83 FR 25005 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality Federal Register Volume 83, Issue 105 (May 31, 2018)
Agency for Healthcare Research and Quality
Federal Register Volume 83, Issue 105 (May 31, 2018)
| Page Range | 25005-25007 | |
| FR Document | 2018-11657 |
[Federal Register Volume 83, Number 105 (Thursday, May 31, 2018)] [Notices] [Pages 25005-25007] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-11657] ======================================================================= ----------------------------------------------------------------------- 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 ``Nursing Home Survey on Patient Safety Culture Database.'' DATES: Comments on this notice must be received by July 30, 2018. 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 emails at [email protected]. SUPPLEMENTARY INFORMATION: Proposed Project Nursing Home Survey on Patient Safety Culture Database In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501- 3521, AHRQ invites the public the comment on this proposed information collection. In 1999, the Institute of Medicine called for health care organizations to develop a ``culture of safety'' such that their workforce and processes focus on improving the reliability and safety of care for patients (IOM, 1999; To Err is Human: Building a Safer Health System). To respond to the need for tools to assess patient safety culture in health care, AHRQ developed and pilot tested the Nursing Home Survey on Patient Safety Culture with OMB approval (OMB NO. 0935-0132; Approved July 5, 2007). The survey is designed to enable nursing homes to assess provider and staff perspectives about patient safety issues, medical error, and error reporting and includes 42 items that measure 12 composites of patient safety culture. AHRQ made the survey publicly available along with a Survey User's Guide and other toolkit materials in November, 2008, on the AHRQ website. The AHRQ Nursing Home SOPS Database consists of data from the AHRQ Nursing Home Survey on Patient Safety Culture. Nursing homes in the U.S. can voluntarily submit data from the survey to AHRQ through its contractor, Westat. The Nursing Home SOPS Database (OMB NO. 0935-0195, last approved on September 30, 2015) was developed by AHRQ in 2011 in response to requests from nursing homes interested in viewing their organizations' patient safety culture survey results. Those organizations submitting data receive a feedback report, as well as a report on the aggregated de-identified findings of the other nursing homes submitting data. These reports are used to assist nursing home staff in their efforts to improve patient safety culture in their organizations. Rationale for the information collection. The Nursing Home SOPS and Nursing Home SOPS Database support AHRQ's goals of promoting improvements in the quality and safety of health care in nursing home settings. The survey, toolkit materials, and database results are all made publicly available on AHRQ's website. Technical assistance is provided by AHRQ through its contractor at no charge to nursing homes, to facilitate the use of these materials for nursing home patient safety and quality improvement. [[Page 25006]] This database will: (1) Present results from nursing homes that voluntarily submit their data; (2) Provide data to nursing homes to facilitate internal assessment and learning in the patient safety improvement process; and (3) Provide supplemental information to help nursing homes identify their strengths and areas with potential for improvement in patient safety culture. This study is being conducted by AHRQ through its contractor, Westat, pursuant to AHRQ's statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of healthcare services and with respect to surveys and database development. 42 U.S.C 299a(a)(1) and (8). Method of Collection To achieve the goal of this project the following activities and data collections will be implemented: (1) Eligibility and Registration Form--The nursing home (or parent organization) point-of-contact (POC) completes a number of data submission steps and forms, beginning with the completion of an online Eligibility and Registration Form. The purpose of this form is to collect basic demographic information about the nursing home and initiate the registration process. (2) Data Use Agreement--The purpose of the data use agreement, completed by the nursing home POC, is to state how data submitted by nursing homes will be used and provides privacy assurances. (3) Nursing Home Site Information Form--The purpose of the site information form, completed by the nursing home POC, is to collect background characteristics of the nursing home. This information will be used to analyze data collected with the Nursing Home SOPS survey. (4) Data File(s) Submission--POCs upload their data file(s) using the data file specifications, to ensure that users submit standardized and consistent data in the way variables are named, coded and formatted. The number of submissions to the database is likely to vary each year because nursing homes do not administer the survey and submit data every year. Data submission is typically handled by one POC who is either a corporate level health care manager for a Quality Improvement Organization (QIO), a survey vendor who contracts with a nursing home to collect their data, or a nursing home Director of Nursing or nurse manager. POCs submit data on behalf of 5 nursing homes, on average, because many nursing homes are part of a QIO or larger nursing home or health system that includes many nursing home sites, or the POC is a vendor that is submitting data for multiple nursing