Your Comments to OMB: Send
your comments and suggestions
regarding the proposed information
collection contained in this notice,
especially regarding the estimated
public burden and associated response
time to: Office of Management and
Budget, Office of Regulatory Affairs,
New Executive Office Building, Room
10235, Washington, DC 20503,
Attention: Desk Officer for IHS.
FOR FURTHER INFORMATION CONTACT: To
request additional information, please
contact Evonne Bennett, Information
Collection Clearance Officer by email at:
Evonne.Bennett@ihs.gov or telephone at
240–472–1996.
SUPPLEMENTARY INFORMATION: This
previously approved information
collection project was last published in
the Federal Register on May 11, 2023
(88 FR 30317), and allowed 60 days for
public comment. There was one public
comment received in response to the
notice. This notice announces our intent
to submit this collection, which expires
August 31, 2023, to OMB for approval
of an extension with revisions, and to
solicit comments on specific aspects for
the proposed information collection.
A copy of the supporting statement is
available at www.regulations.gov (see
Docket ID IHS–2023–0001).
Comment: Commenter requested the
IHS review the medical staff credentials
application and revise or remove any
invasive or stigmatizing language
around mental health.
Response to Comment: The IHS does
not believe there are any stigmatizing
language around mental health in the
application. Should specific
stigmatizing language be presented to
IHS, IHS will review the language and
then determine whether remedial action
needs to be taken.
Information Collection Title: ‘‘Indian
Health Service Medical Staff Credentials
Application, 0917–0009.’’
Type of Information Collection
Request: Revision of an approved
information collection, and retitled to,
‘‘Indian Health Service Medical Staff
Credentials and Privileges Records,
0917–0009.’’
Form Numbers: 0917–0009.
Need and Use of Information
Collection: This collection of
E:\FR\FM\28JYN1.SGM
28JYN1
Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
lotter on DSK11XQN23PROD with NOTICES1
information is used to evaluate IHS
medical and health care professionals to
include: licensed practitioners (LP)
applying for medical staff membership,
credentialing and privileges at IHS
health care facilities. Practitioner
credentialing and privileging in the IHS
has been identified as a priority area for
quality improvement to support patient
safety, demonstrate quality of care, and
improve practitioner satisfaction.
Indian Health Service policy
specifically requires all LP (i.e., Federal
employees, contractors, and/or
volunteers) who intend to provide
health care services at IHS facilities to
be credentialed and privileged prior to
providing such care. When a
practitioner applies to provide health
care services at an IHS clinic or
hospital, that application contains two
parts. The first is for membership in the
medical staff. Criteria for such
membership may include type of
licensure, education, training, and
experience. The second part is for
privileges, which define the scope of
clinical care that a practitioner can
administer and matches the
practitioner’s current clinical
competency. There are certain criteria
that practitioners must meet in order to
exercise particular privileges in the
facilities. These criteria may overlap
with criteria for membership on the
medical staff, but those for privileges are
more specific and must be facility
specific to meet the facility’s
requirements.
The IHS operates health care facilities
that provide health care services to
American Indian and Alaska Native
patients. To provide these services, the
IHS employs (direct-hire and directcontract) several categories of fully
licensed, registered, or certified
individuals permitted by law to
independently provide patient care
services within the scope of the
individual’s license, registration, or
certification, and in accordance with
individually granted clinical privileges
when the individual is a credentialed
member of the IHS medical staff.
Licensed Practitioners who are eligible
may become medical staff members,
depending on the local health care
facility’s capabilities and medical staff
bylaws.
All LP who provide care at IHS
facilities must maintain full, active,
unrestricted, and current licensure and
credentials, and be proficient in their
granted privileges in accordance with
the facility’s medical staff bylaws,
accreditation standards, privilege
criteria, agency and local policies, and
applicable law and guidelines.
