82 FR 22828 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality Federal Register Volume 82, Issue 95 (May 18, 2017)
Agency for Healthcare Research and Quality
Federal Register Volume 82, Issue 95 (May 18, 2017)
| Page Range | 22828-22830 | |
| FR Document | 2017-10066 |
[Federal Register Volume 82, Number 95 (Thursday, May 18, 2017)] [Notices] [Pages 22828-22830] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-10066] ----------------------------------------------------------------------- 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: ``TeamSTEPPS 2.0 Online Master Trainer Course.'' DATES: Comments on this notice must be received by July 17, 2017. 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 TeamSTEPPS 2.0 Online Master Trainer Course In accordance with the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. As part of its effort to fulfill its mission goals, AHRQ, in collaboration with the U.S. Department of Defense's TRICARE Management Activity, developed TeamSTEPPS[supreg] (Team Strategies and Tools for Enhancing Performance and Patient Safety) to provide an evidence-based suite of tools and strategies for training teamwork-based patient safety to health care professionals. TeamSTEPPS includes multiple toolkits, which are all tied to, or are variants of, the core curriculum. TeamSTEPPS resources have been developed for primary care, rapid response systems, long-term care, and patients with limited English proficiency. The main objective of the TeamSTEPPS program is to improve patient safety by training health care staff in various teamwork, communication, and patient safety concepts, tools, and techniques and ultimately helping to build national capacity for supporting teamwork- based patient safety efforts in health care organizations. Created in 2007, AHRQ's National Implementation Program trains Master Trainers who have stimulated the use and adoption of TeamSTEPPS in health care delivery systems. These individuals were trained during two-day, in-person classes using the TeamSTEPPS core curriculum at regional training centers across the U.S. AHRQ has also provided technical assistance and consultation on implementing TeamSTEPPS and has developed user networks, various educational venues, and other channel of learning for continued support and the improvement of teamwork in health care. Since the inception of the National Implementation Program, AHRQ has trained more than 6,000 participants to serve as TeamSTEPPS Master Trainers. Due to the success of the National Implementation Program, which resulted in increased requests for in-person training, AHRQ had been unable to match the demand for TeamSTEPPS Master Training, and wait lists for training at times exceeded 500 individuals. To address this prevailing need, AHRQ developed TeamSTEPPS 2.0 Online Master Trainer course, which mirrors the TeamSTEPPS 2.0 core curriculum and provides equivalent training to the in-person classes offered through the National Implementation Program. As part of this initiative, AHRQ seeks to continue to conduct an evaluation of the TeamSTEPPS 2.0 Online Master [[Page 22829]] Trainer program. This evaluation seeks to understand the effectiveness of TeamSTEPPS 2.0 Online Master Training and what revisions might be required to improve the training program. This research has the following goals: (1) Conduct a formative assessment of the TeamSTEPPS 2.0 Online Master Trainer program to determine what improvements should be made to the training and how it is delivered, and (2) Identify how trained participants use and implement the TeamSTEPPS tools and resources. The TeamSTEPPS 2.0 Online Master Trainer program is led by Reingold, Inc. This study is being conducted by Reingold's subcontractor, IMPAQ International (IMPAQ). This study is being conducted 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 To achieve this project's goals, AHRQ will train participants using the TeamSTEPPS 2.0 Online Master Trainer program and then survey these participants six months post-training. Each activity is briefly described below. 1. TeamSTEPPS 2.0 Online Master Trainer Course. This training program, which includes 13 accredited hours of training, is based on the TeamSTEPPS 2.0 instructional materials and will be delivered online to 3,000 participants. The training will cover the core TeamSTEPPS tools and strategies, coaching, organizational change, and implementation science. 2. TeamSTEPPS 2.0 Online Post-Training Survey. This online instrument will be administered to all participants who complete the TeamSTEPPS 2.0 Online Master Training. The survey will be administered six months after participants complete the training program. This data collection is for the purpose of conducting an evaluation of the TeamSTEPPS 2.0 Online Master Trainer program which was last approved by OMB on November 14th 2014 (OMB Control Number is 0935- 0224), and will expire November 30th, 2017. The evaluation is primarily formative in nature as AHRQ seeks information to improve the delivery of the training. This is a new data collection for the purpose of conducting an evaluation of TeamSTEPPS 2.0 Online Master Trainer program. The evaluation will be primarily formative in nature as AHRQ seeks information to improve the delivery of the training. The OMB Control Number for the MEPS-HC and MPC is 0935-0118, which was last approved by OMB on December 20th, 2012, and will expire on December 31st, 2015. To conduct the evaluation, the TeamSTEPPS 2.0 Online Post-Training Survey will be administered to all individuals who completed the TeamSTEPPS 2.0 Online Master Trainer program, six months after completing training. The purpose of the survey is to assess the degree to which participants felt prepared by the training and what they did to implement TeamSTEPPS. Specifically, participants will be asked about their reasons for participating in the program; the degree to which they feel the training prepared them to train others in and use TeamSTEPPS; what tools they have implemented in their organizations; and resulting changes they have observed in the delivery of care. