80 FR 50000 - 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 159 (August 18, 2015)
Agency for Healthcare Research and Quality
Federal Register Volume 80, Issue 159 (August 18, 2015)
| Page Range | 50000-50005 | |
| FR Document | 2015-20358 |
[Federal Register Volume 80, Number 159 (Tuesday, August 18, 2015)] [Notices] [Pages 50000-50005] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-20358] ======================================================================= ----------------------------------------------------------------------- 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. [[Page 50001]] 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 changes to the currently approved information collection project: ``Medical Expenditure Panel Survey (MEPS) Household Component and the MEPS Medical Provider Component.'' 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 September 20, 2015 and allowed 60 days for public comment. AHRQ received no substantive comments. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by September 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 [email protected] (attention: AHRQ's desk officer). FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]. 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 [email protected]. SUPPLEMENTARY INFORMATION: Proposed Project Medical Expenditure Panel Survey (MEPS) Household Component (HC) For over thirty years, results from the MEPS and its predecessor surveys (the 1977 National Medical Care Expenditure Survey, the 1980 National Medical Care Utilization and Expenditure Survey and the 1987 National Medical Expenditure Survey) have been used by OMB, DHHS, Congress and a wide number of health services researchers to analyze health care use, expenses and health policy. Major changes continue to take place in the health care delivery system. The MEPS is needed to provide information about the current state of the health care system as well as to track changes over time. The MEPS permits annual estimates of use of health care and expenditures and sources of payment for that health care. It also permits tracking individual change in employment, income, health insurance and health status over two years. The use of the National Health Interview Survey (NHIS) as a sampling frame expands the MEPS analytic capacity by providing another data point for comparisons over time. Households selected for participation in the MEPS-HC are interviewed five times in person. These rounds of interviewing are spaced about 5 months apart. The interview will take place with a family respondent who will report for him or herself and for other family members. The goal of MEPS-HC is to provide nationally representative estimates for the U.S. civilian noninstitutionalized population for health care use, expenditures, sources of payment and health insurance coverage. Medical Expenditure Panel Survey (MEPS) Medical Provider Component (MPC) The MEPS-MPC will contact medical providers (hospitals, physicians, home health agencies and institutions) identified by household respondents in the MEPS-HC as sources of medical care for the time period covered by the interview, and all pharmacies providing prescription drugs to household members during the covered time period. The MEPS-MPC is not designed to yield national estimates as a stand- alone survey. The sample is designed to target the types of individuals and providers for whom household reported expenditure data was expected to be insufficient. For example, Medicaid enrollees are targeted for inclusion in the MEPS-MPC because this group is expected to have limited information about payments for their medical care. There is one addition to the MEPS-MPC being implemented in this renewal request, the MEPS MPC Medical Organizations Survey (MOS). The MEPS MOS will expand current MPC data collection activities to include information on the organization of the practices of office-based care providers identified as a usual source of care in the MEPS MPC. This additional data collection will be for a subset of office-based care providers already included in the MEPS MPC sample. In the MEPS MPC sample, for a nationally representative sample of adults, primary location for individual's office-based usual sources of care will be identified. The MEPS MPC will contact these places where medical care is provided, determine the appropriate respondent and administer a MEPS MOS. The design of the survey will be multimodal including some telephone contact. Additional data collection methods may include phone, fax, mail, self administration, electronic transmission, and the Web. The data collection method chosen for a provider shall be the method that results in the most complete and accurate data with least burden to the provider. The MEPS-MPC collects event level data about medical care received by sampled persons during the relevant time period. The data collected from medical providers include:Dates on which medical encounters during the reference period occurred. Data on the medical content of each encounter, including ICD-9 (or ICD-10) and CPT-4 codes. Data on the charges associated with each encounter, the sources paying for the medical care, including the patient/family, public sources, and private insurance, and amounts paid by each source. Data collected from pharmacies include: Date of prescription fill National drug code (NDC) or prescription name, strength and form Quantity Payments, by source The MEPS-MPC has the following goal: To serve as an imputation source for and to supplement/ replace household reported expenditure and source of payment information. This data will supplement, replace and verify information provided by household respondents about the charges, payments, and sources of payment associated with specific health care encounters. This study is being conducted by AHRQ through its contractors, Westat and RTI International, pursuant to AHRQ's statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to the cost and use of health care services and with respect to health statistics and surveys. 