National health care standards
developed by the Centers for Medicare
and Medicaid Services, the Joint
Commission, and other accrediting
organizations require health care
facilities to review, evaluate, and primesource verify credentials of medical staff
applicants prior to granting medical
staff privileges. Medical credentials
specifically include the primary source
verified and documented evidence of
competence, character, judgment,
education, and training. In order to meet
these standards, IHS health care
facilities require all medical staff
applicants to provide verifiable
information concerning their education,
training, licensure, work experience,
health status, and current professional
conduct and competence and any
adverse disciplinary actions taken
against them. This information is
collected through the agency’s current
commercial off the shelf credentialing
software to make the following
application packets electronically
available via the internet. The
Application packets are: (1) PreApplication; (2) Initial Application for
Membership & Privileges; (3)
Reappointment Application for
Membership and Privileges; and (4)
Credentialing by Proxy (CBP) Intake
Form. The first three application
packets include an IHS Conditions of
Application and Release and Health
Attestation Statement for the LP to sign;
Item 4, the CBP Intake Form, only
includes an IHS Conditions of
Application and Release.
Privileges vary across all IHS Areas
and clinics, as services and procedures
provided and equipment utilized varies
across facilities and can change often.
Privilege forms are required to be
current and modified to reflect only
services and procedures provided by
that specific facility in order to be in
compliance with accreditation
standards. The electronic credentialing
system allows tailoring the privileging
needs to site specifications.
Information collected in the
application packets are prime-source
Estimated
number of
respondents
Data collection instrument(s)
Pre-Application Package to Medical Staff ....................................................
Initial Application Package to Medical Staff and/or Privileges .....................
Reappointment Application Package to Medical Staff and/or Privileges .....
VerDate Sep<11>2014
17:16 Jul 27, 2023
Jkt 259001
PO 00000
Frm 00112
Fmt 4703
Sfmt 4703
48897
verified by IHS staff using standard IHS
forms (Affiliation, Peer Reference,
Insurance, and Education) with the
original source of the credential. The
credentials review includes, but is not
limited to, verifying information from:
the state medical boards, the Drug
Enforcement Administration, Excluded
Parties List System/System for Awards
Management, National Practitioner Data
Bank, Office of Inspector General,
colleges or universities, residency
programs, peer references, insurance
companies, etc.
Once the LP application packet is
approved, agency policy requires
licensure, registration, and certification
requirements and clinical competency
be continuously verified on an ongoing
basis until the time of the next
reappointment. At the time of
reappointment the health care
practitioner will go through a similar
reappointment process to renew their
membership and privilege status. This
review evaluates the current
competence of the health care providers
and verifies whether they are
maintaining the licensure or
certification requirements of their
specialty.
The medical staff credentials and
privileges records are stored in two
ways: records stored in file folders are
stored at the IHS facilities or the Federal
Record Center, and computer-based or
electronic records are located at the IHS
Albuquerque Data Center in
Albuquerque, New Mexico.
The IHS is continuing to standardize,
transform, and optimize the medical
staff credentialing and privileging
process into a centrally automated,
standardized, electronic/digital,
measurable, portable, accessible, and
efficient business process to improve
the effectiveness of application and reapplication to medical staff, movement
of practitioners within the IHS system,
and recruitment/retention of highquality LP.
Affected Public: Individuals and
households.
Type of Respondents: Individuals.
The table below provides: Types of
data collection instruments, Estimated
Number of Respondents, Number of
Annual Responses per Respondent,
Average Burden per Response, and
Total Annual Burden Hours.
Responses
per
respondent
500
878
2,212
E:\FR\FM\28JYN1.SGM
Average
burden hour
per response *
1
1
1
.50 (30 min) ......
1 (60 min) .........
0.50 (30 min) ....
28JYN1
Total annual
burden
(current) **
250
878
1,106
48898
Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
Estimated
number of
respondents
Data collection instrument(s)
Responses
per
respondent
Average
burden hour
per response *
Credentialing by Proxy Intake Form .............................................................
Affiliation Verification .....................................................................................
Education Verification ...................................................................................
Malpractice Verification .................................................................................
Peer Reference Verification ..........................................................................
250
4,225
3,289
2,535
6,180
1
1
1
1
1
Total .......................................................................................................
20,069
........................
.25
.25
.25
.25
.25
(15
(15
(15
(15
(15
min)
min)
min)
min)
min)
Total annual
burden
(current) **
......
......
......
......
......
63
1,056
822
634
1,545
...........................
6,354
For ease of understanding:
* Average Burden Hour per Response are provided in actual minutes.
