83 FR 8270 - 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 38 (February 26, 2018)
Agency for Healthcare Research and Quality
Federal Register Volume 83, Issue 38 (February 26, 2018)
| Page Range | 8270-8274 | |
| FR Document | 2018-03855 |
[Federal Register Volume 83, Number 38 (Monday, February 26, 2018)] [Notices] [Pages 8270-8274] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-03855] ======================================================================= ----------------------------------------------------------------------- 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 changes to the currently approved information collection project: ``Medical Expenditure Panel Survey (MEPS) Household Component and the MEPS Medical Provider Component.'' This proposed information collection was previously published in the Federal Register on December 22, 2017 and allowed 60 days for public comment. AHRQ received no substantive comments. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by March 28, 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 Medical Expenditure Panel Survey (MEPS) Household Component (HC) In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501- 3521, AHRQ invites the public to comment on this proposed information collection. For over thirty years, results from the [[Page 8271]] MEPS and its predecessor surveys (the 1977 National Medical Care Expenditure Survey, the 1980 National Medical Care Utilization and Expenditure Survey and the 1987 National Medical Expenditure Survey) have been used by OMB, DHHS, Congress and a wide number of health services researchers to analyze health care use, expenses and health policy. Major changes continue to take place in the health care delivery system. The MEPS is needed to provide information about the current state of the health care system as well as to track changes over time. The MEPS permits annual estimates of use of health care and expenditures and sources of payment for that health care. It also permits tracking individual change in employment, income, health insurance and health status over two years. The use of the National Health Interview Survey as a sampling frame expands the MEPS analytic capacity by providing another data point for comparisons over time. Households selected for participation in the MEPS-HC are interviewed five times in person. These rounds of interviewing are spaced about 5 months apart. The interview will take place with a family respondent who will report for him/herself and for other family members. The only change to the MEPS-HC from the previous OMB clearance is an update to the existing Adult Self-Administered Questionnaire (SAQ). The MEPS-HC has the following goal: [ssquf] To provide nationally representative estimates for the U.S. civilian noninstitutionalized population for:Health care use, expenditures, sources of payment health insurance coverage Medical Expenditure Panel Survey (MEPS) Medical Provider Component (MPC) The MEPS-MPC will contact medical providers (hospitals, physicians, home health agencies and institutions) identified by household respondents in the MEPS-HC as sources of medical care for the time period covered by the interview, and all pharmacies providing prescription drugs to household members during the covered time period. The MEPS-MPC is not designed to yield national estimates as a stand- alone survey. The sample is designed to target the types of individuals and providers for whom household reported expenditure data was expected to be insufficient. For example, Medicaid enrollees are targeted for inclusion in the MEPS-MPC because this group is expected to have limited information about payments for their medical care. The MEPS-MPC collects event level data about medical care received by sampled persons during the relevant time period. The data collected from medical providers include: Dates on which medical encounters occurred during the reference period Data on the medical content of each encounter, including ICD-9 (or ICD-10) and CPT-4 codes Data on the charges associated with each encounter, such as the sources paying for the medical care--including the patient/family, public sources, and private insurance, and amounts paid by each source Data collected from pharmacies include: Date on which a prescription was filled National drug code or prescription name, strength and form Quantity Payments, by source The MEPS-MPC has the following goal: To serve as an imputation source for and to supplement/ replace household reported expenditure and source of payment information. This data will supplement, replace and verify information provided by household respondents about the charges, payments, and sources of payment associated with specific health care encounters. There are no changes to the MEPS-MPC from the previous OMB clearance. This study is being conducted by AHRQ through its contractors, Westat and RTI International, 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 cost and use of health care services and with respect to health statistics and surveys. 