42 U.S.C. 299a(a)(3) and (8); 42 U.S.C. 299b-2. Method of Collection To achieve the goals of the MEPS-HC the following data collections are implemented: 1. Household Component Core Instrument. The core instrument collects data about persons in sample households. Topical areas asked in each round of interviewing include condition enumeration, health status, health care utilization including prescribed medicines, expense and payment, employment, and health insurance. Other topical areas that are asked only once a year [[Page 50002]] include access to care, income, assets, satisfaction with health plans and providers, children's health, and adult preventive care. While many of the questions are asked about the entire reporting unit (RU), which is typically a family, only one person normally provides this information. All sections of the current core instrument are available on the AHRQ Web site at http://meps.ahrq.gov/mepsweb/survey_comp/survey_questionnaires.jsp. 2. Adult Self-Administered Questionnaire. A brief self- administered questionnaire will be used to collect self-reported (rather than through household proxy) information on health status, health opinions and satisfaction with health care for adults 18 and older (see http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#supplemental). The satisfaction with health care items are a subset of items from the Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg]). The health status items are from the Short Form 12 Version 2 (SF-12 version 2), which has been widely used as a measure of self-reported health status in the United States, the Kessler Index (K6) of non-specific psychological distress, and the Patient Health Questionnaire (PHQ-2). This questionnaire is unchanged from the previous OMB clearance. 3. Diabetes Care Self-Administered Questionnaire. A brief self- administered paper-and-pencil questionnaire on the quality of diabetes care is administered once a year (during round 3 and 5) to persons identified as having diabetes. Included are questions about the number of times the respondent reported having a hemoglobin A1c blood test, whether the respondent reported having his or her feet checked for sores or irritations, whether the respondent reported having an eye exam in which the pupils were dilated, the last time the respondent had his or her blood cholesterol checked and whether the diabetes has caused kidney or eye problems. Respondents are also asked if their diabetes is being treated with diet, oral medications or insulin. This questionnaire is unchanged from the previous OMB clearance. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#supplemental. 4. Authorization forms for the MEPS-MPC Provider and Pharmacy Survey. As in previous panels of the MEPS, we will ask respondents for authorization to obtain supplemental information from their medical providers (hospitals, physicians, home health agencies and institutions) and pharmacies. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC_AF for the pharmacy and provider authorization forms. 5. MEPS Validation Interview. Each interviewer is required to have at least 15 percent of his/her caseload validated to insure that computer-assisted personal interview (CAPI) questionnaire content was asked appropriately and procedures followed, for example the use of show cards. Validation flags are set programmatically for cases pre-selected by data processing staff before each round of interviewing. Home office and field management may also request that other cases be validated throughout the field period. When an interviewer fails a validation all their work is subject to 100 percent validation. Additionally, any case completed in less than 30 minutes is validated. A validation abstract form containing selected data collected in the CAPI interview is generated and used by the validator to guide the validation interview. To achieve the goal of the MEPS-MPC the following data collections are implemented: 1. MPC Contact Guide/Screening Call. An initial screening call is placed to determine the type of facility, whether the practice or facility is in scope for the MEPS-MPC, the appropriate MEPS-MPC respondent and some details about the organization and availability of medical records and billing at the practice/facility. All hospitals, physician offices, home health agencies, institutions and pharmacies are screened by telephone. A unique screening instrument is used for each of these seven provider types in the MEPS-MPC, except for the two home care provider types which use the same screening form; see http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC_CG. 2. Home Care Provider Questionnaire for Health Care Providers. This questionnaire is used to collect data from home health care agencies which provide medical care services to household respondents. Information collected includes type of personnel providing care, hours or visits provided per month, and the charges and payments for services received. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 3. Home Care Provider Questionnaire for Non-Health Care Providers. This questionnaire is used to collect information about services provided in the home by non-health care workers to household respondents because of a medical condition; for example, cleaning or yard work, transportation, shopping, or child care. