83_FR_55933 83 FR 55717 - Agency Information Collection Activities: Proposed Collection; Comment Request

83 FR 55717 - 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 216 (November 7, 2018)

Page Range55717-55718
FR Document2018-24339

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 ``Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database.''

Federal Register, Volume 83 Issue 216 (Wednesday, November 7, 2018) 
[Federal Register Volume 83, Number 216 (Wednesday, November 7, 2018)]
[Notices]
[Pages 55717-55718]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-24339]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

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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 ``Child Hospital Consumer Assessment of Healthcare Providers 
and Systems (Child HCAHPS) Survey Database.''

DATES: Comments on this notice must be received by January 7, 2019.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by email at 
doris.lefkowitz@AHRQ.hhs.gov.
    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 
doris.lefkowitz@AHRQ.hhs.gov.

SUPPLEMENTARY INFORMATION:

Proposed Project

Child Hospital Consumer Assessment of Healthcare Providers and Systems 
(Child HCAHPS) Survey Database

    In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3521, AHRQ invites the public to comment on this proposed information 
collection. The CAHPS Child Hospital Survey (Child HCAHPS) assesses the 
experiences of pediatric patients (less than 18 years old) and their 
parents or guardians with inpatient care. It complements the CAHPS 
Adult Hospital Survey (HCAHPS), which asks adult inpatients about their 
experiences. In contrast to the adult version of HCAHPS, there is no 
publicly available comprehensive database for Child HCAHPS that allows 
survey users to analyze and compare their survey results in order to 
assess their performance and identify opportunities for improvement. 
The proposed Child HCAHPS Database will fill this critical information 
gap by creating a voluntary database available to all Child HCAHPS 
users to support both quality improvement and research to enhance the 
patient-centeredness of care delivered to pediatric hospital patients.
    AHRQ supported the development of the Child HCAHPS survey by the 
Center of Excellence for Pediatric Quality Measurement at Boston 
Children's Hospital. The Child HCAHPS survey is currently used by 
approximately 300 hospitals. Hospitals using Child HCAHPS, including 
the 25 hospital members of the Pediatric Patient Experience 
Collaborative, have expressed strong interest in working with AHRQ to 
develop a database that can provide a centralized repository of data.
    Rationale for the information collection. Like the survey 
instrument itself and related toolkit materials to support survey 
implementation, aggregated Child HCAHPS Database results will be made 
publicly available on AHRQ's CAHPS website. Technical assistance will 
be provided by AHRQ through its contractor at no charge to hospitals to 
facilitate the access and use of these materials for quality 
improvement and research. Technical assistance will also be provided to 
support Child HCAHPS data submission.
    The Child HCAHPS Database will support AHRQ's goals of promoting 
improvements in the quality and patient-centeredness of health care in 
pediatric hospital settings. This research has the following goals:
    1. Improve care provided by individual hospitals and hospital 
systems.
    2. Offer several products and services, including providing survey 
results presented through an Online Reporting System, summary 
chartbooks, custom analyses, private reports and data for research 
purposes.
    3. Provides information to help identify strengths and areas with 
potential for improvement in patient care.
    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; quality 
measurement and improvement; and health surveys and database 
development. 42 U.S.C. 299a(a)(1), (2), and (8).

Method of Collection

    To achieve the goals of this project, the following activities and 
data collections that constitute information collection under the 
Paperwork Reduction Act (PRA) will be implemented:
    Submission Notifications and Instructions. Clear instructions and 
notifications are of paramount importance for successful submission of 
valid data, seamless report dissemination, and streamlined 
communication with survey vendors, hospitals, or other submitters. 
Procedures for data submission through the data submission platform 
will include the following:
     Registration with the submission website to obtain an 
account with a secure username and password: The point-of-contact 
(POC), often the hospital, completes a number of data submission steps 
and forms, beginning with the completion of the online registration 
form. The purpose of this form is to collect basic contact information 
about the organization and initiate the registration process;
     Submission of signed Data Use Agreements (DUAs) and survey 
questionnaires. The purpose of the data use agreement, completed by the 
participating hospital, is to state how data submitted by or on behalf 
of hospitals will be used and provides confidentiality assurances;
     Submission of hospital information form. The purpose of 
this form completed by the participating organization, is to collect 
background characteristics of the hospital; and
     Follow-up with submitters in the event of a rejected file, 
to assist in making corrections and resubmitting the file.
    With the approval and addition of the Child HCAHPS Database, data 
submitted will be used to produce three types of reporting products:
     Hospital Feedback Reports. Hospitals that submit data will 
have access to a customized report that presents findings for their 
individual submission along with results from the database overall. 
These ``private'' hospital feedback reports will display sortable 
results for each of the Child HCAHPS core composite measures and for 
each individual survey item that forms the composite measure.
     Child HCAHPS Chartbook. A summary-level Chartbook will be 
compiled to display top box and other