** Total Annual Burden (Current) are provided in hours.
Annual number of respondents and
average burden hour were factored
based on total IHS providers
credentialed and privileged Calendar
Year 2022, accreditation requirements
with estimates of verification per
applicant, and respondent estimate time
of completion in the paragraphs above.
There are no capital costs, operating
costs, and/or maintenance costs to
respondents.
Requests for Comments: Your written
comments and/or suggestions are
invited on one or more of the following
points:
(a) Whether the information collection
activity is necessary to carry out an
agency function;
(b) Whether the agency processes the
information collected in a useful and
timely fashion;
(c) The accuracy of the public burden
estimate (the estimated amount of time
needed for individual respondents to
provide the requested information);
(d) Whether the methodology and
assumptions used to determine the
estimates are logical;
(e) Ways to enhance the quality,
utility, and clarity of the information
being collected; and
(f) Ways to minimize the public
burden through the use of automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology.
P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2023–16011 Filed 7–27–23; 8:45 am]
BILLING CODE 4165–16–P
Name of Committee: Center for Scientific
Review Special Emphasis Panel; RFA–OD–
23–005: NIH Research Evaluation and
Commercialization Hubs (REACH) Awards
(U01) 2.
Date: August 8, 2023.
Time: 9:00 a.m. to 11:30 a.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Rockledge II, 6701 Rockledge Drive,
Bethesda, MD 20892 (Virtual Meeting).
Contact Person: Megan L. Goodall, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Bethesda, MD
20892, (301) 594–8334 megan.goodall@
nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.306, Comparative Medicine;
93.333, Clinical Research, 93.306, 93.333,
93.337, 93.393–93.396, 93.837–93.844,
93.846–93.878, 93.892, 93.893, National
Institutes of Health, HHS)
Dated: July 24, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
lotter on DSK11XQN23PROD with NOTICES1
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Center for Scientific Review; Notice of
Closed Meeting
[FR Doc. 2023–15992 Filed 7–27–23; 8:45 am]
BILLING CODE 4140–01–P
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
VerDate Sep<11>2014
17:16 Jul 27, 2023
Jkt 259001
PO 00000
Frm 00113
Fmt 4703
Sfmt 4703
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Cancer Institute; Notice of
Closed Meetings
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Cancer
Institute Special Emphasis Panel; NCI
Review of Applications to Research Projects
in Physical Sciences Oncology.
Date: September 29, 2023.
Time: 1:00 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W640, Rockville, Maryland 20850 (Virtual
Meeting).
Contact Person: Saejeong J. Kim, Ph.D.,
Scientific Review Officer, Special Review
Branch, Division of Extramural Activities,
National Cancer Institute, NIH, 9609 Medical
Center Drive, Room 7W640, Rockville,
Maryland 20850, 240–276–7684,
saejeong.kim@nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis Panel; SEP–3: NCI
Clinical and Translational Cancer Research.
Date: October 12, 2023.
Time: 9:30 a.m. to 5:30 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W248, Rockville, Maryland 20850 (Virtual
Meeting).
Contact Person: Shree Ram Singh, Ph.D.,
Scientific Review Officer, Special Review
E:\FR\FM\28JYN1.SGM
28JYN1
]]>Agencies
[Federal Register Volume 88, Number 144 (Friday, July 28, 2023)]
[Notices]
[Pages 48896-48898]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-16011]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day Information Collection: Indian
Health Service Medical Staff Credentials Application
AGENCY: Indian Health Service, HHS.
ACTION: Notice and request for comments; request for revision to a
collection.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the general public to comment on
the information collection titled, ``Indian Health Service Medical
Staff Credentials Application,'' OMB Control Number 0917-0009, which
expires August 31, 2023.
DATES:
Comment Due Date: August 28, 2023. Your comments regarding this
information collection are best assured of having full effect if
received within 30 days of the date of this publication.
Direct Your Comments to OMB: Send your comments and suggestions
regarding the proposed information collection contained in this notice,
especially regarding the estimated public burden and associated
response time to: Office of Management and Budget, Office of Regulatory
Affairs, New Executive Office Building, Room 10235, Washington, DC
20503, Attention: Desk Officer for IHS.