42 U.S.C. 299a(a)(3) and (8); 42 U.S.C. 299b-2. Method of Collection To achieve the goals of the MEPS-HC the following data collections are implemented: 1. Household Component Core Instrument. The core instrument collects data about persons in sample households. Topical areas asked in each round of interviewing include condition enumeration, health status, health care utilization including prescribed medicines, expense and payment, employment, and health insurance. Other topical areas that are asked only once a year include access to care, income, assets, satisfaction with health plans and providers, children's health, and adult preventive care. While many of the questions are asked about the entire reporting unit, which is typically a family, only one person normally provides this information. All sections of the current core instrument are available on the AHRQ website at http://meps.ahrq.gov/mepsweb/survey_comp/survey_questionnaires.jsp. 2. Adult Self-Administered Questionnaire. A brief self-administered questionnaire (SAQ) will be used to collect self-reported (rather than through household proxy) information on health status, health opinions and satisfaction with health care for adults 18 and older. The health status items are from the Veterans Rand 12-item health survey (VR-12). Additionally there are questions addressing adult preventive care for both males and females. This questionnaire has changed from the previous OMB clearance. 3. Diabetes Care SAQ. A brief self-administered, paper-and-pencil questionnaire on the quality of diabetes care is administered once a year (during rounds 3 and 5) to persons identified as having diabetes. Included are questions about the number of times the respondent reported having a hemoglobin A1c blood test, whether the respondent reported having his or her feet checked for sores or irritations, whether the respondent reported having an eye exam in which the pupils were dilated, the last time the respondent had his or her blood cholesterol checked and whether the diabetes has caused kidney or eye problems. Respondents are also asked if their diabetes is being treated with diet, oral medications or insulin. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#supplemental. 4. Authorization Forms for the MEPS-MPC Provider and Pharmacy Survey. As in previous panels of the MEPS, AHRQ will ask respondents for authorization to obtain supplemental information from their medical providers (hospitals, physicians, home health agencies and institutions) and pharmacies. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC_AF for the pharmacy and provider authorization forms. 5. MEPS Validation Interview. Each interviewer is required to have at least 15 percent of his or her caseload validated to insure that Computer Assisted Personal Interview (CAPI) questionnaire content was asked appropriately and procedures followed, for example the use of show cards. Validation flags are set programmatically for cases pre- selected by data processing staff before each round of interviewing. Home office and field management may also request that [[Page 8272]] other cases be validated throughout the field period. When an interviewer fails a validation all his or her work is subject to 100 percent validation. Additionally, any case completed in less than 30 minutes is validated. A validation abstract form containing selected data collected in the CAPI is generated and used by the validator to guide the validation interview. To achieve the goal of the MEPS-MPC the following data collections are implemented: 1. MPC Contact Guide/Screening Call. An initial screening call is placed to determine the type of facility, whether the practice or facility is in scope for the MEPS-MPC, the appropriate MEPS-MPC respondent and some details about the organization and availability of medical records and billing at the practice/facility. All hospitals, physician offices, home health agencies, institutions and pharmacies are screened by telephone using a unique screening instrument except for the two home care provider types which use the same screening form; see http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC_CG. 2. Home Care Provider Questionnaire for Health Care Providers. This questionnaire is used to collect data from home health care agencies which provide medical care services to household respondents. Information collected includes type of personnel providing care, hours or visits provided per month, and the charges and payments for services received. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 3. Home Care Provider Questionnaire for Non-Health Care Providers. This questionnaire is used to collect information about services, for example, cleaning or yard work, transportation, shopping, or child care, provided in the home by non-health care workers to household respondents who can't complete them because of a medical condition. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 4. Medical Event Questionnaire for Office-Based Providers. This questionnaire is for office-based physicians, including doctors of medicine (MDs) and osteopathy (DOs), as well as providers practicing under the direction or supervision of an MD or DO (e.g., physician assistants and nurse practitioners working in clinics). Providers of care in private offices as well as staff model HMOs are included. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 5. Medical Event Questionnaire for Separately Billing Doctors. This questionnaire collects information from physicians identified during the Hospital Event data collection by hospitals as providing care to sampled persons during the course of inpatient, outpatient department or emergency room care, but who bill separately from the hospital. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 6. Hospital Event Questionnaire. This questionnaire is used to collect information about hospital events, including inpatient stays, outpatient department, and emergency room visits. Hospital data are collected not only from the billing department, but from medical records and administrative records departments as well. Medical records departments are contacted to determine the names of all the doctors who treated the patient during a stay or visit. In many cases, the hospital administrative office also has to be contacted to determine whether the doctors identified by medical records billed separately from the hospital itself; the doctors that do bill separately from the hospital will be contacted as part of the Medical Event Questionnaire for Separately Billing Doctors. HMOs are included in this provider type. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 7. Institutions Event Questionnaire. This questionnaire is used to collect information about vents in institutions other than hospitals, including nursing homes, rehabilitation facilities and skilled nursing facilities. Institution data are collected not only from the billing department, but from medical records and administrative records departments as well. Medical records departments are contacted to determine the names of all the doctors who treated the patient during a stay. In many cases, the institution administrative office also has to be contacted to determine whether the doctors identified by medical records billed separately from the institution itself. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC). 8. Pharmacy Data Collection Questionnaire. This questionnaire requests the national drug code (NDC) and when that is not available the prescription name, date prescription was filled, payments by source, prescription strength and form (when the NDC is not available), quantity, and person for whom the prescription was filled. When the NDC is available, the questionnaire does not ask for prescription name, strength or form because that information is embedded in the NDC. This reduces burden on the respondent. Most pharmacies have the requested information available in electronic format and respond by providing a computer generated printout of the patient's prescription information. If the computerized form is unavailable, the pharmacy can report its data to a telephone interviewer. Pharmacies are also able to provide a CD-ROM with the requested information if that is preferred. HMOs are included in this provider type. See http://meps.ahrq.gov/mepsweb/survey_comp/survey.jsp#MPC. 9. Medical Organizations Survey Questionnaire. This questionnaire will collect essential information on important features of the staffing, organization, policies, and financing for identified usual source of office based care providers. This additional data are linked to MEPS sample respondents to enable analyses at the person-level using characteristics of provider practices. Dentists, optometrists, psychologists, podiatrists, chiropractors, and others not providing care under the supervision of a MD or DO are considered out of scope for the MEPS-MPC. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents' time to participate in the MEPS-HC and the MEPS-MPC. The MEPS-HC Core Interview will be completed by 15,093* (see note below Exhibit 1) ``family level'' respondents, also referred to as RU respondents. Since the MEPS-HC consists of 5 rounds of interviewing covering a full two years of data, the annual average number of responses per respondent is 2.5 responses per year. The MEPS-HC core requires an average response time of 92 minutes to administer. The Adult SAQ will be completed once a year by each person in the RU that is 18 years old and older, an estimated 28,254 persons. The Adult SAQ requires an average of 7 minutes to complete. The Diabetes care SAQ will be completed once a year by each person in the RU identified as having diabetes, an estimated 2,345 persons, and takes about 3 minutes to complete. The authorization form for the MEPS-MPC Provider Survey will be completed once for each medical provider seen by any RU member. The 14,489 RUs in the MEPS-HC will complete an average of 5.4 forms, which require about 3 minutes each to complete. The authorization form for the MEPS-MPC Pharmacy Survey will be completed once for each pharmacy for any RU member who has obtained a prescription medication. RUs will complete an average of 3.1 forms, which take about 3 minutes to complete. About [[Page 8273]] one third of all interviewed RUs will complete a validation interview as part of the MEPS-HC quality control, which takes an average of 5 minutes to complete. The total annual burden hours for the MEPS-HC are estimated to be 67,826 hours. All medical providers and pharmacies included in the MEPS-MPC will receive a screening call and the MEPS-MPC uses 7 different questionnaires; 6 for medical providers and 1 for pharmacies. Each questionnaire is relatively short and requires 2 to 15 minutes to complete. The total annual burden hours for the MEPS-MPC are estimated to be 18,876 hours. The total annual burden for the MEPS-HC and MPC is estimated to be 86,702 hours. Exhibit 2 shows the estimated annual cost burden associated with the respondents' time to participate in this information collection. The annual cost burden for the MEPS-HC is estimated to be $1,618,328; the annual cost burden for the MEPS-MPC is estimated to be $316,532. The total annual cost burden for the MEPS-HC and MPC is estimated to be $1,934,860. Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Form name Number of responses per Hours per Total burden respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- MEPS-HC: MEPS-HC Core Interview...................... * 15,093 2.5 92/60 57,857 Adult SAQ................................... 28,254 1 7/60 3,296 Diabetes care SAQ........................... 2,345 1 3/60 117 Authorization form for the MEPS-MPC Provider 14,489 5.4 3/60 3,912 Survey..................................... Authorization form for the MEPS-MPC Pharmacy 14,489 3.1 3/60 2,246 Survey..................................... MEPS-HC Validation Interview................ 