82 FR 21232 - Patient Safety Organizations: Voluntary Relinquishment From the Empire State Patient Safety Assurance Network PSO

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

Federal Register Volume 82, Issue 86 (May 5, 2017)

Page Range		21232-21233
FR Document		2017-09091

The Patient Safety and Quality Improvement Act of 2005, (Patient Safety Act) and the related Patient Safety and Quality Improvement Final Rule, published in the Federal Register on November 21, 2008, 73 FR 70732-70814, establish a framework by which hospitals, doctors, and other health care providers may voluntarily report information to Patient Safety Organizations (PSOs), on a privileged and confidential basis, for the aggregation and analysis of patient safety events. The Patient Safety Rule authorizes AHRQ, on behalf of the Secretary of HHS, to list as a PSO an entity that attests that it meets the statutory and regulatory requirements for listing. A PSO can be ``delisted'' by the Secretary if it is found to no longer meet the requirements of the Patient Safety Act and Patient Safety Rule, when a PSO chooses to voluntarily relinquish its status as a PSO for any reason, or when a PSO's listing expires. AHRQ has accepted a notification of voluntary relinquishment from the Empire State Patient Safety Assurance Network PSO of its status as a PSO, and has delisted the PSO accordingly.

Federal Register, Volume 82 Issue 86 (Friday, May 5, 2017)

[Federal Register Volume 82, Number 86 (Friday, May 5, 2017)]
[Notices]
[Pages 21232-21233]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-09091]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Patient Safety Organizations: Voluntary Relinquishment From the 
Empire State Patient Safety Assurance Network PSO

AGENCY: Agency for Healthcare Research and Quality (AHRQ), Department 
of Health and Human Services (HHS).

ACTION: Notice of delisting.

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SUMMARY: The Patient Safety and Quality Improvement Act of 2005, 
(Patient Safety Act) and the related Patient Safety and Quality 
Improvement Final Rule, published in the Federal Register on November 
21, 2008, 73 FR 70732-70814, establish a framework by which hospitals, 
doctors, and other health care providers may voluntarily report 
information to Patient Safety Organizations (PSOs), on a privileged and 
confidential basis, for the aggregation and analysis of patient safety 
events. The Patient Safety Rule authorizes AHRQ, on behalf of the 
Secretary of HHS, to list as a PSO an entity that attests that it meets 
the statutory and regulatory requirements for listing. A PSO can be 
``delisted'' by the Secretary if it is found to no longer meet the 
requirements of the Patient Safety Act and Patient Safety Rule,

[[Page 21233]]

when a PSO chooses to voluntarily relinquish its status as a PSO for 
any reason, or when a PSO's listing expires. AHRQ has accepted a 
notification of voluntary relinquishment from the Empire State Patient 
Safety Assurance Network PSO of its status as a PSO, and has delisted 
the PSO accordingly.

DATES: The directories for both listed and delisted PSOs are ongoing 
and reviewed weekly by AHRQ. The delisting was effective at 12:00 
Midnight ET (2400) on March 30, 2017.

ADDRESSES: Both directories can be accessed electronically at the 
following HHS Web site: http://www.pso.ahrq.gov/listed.

FOR FURTHER INFORMATION CONTACT: Eileen Hogan, Center for Quality 
Improvement and Patient Safety, AHRQ, 5600 Fishers Lane, Room 06N94B, 
Rockville, MD 20857; Telephone (toll free): (866) 403-3697; Telephone 
(local): (301) 427-1111; TTY (toll free): (866) 438-7231; TTY (local): 
(301) 427-1130; Email: [email protected].

