80 FR 42497 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality Federal Register Volume 80, Issue 137 (July 17, 2015)
Agency for Healthcare Research and Quality
Federal Register Volume 80, Issue 137 (July 17, 2015)
| Page Range | 42497-42499 | |
| FR Document | 2015-17635 |
[Federal Register Volume 80, Number 137 (Friday, July 17, 2015)] [Notices] [Pages 42497-42499] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-17635] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Agency for Healthcare Research and Quality, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project: ``Medical Office Survey on Patient Safety Culture Comparative Database.'' In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on March 23rd, 2014 and allowed 60 days for public comment. No comments were received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by August 17, 2015. ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by email at OIRA_submission@omb.eop.gov (attention: AHRQ's desk officer). Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at doris.lefkowitz@AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Medical Office Survey on Patient Safety Culture Comparative Database Background on the Medical Office Survey on Patient Safety Culture (Medical Office SOPS). In 1999, the Institute of Medicine called for health care organizations to develop a ``culture of safety'' such that their workforce and processes focus on improving the reliability and safety of care for patients (IOM, 1999; To Err is Human: Building a Safer Health System). To respond to the need for tools to assess patient safety culture in health care, AHRQ developed and pilot tested the Medical Office SOPS with OMB approval (OMB NO.0935-0131; Approved July 5, 2007). The survey is designed to enable medical offices to assess provider and staff opinions about patient safety issues, medical error, and error reporting. The survey includes 38 items that measure 10 composites of patient safety culture. In addition to the composite items, 14 items measure how often medical offices have problems exchanging information with other settings and other patient safety and quality issues. AHRQ made the survey publicly available along with a Survey User's Guide and other toolkit materials in December 2008 on the AHRQ Web site (located at http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/index.html). Since its release, the survey has been voluntarily used by hundreds of medical offices in the U.S. The Medical Office SOPS Comparative Database consists of data from the AHRQ Medical Office SOPS. [[Page 42498]] Medical offices in the U.S. are asked to submit data voluntarily from the survey to AHRQ, through its contractor Westat. The Medical Office SOPS Database (OMB NO. 0935-0196, last approved on June 12, 2012) was developed by AHRQ in 2011 in response to requests from medical offices interested in knowing how their patient safety culture survey results compare to those of other medical offices in their efforts to improve patient safety. Rationale for the information collection. The Medical Office SOPS and the Comparative Database support AHRQ's goals of promoting improvements in the quality and safety of health care in medical office settings. The survey, toolkit materials, and comparative database results are all made publicly available on AHRQ's Web site. Technical assistance is provided by AHRQ through its contractor at no charge to medical offices, to facilitate the use of these materials for medical office patient safety and quality improvement. The goal of this project is to renew the Medical Office SOPS Comparative Database. This Database will: (1) Allow medical offices to compare their patient safety culture survey results with those of other medical offices, (2) Provide data to medical offices to facilitate internal assessment and learning in the patient safety improvement process, and (3) Provide supplemental information to help medical offices identify their strengths and areas with potential for improvement in patient safety culture. This study is being conducted by AHRQ through its contractor-- Westat, pursuant to AHRQ's statutory authority to conduct and support research on healthcare and on systems for the delivery of such care, including activities with respect to: The quality, effectiveness, efficiency, appropriateness and value of health care services; quality measurement and improvement; and database development. 