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondent's time to participate in the study. The TeamSTEPPS 2.0 Online Post-Training Survey will be completed by approximately 3,000 individuals. We estimate that each respondent will require 20 minutes to complete the survey. The total annualized burden is estimated to be 1,000 hours. Exhibit 2 shows the estimated annualized cost burden based on the respondents' time to participate in the study. The total cost burden is estimated to be $45,320. Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Form name Number of responses per Hours per Total burden respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- Training participant questionnaire.............. 3,000 1 20/60 1,000 --------------------------------------------------------------- Total....................................... 3,000 N/A N/A 1,000 ---------------------------------------------------------------------------------------------------------------- Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Average Form name Number of Total burden hourly wage Total cost respondents hours rate * burden ---------------------------------------------------------------------------------------------------------------- Training participant questionnaire.............. 3,000 1,000 $45.32 $45,320 --------------------------------------------------------------- Total....................................... 3,000 1,000 N/A $45,320 ---------------------------------------------------------------------------------------------------------------- * Based on the mean of the average wages for all health professionals (29-0000) and wages for medical and health services managers (11-9111) for the training participant questionnaire presented in the National Compensation Survey: Occupational Wages in the United States, May 2016, U.S. Department of Labor, Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm). Request for Comments In accordance with the Paperwork Reduction Act, comments on AHRQ's information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ's estimate of burden (including hours and costs) of the proposed collection(s) of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information upon the respondents, including the use of [[Page 22830]] 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. 2017-10066 Filed 5-17-17; 8:45 am] BILLING CODE 4160-90-P
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PICOTS (Populations, Interventions, C. Opioid use 13 (44 U.S.C. 3506(c)(2)(A)), AHRQ
Comparators, Outcomes, Timing, D. Sleep quality, sleep disturbance invites the public to comment on this
Settings) E. Health care utilization proposed information collection. As
Population(s): Adults with the following Timing part of its effort to fulfill its mission
chronic pain (defined as pain lasting 12 goals, AHRQ, in collaboration with the
I. Duration of followup: Short term (up U.S. Department of Defense’s TRICARE
weeks or longer or pain persisting past to 6 months), intermediate term (6– Management Activity, developed
the time for normal tissue healing) 12 months) and long term (at least TeamSTEPPS® (Team Strategies and
conditions specified in the Key 1 year); we will focus on longer- Tools for Enhancing Performance and
Questions: term (>1 year) effects where Patient Safety) to provide an evidence-
Key Question 1: Nonradicular chronic possible based suite of tools and strategies for
low back pain II. Studies with <1 month followup after training teamwork-based patient safety
Key Question 2: Chronic neck pain treatment will be excluded to health care professionals.
without radiculopathy or myelopathy Settings TeamSTEPPS includes multiple
Key Question 3: Pain related to primary toolkits, which are all tied to, or are
or secondary osteoarthritis I. Any nonhospital setting or setting of
self-directed care variants of, the core curriculum.
Key Question 4: Fibromyalgia TeamSTEPPS resources have been
Key Question 5: Primary chronic II. Exclusions: Hospital care, hospice
care, emergency department care developed for primary care, rapid
tension headache (defined as 15 or response systems, long-term care, and
more headache days per month for at Sharon B. Arnold, patients with limited English
least 3 months) Deputy Director. proficiency.
Key Question 6: Patients with any of the [FR Doc. 2017–10067 Filed 5–17–17; 8:45 am] The main objective of the
five chronic pain conditions BILLING CODE 4160–90–P TeamSTEPPS program is to improve
Interventions (All Key Questions) patient safety by training health care
staff in various teamwork,
I. Exercise DEPARTMENT OF HEALTH AND communication, and patient safety
II. Psychological therapies HUMAN SERVICES concepts, tools, and techniques and
III. Physical modalities ultimately helping to build national
IV. Manual therapies Agency for Healthcare Research and capacity for supporting teamwork-based
V. Mindfulness practices Quality patient safety efforts in health care
VI. Mind-body practices organizations.
VII. Acupuncture Agency Information Collection Created in 2007, AHRQ’s National
VIII. Functional restoration training Activities: Proposed Collection; Implementation Program trains Master
IX. Multidisciplinary/interdisciplinary Comment Request Trainers who have stimulated the use
rehabilitation AGENCY: Agency for Healthcare Research and adoption of TeamSTEPPS in health
Comparators and Quality, HHS. care delivery systems. These individuals
ACTION: Notice.