SUPPLEMENTARY INFORMATION:

Background

    The Patient Safety Act authorizes the listing of PSOs, which are 
entities or component organizations whose mission and primary activity 
are to conduct activities to improve patient safety and the quality of 
health care delivery.
    HHS issued the Patient Safety Rule to implement the Patient Safety 
Act. AHRQ administers the provisions of the Patient Safety Act and 
Patient Safety Rule relating to the listing and operation of PSOs. The 
Patient Safety Rule authorizes AHRQ to list as a PSO an entity that 
attests that it meets the statutory and regulatory requirements for 
listing. A PSO can be ``delisted'' if it is found to no longer meet the 
requirements of the Patient Safety Act and Patient Safety Rule, when a 
PSO chooses to voluntarily relinquish its status as a PSO for any 
reason, or when a PSO's listing expires. Section 3.108(d) of the 
Patient Safety Rule requires AHRQ to provide public notice when it 
removes an organization from the list of federally approved PSOs.
    AHRQ has accepted a notification from the Empire State Patient 
Safety Assurance Network, PSO, a component entity of the University of 
Buffalo, PSO number P0048, to voluntarily relinquish its status as a 
PSO. Accordingly, the Empire State Patient Safety Assurance Network, 
PSO was delisted effective at 12:00 Midnight ET (2400) on March 30, 
2017.
    Empire State Patient Safety Assurance Network, PSO has patient 
safety work product (PSWP) in its possession. The PSO will meet the 
requirements of Section 3.108(c)(2)(i) of the Patient Safety Rule 
regarding notification to providers that have reported to the PSO. In 
addition, according to Sections 3.108(c)(2)(ii) and 3.108(b)(3) of the 
Patient Safety Rule regarding disposition of PSWP, the PSO has 90 days 
from the effective date of delisting and revocation to complete the 
disposition of PSWP that is currently in the PSO's possession.
    More information on PSOs can be obtained through AHRQ's PSO Web 
site at http://www.pso.ahrq.gov.

Sharon B. Arnold,
Acting Director.
[FR Doc. 2017-09091 Filed 5-4-17; 8:45 am]
BILLING CODE 4160-90-P

21232 Federal Register / Vol. 82, No. 86 / Friday, May 5, 2017 / Notices

collection of information upon the (301) 427–1111; TTY (toll free): (866) Safety Institute was delisted effective at
respondents, including the use of 438–7231; TTY (local): (301) 427–1130; 12:00 Midnight EDT (2400) on March
automated collection techniques or Email: pso@ahrq.hhs.gov. 21, 2017. AHRQ notes that the Healogics
other forms of information technology. SUPPLEMENTARY INFORMATION: Patient Safety Institute submitted this
Comments submitted in response to request for voluntary relinquishment
this notice will be summarized and Background following receipt of the Notice of
included in the Agency’s subsequent The Patient Safety and Quality Preliminary Finding of Deficiency sent
request for OMB approval of the Improvement Act of 2005, (Patient to the PSO on February 22, 2017.
proposed information collection. All Safety Act) and the related Patient Healogics Patient Safety Institute has
comments will become a matter of Safety and Quality Improvement Final patient safety work product (PSWP) in
public record. Rule, (Patient Safety Rule), published in its possession. The PSO will meet the
the Federal Register on November 21, requirements of Section 3.108(c)(2)(i) of
Sharon B. Arnold, 2008, establish a framework by which the Patient Safety Rule regarding
Acting Director. hospitals, doctors, and other health care notification to providers that have
[FR Doc. 2017–09089 Filed 5–4–17; 8:45 am] providers may voluntarily report reported to the PSO. In addition,
BILLING CODE 4160–90–P information to Patient Safety according to Sections 3.108(c)(2)(ii) and
Organizations (PSOs), on a privileged 3.108(b)(3) of the Patient Safety Rule
and confidential basis, for the regarding disposition of PSWP, the PSO
DEPARTMENT OF HEALTH AND aggregation and analysis of patient has 90 days from the effective date of
HUMAN SERVICES safety events. delisting and revocation to complete the
The Patient Safety and Quality disposition of PSWP that is currently in
Agency for Healthcare Research and Improvement Act of 2005, 42 U.S.C. the PSO’s possession.
Quality 299b–21 to b–26, (Patient Safety Act) More information on PSOs can be
and the related Patient Safety and obtained through AHRQ’s PSO Web site
Patient Safety Organizations: Quality Improvement Final Rule, 42
Voluntary Relinquishment From the at http://www.pso.ahrq.gov.
CFR part 3 (Patient Safety Rule),
Healogics Patient Safety Institute published in the Federal Register on Sharon B. Arnold,
AGENCY: Agency for Healthcare Research November 21, 2008, 73 FR 70732– Acting Director.
and Quality (AHRQ), Department of 70814, establish a framework by which [FR Doc. 2017–09088 Filed 5–4–17; 8:45 am]
Health and Human Services (HHS). hospitals, doctors, and other health care BILLING CODE 4160–90–P