homes. Survey data from the AHRQ Nursing Home Survey on Patient Safety Culture are used to produce three types of products: (1) A Nursing Home SOPS User Database Report that is made publicly available on the AHRQ website; (2) Individual Nursing Home Survey Feedback Reports are individualized reports produced for each nursing home that submits data to the database; and (3) Research data sets of individual-level and nursing home-level de-identified data to enable researchers to conduct analyses. All data released in a data set are de-identified at the individual-level and the nursing home-level. Nursing homes will be invited to voluntarily submit their Nursing Home SOPS survey data to the database. The data are then cleaned and aggregated and used to produce a Database Report in PDF format that displays averages, standard deviations, and percentile scores on the survey's 42 items and 12 patient safety culture composites, as well as displaying these results by nursing home characteristics (bed size, urbanicity, ownership, and region) and respondent characteristics (work area/unit, staff position, interaction with residents, shift worked most often, and tenure in nursing home). Each nursing home that submits data receives an individualized survey feedback report that presents their results alongside the aggregate results from other participating nursing homes. Nursing homes use the Nursing Home SOPS Database Reports and Individual Nursing Home Survey Feedback Reports for a number of purposes, to:Raise staff awareness about patient safety. Elucidate and assess the current status of patient safety culture in their nursing home. Identify strengths and areas for patient safety culture improvement. Evaluate trends in patient safety culture change over time. Evaluate the cultural impact of patient safety initiatives and interventions. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents' time to participate in the database. An estimated 60 POCs, each representing an average of 5 individual nursing homes each, will complete the database submission steps and forms. Each POC will submit the following: Eligibility and registration form (completion is estimated to take about 3 minutes). Data Use Agreement (completion is estimated to take about 3 minutes). Nursing Home Site Information Form (completion is estimated to take about 5 minutes). Survey data submission will take an average of one hour. The total annual burden hours are estimated to be 91 hours. Exhibit 2 shows the estimated annualized cost burden based on the respondents' time to submit their data. The cost burden is estimated to be $4,085 annually. Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Number of Form name respondents/ responses per Hours per Total burden POCs POC response hours ---------------------------------------------------------------------------------------------------------------- Eligibility/Registration Form................... 60 1 3/60 3 Data Use Agreement.............................. 60 1 3/60 3 Nursing Home Site Information Form.............. 60 5 5/60 25 Data Files Submission........................... 60 1 1 60 --------------------------------------------------------------- Total....................................... NA NA NA 91 ---------------------------------------------------------------------------------------------------------------- [[Page 25007]] Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Number of Form name respondents/ Total burden Average hourly Total cost POCs hours wage rate * burden ---------------------------------------------------------------------------------------------------------------- Eligibility/Registration Forms.................. 60 3 $44.89 $135 Data Use Agreement.............................. 60 3 44.89 135 Nursing Home Site Information Form.............. 60 25 44.89 1,122 Data Files Submission........................... 60 60 44.89 2,693 --------------------------------------------------------------- Total....................................... 240 91 NA 4,085 ---------------------------------------------------------------------------------------------------------------- * The wage rate in Exhibit 2 is based on May 2017 National Industry-Specific Occupational Employment and Wage Estimates, Bureau of Labor Statistics, U.S. Dept. of Labor. Mean hourly wages for nursing home POCs are located at https://www.bls.gov/oes/current/naics3_623000.htm. The hourly wage of $44.89 is the weighted mean of $45.81 (General and Operations Managers 11-1021; N = 40) and $43.04 (Medical and Health Services Managers 11-9111; N = 20). 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's 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. Francis D. Chesley, Jr., Acting Deputy Director. [FR Doc. 2018-11657 Filed 5-30-18; 8:45 am] BILLING CODE 4160-90-P
![Federal Register / Vol. 83, No. 105 / Thursday, May 31, 2018 / Notices 25005
portals in the context of Government Meeting Accommodations: The public Proposed Project
requirements. meeting is physically accessible to
(F) An assessment of the impact on Nursing Home Survey on Patient Safety
people with disabilities. Request for
existing programs, including schedules, Culture Database
sign language interpretation or other
set-asides for small business concerns, auxiliary aids should be directed to In accordance with the Paperwork
and other preference programs. section846@gsa.gov by Thursday, June Reduction Act, 44 U.S.C. 3501–3521,
In furtherance of Phase II objectives, 14, 2018. Please see the Commercial AHRQ invites the public the comment
GSA is planning to share information Platform Interact group page at https:// on this proposed information collection.