42 U.S.C. 299a(a)(1), (2), and (8). Method of Collection To achieve the goal of this project the following activities and data collections will be implemented: (1) Eligibility and Registration Form--The medical office point-of- contact (POC) completes a number of data submission steps and forms, beginning with the completion of an online eligibility and registration form. The purpose of this form is to determine the eligibility status and initiate the registration process for medical offices seeking to voluntarily submit their Medical Office SOPS data to the Medical Office SOPS Comparative Database. (2) Data Use Agreement--The purpose of the data use agreement, completed by the medical office POC, is to state how data submitted by medical offices will be used and provides confidentiality assurances. (3) Medical Office Site Information Form--The purpose of the site information form is to obtain basic information about the characteristics of the medical offices submitting their Medical Office SOPS data to the Medical Office SOPS Comparative Database (e.g., number of providers and staff, ownership, and type of specialty). The medical office POC completes the form. (4) Data Files Submission--The number of submissions to the database is likely to vary each year because medical offices do not administer the survey and submit data every year. Data submission is typically handled by one POC who is either an office manager, nurse manager, or a survey vendor who contracts with a medical office to collect their data. POCs submit data on behalf of 10 medical offices, on average, because many medical offices are part of a health system that includes many medical office sites, or the POC is a vendor that is submitting data for multiple medical offices. After registering, if registrants are deemed eligible to submit data, an automated email is sent to authenticate the account and update the user password. Next the POC enters medical office information and uploads their survey questionnaire and submits a data use agreement. POCs then upload their data file(s), using the medical office data file specifications, to ensure that users submit standardized and consistent data in the way variables are named, coded, and formatted. Survey data from the AHRQ Medical Office SOPS are used to produce three types of products: (1) A Medical Office SOPS Comparative Database Report that is produced periodically and made publicly available on the AHRQ Web site (see http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/index.html); (2) Individual Medical Office Survey Feedback Reports that are confidential, customized reports produced for each medical office that submits data to the database (the number of reports produced is based on the number of medical offices submitting each year); and (3) Research data sets of individual-level and medical office-level de- identified data to enable researchers to conduct analyses. Medical offices are asked to voluntarily submit their Medical Office SOPS survey data to the Comparative Database. The data are then cleaned and aggregated and used to produce a Comparative Database Report that displays averages, standard deviations, and percentile scores on the survey's 38 items that measure 10 composites of patient safety culture, and 14 items measuring how often medical offices have problems exchanging information with other settings and other patient safety and quality issues. The report also displays these results by medical office characteristics (size of office, specialty, geographic region, etc.) and respondent characteristics (staff position). Data submitted by medical offices are used to give each medical office its own customized survey feedback report that presents the medical office's results compared to the latest comparative database results. Medical offices use the Medical Office SOPS, Comparative Database Reports and Individual Medical Office Survey Feedback Reports for a number of purposes, toRaise staff awareness about patient safety. Diagnose and assess the current status of patient safety culture in their medical office. Identify strengths and areas for improvement in patient safety culture. Evaluate the cultural impact of patient safety initiatives and interventions. Compare patient safety culture survey results with other medical offices in their efforts to improve patient safety and health care quality. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents' time to participate in the database. An estimated 150 POCs, each representing an average of 10 individual medical offices each, will complete the database submission steps and forms annually. Completing the registration form will take about 3 minutes. The Medical Office Information Form is completed by all POCs for each of their medical offices (150 x 10 = 1,500 forms in total) and is estimated to take 5 minutes to complete. Each POC will complete a data use agreement which takes 3 minutes to complete and submitting the data will take an hour on average. The total burden is estimated to be 291 hours. Exhibit 2 shows the estimated annualized cost burden based on the respondents' time to submit their data. [[Page 42499]] The cost burden is estimated to be $13,968 annually. Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Number of Form name respondents/ responses per Hours per Total burden POCs POC response hours ---------------------------------------------------------------------------------------------------------------- Eligibility/Registration Form................... 150 1 3/60 8 Data Use Agreement.............................. 150 1 3/60 8 Medical Office Information Form................. 150 10 5/60 125 Data Files Submission........................... 150 1 1 150 --------------------------------------------------------------- Total....................................... 