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 4. Medical Event Questionnaire for Office-Based Providers. This questionnaire is for office-based physicians, including doctors of medicine (MDs) and osteopathy (DOs), as well as providers practicing under the direction or supervision of an MD or DO (e.g., physician assistants and nurse practitioners working in clinics). Providers of care in private offices as well as HMOs are included. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 5. Medical Event Questionnaire for Separately Billing Doctors. This questionnaire collects information from physicians identified by hospitals (during the Hospital Event data collection) as providing care to sampled persons during the course of inpatient, outpatient department or emergency room care, but who bill separately from the hospital. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 6. Hospital Event Questionnaire. This questionnaire is used to collect information about hospital events, including inpatient stays, outpatient department, and emergency room visits. Hospital data are collected not only from the billing department, but from medical records and administrative records departments as well. Medical records departments are contacted to determine the names of all the doctors who treated the patient during a stay or visit. In many cases, the hospital administrative office also has to be contacted to determine whether the doctors identified by medical records billed separately from the hospital itself; the doctors that do bill separately from the hospital will be contacted as part of the Medical Event Questionnaire for Separately Billing Doctors. HMOs are included in this provider type. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 7. Institution Event Questionnaire. This questionnaire is used to collect information about institution events, including nursing homes, rehabilitation facilities and skilled nursing facilities. Institution data are collected not only from the billing department, but from medical records and administrative records departments as well. Medical records departments are contacted to determine the names of all the doctors who treated the patient during a stay. In many cases, the institution administrative office also has to be contacted to determine whether the doctors identified by medical records billed separately from the institution itself. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC). 8. Pharmacy Data Collection Questionnaire. This questionnaire requests the national drug code (NDC) and when that is not available the prescription name, date prescription was filled, payments by source, prescription strength and form (when the NDC is not available), quantity, and person for whom the prescription was filled. When the NDC is available, we do not ask for prescription name, strength or form because that information is embedded in the NDC; this reduces burden on the respondent. Most pharmacies have the requested information available in electronic format and respond by providing a computer-generated printout of the patient's prescription information. If the computerized form is unavailable, the pharmacy can report their data to a telephone interviewer. Pharmacies are also able to provide a CD-ROM with the requested information if that is preferred. HMOs are included in this provider type. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 9. Medical Organizations Survey Questionnaire. This questionnaire will collect essential information on important features of the staffing, organization, policies, and financing for identified usual source of office based care providers. This additional data collection will be a subset of office based care providers already included in the MEPS MPC sample and will be a nationally representative sample of adults' primary location for individuals office based usual sources of care. Dentists, optometrists, psychologists, podiatrists, chiropractors, and others not providing care under the supervision of a MD or DO are considered out of scope for the MEPS-MPC. The MEPS is a multi-purpose survey. In addition to collecting data to yield annual estimates for a variety of [[Page 50003]] measures related to health care use and expenditures, MEPS also provides estimates of measures related to health status, consumer assessment of health care, health insurance coverage, demographic characteristics, employment and access to health care indicators. Estimates can be provided for individuals, families and population subgroups of interest. Data obtained in this study are used to provide, among others, the following national estimates: Annual estimates of health care use and expenditures for persons and families Annual estimates of sources of payment for health care utilizations, including public programs such as Medicare and Medicaid, private insurance, and out of pocket payments Annual estimates of health care use, expenditures and sources of payment of persons and families by type of utilization including inpatient stay, ambulatory care, home health, dental care and prescribed medications The number and characteristics of the population eligible for public programs including the use of services and expenditures of the population(s) eligible for benefits under Medicare and Medicaid The number, characteristics, and use of services and expenditures of persons and families with various forms of insurance Annual estimates of consumer satisfaction with health care, and indicators of health care quality for key conditions Annual estimates to track disparities in health care use and access In addition to national estimates, data collected in this ongoing, longitudinal study are used to study