83 FR 44881 - 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 171 (September 4, 2018)
Agency for Healthcare Research and Quality
Federal Register Volume 83, Issue 171 (September 4, 2018)
| Page Range | 44881-44882 | |
| FR Document | 2018-19026 |
[Federal Register Volume 83, Number 171 (Tuesday, September 4, 2018)] [Notices] [Pages 44881-44882] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-19026] ----------------------------------------------------------------------- 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.'' This proposed information collection was previously published in the Federal Register on May 31, 2018, and allowed 60 days for public comment. AHRQ received no substantive comments during this period. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by October 4, 2018. ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by email at [email protected] (attention: AHRQ's desk officer). FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]. 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. 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 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 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; [[Page 44882]] (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, 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 ---------------------------------------------------------------------------------------------------------------- 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. 2018-19026 Filed 8-31-18; 8:45 am] BILLING CODE 4160-90-P
![Federal Register / Vol. 83, No. 171 / Tuesday, September 4, 2018 / Notices 44881
comments will become a matter of tools to assess patient safety culture in health care and on systems for the
public record. health care, AHRQ developed and pilot delivery of such care, including
tested the Nursing Home Survey on activities with respect to the quality,
Francis D. Chesley, Jr.,
Patient Safety Culture with OMB effectiveness, efficiency,
Acting Deputy Director. approval (OMB NO. 0935–0132; appropriateness and value of health care
[FR Doc. 2018–19027 Filed 8–31–18; 8:45 am] Approved July 5, 2007). services and with respect to quality
BILLING CODE 4160–90–P The survey is designed to enable measurement and improvement. 42
nursing homes to assess provider and U.S.C 299a(a)(1) and (2)
staff perspectives about patient safety
DEPARTMENT OF HEALTH AND issues, medical error, and error Method of Collection
HUMAN SERVICES reporting and includes 42 items that To achieve the goal of this project the
measure 12 composites of patient safety following activities and data collections
Agency for Healthcare Research and
culture. AHRQ made the survey will be implemented:
Quality
publicly available along with a Survey (1) Eligibility and Registration Form—
Agency Information Collection User’s Guide and other toolkit materials The nursing home (or parent
Activities: Proposed Collection; in November 2008 on the AHRQ organization) point-of-contact (POC)
Comment Request website. completes a number of data submission
The AHRQ Nursing Home SOPS steps and forms, beginning with the
AGENCY: Agency for Healthcare Research Database consists of data from the completion of an online Eligibility and
and Quality, HHS. AHRQ Nursing Home Survey on Patient Registration Form. The purpose of this
ACTION: Notice. Safety Culture. Nursing homes in the form is to collect basic demographic
U.S. can voluntarily submit data from information about the nursing home and
SUMMARY: This notice announces the the survey to AHRQ through its
intention of the Agency for Healthcare initiate the registration process.
contractor, Westat. The Nursing Home (2) Data Use Agreement—The purpose
Research and Quality (AHRQ) to request SOPS Database (OMB NO. 0935–0195,
that the Office of Management and of the data use agreement, completed by
last approved on September 30, 2015) the nursing home POC, is to state how
Budget (OMB) approve the proposed was developed by AHRQ in 2011 in
information collection project ‘‘Nursing data submitted by nursing homes will
response to requests from nursing be used and provides privacy
Home Survey on Patient Safety Culture homes interested in viewing their
Database.’’ assurances.
organizations’ patient safety culture (3) Nursing Home Site Information
This proposed information collection survey results. Those organizations
was previously published in the Federal Form—The purpose of the site
submitting data receive a feedback information form, completed by the
Register on May 31, 2018, and allowed report, as well as a report on the
60 days for public comment. AHRQ nursing home POC, is to collect
aggregated de-identified findings of the background characteristics of the
received no substantive comments other nursing homes submitting data.
during this period. The purpose of this nursing home. This information will be
These reports are used to assist nursing used to analyze data collected with the
notice is to allow an additional 30 days home staff in their efforts to improve
for public comment. Nursing Home SOPS survey.
patient safety culture in their (4) Data File(s) Submission—POCs
DATES: Comments on this notice must be organizations.
received by October 4, 2018. upload their data file(s) using the data
Rationale for the information
ADDRESSES: Written comments should
file specifications, to ensure that users
collection. The Nursing Home SOPS
be submitted to: AHRQ’s OMB Desk submit standardized and consistent data
and Nursing Home SOPS Database
Officer by fax at (202) 395–6974 in the way variables are named, coded
support AHRQ’s goals of promoting
(attention: AHRQ’s desk officer) or by and formatted. The number of
improvements in the quality and safety
email at OIRA_submission@ submissions to the database is likely to
of health care in nursing home settings.
omb.eop.gov (attention: AHRQ’s desk vary each year because nursing homes
The survey, toolkit materials, and
officer). do not administer the survey and submit
database results are all made publicly
data every year. Data submission is
FOR FURTHER INFORMATION CONTACT: available on AHRQ’s website. Technical
typically handled by one POC who is
Doris Lefkowitz, AHRQ Reports assistance is provided by AHRQ through
either a corporate level health care
Clearance Officer, (301) 427–1477, or by its contractor at no charge to nursing
manager for a Quality Improvement
email at doris.lefkowitz@AHRQ.hhs.gov. homes, to facilitate the use of these
Organization (QIO), a survey vendor
SUPPLEMENTARY INFORMATION:
materials for nursing home patient
who contracts with a nursing home to
safety and quality improvement.