600 NA NA 291 ---------------------------------------------------------------------------------------------------------------- Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Number of Form name respondents/ Total burden Average hourly Total cost POCs hours wage rate * burden ---------------------------------------------------------------------------------------------------------------- Registration Form............................... 150 8 $48.00 $384 Data Use Agreement.............................. 150 8 48.00 384 Medical Office Information Form................. 150 125 48.00 6,000 Data Files Submission........................... 150 150 48.00 7,200 --------------------------------------------------------------- Total....................................... 600 816 NA 13,968 ---------------------------------------------------------------------------------------------------------------- * Mean hourly wage rate of $48.00 for Medical and Health Services Managers (SOC code 11-9111) was obtained from the May 2013 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100--Offices of Physicians located at http://www.bls.gov/oes/2013/may/naics4_621100.htm. Request for Comments In accordance with the Paperwork Reduction Act, comments on AHRQ's information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ's estimate of burden (including hours and costs) of the proposed collection(s) of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information upon the respondents, including the use of automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and included in the Agency's subsequent request for OMB approval of the proposed information collection. All comments will become a matter of public record. Sharon B. Arnold, Director. [FR Doc. 2015-17635 Filed 7-16-15; 8:45 am] BILLING CODE 4160-90-P
![Federal Register / Vol. 80, No. 137 / Friday, July 17, 2015 / Notices 42497
1. Gregory Fred Bormann, Mitchell, fields related to health care research Register on March 23rd, 2014 and
South Dakota; to acquire voting shares who are invited by the Agency for allowed 60 days for public comment. No
of United Bancorporation, Osseo, Healthcare Research and Quality comments were received. The purpose
Wisconsin, and thereby indirectly (AHRQ), and agree to be available, to of this notice is to allow an additional
acquire voting shares of Farmers State conduct on an as needed basis, 30 days for public comment.
Bank, Stickney, South Dakota; United scientific reviews of applications for DATES: Comments on this notice must be
Bank, Osseo, Wisconsin, Clarke County AHRQ support. Individual members of received by August 17, 2015.
State Bank, Osceola, Iowa; Bank of the Panel do not attend regularly ADDRESSES: Written comments should
Poynette, Poynette, Wisconsin; scheduled meetings and do not serve for be submitted to: AHRQ’s OMB Desk
Cambridge State Bank, Cambridge, fixed terms or a long period of time. Officer by fax at (202) 395–6974
Wisconsin; and Lincoln Community Rather, they are asked to participate in (attention: AHRQ’s desk officer) or by
Bank, Merrill, Wisconsin. particular review meetings which email at OIRA_submission@
Board of Governors of the Federal Reserve require their type of expertise. omb.eop.gov (attention: AHRQ’s desk
System, July 14, 2015. Each SEP meeting will commence in
officer).
Michael J. Lewandowski,
open session before closing to the public
Copies of the proposed collection
for the duration of the meeting. The SEP
Associate Secretary of the Board. plans, data collection instruments, and
meeting referenced above will be closed
[FR Doc. 2015–17589 Filed 7–16–15; 8:45 am] specific details on the estimated burden
to the public in accordance with the
BILLING CODE 6210–01–P can be obtained from the AHRQ Reports
provisions set forth in 5 U.S.C. App. 2,
Clearance Officer.
section 10(d), 5 U.S.C. 552b(c)(4), and 5
U.S.C. 552b(c)(6). Grant applications for FOR FURTHER INFORMATION CONTACT:
DEPARTMENT OF HEALTH AND the ‘‘AHRQ RFA HS15–001 Patient Doris Lefkowitz, AHRQ Reports
HUMAN SERVICES Safety Learning Laboratories: Innovative Clearance Officer, (301) 427–1477, or by
Design and Development to Improve email at doris.lefkowitz@AHRQ.hhs.gov.
Agency for Healthcare Research and Healthcare Delivery Systems (P30).’’ are SUPPLEMENTARY INFORMATION:
Quality to be reviewed and discussed at this Proposed Project
Notice of Meeting meeting. The grant applications and the
discussions could disclose confidential Medical Office Survey on Patient Safety
AGENCY: Agency for Healthcare Research trade secrets or commercial property Culture Comparative Database
and Quality, HHS. such as patentable material, and Background on the Medical Office
ACTION: Notice. personal information concerning Survey on Patient Safety Culture
individuals associated with the grant (Medical Office SOPS). In 1999, the
SUMMARY: In accordance with section applications, the disclosure of which
10(a)(2) of the Federal Advisory Institute of Medicine called for health
would constitute a clearly unwarranted care organizations to develop a ‘‘culture
Committee Act (5 U.S.C. App. 2), invasion of personal privacy.