the determinants of the use of services and expenditures, and changes in the access to and the provision of health care in relation to: Socio-economic and demographic factors such as employment or income The health status and satisfaction with health care of individuals and families The health needs and circumstances of specific subpopulation groups such as the elderly and children To meet the need for national data on health care use, access, cost and quality, MEPS-HC collects information on: Access to care and barriers to receiving needed care Satisfaction with usual providers Health status and limitations in activities Medical conditions for which health care was used Use, expense and payment (as well as insurance status of person receiving care) for health services Given the twin problems of the lack of response and response error of some household reported data, information is collected directly from medical providers in the MEPS-MPC to improve the accuracy of expenditure estimates derived from the MEPS-HC. Because of their greater level of precision and detail, we also use MEPS-MPC data as the main source of imputations of missing expenditure data. Thus, the MEPS- MPC is designed to satisfy the following analytical objectives: Serve as source data for household reported events with missing expenditure information Serve as an imputation source to reduce the level of bias in survey estimates of medical expenditures due to item nonresponse and less complete and less accurate household data Serve as the primary data source for expenditure estimates of medical care provided by separately billing doctors in hospitals, emergency rooms, and outpatient departments, Medicaid recipients and expenditure estimates for pharmacies Allow for an examination of the level of agreement in reported expenditures from household respondents and medical providers Data from the MEPS, both the HC and MPC components, are intended for a number of annual reports produced by AHRQ, including the National Healthcare Quality and Disparities Report. The MEPS MPC MOS data will be used to create a database that will be unique in providing an internally consistent source of information both on individuals' characteristics and health care utilization and expenditures, and on the characteristics of the providers they use. The following areas will be addressed in the MOS as they potentially affect individuals' access to, use of and affordability of health care services: Organizational characteristics, e.g., size, specialties covered, practice rules and procedures, patient mix and scope of care provided, membership in an ACO, certification as a primary care medical home Use of health information technology Policies and practices related to the Affordable Care Act Financial arrangements, e.g., reimbursement methods, number and types of insurance contracts, compensation arrangements within the practice Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents' time to participate in the MEPS-HC and the MEPS-MPC. The MEPS-HC Core Interview will be completed by 15,093* (see note below Exhibit 1) ``family level'' respondents, also referred to as RU respondents. Since the MEPS-HC consists of 5 rounds of interviewing covering a full two years of data, the annual average number of responses per respondent is 2.5 responses per year. The MEPS-HC core requires an average time of 92 minutes to administer. The Adult SAQ will be completed once a year by each person in the RU that is 18 years old and older, an estimated 28,254 persons. The Adult SAQ requires an average of 7 minutes to complete. The Diabetes care SAQ will be completed once a year by each person in the RU identified as having diabetes, an estimated 2,345 persons, and takes about 3 minutes to complete. The authorization form for the MEPS-MPC Provider Survey will be completed once for each medical provider seen by any RU member. The 14,489 RUs in the MEPS-HC will complete an average of 5.4 forms, which require about 3 minutes each to complete. The authorization form for the MEPS-MPC Pharmacy Survey will be completed once for each pharmacy for any RU member who has obtained a prescription medication. RUs will complete an average of 3.1 forms, which take about 3 minutes to complete. About one third of all interviewed RUs will complete a validation interview as part of the MEPS-HC quality control, which takes an average of 5 minutes to complete. The total annual burden hours for the MEPS-HC are estimated to be 67,826 hours. All medical providers and pharmacies included in the MEPS-MPC will receive a screening call and the MEPS-MPC uses 7 different questionnaires; 6 for medical providers and 1 for pharmacies. Each questionnaire is relatively short and requires 2 to 15 minutes to complete. The total annual burden hours for the MEPS-MPC are estimated to be 18,876 hours. The total annual burden for the MEPS-HC and MPC is estimated to be 86,702 hours. Exhibit 2 shows the estimated annual cost burden associated with the respondents' time to participate in this information collection. The annual cost burden for the MEPS-HC is estimated to be $1,540,328; the annual cost burden for the MEPS-MPC is estimated to be $302,985. The total annual cost burden for the MEPS-HC and MPC is estimated to be $1,843,313. [[Page 50004]] Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Form name Number of responses per Hours per Total burden respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- MEPS-HC ---------------------------------------------------------------------------------------------------------------- MEPS-HC Core Interview.......................... * 15,093 2.5 92/60 57,857 Adult SAQ....................................... 28,254 1 7/60 3,296 Diabetes care SAQ............................... 2,345 1 3/60 117 Authorization form for the MEPS-MPC Provider 14,489 5.4 3/60 3,912 Survey......................................... Authorization form for the MEPS-MPC Pharmacy 14,489 3.1 3/60 2,246 Survey......................................... MEPS-HC Validation Interview.................... 