[[Page 55718]]

proportional scores for the Child HCAHPS items and composite measures 
broken out by selected hospital characteristics (e.g., region, hospital 
size, ownership and affiliation, etc.).
     Online Reporting System. Aggregate results also will be 
made publicly available through an interactive, web-based system that 
allows users to view survey item and composite results (or build and 
download a custom report) in a variety of formats.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated burden hours for the respondents to 
participate in the database. The 302 POCs in Exhibit 1 are a 
combination of an estimated 300 hospitals that currently administer the 
Child HCAHPS survey and the two survey vendors assisting them.
    Each hospital will register online for submission. The online 
Registration form will require about 5 minutes to complete. Each 
submitter will also complete a hospital information form of information 
about each hospital such as the name of the hospital, hospital size, 
state, etc. The online hospital information form takes on average 5 
minutes to complete. The data use agreement will be completed by each 
of the 300 participating hospitals. Survey vendors do not sign or 
submit DUAs. The DUA requires about 3 minutes to sign and return by fax 
or mail. Each submitter, which in most cases will be the survey vendor 
performing the data collection, will provide a copy of their 
questionnaire and the survey data file in the required file format. 
Survey data files must conform to the data file layout specifications 
provide by the Child HCAHPS Database. Since the unit of analysis is at 
the hospital level, submitters will upload one data file per hospital. 
Once a data file is uploaded, the file will be automatically checked to 
ensure it conforms to the specifications and a data file status report 
will be produced and made available to the submitter. Submitters will 
review each report and will be expected to correct any errors in their 
data file and resubmit if necessary. It will take about one hour to 
submit the data for each hospital. The total burden is estimated to be 
365 hours annually.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/    responses per     Hours per     Total burden
                                                       POCs             POC          response          hours
----------------------------------------------------------------------------------------------------------------
Registration Form...............................             300               1            5/60              25
Hospital Information Form.......................             300               1            5/60              25
Data Use Agreement..............................             300               1            3/60              15
Data Files Submission...........................               2             150               1             300
                                                 ---------------------------------------------------------------
    Total.......................................             902              NA              NA             365
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to complete one submission process. The cost burden 
is estimated to be $16,722 annually.

                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                    Form name                        Number of     Total burden     hourly wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Registration Form...............................             300              25       \a\ 53.69          $1,342
Hospital Information Form.......................             300              25       \a\ 53.69           1,342
Data Use Agreement..............................             300              15       \b\ 94.25           1,414
Data Files Submission...........................               2             300       \c\ 42.08          12,624
                                                 ---------------------------------------------------------------
    Total.......................................             902             365              NA          16,722
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2017, ``U.S. Department of Labor,
  Bureau of Labor Statistics.''
(a) Based on the mean hourly wage for Medical and Health Services Managers (11-9111).
(b) Based on the mean hourly wage for Chief Executives (11-1011).
(c) Based on the mean hourly wages for Computer Programmer (15-1131).

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. 2018-24339 Filed 11-6-18; 8:45 am]
BILLING CODE 4160-90-P

Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Notices 55717 Board of Governors of the Federal Reserve HCAHPS that allows survey users to services; quality measurement and System, November 2, 2018. analyze and compare their survey improvement; and health surveys and Ann Misback, results in order to assess their database development. 42 U.S.C. Secretary of the Board. performance and identify opportunities 299a(a)(1), (2), and (8). [FR Doc. 2018–24346 Filed 11–6–18; 8:45 am] for improvement. The proposed Child Method of Collection BILLING CODE P HCAHPS Database will fill this critical information gap by creating a voluntary To achieve the goals of this project, database available to all Child HCAHPS the following activities and data users to support both quality collections that constitute information DEPARTMENT OF HEALTH AND improvement and research to enhance collection under the Paperwork HUMAN SERVICES the patient-centeredness of care Reduction Act (PRA) will be Agency for Healthcare Research and delivered to pediatric hospital patients. implemented: Quality AHRQ supported the development of Submission Notifications and the Child HCAHPS survey by the Center Instructions. Clear instructions and Agency Information Collection of Excellence for Pediatric Quality notifications are of paramount Activities: Proposed Collection; Measurement at Boston Children’s importance for successful submission of Comment Request Hospital. The Child HCAHPS survey is valid data, seamless report currently used by approximately 300 dissemination, and streamlined AGENCY: Agency for Healthcare Research hospitals. Hospitals using Child communication with survey vendors, and Quality, HHS. HCAHPS, including the 25 hospital hospitals, or other submitters. ACTION: Notice. members of the Pediatric Patient Procedures for data submission through Experience Collaborative, have the data submission platform will SUMMARY: This notice announces the expressed strong interest in working include the following: intention of the Agency for Healthcare • Registration with the submission with AHRQ to develop a database that Research and Quality (AHRQ) to request can provide a centralized repository of website to obtain an account with a that the Office of Management and data. secure username and password: The Budget (OMB) approve the proposed Rationale for the information point-of-contact (POC), often the information collection project ‘‘Child collection. Like the survey instrument hospital, completes a number of data Hospital Consumer Assessment of itself and related toolkit materials to submission steps and forms, beginning Healthcare Providers and Systems support survey implementation, with the completion of the online (Child HCAHPS) Survey Database.’’ aggregated Child HCAHPS Database registration form. The purpose of this DATES: Comments on this notice must be results will be made publicly available form is to collect basic contact received by January 7, 2019. on AHRQ’s CAHPS website. Technical information about the organization and ADDRESSES: Written comments should assistance will be provided by AHRQ initiate the registration process; be submitted to: Doris Lefkowitz, through its contractor at no charge to • Submission of signed Data Use Reports Clearance Officer, AHRQ, by hospitals to facilitate the access and use Agreements (DUAs) and survey email at doris.lefkowitz@AHRQ.hhs.gov. of these materials for quality questionnaires. The purpose of the data Copies of the proposed collection improvement and research. Technical use agreement, completed by the plans, data collection instruments, and assistance will also be provided to participating hospital, is to state how specific details on the estimated burden support Child HCAHPS data data submitted by or on behalf of can be obtained from the AHRQ Reports submission. hospitals will be used and provides Clearance Officer. The Child HCAHPS Database will confidentiality assurances; FOR FURTHER INFORMATION CONTACT: support AHRQ’s goals of promoting • Submission of hospital information Doris Lefkowitz, AHRQ Reports improvements in the quality and form. The purpose of this form Clearance Officer, (301) 427–1477, or by patient-centeredness of health care in completed by the participating emails at doris.lefkowitz@ pediatric hospital settings. This research organization, is to collect background AHRQ.hhs.gov. has the following goals: characteristics of the hospital; and 1. Improve care provided by • Follow-up with submitters in the SUPPLEMENTARY INFORMATION: individual hospitals and hospital event of a rejected file, to assist in Proposed Project systems. making corrections and resubmitting the 2. Offer several products and services, file. Child Hospital Consumer Assessment of including providing survey results With the approval and addition of the Healthcare Providers and Systems presented through an Online Reporting Child HCAHPS Database, data (Child HCAHPS) Survey Database System, summary chartbooks, custom submitted will be used to produce three In accordance with the Paperwork analyses, private reports and data for types of reporting products: Reduction Act, 44 U.S.C. 3501–3521, research purposes. • Hospital Feedback Reports. AHRQ invites the public to comment on 3. Provides information to help Hospitals that submit data will have this proposed information collection. identify strengths and areas with access to a customized report that The CAHPS Child Hospital Survey potential for improvement in patient presents findings for their individual (Child HCAHPS) assesses the care. submission along with results from the experiences of pediatric patients (less This study is being conducted by database overall. These ‘‘private’’ than 18 years old) and their parents or AHRQ through its contractor, Westat, hospital feedback reports will display amozie on DSK3GDR082PROD with NOTICES1 guardians with inpatient care. It pursuant to AHRQ’s statutory authority sortable results for each of the Child complements the CAHPS Adult to conduct and support research on HCAHPS core composite measures and Hospital Survey (HCAHPS), which asks health care and on systems for the for each individual survey item that adult inpatients about their experiences. delivery of such care, including forms the composite measure. In contrast to the adult version of activities with respect to: The quality, • Child HCAHPS Chartbook. A HCAHPS, there is no publicly available effectiveness, efficiency, summary-level Chartbook will be comprehensive database for Child appropriateness and value of health care compiled to display top box and other VerDate Sep<11>2014 17:46 Nov 06, 2018 Jkt 247001 PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 E:\FR\FM\07NON1.SGM 07NON1