ACTION: Notice of Delisting. providers may voluntarily report
information to Patient Safety
SUMMARY: The Patient Safety Rule Organizations (PSOs), on a privileged DEPARTMENT OF HEALTH AND
authorizes AHRQ, on behalf of the and confidential basis, for the HUMAN SERVICES
Secretary of HHS, to list as a PSO an aggregation and analysis of patient
safety events. Agency for Healthcare Research and
entity that attests that it meets the
The Patient Safety Act authorizes the Quality
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ by listing of PSOs, which are entities or
Patient Safety Organizations:
the Secretary if it is found to no longer component organizations whose
Voluntary Relinquishment From the
meet the requirements of the Patient mission and primary activity are to
Empire State Patient Safety Assurance
Safety Act and Patient Safety Rule, conduct activities to improve patient
Network PSO
when a PSO chooses to voluntarily safety and the quality of health care
relinquish its status as a PSO for any delivery. AGENCY: Agency for Healthcare Research
reason, or when a PSO’s listing expires. HHS issued the Patient Safety Rule to and Quality (AHRQ), Department of
AHRQ has accepted a notification of implement the Patient Safety Act. Health and Human Services (HHS).
voluntary relinquishment from the AHRQ administers the provisions of the ACTION: Notice of delisting.
Healogics Patient Safety Institute of its Patient Safety Act and Patient Safety
Rule relating to the listing and operation SUMMARY: The Patient Safety and
status as a PSO, and has delisted the
of PSOs. The Patient Safety Rule Quality Improvement Act of 2005,
PSO accordingly. The Healogics Patient
authorizes AHRQ to list as a PSO an (Patient Safety Act) and the related
Safety Institute submitted this request
entity that attests that it meets the Patient Safety and Quality Improvement
for voluntary relinquishment after
statutory and regulatory requirements Final Rule, published in the Federal
receiving a Notice of Preliminary
for listing. A PSO can be ‘‘delisted’’ if Register on November 21, 2008, 73 FR
Finding of Deficiency.
it is found to no longer meet the 70732–70814, establish a framework by
DATES: The directories for both listed which hospitals, doctors, and other
requirements of the Patient Safety Act
and delisted PSOs are ongoing and and Patient Safety Rule, when a PSO health care providers may voluntarily
reviewed weekly by AHRQ. The chooses to voluntarily relinquish its report information to Patient Safety
delisting was effective at 12:00 Midnight status as a PSO for any reason, or when Organizations (PSOs), on a privileged
ET (2400) on March 21, 2017. a PSO’s listing expires. Section 3.108(d) and confidential basis, for the
ADDRESSES: Both directories can be of the Patient Safety Rule requires aggregation and analysis of patient
accessed electronically at the following AHRQ to provide public notice when it safety events. The Patient Safety Rule
SRADOVICH on DSK3GMQ082PROD with NOTICES