4,781 1 5/60 398 --------------------------------------------------------------- Subtotal for the MEPS-HC.................... 79,451 na na 67,826 ---------------------------------------------------------------------------------------------------------------- MEPS-MPC/MOS ---------------------------------------------------------------------------------------------------------------- MPC Contact Guide/Screening Call **............. 35,222 1 2/60 1,174 Home care for health care providers 532 1.49 9/60 119 questionnaire.................................. Home care for non-health care providers 25 1 11/60 5 questionnaire.................................. Office[dash]based providers questionnaire....... 11,785 1.44 10/60 2,828 Separately billing doctors questionnaire........ 12,693 3.43 13/60 9,433 Hospitals questionnaire......................... 5,077 3.51 9/60 2,673 Institutions (non-hospital) questionnaire....... 117 2.03 9/60 36 Pharmacies questionnaire........................ 4,993 4.44 3/60 1,108 Medical Organizations Survey questionnaire...... 6,000 1 15/60 1,500 --------------------------------------------------------------- Subtotal for the MEPS-MPC................... 76,444 na na 18,876 --------------------------------------------------------------- Grand Total............................. 155,895 na na 86,702 ---------------------------------------------------------------------------------------------------------------- * While the expected number of responding units for the annual estimates is 14,489, it is necessary to adjust for survey attrition of initial respondents by a factor of 0.96 (15,093 = 14,489/0.96). ** There are 6 different contact guides; one for office based, separately billing doctor, hospital, institution, and pharmacy provider types, and the two home care provider types use the same contact guide. Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Number of Total burden Average hourly Total cost Form name respondents hours wage rate burden ---------------------------------------------------------------------------------------------------------------- MEPS-HC ---------------------------------------------------------------------------------------------------------------- MEPS-HC Core Interview.......................... 15,093 57,857 * $22.71 $1,313,932 Adult SAQ....................................... 28,254 3,296 * 22.71 74,852 Diabetes care SAQ............................... 2,345 117 * 22.71 2,657 Authorization forms for the MEPS-MPC Provider 14,489 3,912 * 22.71 88,842 Survey......................................... Authorization form for the MEPS-MPC Pharmacy 14,489 2,246 * 22.71 51,007 Survey......................................... MEPS-HC Validation Interview.................... 4,781 398 * 22.71 9,039 --------------------------------------------------------------- Subtotal for the MEPS-HC.................... 79,451 67,826 na 1,540,328 ---------------------------------------------------------------------------------------------------------------- MEPS-MPC/MOS ---------------------------------------------------------------------------------------------------------------- MPC Contact Guide/Screening Call................ 35,222 1,174 ** 16.12 18,925 Home care for health care providers 532 119 ** 16.12 1,918 questionnaire.................................. Home care for non-health care providers 25 5 ** 16.12 81 questionnaire.................................. Office-based providers questionnaire............ 11,785 2,828 ** 16.12 45,587 Separately billing doctors questionnaire........ 12,693 9,433 ** 16.12 152,060 Hospitals questionnaire......................... 5,077 2,673 ** 16.12 43,089 Institutions (non-hospital) questionnaire....... 117 36 ** 16.12 580 Pharmacies questionnaire........................ 4,993 1,108 *** 14.95 16,565 Medical Organizations Survey questionnaire...... 6,000 1,500 ** 16.12 24,180 --------------------------------------------------------------- Subtotal for the MEPS-MPC................... 76,444 18,876 na 302,985 --------------------------------------------------------------- Grand Total............................. 155,895 86,073 na 1,843,313 ---------------------------------------------------------------------------------------------------------------- * Mean hourly wage for All Occupations (00-0000). ** Mean hourly wage for Medical Secretaries (43-6013). *** Mean hourly wage for Pharmacy Technicians (29-2052). Occupational Employment Statistics, May 2014 National Occupational Employment and Wage Estimates United States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm#b29-0000. [[Page 50005]] 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, Deputy Director. [FR Doc. 2015-20358 Filed 8-17-15; 8:45 am] BILLING CODE 4160-90-P
![50000 Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices
desk officer for the agencies by mail to a U.S. branch or agency of the foreign agencies are pursuing prudent country
the Office of Information and Regulatory bank. Managed or controlled means that risk diversification policies and limiting
Affairs, Office of Management and a majority of the responsibility for potential liquidity pressures. No
Budget, New Executive Office Building, business decisions, including but not changes were proposed to the FFIEC 019
Room 10235, 725 17th Street NW., limited to decisions with regard to reporting form or instructions.
