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3726 Federal Register / Vol. 73, No.

14 / Tuesday, January 22, 2008 / Notices

otherwise noted, these activities will be Governors. Interested persons may specific details on the estimated burden
conducted throughout the United States. express their views in writing on the can be obtained from the AHRQ Reports
Each notice is available for inspection question whether the proposal complies Clearance Officer.
at the Federal Reserve Bank indicated. with the standards of section 4 of the FOR FURTHER INFORMATION CONTACT:
The notice also will be available for BHC Act. Additional information on all Doris Lefkowitz, AHRQ Reports
inspection at the offices of the Board of bank holding companies may be Clearance Officer, (301) 427–1477, or by
Governors. Interested persons may obtained from the National Information e-mail at doris.lefkowitz@ahrq.hhs.gov.
express their views in writing on the Center website at www.ffiec.gov/nic/. SUPPLEMENTARY INFORMATION:
question whether the proposal complies Unless otherwise noted, comments
with the standards of section 4 of the regarding the applications must be Proposed Project
BHC Act. Additional information on all received at the Reserve Bank indicated ‘‘Assessment of the Emergency Severity
bank holding companies may be or the offices of the Board of Governors Index (ESI)’’
obtained from the National Information not later than February 15, 2008.
Center website at www.ffiec.gov/nic/. A. Federal Reserve Bank of St. Louis AHRQ is proposing to examine uptake
Unless otherwise noted, comments (Glenda Wilson, Community Affairs and use of an emergency room triage
regarding the applications must be Officer) 411 Locust Street, St. Louis, tool, the Emergency Severity Index
received at the Reserve Bank indicated Missouri 63166-2034: (ESI). The hospital emergency
or the offices of the Board of Governors 1. Hancock Bancorp, Inc. Hawesville, department (ED) represents a critical
not later than February 5, 2008. Kentucky; to acquire 100 percent of the point in care delivery for patients across
A. Federal Reserve Bank of St. Louis voting shares of Community First the United States. Over the past decade,
(Glenda Wilson, Community Affairs Bancorp, Inc., Madisonville, Kentucky, however, the dramatic influx of patients
Officer) 411 Locust Street, St. Louis, and thereby indirectly acquire into EDs has seriously challenged the
Missouri 63166-2034: Community First Bank, Madisonville, ability of these departments to deliver
1. Hancock Bancorp, Inc. Hawesville, Kentucky, and engage in operating a timely, quality, and safe emergency
Kentucky; to acquire 100 percent of the savings association pursuant to section health care services. Moreover, with
voting shares of Community First 225.28(b)(4)(ii) of Regulation Y. most emergency departments operating
Bancorp, Inc., Madisonville, Kentucky, at or over capacity it may prove difficult
Board of Governors of the Federal Reserve
and thereby indirectly acquire System, January 16, 2008.
for them to respond to the surge in
Community First Bank, Madisonville, emergency room demand created by
Robert deV. Frierson,
Kentucky, and engage in operating a natural and man-made disasters.
Deputy Secretary of the Board. Development of increasingly refined
savings association pursuant to section [FR Doc. E8–985 Filed 1–18–08; 8:45 am]
225.28(b)(4)(ii) of Regulation Y. and validated triage methods is one
BILLING CODE 6210–01–S potential key to addressing
Board of Governors of the Federal Reserve
overcrowding by speeding up the care
System, January 16, 2008.
delivery to the most acute ED patients
Robert deV. Frierson, DEPARTMENT OF HEALTH AND while helping hospitals assess, carefully
Deputy Secretary of the Board. HUMAN SERVICES allocate and plan the amount of human
[FR Doc. E8–976 Filed 1–18–08; 8:45 am] and other resources needed to care for
BILLING CODE 6210–01–S Agency for Healthcare Research and all patients.
Quality In response to a need to standardize
the triage process and improve the flow
FEDERAL RESERVE SYSTEM Agency Information Collection
of patients, Richard C. Wuerz, M.D.,
Activities: Proposed Collection;
(Department of Emergency Medicine at
Notice of Proposals to Engage in Comment Request
the Brigham and Women’s Hospital and
Permissible Nonbanking Activities or
AGENCY: Agency for Healthcare Research the Harvard Medical School) and David
to Acquire Companies that are
and Quality, HHS. R. Eitel, M.D., (Department of
Engaged in Permissible Nonbanking
ACTION: Notice. Emergency Medicine, The York Hospital
Activities
WellSpan Health System) initiated
The companies listed in this notice SUMMARY: This notice announces the development of the Emergency Severity
have given notice under section 4 of the intention of the Agency for Healthcare Index (ESI) in 1995. The ESI is unique
Bank Holding Company Act (12 U.S.C. Research and Quality (AHRQ) to request in its focus on appropriate resource
1843) (BHC Act) and Regulation Y (12 that the Office of Management and allocation and its consideration of
CFR Part 225) to engage de novo, or to Budget (OMB) approve the proposed necessary resource utilization in
acquire or control voting securities or information collection project: assigning acuity. To encourage adoption
assets of a company, including the ‘‘Assessment of the Emergency Severity of the ESI, AHRQ developed an
companies listed below, that engages Index (ESI).’’ In accordance with the implementation handbook (Emergency
either directly or through a subsidiary or Paperwork Reduction Act of 1995, Severity Index, Version 4) and
other company, in a nonbanking activity Public Law 104–13 (44 U.S.C. companion DVDs. These materials are
that is listed in § 225.28 of Regulation Y 3506(c)(2)(A)), AHRQ invites the public intended to provide hospitals and triage
(12 CFR 225.28) or that the Board has to comment on this proposed nurses with background on why they
determined by Order to be closely information collection. might want to implement the ESI as a
related to banking and permissible for DATES: Comments on this notice must be triage tool, and offers recommendations
bank holding companies. Unless received by March 24, 2008. on the implementation process and staff
otherwise noted, these activities will be ADDRESSES: Written comments should training.
sroberts on PROD1PC70 with NOTICES

conducted throughout the United States. be submitted to: Doris Lefkowitz, This project will assess the product’s
Each notice is available for inspection Reports Clearance Officer, AHRQ, by e- acceptance by emergency departments
at the Federal Reserve Bank indicated. mail at doris.lefkowitz@ahrq.hhs.gov. and others involved in addressing
The notice also will be available for Copies of the proposed collection medical surges to better understand the
inspection at the offices of the Board of plans, data collection instruments, and usefulness of the ESI compared to other

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