HHS Web site: http:// removes an organization from the list of authorizes AHRQ, on behalf of the
www.pso.ahrq.gov/listed. federally approved PSOs. Secretary of HHS, to list as a PSO an
FOR FURTHER INFORMATION CONTACT: AHRQ has accepted a notification entity that attests that it meets the
Eileen Hogan, Center for Quality from the Healogics Patient Safety statutory and regulatory requirements
Improvement and Patient Safety, AHRQ, Institute, a component entity of for listing. A PSO can be ‘‘delisted’’ by
5600 Fishers Lane, Room 06N94B, Healogics, Inc., PSO number P0169, to the Secretary if it is found to no longer
Rockville, MD 20857; Telephone (toll voluntarily relinquish its status as a meet the requirements of the Patient
free): (866) 403–3697; Telephone (local): PSO. Accordingly, the Healogics Patient Safety Act and Patient Safety Rule,

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Federal Register / Vol. 82, No. 86 / Friday, May 5, 2017 / Notices 21233

when a PSO chooses to voluntarily product (PSWP) in its possession. The infections (CDI), organ dysfunction,
relinquish its status as a PSO for any PSO will meet the requirements of allergic reactions, and the development
reason, or when a PSO’s listing expires. Section 3.108(c)(2)(i) of the Patient of antibiotic resistance on both a patient
AHRQ has accepted a notification of Safety Rule regarding notification to level and population level. This project
voluntary relinquishment from the providers that have reported to the PSO. will assist acute care, long-term care and
Empire State Patient Safety Assurance In addition, according to Sections ambulatory care settings across the
Network PSO of its status as a PSO, and 3.108(c)(2)(ii) and 3.108(b)(3) of the United States in adopting and
has delisted the PSO accordingly. Patient Safety Rule regarding implementing antibiotic stewardship
DATES: The directories for both listed disposition of PSWP, the PSO has 90 programs, which are coordinated efforts
and delisted PSOs are ongoing and days from the effective date of delisting to improve the use of antibiotics by
reviewed weekly by AHRQ. The and revocation to complete the promoting the selection of the optimal
delisting was effective at 12:00 Midnight disposition of PSWP that is currently in antibiotic regimen, dose, route of
ET (2400) on March 30, 2017. the PSO’s possession. administration, and duration of therapy.
ADDRESSES: Both directories can be More information on PSOs can be More specifically, this project has the
accessed electronically at the following obtained through AHRQ’s PSO Web site following goals:
HHS Web site: http:// at http://www.pso.ahrq.gov. • Identify best practices in the delivery
www.pso.ahrq.gov/listed. Sharon B. Arnold, of antibiotic stewardship in the acute
FOR FURTHER INFORMATION CONTACT: Acting Director. care, long-term care and ambulatory
Eileen Hogan, Center for Quality care settings
[FR Doc. 2017–09091 Filed 5–4–17; 8:45 am]
Improvement and Patient Safety, AHRQ, • Adapt the Comprehensive Unit-Based
BILLING CODE 4160–90–P
5600 Fishers Lane, Room 06N94B, Safety Program (CUSP) model to
Rockville, MD 20857; Telephone (toll enhance antibiotic stewardship efforts
free): (866) 403–3697; Telephone (local): DEPARTMENT OF HEALTH AND in the health care settings
(301) 427–1111; TTY (toll free): (866) HUMAN SERVICES • Assess the adoption of CUSP for
438–7231; TTY (local): (301) 427–1130; antibiotic stewardship and evaluate
Email: pso@ahrq.hhs.gov. Agency for Healthcare Research and the effectiveness of the intervention in
SUPPLEMENTARY INFORMATION: Quality the participating health care systems
• Develop a bundle of technical and
Background Agency Information Collection adaptive interventions and associated
The Patient Safety Act authorizes the Activities: Proposed Collection; tools and educational materials
listing of PSOs, which are entities or Comment Request designed to support enhanced
component organizations whose antibiotic stewardship efforts
AGENCY: Agency for Healthcare Research • Provide technical assistance and
mission and primary activity are to and Quality, HHS.
conduct activities to improve patient training to health care organizations
ACTION: Notice. nationwide, using a phased approach,
safety and the quality of health care
delivery. to implement effective antibiotic
SUMMARY: This notice announces the
HHS issued the Patient Safety Rule to stewardship programs and
intention of the Agency for Healthcare
implement the Patient Safety Act. interventions
Research and Quality (AHRQ) to request
AHRQ administers the provisions of the • Improve communication and
that the Office of Management and
Patient Safety Act and Patient Safety teamwork between health care
Budget (OMB) approve the proposed
Rule relating to the listing and operation workers surrounding antibiotic
information collection project: ‘‘The
of PSOs. The Patient Safety Rule decision-making
AHRQ Safety Program for Improving
authorizes AHRQ to list as a PSO an • Improve communication between
Antibiotic Use.’’
entity that attests that it meets the health care workers and patients/
DATES: Comments on this notice must be families surrounding antibiotic
statutory and regulatory requirements
received by July 5, 2017. decision-making
for listing. A PSO can be ‘‘delisted’’ if
it is found to no longer meet the ADDRESSES: Written comments should This study is being conducted by
requirements of the Patient Safety Act be submitted to: Doris Lefkowitz, AHRQ through its contractor Johns
and Patient Safety Rule, when a PSO Reports Clearance Officer, AHRQ, by Hopkins University, with subcontracted
chooses to voluntarily relinquish its email at doris.lefkowitz@AHRQ.hhs.gov. partner NORC. The AHRQ Safety
status as a PSO for any reason, or when Copies of the proposed collection Program for Improving Antibiotic Use is
a PSO’s listing expires. Section 3.108(d) plans, data collection instruments, and being undertaken pursuant to AHRQ’s
of the Patient Safety Rule requires specific details on the estimated burden mission to enhance the quality,
AHRQ to provide public notice when it can be obtained from the AHRQ Reports appropriateness, and effectiveness of
removes an organization from the list of Clearance Officer. health services, and access to such
federally approved PSOs. FOR FURTHER INFORMATION CONTACT: services, through the establishment of a
AHRQ has accepted a notification Doris Lefkowitz, AHRQ Reports broad base of scientific research and
from the Empire State Patient Safety Clearance Officer, (301) 427–1477, or by through the promotion of improvements
Assurance Network, PSO, a component email at doris.lefkowitz@AHRQ.hhs.gov. in clinical and health systems practices,
entity of the University of Buffalo, PSO SUPPLEMENTARY INFORMATION: including the prevention of diseases and
SRADOVICH on DSK3GMQ082PROD with NOTICES