Washington, DC 20503; by fax to (202) lending or asset management or funding Board of Governors of the Federal Reserve
395–6974; or by email to oira_ or liability management, or the System, August 12, 2015.
submission@omb.eop.gov. responsibility for recordkeeping in Robert deV. Frierson,
FOR FURTHER INFORMATION CONTACT: respect of assets or liabilities for that Secretary of the Board.
Additional information or a copy of the foreign branch, resides at the U.S.
[FR Doc. 2015–20275 Filed 8–17–15; 8:45 am]
collections may be requested from Nuha branch or agency. A separate FFIEC
BILLING CODE 6210–01–P
Elmaghrabi, Federal Reserve Board 002S must be completed for each
Clearance Officer, (202) 452–3829, managed or controlled non-U.S. branch.
Office of the Chief Data Officer, Board The FFIEC 002S must be filed quarterly FEDERAL RESERVE SYSTEM
of Governors of the Federal Reserve along with the U.S. branch or agency’s
System, 20th and C Streets NW., FFIEC 002. The data from both reports Change in Bank Control Notices;
Washington, DC 20551. are used for (1) monitoring deposit and Acquisitions of Shares of a Bank or
Telecommunications Device for the Deaf credit transactions of U.S. residents; (2) Bank Holding Company
(TDD) users may call (202) 263–4869. monitoring the impact of policy
changes; (3) analyzing structural issues The notificants listed below have
SUPPLEMENTARY INFORMATION: Proposal applied under the Change in Bank
to request approval from OMB of the concerning foreign bank activity in U.S.
markets; (4) understanding flows of Control Act (12 U.S.C. 1817(j)) and
extension for three years, without § 225.41 of the Board’s Regulation Y (12
revision, of the following reports: banking funds and indebtedness of
developing countries in connection with CFR 225.41) to acquire shares of a bank
1. Report titles: Report of Assets and or bank holding company. The factors
Liabilities of U.S. Branches and data collected by the International
Monetary Fund and the Bank for that are considered in acting on the
Agencies of Foreign Banks; Report of notices are set forth in paragraph 7 of
Assets and Liabilities of a Non-U.S. International Settlements that are used
in economic analysis; and (5) assisting the Act (12 U.S.C. 1817(j)(7)).
Branch that is Managed or Controlled by The notices are available for
a U.S. Branch or Agency of a Foreign in the supervision of U.S. offices of
foreign banks. The Federal Reserve immediate inspection at the Federal
(Non-U.S.) Bank. Reserve Bank indicated. The notices
Agency form numbers: FFIEC 002; System collects and processes these
reports on behalf of all three agencies. also will be available for inspection at
FFIEC 002S. the offices of the Board of Governors.
OMB control number: 7100–0032. No changes were proposed to the FFIEC
002 and FFIEC 002S reporting forms or Interested persons may express their
Frequency of response: Quarterly. views in writing to the Reserve Bank
Affected public: U.S. branches and instructions.
2. Report title: Country Exposure indicated for that notice or to the offices
agencies of foreign banks. of the Board of Governors. Comments
Number of respondents: FFIEC 002— Report for U.S. Branches and Agencies
of Foreign Banks. must be received not later than
223; FFIEC 002S—49. September 2, 2015.
Estimated average time per response: Agency form number: FFIEC 019.
