[Federal Register Volume 63, Number 84 (Friday, May 1, 1998)]
[Notices]
[Pages 24185-24186]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-11625]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-day Proposed Collection: Indian
Health Service Medical Staff Credentials and Privileges File
SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, to provide a 60-day advance opportunity for
public comment on proposed information collection projects, the Indian
Health Service (IHS) is publishing for comment a summary of a proposed
information collection to be submitted to the Office of Management and
Budget (OMB) for review.
PROPOSED COLLECTION: Title: 09-17-0009, ``Indian Health Service Medical
Staff Credentials and Privileges File''. Type of Information Collection
Request: Revision of currently approved information collection, 09-17-
0009, `'Indian Health Service Medical Staff Credentials and Privileges
File'' which expires July 31, 1998. Form Number: Instructions and
information collection formats are contained in IHS Circular No. 93-2,
``Credentials and Privileges Review Process for the Medical Staff.''
Need and Use of Information Collection: The IHS operates health care
facilities that provide health care services to American Indians and
Alaska Natives. To provide these services, the IHS employs (directly
and under contract) several categories of health care providers
including: physicians (M.D. and D.O.), dentists, psychologist,
optometrists, podiatrists, audiologist; and in some states, physician
assistants, certified registered nurse anesthetists, nurse
practitioners, and certified nurse midwives. IHS policy specifically
requires physicians and dentists to be members of the health care
facility medical staff where they practice. Health care providers
become medical staff members, depending on the local health care
facility's capabilities and medial staff bylaws. There are three types
of IHS medical staff applicants: (1) Health care provider applying for
direct employment with IHS; (2) contract health care providers who will
not seek to become IHS employees; and, (3) employed IHS health care
providers who seek to transfer between IHS health care facilities.
National health care standards developed by the Health Care
Financing Administration (HCFA) and by the JCAHO require health care
facilities to review, evaluate and verify the credentials, training and
experience of
[[Page 24186]]
medical staff applicants prior to granting medical staff privileges. To
meet these standards, IHS health care facilities require each medical
staff applicant to provide information concerning their education,
training, licensure, and work experience and any adverse disciplinary
actions taken against them. This information is then verified with
references supplied by the applicant and may include: former employers,
educational institutions, licensure and certification boards, the
American Medical Association, the Federation of State Medical Boards,
the National Practitioner Data Bank, and the applicants themselves.
In addition to the initial granting of medical staff membership and
clinical privileges, JCAHO standards require that a review of the
medical staff be conducted not less than every two years.
This review evaluates the current competence of the medical staff
and verifies whether they are maintaining their licensure and the
certification requirements of their specialty.
The medical staff credentials and privileges records are maintained
at the health care facility where the health care provider is a medical
staff member. The establishment of these records at IHS health care
facilities is not optional; such records must be established and
maintained at all health care facilities in the United States that are
accredited by JCAHO. This information collection activity is used to
evaluate individual health care providers applying for medical staff
privileges at Indian Health Service (IHS) health care facilities.
Affected Public: Individuals, Businesses or other for-profit, Not-for-
profit institutions and State, local or Tribal Government. Type of
Respondents: health care providers requesting Medical staff privileges
at IHS health facilities.
Table 1 below provides: Types of data collection instruments,
Estimated number of respondents, Number of responses per respondent,
Annual Number of Responses, Average burden hour per response, and Total
annual burden hour.
Table 1
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Estimated
Data collection instrument number of Responses per Annual number Average burden hour per response * Total annual
respondents respondent of responses burden hours
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Application to Medical Staff................ 600 1 600 0.75 (45 mins)............................ 450.0
Reference letter............................ 1800 1 1800 0.33 (0 mins)............................. 600.0
Reappointment request....................... 644 1 644 1.00 (60 mins)............................ 644.0
Medical Privileges.......................... 387 1 387 1.00 (60 mins)............................ 387.0
Ob-Gyn Privileges........................... 25 1 25 1.00 (60 mins)............................ 25.0
Surgical Privileges......................... 23 1 23 1.00 (60 mins)............................ 23.0
Psychiatric Privileges...................... 18 1 18 1.00 (60 mins)............................ 18.0
Anesthesia Privileges....................... 16 1 16 1.00 (60 mins)............................ 16.0
Dental Privileges........................... 128 1 128 0.33 (0 mins)............................. 42.2
Optometric Privileges....................... 21 1 21 0.33 (0 mins)............................. 6.9
Psychology Privileges....................... 23 1 23 0.17 (0 mins)............................. 3.9
Audiologic Privileges....................... 6 1 6 0.08 (0 mins)............................. 0.5
Podiatric Privileges........................ 6 1 6 0.08 (0 mins)............................. 0.5
Radiology Privileges........................ 9 1 9 0.33 (0 mins)............................. 3.0
Pathology Privileges........................ 3 1 3 0.33 (0 mins)............................. 1.0
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Total................................... 3,709 .............. .............. .......................................... 2,221.0
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* For ease of understanding, burden hours are also provided in actual minutes.
There are no Capital Costs, Operating Costs and/or Maintenance
Costs to report.
Request 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 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 estimate 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.
Send Comments and Requests for Further Information: Send your written
comments, requests for more information on the proposed collection or
requests to obtain a copy of the data collection instrument(s) and
instructions to: Mr. Lance Hodahkwen, Sr., M.P.H., IHS Reports
Clearance Officer, 12300 Twinbrook Parkway, Suite 450, Rockville, MD
20852.1601, call non-toll free (301) 443-1116, send via facsimile to
(301) 443-1522, or send your E-mail requests, comments, and return
address to: lhodahkw@hqe.ihs.gov.
Comment Due Date: Your comments regarding this information collection
are best assured of having their full effect if received on or before
June 30, 1998.
Dated: April 21, 1998.
Michael H. Trujillo,
Assistant Surgeon General, Acting Director.
[FR Doc. 98-11625 Filed 4-30-98; 8:45 am]
BILLING CODE 4160-16-M
