81_FR_17775 81 FR 17714 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 17714 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality

Federal Register Volume 81, Issue 61 (March 30, 2016)

Page Range17714-17715
FR Document2016-07118

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: ``Survey of Hospital Quality Leaders.'' In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the public to comment on this proposed information collection.

Federal Register, Volume 81 Issue 61 (Wednesday, March 30, 2016)
[Federal Register Volume 81, Number 61 (Wednesday, March 30, 2016)]
[Notices]
[Pages 17714-17715]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-07118]


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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: ``Survey of Hospital Quality Leaders.'' In accordance with the 
Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the public 
to comment on this proposed information collection.

DATES: Comments on this notice must be received by May 31, 2016.

[[Page 17715]]


ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, 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

Survey of Hospital Quality Leaders

    The Consumer Assessment of Healthcare Providers and Systems 
(CAHPS[supreg]) Hospital Survey (HCAHPS) was first implemented on a 
voluntary basis in 2006 to assess patients' experiences with care. 
Today, hospitals subject to the Inpatient Prospective Payment System 
(IPPS) annual payment update provisions are required to collect and 
submit HCAHPS data in order to receive their full annual payment 
update. In addition, HCAHPS performance was added to the calculation of 
the value-based incentive payment in the Hospital Value-Based 
Purchasing (Hospital VBP) program, beginning with discharges in October 
2012. The FY 2015 Hospital VBP program links 30% of the Inpatient 
Prospective Payment System hospitals' payment from CMS to HCAHPS 
performance.
    Despite the high stakes associated with HCAHPS scores, little is 
known about the ways in which hospitals are using HCAHPS data and 
supplemental information about patient experience to understand and 
improve their patients' experiences.
    This research has the following goals:
    (1) To characterize the role of HCAHPS in hospitals' efforts to 
improve patient experiences
    (2) to identify the types of quality improvement activities that 
hospitals implement to improve their HCAHPS scores
    (3) to describe hospitals' perspectives on HCAHPS
    (4) to determine the types of information collected by hospitals 
beyond those required for Hospital VBP
    This study is being conducted by AHRQ through its contractor, the 
RAND Corporation, 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 quality, effectiveness, 
efficiency, appropriateness and value of health care services and with 
respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) 
and (2).

Method of Collection

    Survey of Hospital Quality Leaders: This survey will elicit 
information from approximately 500 hospital quality leaders in a 
variety of hospital settings, including high- and low-performing 
hospitals, facilities of varying sizes, and hospitals representing all 
nine geographic Census divisions. Hospital quality leaders will be 
asked to provide information about the use of HCAHPS in their hospital, 
with questions addressing all of the substantive areas identified in 
the goals section above.
    Characterizing hospitals' use of HCAHPS data will provide important 
insight into the activities hospitals conduct to improve patient 
experience scores. This information may be useful in supporting 
hospitals that lag behind their peers, learning from hospitals with 
outstanding records of patient experience, and providing 
recommendations that may be used to refine HCAHPS survey content.

Estimated Annual Respondent Burden

    Table 1 shows the estimated annualized burden and cost for the 
respondents' time to participate in this data collection. These burden 
estimates are based on tests of data collection conducted on nine or 
fewer entities. As indicated below, the annual total burden hours are 
estimated to be 294 hours. The annual total cost associated with the 
annual total burden hours is estimated to be $14,708.
    Table 1 shows the estimated annualized burden for the respondents' 
time to participate in this data collection. The Survey of Hospital 
Quality Leaders will be administered to 500 individuals. Prior work 
suggests that 3-5 items can typically be completed per minute, 
depending on item complexity and respondent characteristics, (Hays & 
Reeve, 2010; Berry, 2009). We have calculated our burden estimate using 
a conservative estimate of 4.5 items per minute. The survey contains 
159 items and is thus estimated to require an average administration 
time of 35 minutes. As indicated below, the annual total burden hours 
are estimated to be 294 hours.