4,781 1 5/60 398 --------------------------------------------------------------- Subtotal for the MEPS-HC................ 79,451 na na 67,826 MEPS-MPC/MOS: MPC Contact Guide/Screening Call **......... 35,222 1 2/60 1,174 Home care for health care providers 532 1.49 9/60 119 questionnaire.............................. Home care for non[dash]health care providers 25 1 11/60 5 questionnaire.............................. Office[dash]based providers questionnaire... 11,785 1.44 10/60 2,828 Separately billing doctors questionnaire.... 12,693 3.43 13/60 9,433 Hospitals questionnaire..................... 5,077 3.51 9/60 2,673 Institutions (non-hospital) questionnaire... 117 2.03 9/60 36 Pharmacies questionnaire.................... 4,993 4.44 3/60 1,108 Medical Organizations Survey questionnaire.. 6,000 1 15/60 1,500 --------------------------------------------------------------- Subtotal for the MEPS-MPC............... 76,444 na na 18,876 --------------------------------------------------------------- Grand Total......................... 155,895 na na 86,702 ---------------------------------------------------------------------------------------------------------------- * While the expected number of responding units for the annual estimates is 14,489, it is necessary to adjust for survey attrition of initial respondents by a factor of 0.96 (15,093 = 14,489/0.96). ** There are 6 different contact guides; one for office based, separately billing doctor, hospital, institution, and pharmacy provider types, and the two home care provider types use the same contact guide. Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Number of Total burden Average hourly Total cost Form name respondents hours wage rate ($) burden ($) ---------------------------------------------------------------------------------------------------------------- MEPS-HC: MEPS-HC Core Interview...................... 15,093 57,857 * 23.86 1,380,468 Adult SAQ................................... 28,254 3,296 * 23.86 78,643 Diabetes care SAQ........................... 2,345 117 * 23.86 2,792 Authorization forms for the MEPS-MPC 14,489 3,912 * 23.86 93,340 Provider Survey............................ Authorization form for the MEPS-MPC Pharmacy 14,489 2,246 * 23.86 53,590 Survey..................................... MEPS-HC Validation Interview................ 4,781 398 * 23.86 9,496 --------------------------------------------------------------- Subtotal for the MEPS-HC................ 79,451 67,826 na 1,618,328 MEPS-MPC/MOS: MPC Contact Guide/Screening Call............ 35,222 1,174 **16.85 19,782 Home care for health care providers 532 119 **16.85 $2,005 questionnaire.............................. Home care for non[dash]health care providers 25 5 **16.85 84 questionnaire.............................. Office[dash]based providers questionnaire... 11,785 2,828 **16.85 47,652 Separately billing doctors questionnaire.... 12,693 9,433 **16.85 158,946 Hospitals questionnaire..................... 5,077 2,673 **16.85 45,040 Institutions (non-hospital) questionnaire... 117 36 **16.85 607 Pharmacies questionnaire.................... 4,993 1,108 ***15.47 17,141 Medical Organizations Survey questionnaire.. 6,000 1,500 **16.85 25,275 --------------------------------------------------------------- Subtotal for the MEPS-MPC............... 76,444 18,876 na 316,532 --------------------------------------------------------------- [[Page 8274]] Grand Total......................... 155,895 86,073 na 1,934,860 ---------------------------------------------------------------------------------------------------------------- * Mean hourly wage for All Occupations (00-0000). ** Mean hourly wage for Medical Secretaries (43-6013). *** Mean hourly wage for Pharmacy Technicians (29-2052). Occupational Employment Statistics, May 2016 National Occupational Employment and Wage Estimates United States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm#b29-0000. 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 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. Karen J. Migdail, Chief of Staff. [FR Doc. 2018-03855 Filed 2-23-18; 8:45 am] BILLING CODE 4160-90-P
![8270 Federal Register / Vol. 83, No. 38 / Monday, February 26, 2018 / Notices
A. Federal Reserve Bank of worldwar1centennial.gov to register to • Other Business
Minneapolis (Mark A. Rauzi, Vice comment during the meeting’s 30- • Chairman’s Report
President) 90 Hennepin Avenue, minute public comment Please contact • Set Next Meeting
Minneapolis, Minnesota 55480–0291: Mr. Dayton at the email address above • Motion to Adjourn
1. Todd Tyrell Ellestad, Andover, to obtain meeting materials. Dated: February 21, 2018.
Minnesota; to acquire voting shares of FOR FURTHER INFORMATION CONTACT: Daniel S. Dayton,
Equity Bank Holding Company, Inc., Daniel S. Dayton, Designated Federal Designated Federal Official, World War I
Minnetonka, Minnesota, and thereby Officer, World War One Centennial Centennial Commission.
indirectly acquire shares of Equity Bank, Commission, 701 Pennsylvania Avenue [FR Doc. 2018–03830 Filed 2–23–18; 8:45 am]
Minnetonka, Minnesota. NW, Ste. 123, Washington, DC 20004, BILLING CODE 6820–95–P
Board of Governors of the Federal Reserve telephone 202–380–0725 (note: this is
System, February 21, 2018. not a toll-free number).
Ann E. Misback, SUPPLEMENTARY INFORMATION: DEPARTMENT OF HEALTH AND
Secretary of the Board.