FOR FURTHER INFORMATION CONTACT: To request additional information,
please contact Evonne Bennett, Information Collection Clearance Officer
by email at: [email protected] or telephone at 240-472-1996.
SUPPLEMENTARY INFORMATION: This previously approved information
collection project was last published in the Federal Register on May
11, 2023 (88 FR 30317), and allowed 60 days for public comment. There
was one public comment received in response to the notice. This notice
announces our intent to submit this collection, which expires August
31, 2023, to OMB for approval of an extension with revisions, and to
solicit comments on specific aspects for the proposed information
collection.
A copy of the supporting statement is available at
www.regulations.gov (see Docket ID IHS-2023-0001).
Comment: Commenter requested the IHS review the medical staff
credentials application and revise or remove any invasive or
stigmatizing language around mental health.
Response to Comment: The IHS does not believe there are any
stigmatizing language around mental health in the application. Should
specific stigmatizing language be presented to IHS, IHS will review the
language and then determine whether remedial action needs to be taken.
Information Collection Title: ``Indian Health Service Medical Staff
Credentials Application, 0917-0009.''
Type of Information Collection Request: Revision of an approved
information collection, and retitled to, ``Indian Health Service
Medical Staff Credentials and Privileges Records, 0917-0009.''
Form Numbers: 0917-0009.
Need and Use of Information Collection: This collection of
[[Page 48897]]
information is used to evaluate IHS medical and health care
professionals to include: licensed practitioners (LP) applying for
medical staff membership, credentialing and privileges at IHS health
care facilities. Practitioner credentialing and privileging in the IHS
has been identified as a priority area for quality improvement to
support patient safety, demonstrate quality of care, and improve
practitioner satisfaction.
Indian Health Service policy specifically requires all LP (i.e.,
Federal employees, contractors, and/or volunteers) who intend to
provide health care services at IHS facilities to be credentialed and
privileged prior to providing such care. When a practitioner applies to
provide health care services at an IHS clinic or hospital, that
application contains two parts. The first is for membership in the
medical staff. Criteria for such membership may include type of
licensure, education, training, and experience. The second part is for
privileges, which define the scope of clinical care that a practitioner
can administer and matches the practitioner's current clinical
competency. There are certain criteria that practitioners must meet in
order to exercise particular privileges in the facilities. These
criteria may overlap with criteria for membership on the medical staff,
but those for privileges are more specific and must be facility
specific to meet the facility's requirements.
The IHS operates health care facilities that provide health care
services to American Indian and Alaska Native patients. To provide
these services, the IHS employs (direct-hire and direct-contract)
several categories of fully licensed, registered, or certified
individuals permitted by law to independently provide patient care
services within the scope of the individual's license, registration, or
certification, and in accordance with individually granted clinical
privileges when the individual is a credentialed member of the IHS
medical staff. Licensed Practitioners who are eligible may become
medical staff members, depending on the local health care facility's
capabilities and medical staff bylaws.
All LP who provide care at IHS facilities must maintain full,
active, unrestricted, and current licensure and credentials, and be
proficient in their granted privileges in accordance with the
facility's medical staff bylaws, accreditation standards, privilege
criteria, agency and local policies, and applicable law and guidelines.
National health care standards developed by the Centers for
Medicare and Medicaid Services, the Joint Commission, and other
accrediting organizations require health care facilities to review,
evaluate, and prime-source verify credentials of medical staff
applicants prior to granting medical staff privileges. Medical
credentials specifically include the primary source verified and
documented evidence of competence, character, judgment, education, and
training. In order to meet these standards, IHS health care facilities
require all medical staff applicants to provide verifiable information
concerning their education, training, licensure, work experience,
health status, and current professional conduct and competence and any
adverse disciplinary actions taken against them. This information is
collected through the agency's current commercial off the shelf
credentialing software to make the following application packets
electronically available via the internet. The Application packets are:
(1) Pre-Application; (2) Initial Application for Membership &
Privileges; (3) Reappointment Application for Membership and
Privileges; and (4) Credentialing by Proxy (CBP) Intake Form. The first
three application packets include an IHS Conditions of Application and
Release and Health Attestation Statement for the LP to sign; Item 4,
the CBP Intake Form, only includes an IHS Conditions of Application and
Release.