                                                   Table 1--Estimated Annualized Burden Hours and Cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                             Number of                                        Average
                     Collection task                         Number of     responses per    Hours  per     Total burden     hourly wage     Total cost
                                                            respondents     respondent       response          hours          rate *          burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
Survey of Hospital Quality Leaders......................             500               1             .59             294          $49.96         $14,708
                                                         -----------------------------------------------------------------------------------------------
    Totals..............................................  ..............  ..............  ..............             294  ..............         $14,708
--------------------------------------------------------------------------------------------------------------------------------------------------------
* Based upon mean hourly wages, ``National Compensation Survey: All United States December 2009-January 2011,'' U.S. Department of Labor, Bureau of
  Labor Statistics.

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,
Acting Director.
[FR Doc. 2016-07118 Filed 3-29-16; 8:45 am]
 BILLING CODE 4160-90-P



                                                    17714                       Federal Register / Vol. 81, No. 61 / Wednesday, March 30, 2016 / Notices

                                                    agenda will be announced at the                         Inc., World Logistics Service (USA) Inc.,                (3) The FMC determine that this
                                                    beginning of the meeting.                               Höegh Autoliners AS, Höegh Autoliners, Inc.,        action may be maintained as a class
                                                                                                            Nissan Motor Car Carriers Co. Ltd., Kawasaki          action under Rule 23(a), (b)(2) and (b)(3)
                                                    Type of Meeting                                         Kisen Kaisha, Ltd., ‘‘K’’ Line America, Inc.,         of the Federal Rules of Civil Procedure,
                                                       The meeting will be open to the                      Wallenius Wilhelmsen Logistics AS,
                                                                                                            Wallenius Wilhelmsen Logistics Americas
                                                                                                                                                                  and direct that reasonable notice of this
                                                    public, limited only by the space                       LLC, EUKOR Car Carriers Inc., Compañı́a              action, as provided by Rule 23(c)(2) of
                                                    available, on a first-come, first-served                Sud Americana De Vaporess.A., and CSAV                the Federal Rules of Civil Procedure, be
                                                    basis. For security reasons, members of                 Agency North America, LLC                             given to each and every member of the
                                                    the public will be subject to security                                                                        Class;
                                                    screening procedures and must present                      Notice is given that a Complaint has                  (4) That Complainants be awarded
                                                    valid photo identification to enter the                 been filed with the Federal Maritime                  reparations in a sum to be proven under
                                                    building. The FDIC will provide                         Commission (Commission) by the above                  46 U.S.C. 41305, with interest (46 U.S.C.
                                                    attendees with auxiliary aids (e.g., sign               named Complainants, on behalf of                      41305(a)) and reasonable attorneys’ fees
                                                    language interpretation) required for                   themselves and all others similarly                   (46 U.S.C. 41305 (b));
                                                    this meeting. Those attendees needing                   situated, hereinafter ‘‘Complainants,’’                  (5) That Complainants be awarded
                                                    such assistance should call (703) 562–                  against the above named providers of                  double its proven actual injury under 46
                                                    6067 (Voice or TTY) at least two days                   ‘‘Vehicle Carrier Services’’ and                      U.S.C. 41305(c) because Respondents
                                                    before the meeting to make necessary                    unnamed co-conspirators, hereinafter                  and their co-conspirators violated 46
                                                    arrangements. Written statements may                    ‘‘Respondents.’’ The Complaint is                     U.S.C. 41102(b) and 41105(1);
                                                    be filed with the SR Advisory                           brought as a proposed class action.                      (6) That Respondents be found jointly
                                                    Committee before or after the meeting.                  Complainants ‘‘seek to represent all                  and severally liable for the conduct
                                                    This SR Advisory Committee meeting                      persons and entities in the United States             alleged herein including that of their co-
                                                    will be Webcast live via the Internet and               who purchased or leased a new,                        conspirators; and
                                                    subsequently made available on-                         assembled motor vehicle for personal                     (7) That such other and further order
                                                    demand approximately two weeks after                    use and not for resale, incorporating a               or orders be made as the FMC
                                                    the event. Visit https://fdic.primetime.                Vehicle Carrier Service charge charged                determines to be proper.
                                                    mediaplatform.com/#!/channel/                           by any Respondent or any current or                      The full text of the complaint can be
                                                    1384300429544/                                          former subsidiary or affiliate thereof, or            found in the Commission’s Electronic
                                                    Advisory+Committee+on+Systemic+                         any co-conspirator, from and including                Reading Room at www.fmc.gov/16-07.
                                                                                                            January 1, 2000. . . .’’ Complainants                    This proceeding has been assigned to
                                                    Resolution to view the event. If you
                                                                                                            allege that Respondents ‘‘transport large             the Office of Administrative Law Judges.