related to the approach proposed in the interact.gsa.gov/group/commercial- In 1999, the Institute of Medicine called
Phase I deliverable and respond to platform-initiative for additional for health care organizations to develop
questions from industry. Additionally, information on public meeting content a ‘‘culture of safety’’ such that their
the team is seeking feedback from and for a posting of the agenda (to be workforce and processes focus on
providers of commercial e-commerce made available a few days prior to the improving the reliability and safety of
portal as well as suppliers selling on meeting). For more specific questions, care for patients (IOM, 1999; To Err is
commercial e-commerce portals in please send an email to section846@ Human: Building a Safer Health
certain topic areas, as listed in ‘‘Notice gsa.gov. System). To respond to the need for
QP–2018–02, Request for information tools to assess patient safety culture in
Dated: May 25, 2018. health care, AHRQ developed and pilot
from Suppliers Selling on Commercial
e-Commerce Portals,’’ and ‘‘Notice QP– Laura J. Stanton, tested the Nursing Home Survey on
2018–03, Request for information from Assistant Commissioner, Office of Enterprise Patient Safety Culture with OMB
Platform Providers of Commercial e- Strategy Management, Federal Acquisition approval (OMB NO. 0935–0132;
Service, General Services Administration. Approved July 5, 2007).
Commerce Portals.’’
[FR Doc. 2018–11717 Filed 5–30–18; 8:45 am] The survey is designed to enable
B. Public Meeting BILLING CODE 6820–89–P nursing homes to assess provider and
In-person Attendance: Registration staff perspectives about patient safety
check-in will begin at 7:30 a.m., EST, on issues, medical error, and error
June 21, 2018, with the meeting starting reporting and includes 42 items that
promptly at 8:30 a.m., EST. Attendees DEPARTMENT OF HEALTH AND measure 12 composites of patient safety
must be prepared to present a form of HUMAN SERVICES culture. AHRQ made the survey
government-issued photo identification. publicly available along with a Survey
Format: GSA and OMB intend to Agency for Healthcare Research and User’s Guide and other toolkit materials
conduct a modified town-hall/panel Quality in November, 2008, on the AHRQ
style discussion focused around two website.
main topics. Agency Information Collection The AHRQ Nursing Home SOPS
1. GSA and OMB will discuss and Activities: Proposed Collection; Database consists of data from the
field questions related to the findings Comment Request AHRQ Nursing Home Survey on Patient
from Phase I of the implementation Safety Culture. Nursing homes in the
plan, initial thoughts on Phase II, and AGENCY:Agency for Healthcare Research U.S. can voluntarily submit data from
the implementation of a proof of and Quality, HHS. the survey to AHRQ through its
concept in FY19. ACTION: Notice. contractor, Westat. The Nursing Home
2. GSA intends to organize a panel SOPS Database (OMB NO. 0935–0195,
discussion around the questions asked SUMMARY: This notice announces the last approved on September 30, 2015)
to portal providers and suppliers on intention of the Agency for Healthcare was developed by AHRQ in 2011 in
portals found in RFIs ‘‘Notice QP–2018– Research and Quality (AHRQ) to request response to requests from nursing
02, Request for information from that the Office of Management and homes interested in viewing their
Suppliers Selling on Commercial e- Budget (OMB) approve the proposed organizations’ patient safety culture
Commerce Portals,’’ and ‘‘Notice QP– information collection project ‘‘Nursing survey results. Those organizations
2018–03, Request for information from Home Survey on Patient Safety Culture submitting data receive a feedback
Platform Providers of Commercial e- Database.’’ report, as well as a report on the
Commerce Portals.’’ aggregated de-identified findings of the
Parties wishing to participate as a DATES: Comments on this notice must be other nursing homes submitting data.