Privileges vary across all IHS Areas and clinics, as services and
procedures provided and equipment utilized varies across facilities and
can change often. Privilege forms are required to be current and
modified to reflect only services and procedures provided by that
specific facility in order to be in compliance with accreditation
standards. The electronic credentialing system allows tailoring the
privileging needs to site specifications.
Information collected in the application packets are prime-source
verified by IHS staff using standard IHS forms (Affiliation, Peer
Reference, Insurance, and Education) with the original source of the
credential. The credentials review includes, but is not limited to,
verifying information from: the state medical boards, the Drug
Enforcement Administration, Excluded Parties List System/System for
Awards Management, National Practitioner Data Bank, Office of Inspector
General, colleges or universities, residency programs, peer references,
insurance companies, etc.
Once the LP application packet is approved, agency policy requires
licensure, registration, and certification requirements and clinical
competency be continuously verified on an ongoing basis until the time
of the next reappointment. At the time of reappointment the health care
practitioner will go through a similar reappointment process to renew
their membership and privilege status. This review evaluates the
current competence of the health care providers and verifies whether
they are maintaining the licensure or certification requirements of
their specialty.
The medical staff credentials and privileges records are stored in
two ways: records stored in file folders are stored at the IHS
facilities or the Federal Record Center, and computer-based or
electronic records are located at the IHS Albuquerque Data Center in
Albuquerque, New Mexico.
The IHS is continuing to standardize, transform, and optimize the
medical staff credentialing and privileging process into a centrally
automated, standardized, electronic/digital, measurable, portable,
accessible, and efficient business process to improve the effectiveness
of application and re-application to medical staff, movement of
practitioners within the IHS system, and recruitment/retention of high-
quality LP.
Affected Public: Individuals and households.
Type of Respondents: Individuals.
The table below provides: Types of data collection instruments,
Estimated Number of Respondents, Number of Annual Responses per
Respondent, Average Burden per Response, and Total Annual Burden Hours.
----------------------------------------------------------------------------------------------------------------
Estimated Total annual
Data collection instrument(s) number of Responses per Average burden hour per burden
respondents respondent response * (current) **
----------------------------------------------------------------------------------------------------------------
Pre-Application Package to Medical 500 1 .50 (30 min)............... 250
Staff.
Initial Application Package to 878 1 1 (60 min)................. 878
Medical Staff and/or Privileges.
Reappointment Application Package 2,212 1 0.50 (30 min).............. 1,106
to Medical Staff and/or Privileges.
[[Page 48898]]
Credentialing by Proxy Intake Form. 250 1 .25 (15 min)............... 63
Affiliation Verification........... 4,225 1 .25 (15 min)............... 1,056
Education Verification............. 3,289 1 .25 (15 min)............... 822
Malpractice Verification........... 2,535 1 .25 (15 min)............... 634
Peer Reference Verification........ 6,180 1 .25 (15 min)............... 1,545
----------------------------------------------------------------------------
Total.......................... 20,069 .............. ........................... 6,354
----------------------------------------------------------------------------------------------------------------
For ease of understanding:
* Average Burden Hour per Response are provided in actual minutes.
** Total Annual Burden (Current) are provided in hours.
Annual number of respondents and average burden hour were factored
based on total IHS providers credentialed and privileged Calendar Year
2022, accreditation requirements with estimates of verification per
applicant, and respondent estimate time of completion in the paragraphs
above.
There are no capital costs, operating costs, and/or maintenance
costs to respondents.
Requests for Comments: Your written comments and/or suggestions are
invited on one or more of the following points:
(a) Whether the information collection activity is necessary to
carry out an agency function;
(b) Whether the agency processes the information collected in a
useful and timely fashion;
(c) The accuracy of the public burden estimate (the estimated
amount of time needed for individual respondents to provide the
requested information);
(d) Whether the methodology and assumptions used to determine the
estimates are logical;
(e) Ways to enhance the quality, utility, and clarity of the
information being collected; and
(f) Ways to minimize the public burden through the use of
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology.
P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2023-16011 Filed 7-27-23; 8:45 am]
BILLING CODE 4165-16-P