                                                    need any technical assistance, please
                                                                                                            numbers of cars, trucks, and other                    The initial decision of the presiding
                                                    visit our Video Help page at: https://
                                                                                                            automotive vehicles including                         officer in this proceeding shall be issued
                                                    www.fdic.gov/video.html.
                                                                                                            agriculture and construction equipment                by March 24, 2017 and the final
                                                      Dated: March 25, 2016.                                                                                      decision of the Commission shall be
                                                                                                            . . . across large bodies of water using
                                                    Federal Deposit Insurance Corporation.                  specialized cargo ships known as Roll                 issued by October 10, 2017.
                                                    Robert E. Feldman,                                      On/Roll Off vessels. . . .’’                          Karen V. Gregory,
                                                    Executive Secretary, Federal Deposit                       Complainants allege that Respondents
                                                    Insurance Corporation.                                                                                        Secretary.
                                                                                                            violated provisions of the Shipping Act               [FR Doc. 2016–07105 Filed 3–29–16; 8:45 am]
                                                    [FR Doc. 2016–07127 Filed 3–29–16; 8:45 am]             of 1984, including 46 U.S.C. 40302(a),                BILLING CODE 6731–AA–P
                                                    BILLING CODE 6714–01–P                                  41102(b)(1), 41102(c), 41103(a)(1) and
                                                                                                            (2), 41104(10), 41105(1) and (6), and the
                                                                                                            Commission’s regulations at 46 CFR
                                                                                                                                                                  DEPARTMENT OF HEALTH AND
                                                    FEDERAL MARITIME COMMISSION                             535.401 et seq., because they
                                                                                                                                                                  HUMAN SERVICES
                                                                                                            ‘‘participated in a combination and
                                                    [Docket No. 16–07]                                      conspiracy to suppress and eliminate                  Agency for Healthcare Research and
                                                    Notice of Filing of Complaint and                       competition in the Vehicle Carrier                    Quality
                                                    Assignment                                              Services market by agreeing to fix, raise,
                                                                                                            stabilize and/or maintain the prices of,              Agency Information Collection
                                                       Jill M. Alban, Grant M. Alban, Mary                  and allocate the market and customers                 Activities: Proposed Collection;
                                                    Arnold, Al Baker, Katrina Bonar, Emmett R.              for Vehicle Carrier Services sold to                  Comment Request
                                                    Brophy, Steven Bruzonsky, Monica Bushey,                automobile manufacturers and others in
                                                    Craig Buske, Doda ‘‘Danny’’ Camaj,                                                                            AGENCY: Agency for Healthcare Research
                                                                                                            the United States, and elsewhere, for the
                                                    Stephanie B. Crosby, Melinda Deneau,                    import and export of new, assembled                   and Quality, HHS.
                                                    Jennifer Dillon, Jeffrey L. Gannon, Pamela                                                                    ACTION: Notice.
                                                    Goessling,Thomas Goessling, Sean Gurney,
                                                                                                            motor vehicles to and from the United
                                                    Sheryl Haley, Lesley Denise Hart, Bruce                 States.’’                                             SUMMARY: This notice announces the
                                                    Hertz, Elizabeth Ashley Hill Nèe Edwards,                 Complainants request the following                 intention of the Agency for Healthcare
                                                    Maria Kooken, Adair Lara, Christine Laster,             relief:                                               Research and Quality (AHRQ) to request
                                                    Kori Lehrkamp, Michael Lehrkamp, John                      (1) That Respondents be required to                that the Office of Management and
                                                    Leyva, Joan Macquarrie, Daniel Morris, Tony             answer the charges herein;                            Budget (OMB) approve the proposed
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Nikprelaj, Gustavo Adolfo Perez, Judy A.
                                                    Reiber, Roberta Rothstein, Jeffrey Rubinstein,             (2) That after due investigation and               information collection project: ‘‘Survey
                                                    Alexandra Scott, Jason Smith, Catherine                 hearing Respondents be found to have                  of Hospital Quality Leaders.’’ In
                                                    Taylor, Richard Tomasko, and Demian                     violated 46 U.S.C. 40302(a), 41102(b)(l),             accordance with the Paperwork
                                                    Vargas,                                                 41102(c), 41103(a)(l) and (2), 41104(10),             Reduction Act, 44 U.S.C. 3501–3521,
                                                    V.                                                      41105(1) and (6), and 46 CFR 535.401,                 AHRQ invites the public to comment on
                                                       Nippon Yusen Kabushiki Kaisha, Nyk Line              et seq., and such other provisions as to              this proposed information collection.
                                                    (North America) Inc., Mitsui O.S.K. Lines,              which violations may be proved                        DATES: Comments on this notice must be
                                                    Ltd., Mitsui O.S.K. Bulk Shipping (USA),                hereunder;                                            received by May 31, 2016.