announcement is made of an Agency for of safety’’ such that their workforce and
Healthcare Research and Quality Sharon B. Arnold, processes focus on improving the
(AHRQ) Special Emphasis Panel (SEP) AHRQ Director. reliability and safety of care for patients
meeting on ‘‘AHRQ RFA HS15–001 [FR Doc. 2015–17633 Filed 7–16–15; 8:45 am]
(IOM, 1999; To Err is Human: Building
Patient Safety Learning Laboratories: BILLING CODE 4160–90–P
a Safer Health System). To respond to
Innovative Design and Development to the need for tools to assess patient safety
Improve Healthcare Delivery Systems culture in health care, AHRQ developed
(P30).’’ Each SEP meeting will DEPARTMENT OF HEALTH AND and pilot tested the Medical Office
commence in open session before HUMAN SERVICES SOPS with OMB approval (OMB
closing to the public for the duration of NO.0935–0131; Approved July 5, 2007).
the meeting. Agency for Healthcare Research and The survey is designed to enable
Quality medical offices to assess provider and
DATES: July 21–22, 2015 (Open on July
staff opinions about patient safety
21 from 8:00 a.m. to 8:30 a.m. and Agency Information Collection issues, medical error, and error
closed for the remainder of the meeting). Activities: Proposed Collection; reporting. The survey includes 38 items
ADDRESSES: Gaithersburg Marriott Comment Request that measure 10 composites of patient
Washingtonian Center, 9751 safety culture. In addition to the
Washingtonian Boulevard, Gaithersburg, AGENCY: Agency for Healthcare Research
and Quality, HHS. composite items, 14 items measure how
Maryland 20878. often medical offices have problems
ACTION: Notice.
FOR FURTHER INFORMATION CONTACT: exchanging information with other
Anyone wishing to obtain a roster of SUMMARY: This notice announces the settings and other patient safety and
members, agenda or minutes of the non- intention of the Agency for Healthcare quality issues. AHRQ made the survey
confidential portions of this meeting Research and Quality (AHRQ) to request publicly available along with a Survey
should contact: Mrs. Bonnie Campbell, that the Office of Management and User’s Guide and other toolkit materials
Committee Management Officer, Office Budget (OMB) approve the proposed in December 2008 on the AHRQ Web
of Extramural Research, Education and information collection project: ‘‘Medical site (located at http://www.ahrq.gov/
Priority Populations, AHRQ, 540 Office Survey on Patient Safety Culture professionals/quality-patient-safety/
srobinson on DSK5SPTVN1PROD with NOTICES
Gaither Road, Room 2038, Rockville, Comparative Database.’’ In accordance patientsafetyculture/medical-office/
Maryland 20850, Telephone: (301) 427– with the Paperwork Reduction Act, 44 index.html). Since its release, the survey
1554. U.S.C. 3501–3521, AHRQ invites the has been voluntarily used by hundreds
Agenda items for this meeting are public to comment on this proposed of medical offices in the U.S.
subject to change as priorities dictate. information collection. The Medical Office SOPS
SUPPLEMENTARY INFORMATION: A Special This proposed information collection Comparative Database consists of data
Emphasis Panel is a group of experts in was previously published in the Federal from the AHRQ Medical Office SOPS.