number P0048, to voluntarily relinquish other health conditions. 42 U.S.C. 299.
its status as a PSO. Accordingly, the Proposed Project
In accordance with the Paperwork Method of Collection
Empire State Patient Safety Assurance
Network, PSO was delisted effective at Reduction Act, 44 U.S.C. 3501–3521, To achieve the goals of this project the
12:00 Midnight ET (2400) on March 30, AHRQ invites the public to comment on following data collections will be
2017. this proposed information collection. implemented:
Empire State Patient Safety Assurance Antibiotics can have serious adverse (1) Structural Assessments: A brief
Network, PSO has patient safety work effects including Clostridium difficile (five to seven questions), online

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Document Created: 2018-11-08 08:39:30
Document Modified: 2018-11-08 08:39:30

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 of delisting.
Dates		The directories for both listed and delisted PSOs are ongoing and reviewed weekly by AHRQ. The delisting was effective at 12:00 Midnight ET (2400) on March 30, 2017.
Contact		Eileen Hogan, Center for Quality Improvement and Patient Safety, AHRQ, 5600 Fishers Lane, Room 06N94B, Rockville, MD 20857; Telephone (toll free): (866) 403-3697; Telephone (local): (301) 427-1111; TTY (toll free): (866) 438-7231; TTY (local): (301) 427-1130; Email: [email protected]
FR Citation		82 FR 21232

82 FR 21232 - Patient Safety Organizations: Voluntary Relinquishment From the Empire State Patient Safety Assurance Network PSO

DEPARTMENT OF HEALTH AND HUMAN SERVICESAgency for Healthcare Research and Quality

Federal Register Volume 82, Issue 86 (May 5, 2017)

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