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                                                                                        Federal Register / Vol. 81, No. 61 / Wednesday, March 30, 2016 / Notices                                                                                  17715

                                                    ADDRESSES:   Written comments should                                   information about patient experience to                                     Characterizing hospitals’ use of
                                                    be submitted to: Doris Lefkowitz,                                      understand and improve their patients’                                    HCAHPS data will provide important
                                                    Reports Clearance Officer, AHRQ, by                                    experiences.                                                              insight into the activities hospitals
                                                    email at doris.lefkowitz@AHRQ.hhs.gov.                                   This research has the following goals:                                  conduct to improve patient experience
                                                      Copies of the proposed collection                                      (1) To characterize the role of                                         scores. This information may be useful
                                                    plans, data collection instruments, and                                HCAHPS in hospitals’ efforts to improve                                   in supporting hospitals that lag behind
                                                    specific details on the estimated burden                               patient experiences                                                       their peers, learning from hospitals with
                                                    can be obtained from the AHRQ Reports                                    (2) to identify the types of quality                                    outstanding records of patient
                                                    Clearance Officer.                                                     improvement activities that hospitals                                     experience, and providing
                                                    FOR FURTHER INFORMATION CONTACT:                                       implement to improve their HCAHPS                                         recommendations that may be used to
                                                    Doris Lefkowitz, AHRQ Reports                                          scores                                                                    refine HCAHPS survey content.
                                                    Clearance Officer, (301) 427–1477, or by                                 (3) to describe hospitals’ perspectives                                 Estimated Annual Respondent Burden
                                                    email at doris.lefkowitz@AHRQ.hhs.gov.                                 on HCAHPS
                                                    SUPPLEMENTARY INFORMATION:                                               (4) to determine the types of                                              Table 1 shows the estimated
                                                                                                                           information collected by hospitals                                        annualized burden and cost for the
                                                    Proposed Project                                                                                                                                 respondents’ time to participate in this
                                                                                                                           beyond those required for Hospital VBP
                                                    Survey of Hospital Quality Leaders                                       This study is being conducted by                                        data collection. These burden estimates
                                                      The Consumer Assessment of                                           AHRQ through its contractor, the RAND                                     are based on tests of data collection
                                                    Healthcare Providers and Systems                                       Corporation, pursuant to AHRQ’s                                           conducted on nine or fewer entities. As
                                                    (CAHPS®) Hospital Survey (HCAHPS)                                      statutory authority to conduct and                                        indicated below, the annual total
                                                    was first implemented on a voluntary                                   support research on health care and on                                    burden hours are estimated to be 294
                                                    basis in 2006 to assess patients’                                      systems for the delivery of such care,                                    hours. The annual total cost associated
                                                    experiences with care. Today, hospitals                                including activities with respect to the                                  with the annual total burden hours is
                                                    subject to the Inpatient Prospective                                   quality, effectiveness, efficiency,                                       estimated to be $14,708.
                                                    Payment System (IPPS) annual payment                                   appropriateness and value of health care                                     Table 1 shows the estimated
                                                    update provisions are required to collect                              services and with respect to quality                                      annualized burden for the respondents’
                                                    and submit HCAHPS data in order to                                     measurement and improvement. 42                                           time to participate in this data
                                                    receive their full annual payment                                      U.S.C. 299a(a)(1) and (2).                                                collection. The Survey of Hospital
                                                    update. In addition, HCAHPS                                                                                                                      Quality Leaders will be administered to
                                                                                                                           Method of Collection                                                      500 individuals. Prior work suggests
                                                    performance was added to the
                                                    calculation of the value-based incentive                                 Survey of Hospital Quality Leaders:                                     that 3–5 items can typically be
                                                    payment in the Hospital Value-Based                                    This survey will elicit information from                                  completed per minute, depending on
                                                    Purchasing (Hospital VBP) program,                                     approximately 500 hospital quality                                        item complexity and respondent
                                                    beginning with discharges in October                                   leaders in a variety of hospital settings,                                characteristics, (Hays & Reeve, 2010;
                                                    2012. The FY 2015 Hospital VBP                                         including high- and low-performing                                        Berry, 2009). We have calculated our
                                                    program links 30% of the Inpatient                                     hospitals, facilities of varying sizes, and                               burden estimate using a conservative
                                                    Prospective Payment System hospitals’                                  hospitals representing all nine                                           estimate of 4.5 items per minute. The
                                                    payment from CMS to HCAHPS                                             geographic Census divisions. Hospital                                     survey contains 159 items and is thus
                                                    performance.                                                           quality leaders will be asked to provide                                  estimated to require an average
                                                      Despite the high stakes associated                                   information about the use of HCAHPS                                       administration time of 35 minutes. As
                                                    with HCAHPS scores, little is known                                    in their hospital, with questions                                         indicated below, the annual total
                                                    about the ways in which hospitals are                                  addressing all of the substantive areas                                   burden hours are estimated to be 294
                                                    using HCAHPS data and supplemental                                     identified in the goals section above.                                    hours.