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![Federal Register / Vol. 80, No. 137 / Friday, July 17, 2015 / Notices 42499
The cost burden is estimated to be
$13,968 annually.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of Number of Hours per Total burden
Form name respondents/ responses response hours
POCs per POC
Eligibility/Registration Form ............................................................................. 150 1 3/60 8
Data Use Agreement ....................................................................................... 150 1 3/60 8
Medical Office Information Form ..................................................................... 150 10 5/60 125
Data Files Submission ..................................................................................... 150 1 1 150
Total .......................................................................................................... 600 NA NA 291
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of Average
Total burden Total cost
Form name respondents/ hourly wage
hours burden
POCs rate *
Registration Form ............................................................................................ 150 8 $48.00 $384
Data Use Agreement ....................................................................................... 150 8 48.00 384
Medical Office Information Form ..................................................................... 150 125 48.00 6,000
Data Files Submission ..................................................................................... 150 150 48.00 7,200
Total .......................................................................................................... 600 816 NA 13,968
* Mean hourly wage rate of $48.00 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2013 National
Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at http://www.bls.gov/oes/2013/
may/naics4_621100.htm.
Request for Comments DEPARTMENT OF HEALTH AND the collection of information on those
HUMAN SERVICES who are to respond, including through
In accordance with the Paperwork the use of appropriate automated,
Reduction Act, comments on AHRQ’s Centers for Disease Control and electronic, mechanical, or other
information collection are requested Prevention technological collection techniques or
with regard to any of the following: (a) other forms of information technology,
[30Day–15–15BM]
Whether the proposed collection of e.g., permitting electronic submission of
information is necessary for the proper Agency Forms Undergoing Paperwork responses; and (e) Assess information
performance of AHRQ health care Reduction Act Review collection costs.
research and health care information To request additional information on
dissemination functions, including The Centers for Disease Control and the proposed project or to obtain a copy
whether the information will have Prevention (CDC) has submitted the of the information collection plan and
practical utility; (b) the accuracy of following information collection request instruments, call (404) 639–7570 or
to the Office of Management and Budget send an email to omb@cdc.gov. Direct
AHRQ’s estimate of burden (including
(OMB) for review and approval in written comments and/or suggestions
hours and costs) of the proposed
accordance with the Paperwork regarding the items contained in this
collection(s) of information; (c) ways to
Reduction Act of 1995. The notice for notice should be directed to the
enhance the quality, utility, and clarity the proposed information collection is
of the information to be collected; and Attention: CDC Desk Officer, Office of
published to obtain comments from the Management and Budget, Washington,
(d) ways to minimize the burden of the public and affected agencies. DC 20503 or by fax to (202) 395–5806.
collection of information upon the Written comments and suggestions Written comments should be received
respondents, including the use of from the public and affected agencies within 30 days of this notice.
automated collection techniques or concerning the proposed collection of
other forms of information technology. information are encouraged. Your Proposed Project
Comments submitted in response to comments should address any of the Assessing the Impact of
this notice will be summarized and following: (a) Evaluate whether the Organizational and Personal
included in the Agency’s subsequent proposed collection of information is Antecedents on Proactive Health/Safety
request for OMB approval of the necessary for the proper performance of Decision Making—New—National
proposed information collection. All the functions of the agency, including Institute for Occupational Safety and
comments will become a matter of whether the information will have Health (NIOSH), Centers for Disease
practical utility; (b) Evaluate the
srobinson on DSK5SPTVN1PROD with NOTICES
public record. Control and Prevention (CDC).
accuracy of the agencies estimate of the
Sharon B. Arnold, burden of the proposed collection of Background and Brief Description
Director. information, including the validity of NIOSH, under Public Law 91–596,
[FR Doc. 2015–17635 Filed 7–16–15; 8:45 am] the methodology and assumptions used; Sections 20 and 22 (Section 20–22,
(c) Enhance the quality, utility, and Occupational Safety and Health Act of
BILLING CODE 4160–90–P
clarity of the information to be 1977) has the responsibility to conduct
collected; (d) Minimize the burden of research relating to innovative methods,
VerDate Sep<11>2014 20:59 Jul 16, 2015 Jkt 235001 PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 E:\FR\FM\17JYN1.SGM 17JYN1](https://thefederalregister.org/doc/80_FR_42634/page/3.svg)
Document Created: 2018-02-23 09:21:01
Document Modified: 2018-02-23 09:21:01
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on this notice must be received by August 17, 2015. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 80 FR 42497 |
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