were trained during two-day, in-person
I. For all Key Questions, subquestion classes using the TeamSTEPPS core
‘‘a’’ SUMMARY: This notice announces the curriculum at regional training centers
A. Sham treatment intention of the Agency for Healthcare across the U.S. AHRQ has also provided
B. Waitlist Research and Quality (AHRQ) to request technical assistance and consultation on
C. Usual care that the Office of Management and implementing TeamSTEPPS and has
D. Attention control Budget (OMB) approve the proposed developed user networks, various
E. No treatment information collection project: educational venues, and other channel
II. For all Key Questions, subquestion ‘‘TeamSTEPPS 2.0 Online Master of learning for continued support and
‘‘b’’ Trainer Course.’’ the improvement of teamwork in health
A. Non-opioid pharmacological DATES: Comments on this notice must be care. Since the inception of the National
therapy (nonsteroidal anti- received by July 17, 2017. Implementation Program, AHRQ has
inflammatory drugs, trained more than 6,000 participants to
ADDRESSES: Written comments should
acetaminophen, antiseizure serve as TeamSTEPPS Master Trainers.
be submitted to: Doris Lefkowitz,
medications, antidepressants) Due to the success of the National
Reports Clearance Officer, AHRQ, by
B. Opioid analgesics Implementation Program, which
email at doris.lefkowitz@ahrq.hhs.gov.
III. Key Questions 1–4, 6, subquestion Copies of the proposed collection resulted in increased requests for in-
‘‘c’’: Exercise plans, data collection instruments, and person training, AHRQ had been unable
IV. Key Question 5, 6, subquestion ‘‘c’’: specific details on the estimated burden to match the demand for TeamSTEPPS
Biofeedback can be obtained from the AHRQ Reports Master Training, and wait lists for
Outcomes Clearance Officer. training at times exceeded 500
FOR FURTHER INFORMATION CONTACT:
individuals.
I. Primary efficacy outcomes (in priority To address this prevailing need,
order); we will focus on outcomes Doris Lefkowitz, AHRQ Reports
AHRQ developed TeamSTEPPS 2.0
from validated measures Clearance Officer, (301) 427–1477, or by
Online Master Trainer course, which
A. Function/disability/pain email at doris.lefkowitz@ahrq.hhs.gov.
jstallworth on DSK7TPTVN1PROD with NOTICES
mirrors the TeamSTEPPS 2.0 core
interference SUPPLEMENTARY INFORMATION: curriculum and provides equivalent
B. Pain Proposed Project training to the in-person classes offered
II. Harms and adverse effects through the National Implementation
III. Secondary outcomes TeamSTEPPS 2.0 Online Master Trainer Program.
A. Psychological distress (including Course As part of this initiative, AHRQ seeks
depression and anxiety) In accordance with the Paperwork to continue to conduct an evaluation of
B. Quality of life Reduction Act of 1995, Public Law 104– the TeamSTEPPS 2.0 Online Master
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automated collection techniques or Patient Safety Organizations (PSOs), applies to all patient safety concerns
other forms of information technology. which collect, aggregate, and analyze including: incidents—patient safety
Comments submitted in response to confidential information regarding the events that reached the patient, whether
this notice will be summarized and quality and safety of health care or not there was harm; near misses or
included in the Agency’s subsequent delivery. Information that is assembled close calls—patient safety events that
request for OMB approval of the and developed by providers for did not reach the patient; and unsafe
proposed information collection. All reporting to PSOs and the information conditions—circumstances that increase
comments will become a matter of received and analyzed by PSOs—called the probability of a patient safety event.
public record. ‘‘patient safety work product’’—allows AHRQ’s Common Formats for patient
for the aggregation of data that help to safety event reporting include:
Sharon B. Arnold,
identify and address underlying causal • Event descriptions (definitions of
Deputy Director. factors of patient safety and quality patient safety events, near misses, and
[FR Doc. 2017–10066 Filed 5–17–17; 8:45 am] issues. unsafe conditions to be reported);
BILLING CODE 4160–90–P The Patient Safety Act and Patient • Delineation of data elements and
Safety Rule establish a framework by algorithms to be used for collection of
which doctors, hospitals, skilled adverse event data to populate the
DEPARTMENT OF HEALTH AND nursing facilities, and other health care reports; and
HUMAN SERVICES providers may assemble information • Technical specifications for
regarding patient safety events and electronic data collection and reporting.