panel member in the public meeting received by July 30, 2018. These reports are used to assist nursing
scheduled for June 21, 2018, should ADDRESSES: Written comments should home staff in their efforts to improve
email section846@gsa.gov by Thursday, be submitted to: Doris Lefkowitz, patient safety culture in their
June 14, 2018, with the subject line Reports Clearance Officer, AHRQ, by organizations.
‘‘Request to be panelist at upcoming email at doris.lefkowitz@AHRQ.hhs.gov. Rationale for the information
public meeting’’ and should identify collection. The Nursing Home SOPS and
their company, role in company, and a Copies of the proposed collection Nursing Home SOPS Database support
short statement about their interest/ plans, data collection instruments, and AHRQ’s goals of promoting
qualifications for being a panelist. specific details on the estimated burden improvements in the quality and safety
GSA will select panelists from among can be obtained from the AHRQ Reports of health care in nursing home settings.
those expressing interest and will Clearance Officer. The survey, toolkit materials, and
amozie on DSK3GDR082PROD with NOTICES1
formally notify them no later than FOR FURTHER INFORMATION CONTACT: database results are all made publicly
Monday, June 18, 2018. In selecting Doris Lefkowitz, AHRQ Reports available on AHRQ’s website. Technical
panelists, GSA will seek an array of Clearance Officer, (301) 427–1477, or by assistance is provided by AHRQ through
perspectives, backgrounds, and views. emails at doris.lefkowitz@ its contractor at no charge to nursing
Requests made after the deadline to AHRQ.hhs.gov. homes, to facilitate the use of these
participate on a panel cannot be materials for nursing home patient
accepted due to the tight timelines. SUPPLEMENTARY INFORMATION: safety and quality improvement.
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![Federal Register / Vol. 83, No. 105 / Thursday, May 31, 2018 / Notices 25007
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of Average
Total burden Total cost
Form name respondents/ hourly wage
hours burden
POCs rate *
Eligibility/Registration Forms ............................................................................ 60 3 $44.89 $135
Data Use Agreement ....................................................................................... 60 3 44.89 135
Nursing Home Site Information Form .............................................................. 60 25 44.89 1,122
Data Files Submission ..................................................................................... 60 60 44.89 2,693
Total .......................................................................................................... 240 91 NA 4,085
* The wage rate in Exhibit 2 is based on May 2017 National Industry-Specific Occupational Employment and Wage Estimates, Bureau of Labor
Statistics, U.S. Dept. of Labor. Mean hourly wages for nursing home POCs are located at https://www.bls.gov/oes/current/naics3_623000.htm.
The hourly wage of $44.89 is the weighted mean of $45.81 (General and Operations Managers 11–1021; N = 40) and $43.04 (Medical and
Health Services Managers 11–9111; N = 20).