OMB control number: 7100–0213. A. Federal Reserve Bank of Richmond
FFIEC 002—25.43 hours; FFIEC 002S— Frequency of response: Quarterly. (Adam M. Drimer, Assistant Vice
6.0 hours. Affected public: U.S. branches and President) 701 East Byrd Street,
Estimated total annual burden: FFIEC agencies of foreign banks. Richmond, Virginia 23261–4528:
002—22,684 hours; FFIEC 002S—1,176 Number of respondents: 167. 1. Robert G. Lowe, Fort Myers,
hours. Estimated average time per response: Florida; to acquire voting shares of
General description of reports: These 10 hours. Palmetto Heritage Bancshares, Inc., and
information collections are mandatory Estimated total annual burden: 6,680 thereby indirectly acquire voting shares
(12 U.S.C. 3105(c)(2), 1817(a)(1) and (3), hours. of Palmetto Heritage Bank & Trust, both
and 3102(b)). Except for select sensitive General description of reports: This in Pawleys Island, South Carolina.
items, the FFIEC 002 is not given information collection is mandatory (12
Board of Governors of the Federal Reserve
confidential treatment; the FFIEC 002S U.S.C. 3906 for all agencies); 12 U.S.C. System, August 13, 2015.
is given confidential treatment (5 U.S.C. 3105 and 3108 for the Board; 12 U.S.C. Margaret McCloskey Shanks,
552(b)(4) and (8)). 1817 and 1820 for the FDIC; and 12
Abstract: On a quarterly basis, all U.S. Deputy Secretary of the Board.
U.S.C. 161 for the OCC. This
branches and agencies of foreign banks [FR Doc. 2015–20321 Filed 8–17–15; 8:45 am]
information collection is given
are required to file the FFIEC 002, confidential treatment under the BILLING CODE 6210–01–P
which is a detailed report of condition Freedom of Information Act (5 U.S.C.
with a variety of supporting schedules. 552(b)(8)).
This information is used to fulfill the Abstract: All individual U.S. branches DEPARTMENT OF HEALTH AND
supervisory and regulatory requirements and agencies of foreign banks that have HUMAN SERVICES
of the International Banking Act of more than $30 million in direct claims
asabaliauskas on DSK5VPTVN1PROD with NOTICES
1978. The data are also used to augment on residents of foreign countries must Agency for Healthcare Research and
the bank credit, loan, and deposit file the FFIEC 019 report quarterly. Quality
information needed for monetary policy Currently, all respondents report
Agency Information Collection
and other public policy purposes. The adjusted exposure amounts to the five
Activities: Proposed Collection;
FFIEC 002S is a supplement to the largest countries having at least $20
Comment Request
FFIEC 002 that collects information on million in total adjusted exposure. The
assets and liabilities of any non-U.S. agencies collect this data to monitor the AGENCY:Agency for Healthcare Research
branch that is managed or controlled by extent to which such branches and and Quality, HHS.
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![Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices 50005
Request for Comments DATES: Comments on this notice must be characteristics (e.g., number of beds,
In accordance with the Paperwork received by September 17, 2015. teaching status, geographic location)
Reduction Act, comments on AHRQ’s ADDRESSES: Written comments should and respondent characteristics (e.g.,
information collection are requested be submitted to: AHRQ’s OMB Desk position type, work area/unit).
Officer by fax at (202) 395–6974 The survey constructed in 2004
with regard to any of the following: (a)
(attention: AHRQ’s desk officer) or by remains in use today, more than 10
Whether the proposed collection of
email at OIRA_submission@ years after its initial launch. Since the
information is necessary for the proper launch of HSOPS, AHRQ has funded
performance of AHRQ health care omb.eop.gov (attention: AHRQ’s desk
officer). development of patient safety culture
research and health care information surveys for other settings. In 2008,
dissemination functions, including FOR FURTHER INFORMATION CONTACT: surveys were published for outpatient
whether the information will have Doris Lefkowitz, AHRQ Reports medical offices (OMB control no. 0935–
practical utility; (b) the accuracy of Clearance Officer, (301) 427–1477, or by 0131) and nursing homes (OMB control
AHRQ’s estimate of burden (including email at doris.lefkowitz@AHRQ.hhs.gov. no. 0935–0132). In 2012, a survey for
hours and costs) of the proposed SUPPLEMENTARY INFORMATION: community pharmacies (OMB control
collection(s) of information; (c) ways to no. 0935–0183) was released. Surveys
enhance the quality, utility, and clarity Pilot Test of the Proposed Hospital
for each setting built upon the strengths
of the information to be collected; and Survey on Patient Safety Culture
of HSOPS but improved and updated
(d) ways to minimize the burden of the Version 2.0 items where appropriate.