Agency for Healthcare Research and quality of care. Information that is The technical specifications promote
Quality assembled and developed by providers standardization of collected patient
for reporting to PSOs and the safety concerns by specifying rules for
Common Formats for Reporting on data collection and submission, as well
information received and analyzed by
Health Care Quality and Patient Safety as by providing guidance for how and
PSOs is privileged and confidential.
AGENCY: Agency for Healthcare Research Patient safety work product is used to when to create data elements, their valid
and Quality (AHRQ), Department of conduct patient safety activities, which values, conditional and go-to logic, and
Health and Human Services (HHS). may include identifying events, patterns reports. These specifications will ensure
of care, and unsafe conditions that that data collected by PSOs and other
ACTION: Notice of availability—new
increase risks and hazards to patients. entities have comparable clinical
common formats.
Definitions and other details about PSOs meaning. They also provide direction to
SUMMARY: As authorized by the and patient safety work product are software developers, so that the
Secretary of HHS, AHRQ coordinates included in the Patient Safety Act and Common Formats can be implemented
the development of sets of common Patient Safety Rule which can be electronically, and to PSOs, so that the
definitions and reporting formats accessed electronically at: http:// Common Formats can be submitted
(Common Formats) for reporting on www.pso.ahrq.gov/legislation/. electronically to the PSO Privacy
health care quality and patient safety. Protection Center (PSOPPC) for non-
Definition of Common Formats identification and data transmission to
The purpose of this notice is to
announce the release of the Common The term ‘‘Common Formats’’ refers the Network of Patient Safety Databases.
Formats for Event Reporting—Hospital to the standardized reporting formats—
using common language and Common Formats Development
Version 2.0.
definitions—that AHRQ has developed In anticipation of the need for
DATES: Ongoing public input.
for reporting safety concerns from a Common Formats, AHRQ began its
ADDRESSES: The Common Formats for variety of health care settings and development by creating an inventory of
Event Reporting—Hospital Version 2.0 throughout the quality improvement functioning private and public sector
and the remaining Common Formats cycle. The Common Formats allow patient safety reporting systems. This
can be accessed electronically at the health care providers to collect and inventory provided an evidence base to
following Web site: https:// submit standardized information and inform construction of the Common
www.psoppc.org/psoppc_web/. facilitate aggregation of comparable data Formats. The inventory included many
FOR FURTHER INFORMATION CONTACT: Dr. at local, PSO, regional, and national systems from the private sector,
Barbara Choo, Center for Quality levels. The formats are not intended to including prominent academic settings,
Improvement and Patient Safety, AHRQ, replace any current mandatory reporting hospital systems, and international
5600 Fishers Lane, Room 06N100B, system, collaborative/voluntary reporting systems (e.g., from the United
Rockville, MD 20857; Telephone (toll reporting system, research-related Kingdom and the Commonwealth of
free): (866) 403–3697; Telephone (local): reporting system, or other reporting/ Australia). In addition, virtually all
(301) 427–1111; TTY (toll free): (866) recording system; rather, the Common major Federal patient safety reporting
438–7231; TTY (local): (301) 427–1130; Formats are intended to enhance the systems were included, such as those
Email: pso@ahrq.hhs.gov. ability of health care providers to report from the Centers for Disease Control and
SUPPLEMENTARY INFORMATION: information that is standardized both Prevention (CDC), the Food and Drug
clinically and electronically. Administration (FDA), the Department
Background In collaboration with the interagency of Defense (DoD), and the Department of
The Patient Safety and Quality Federal Patient Safety Workgroup Veterans Affairs (VA).
Improvement Act of 2005, 42 U.S.C. (PSWG), the National Quality Forum Since February 2005, AHRQ has
jstallworth on DSK7TPTVN1PROD with NOTICES
299b–21 to b–26, (Patient Safety Act) (NQF), and the public, AHRQ has convened the PSWG to assist AHRQ
and the related Patient Safety and developed Common Formats for three with developing and maintaining the
Quality Improvement Final Rule, 42 settings of care—acute care hospitals, Common Formats. The PSWG includes
CFR part 3 (Patient Safety Rule), skilled nursing facilities, and major health agencies within HHS—
published in the Federal Register on community pharmacies—in order to CDC, Centers for Medicare & Medicaid
November 21, 2008, 73 FR 70732– facilitate standardized data collection Services, FDA, Health Resources and
70814, provide for the formation of and analysis. The scope of the formats Services Administration, Indian Health
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Document Created: 2017-05-18 01:20:27
Document Modified: 2017-05-18 01:20:27
| 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 July 17, 2017. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 82 FR 22828 |
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