Request for Comments SUMMARY: The Centers for Disease proposed project or to obtain a copy of
In accordance with the Paperwork Control and Prevention (CDC), as part of the information collection plan and
Reduction Act, comments on AHRQ’s its continuing effort to reduce public instruments, contact Leroy A.
information collection are requested burden and maximize the utility of Richardson, Information Collection
with regard to any of the following: (a) government information, invites the Review Office, Centers for Disease
Whether the proposed collection of general public and other Federal Control and Prevention, 1600 Clifton
information is necessary for the proper agencies to take an opportunity to Road NE, MS–D74, Atlanta, Georgia
performance of AHRQ’s health care comment on a proposed and/or 30329; phone: 404–639–7570; Email:
research and health care information continuing information collection, as omb@cdc.gov.
dissemination functions, including required by the Paperwork Reduction SUPPLEMENTARY INFORMATION: Under the
whether the information will have Act of 1995. This notice invites Paperwork Reduction Act of 1995 (PRA)
practical utility; (b) the accuracy of comment on a proposed information (44 U.S.C. 3501–3520), Federal agencies
AHRQ’s estimate of burden (including collection project titled StopAnthraxTM. must obtain approval from the Office of
hours and costs) of the proposed This new generic clearance will support Management and Budget (OMB) for each
collection(s) of information; (c) ways to the collection of information from (1) collection of information they conduct
enhance the quality, utility and clarity persons exposed to an intentional or sponsor. In addition, the PRA also
of the information to be collected; and release of anthrax that were given post- requires Federal agencies to provide a
(d) ways to minimize the burden of the exposure prophylactic medical 60-day notice in the Federal Register
collection of information upon the countermeasures—antibiotics or concerning each proposed collection of
respondents, including the use of antibiotics and vaccine and (2) persons information, including each new
automated collection techniques or participating in points of dispensing proposed collection, each proposed
other forms of information technology. (PODs) exercises conducted by state and extension of existing collection of
Comments submitted in response to local health departments. CDC will use information, and each reinstatement of
this notice will be summarized and this information to (1) inform response previously approved information
included in the Agency’s subsequent activities during an anthrax incident collection before submitting the
request for OMB approval of the and (2) improve the StopAnthraxTM collection to the OMB for approval. To
proposed information collection. All program. comply with this requirement, we are
comments will become a matter of DATES: CDC must receive written publishing this notice of a proposed
public record. comments on or before July 30, 2018. data collection as described below.
ADDRESSES: You may submit comments,
The OMB is particularly interested in
Francis D. Chesley, Jr., comments that will help:
Acting Deputy Director. identified by Docket No. CDC–2018–
1. Evaluate whether the proposed
0043 by any of the following methods:
[FR Doc. 2018–11657 Filed 5–30–18; 8:45 am]
• Federal eRulemaking Portal: collection of information is necessary
BILLING CODE 4160–90–P
Regulations.gov. Follow the instructions for the proper performance of the
for submitting comments. functions of the agency, including
• Mail: Jeffrey M. Zirger, Information whether the information will have
DEPARTMENT OF HEALTH AND practical utility;
Collection Review Office, Centers for
HUMAN SERVICES 2. Evaluate the accuracy of the
Disease Control and Prevention, 1600
Clifton Road NE, MS–D74, Atlanta, agency’s estimate of the burden of the
Centers for Disease Control and proposed collection of information,
Prevention Georgia 30329.
Instructions: All submissions received including the validity of the
[60Day–FY–18ACD; Docket No. CDC–2018– must include the agency name and methodology and assumptions used;
0043] Docket Number. CDC will post, without 3. Enhance the quality, utility, and
change, all relevant comments to clarity of the information to be
Proposed Data Collection Submitted collected; and
amozie on DSK3GDR082PROD with NOTICES1
for Public Comment and Regulations.gov.
4. Minimize the burden of the
Recommendations Please note: Submit all comments through collection of information on those who
the Federal eRulemaking portal are to respond, including through the
AGENCY: Centers for Disease Control and (regulations.gov) or by U.S. mail to the
Prevention (CDC), Department of Health use of appropriate automated,
address listed above.
and Human Services (HHS). electronic, mechanical, or other
FOR FURTHER INFORMATION CONTACT: To technological collection techniques or
ACTION: Notice with comment period.
request more information on the other forms of information technology,
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Document Created: 2018-05-31 00:48:54
Document Modified: 2018-05-31 00:48:54
| 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 30, 2018. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by emails at [email protected] | |
| FR Citation | 83 FR 25005 |
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