collection of information upon the Proposed Project Users of HSOPS have provided
respondents, including the use of feedback over the years suggesting that
automated collection techniques or In 2004, AHRQ developed and changes to the instrument would be
other forms of information technology. published a measurement tool to assess valuable and welcomed. The
Comments submitted in response to the culture of patient safety in hospitals comparative database registrants
this notice will be summarized and (OMB control no. 0935–0115). The provided feedback about potential
included in the Agency’s subsequent Hospital Survey on Patient Safety changes in 2013, and telephone
request for OMB approval of the Culture (HSOPS) is a survey of interviews were conducted with 8
proposed information collection. All providers and staff that can be current survey users and vendors to gain
comments will become a matter of implemented by hospitals to identify an in-depth understanding of their
public record. strengths and areas for patient safety thoughts on the current survey and
culture improvement as well as raise possible changes. As a result of this
Sharon B. Arnold, awareness about patient safety. When feedback, the Hospital Survey on Patient
Deputy Director. conducted routinely, the survey can be Safety Culture Version 2.0 (HSOPS 2.0)
[FR Doc. 2015–20358 Filed 8–17–15; 8:45 am] used to examine trends in patient safety is being constructed with the following
BILLING CODE 4160–90–P culture over time and evaluate the 8 objectives in mind.
cultural impact of patient safety (1) Shift to a Just Culture framework
initiatives and interventions. The data for understanding responses to errors. In
DEPARTMENT OF HEALTH AND can also be used to make comparisons the original HSOPS, questions around
HUMAN SERVICES across hospital units. AHRQ also responses to errors were negatively
produced a survey user’s guide to assist worded to detect a ‘‘culture of blame’’
Agency for Healthcare Research and hospitals in conducting the survey in organizations. For example,
Quality successfully. The guide addresses issues respondents evaluated the extent to
such as which providers and staff which errors were held against them
Agency Information Collection
should complete the survey, how to and whether it felt as though the person
Activities: Proposed Collection;
select a sample of hospital providers was being written up rather than the
Comment Request
and staff, how to administer the problem. In contrast, a Just Culture
AGENCY: Agency for Healthcare Research questionnaire, and how to analyze and framework emphasizes learning from
and Quality, HHS. report on the resulting data. mistakes, providing a safe environment
ACTION: Notice. Since 2004, thousands of hospitals for reporting errors, and utilizing a
within the U.S. and internationally have balanced approach to errors that
SUMMARY: This notice announces the implemented the survey. In response to considers both system and individual
intention of the Agency for Healthcare requests for comparative data from other behavioral reasons as causes for errors.
Research and Quality (AHRQ) to request hospitals, AHRQ funded the New items will be constructed in
that the Office of Management and development of a comparative database HSOPS 2.0 to capture the extent to
Budget (OMB) approve the proposed on the survey in 2006 (OMB control no. which positive responses to error
information collection project: ‘‘Pilot 0935–0162). The database is currently consistent with a Just Culture
Test of the Proposed Hospital Survey on compiled every two years, using the framework are present in an
Patient Safety Culture Version 2.0.’’ In latest data provided by participating organization. For example, respondents
accordance with the Paperwork hospitals (and retaining submitted data will be asked to evaluate the extent to
Reduction Act, 44 U.S.C. 3501–3521, for no more than 2 years). Reports which the organization tries to
AHRQ invites the public to comment on describing the findings from analysis of understand the factors that lead to
asabaliauskas on DSK5VPTVN1PROD with NOTICES
this proposed information collection. the database are made available on the patient safety errors.
This proposed information collection AHRQ Web site to assist hospitals in (2) Reduce the number of negatively
was previously published in the Federal comparing their results. The 2014 worded items. The original HSOPS had
Register on May 7, 2015 and allowed 60 database contains data from 405,281 negatively worded items. For example,
days for public comment. AHRQ hospital provider and staff respondents respondents are asked whether there are
received one comment of substance. The within 653 participating hospitals. The ‘‘patient safety problems in this unit’’
purpose of this notice is to allow an 2014 User Comparative Database Report (negatively worded). Using some
additional 30 days for public comment. presents results by hospital negatively worded items was intended
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Document Created: 2015-12-15 12:05:20
Document Modified: 2015-12-15 12:05:20
| 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 September 17, 2015. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 80 FR 50000 |
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