Proposed Project This database will: collect their data, or a nursing home
(1) Present results from nursing Director of Nursing or nurse manager.
Nursing Home Survey on Patient Safety POCs submit data on behalf of 5 nursing
Culture Database homes that voluntarily submit their
data, homes, on average, because many
In accordance with the Paperwork (2) Provide data to nursing homes to nursing homes are part of a QIO or
Reduction Act, 44 U.S.C. 3501–3521, facilitate internal assessment and larger nursing home or health system
AHRQ invites the public the comment learning in the patient safety that includes many nursing home sites,
on this proposed information collection. improvement process, and or the POC is a vendor that is submitting
In 1999, the Institute of Medicine called data for multiple nursing homes.
sradovich on DSK3GMQ082PROD with NOTICES
(3) Provide supplemental information
for health care organizations to develop to help nursing homes identify their Survey data from the AHRQ Nursing
a ‘‘culture of safety’’ such that their strengths and areas with potential for Home Survey on Patient Safety Culture
workforce and processes focus on improvement in patient safety culture. are used to produce three types of
improving the reliability and safety of This study is being conducted by products:
care for patients (IOM, 1999; To Err is AHRQ through its contractor, Westat, (1) A Nursing Home SOPS User
Human: Building a Safer Health pursuant to AHRQ’s statutory authority Database Report that is made publicly
System). To respond to the need for to conduct and support research on available on the AHRQ website;
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![44882 Federal Register / Vol. 83, No. 171 / Tuesday, September 4, 2018 / Notices
(2) Individual Nursing Home Survey residents, shift worked most often, and respondents’ time to participate in the
Feedback Reports are individualized tenure in nursing home). database. An estimated 60 POCs, each
reports produced for each nursing home Each nursing home that submits data representing an average of 5 individual
that submits data to the database; and receives an individualized survey nursing homes, will complete the
feedback report that presents their database submission steps and forms.
(3) Research data sets of individual-
results alongside the aggregate results Each POC will submit the following:
level and nursing home-level de- from other participating nursing homes.
identified data to enable researchers to Nursing homes use the Nursing Home • Eligibility and registration form
conduct analyses. All data released in a SOPS Database Reports and Individual (completion is estimated to take about 3
data set are de-identified at the Nursing Home Survey Feedback Reports minutes).
individual-level and the nursing home- for a number of purposes, to: • Data Use Agreement (completion is
level. • Raise staff awareness about patient estimated to take about 3 minutes).
Nursing homes will be invited to safety.
• Elucidate and assess the current • Nursing Home Site Information
voluntarily submit their Nursing Home
status of patient safety culture in their Form (completion is estimated to take
SOPS survey data to the database. The
nursing home. about 5 minutes).
data are then cleaned and aggregated
and used to produce a Database Report • Identify strengths and areas for • Survey data submission will take an
patient safety culture improvement. average of one hour.
in PDF format that displays averages,
• Evaluate trends in patient safety
standard deviations, and percentile culture change over time. The total annual burden hours are
scores on the survey’s 42 items and 12 • Evaluate the cultural impact of estimated to be 91 hours.
patient safety culture composites, as patient safety initiatives and Exhibit 2 shows the estimated
well as displaying these results by interventions. annualized cost burden based on the
nursing home characteristics (bed size, respondents’ time to submit their data.
urbanicity, ownership, and region) and Estimated Annual Respondent Burden
The cost burden is estimated to be
respondent characteristics (work area/ Exhibit 1 shows the estimated
$4,085 annually.
unit, staff position, interaction with annualized burden hours for the
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of Number of Hours per Total burden
Form name respondents/ responses per response hours
POCs POC
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
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 AHRQ’s estimate of burden (including included in the Agency’s subsequent
hours and costs) of the proposed request for OMB approval of the
In accordance with the Paperwork collection(s) of information; (c) ways to proposed information collection. All
Reduction Act, comments on AHRQ’s enhance the quality, utility and clarity comments will become a matter of
information collection are requested of the information to be collected; and public record.
with regard to any of the following: (a)
sradovich on DSK3GMQ082PROD with NOTICES
(d) ways to minimize the burden of the
Whether the proposed collection of Francis D. Chesley, Jr.,
collection of information upon the
information is necessary for the proper Acting Deputy Director.
respondents, including the use of
performance of AHRQ’s health care [FR Doc. 2018–19026 Filed 8–31–18; 8:45 am]
research and health care information automated collection techniques or
dissemination functions, including other forms of information technology. BILLING CODE 4160–90–P
whether the information will have Comments submitted in response to
practical utility; (b) the accuracy of this notice will be summarized and
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Document Created: 2018-09-01 02:59:21
Document Modified: 2018-09-01 02:59:21
| 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 October 4, 2018. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 83 FR 44881 |
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