55718 Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Notices proportional scores for the Child and the two survey vendors assisting questionnaire and the survey data file in HCAHPS items and composite measures them. the required file format. Survey data broken out by selected hospital Each hospital will register online for files must conform to the data file layout characteristics (e.g., region, hospital submission. The online Registration specifications provide by the Child size, ownership and affiliation, etc.). form will require about 5 minutes to HCAHPS Database. Since the unit of • Online Reporting System. Aggregate complete. Each submitter will also analysis is at the hospital level, results also will be made publicly complete a hospital information form of submitters will upload one data file per available through an interactive, web- information about each hospital such as hospital. Once a data file is uploaded, based system that allows users to view the name of the hospital, hospital size, the file will be automatically checked to survey item and composite results (or state, etc. The online hospital ensure it conforms to the specifications build and download a custom report) in information form takes on average 5 minutes to complete. The data use and a data file status report will be a variety of formats. agreement will be completed by each of produced and made available to the Estimated Annual Respondent Burden the 300 participating hospitals. Survey submitter. Submitters will review each Exhibit 1 shows the estimated burden vendors do not sign or submit DUAs. report and will be expected to correct hours for the respondents to participate The DUA requires about 3 minutes to any errors in their data file and resubmit in the database. The 302 POCs in sign and return by fax or mail. Each if necessary. It will take about one hour Exhibit 1 are a combination of an submitter, which in most cases will be to submit the data for each hospital. The estimated 300 hospitals that currently the survey vendor performing the data total burden is estimated to be 365 administer the Child HCAHPS survey collection, will provide a copy of their hours annually. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of Number of Hours per Total burden Form name respondents/ responses per response hours POCs POC Registration Form ............................................................................................ 300 1 5/60 25 Hospital Information Form ............................................................................... 300 1 5/60 25 Data Use Agreement ....................................................................................... 300 1 3/60 15 Data Files Submission ..................................................................................... 2 150 1 300 Total .......................................................................................................... 902 NA NA 365 Exhibit 2 shows the estimated submission process. The cost burden is annualized cost burden based on the estimated to be $16,722 annually. respondents’ time to complete one EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Average Number of Total burden Total cost Form name hourly wage respondents hours burden rate * Registration Form ............................................................................................ 300 25 a 53.69 $1,342 Hospital Information Form ............................................................................... 300 25 a 53.69 1,342 Data Use Agreement ....................................................................................... 300 15 b 94.25 1,414 Data Files Submission ..................................................................................... 2 300 c 42.08 12,624 Total .......................................................................................................... 902 365 NA 16,722 * National Compensation Survey: Occupational wages in the United States May 2017, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ (a) Based on the mean hourly wage for Medical and Health Services Managers (11–9111). (b) Based on the mean hourly wage for Chief Executives (11–1011). (c) Based on the mean hourly wages for Computer Programmer (15–1131). Request for Comments collection(s) of information; (c) ways to comments will become a matter of enhance the quality, utility and clarity public record. In accordance with the Paperwork of the information to be collected; and Reduction Act, comments on AHRQ’s Francis D. Chesley, Jr., information collection are requested (d) ways to minimize the burden of the collection of information upon the Acting Deputy Director. with regard to any of the following: (a) [FR Doc. 2018–24339 Filed 11–6–18; 8:45 am] Whether the proposed collection of respondents, including the use of information is necessary for the proper automated collection techniques or BILLING CODE 4160–90–P amozie on DSK3GDR082PROD with NOTICES1 performance of AHRQ’s health care other forms of information technology. research and health care information Comments submitted in response to dissemination functions, including this notice will be summarized and whether the information will have included in the Agency’s subsequent practical utility; (b) the accuracy of request for OMB approval of the AHRQ’s estimate of burden (including proposed information collection. All hours and costs) of the proposed VerDate Sep<11>2014 17:46 Nov 06, 2018 Jkt 247001 PO 00000 Frm 00031 Fmt 4703 Sfmt 9990 E:\FR\FM\07NON1.SGM 07NON1


Document Created: 2018-11-07 00:04:19
Document Modified: 2018-11-07 00:04:19
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this notice must be received by January 7, 2019.
ContactDoris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by emails at [email protected]
FR Citation83 FR 55717 
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