                                                                                                       TABLE 1—ESTIMATED ANNUALIZED BURDEN HOURS AND COST
                                                                                                                                                Number of                                                               Average
                                                                                                                     Number of                                                Hours                 Total burden                               Total cost
                                                                      Collection task                                                         responses per                                                           hourly wage
                                                                                                                    respondents                                           per response                 hours                                    burden
                                                                                                                                                respondent                                                               rate *

                                                    Survey of Hospital Quality Leaders .........                                     500                            1                       .59              294                $49.96             $14,708

                                                         Totals ................................................   ........................   ........................   ........................            294    ........................       $14,708
                                                      * Based upon mean hourly wages, ‘‘National Compensation Survey: All United States December 2009–January 2011,’’ U.S. Department of
                                                    Labor, Bureau of Labor Statistics.


                                                    Request for Comments                                                   practical utility; (b) the accuracy of                                      Comments submitted in response to
                                                                                                                           AHRQ’s estimate of burden (including                                      this notice will be summarized and
                                                      In accordance with the Paperwork                                     hours and costs) of the proposed                                          included in the Agency’s subsequent
                                                    Reduction Act, comments on AHRQ’s                                      collection(s) of information; (c) ways to                                 request for OMB approval of the
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    information collection are requested                                   enhance the quality, utility, and clarity                                 proposed information collection. All
                                                    with regard to any of the following: (a)                               of the information to be collected; and                                   comments will become a matter of
                                                    Whether the proposed collection of                                     (d) ways to minimize the burden of the                                    public record.
                                                    information is necessary for the proper                                collection of information upon the
                                                    performance of AHRQ health care                                                                                                                  Sharon B. Arnold,
                                                                                                                           respondents, including the use of
                                                    research and health care information                                                                                                             Acting Director.
                                                                                                                           automated collection techniques or
                                                    dissemination functions, including                                     other forms of information technology.
                                                                                                                                                                                                     [FR Doc. 2016–07118 Filed 3–29–16; 8:45 am]
                                                    whether the information will have                                                                                                                BILLING CODE 4160–90–P




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Document Created: 2016-03-30 09:28:30
Document Modified: 2016-03-30 09:28:30
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this notice must be received by May 31, 2016.
ContactDoris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]
FR Citation81 FR 17714 

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