Background HUMAN SERVICES
[FR Doc. 2018–03815 Filed 2–23–18; 8:45 am]
BILLING CODE 6210–01–P The World War One Centennial Agency for Healthcare Research and
Commission was established by Public Quality
Law 112–272 (as amended), as a
GENERAL SERVICES commission to ensure a suitable Agency Information Collection
ADMINISTRATION observance of the centennial of World Activities: Proposed Collection;
War I, to provide for the designation of Comment Request
[Notice–WWICC–2018–01; Docket No. 2018– memorials to the service of members of
0003; Sequence No. 1]
the United States Armed Forces in AGENCY: Agency for Healthcare Research
World War I, and for other purposes. and Quality, HHS.
World War One Centennial ACTION: Notice.
Commission; Notification of Upcoming Under this authority, the Commission
Public Advisory Meeting will plan, develop, and execute
SUMMARY: This notice announces the
programs, projects, and activities to
AGENCY: World War One Centennial intention of the Agency for Healthcare
commemorate the centennial of World
Commission, GSA. Research and Quality (AHRQ) to request
War I, encourage private organizations
that the Office of Management and
ACTION: Meeting notice. and State and local governments to
Budget (OMB) approve the proposed
organize and participate in activities
SUMMARY: Notice of this meeting is being changes to the currently approved
commemorating the centennial of World
provided according to the requirements information collection project: ‘‘Medical
War I, facilitate and coordinate activities
of the Federal Advisory Committee Act. Expenditure Panel Survey (MEPS)
throughout the United States relating to
This notice provides the schedule and Household Component and the MEPS
the centennial of World War I, serve as
agenda for the March 20, 2018 meeting Medical Provider Component.’’
a clearinghouse for the collection and
of the World War One Centennial This proposed information collection
dissemination of information about
Commission (the Commission). The was previously published in the Federal
events and plans for the centennial of
meeting is open to the public. Register on December 22, 2017 and
World War I, and develop
DATES: Meeting date: The meeting will allowed 60 days for public comment.
recommendations for Congress and the
be held on Tuesday, March 20, 2018, AHRQ received no substantive
President for commemorating the
starting at 9:00 a.m. Eastern Standard comments. The purpose of this notice is
centennial of World War I. The
Time (EST), and ending no later than to allow an additional 30 days for public
Commission does not have an
12:00 p.m., EST. Written Comments comment.
appropriation and operates on donated
may be submitted to the Commission funds. DATES: Comments on this notice must be
and will be made part of the permanent received by March 28, 2018.
record of the Commission. Agenda: Tuesday, March 20, 2018 ADDRESSES: Written comments should
Registered speakers/organizations will Old Business: be submitted to: AHRQ’s OMB Desk
be allowed five minutes, and will need • Acceptance of minutes of last Officer by fax at (202) 395–6974
to provide written copies of their meeting (attention: AHRQ’s desk officer) or by
presentations. Requests to comment, • Public Comment Period email at OIRA_submission@
together with presentations for the New Business: omb.eop.gov (attention: AHRQ’s desk
meeting, must be received by Friday, • Executive Director’s Report— officer).
March 9, 2018, by 5:00 p.m., EST, and Executive Director Dayton
may be provided by email to FOR FURTHER INFORMATION CONTACT:
• Executive Committee Report— Doris Lefkowitz, AHRQ Reports
daniel.dayton@ Commissioner Hamby
worldwar1centennial.gov. Clearance Officer, (301) 427–1477, or by
• Financial Committee Report—Vice email at doris.lefkowitz@AHRQ.hhs.gov.
ADDRESSES: The meeting will be held Chair Fountain
SUPPLEMENTARY INFORMATION:
telephonically. The call will be • Memorial Report—Vice Chair
convened at the Offices of the World Fountain Proposed Project
War One Centennial Commission at • Fundraising Report—Commissioner
daltland on DSKBBV9HB2PROD with NOTICES
Sedgwick Medical Expenditure Panel Survey
1800 G Street NW, Washington, DC
• Education Report—Dr. O’Connell (MEPS) Household Component (HC)
20006. This location is handicapped
accessible. Persons attending in person • Endorsements—(RFS)—Dr. Seefried In accordance with the Paperwork
are requested to refrain from using • International Report—Dr. Seefried Reduction Act, 44 U.S.C. 3501–3521,
perfume, cologne, and other fragrances. • Armistice Centennial Events AHRQ invites the public to comment on
Contact Daniel S. Dayton at Committee (ACE) Report— this proposed information collection.
daniel.dayton@ Commissioner Monahan For over thirty years, results from the
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![8274 Federal Register / Vol. 83, No. 38 / Monday, February 26, 2018 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued
Average Total cost
Number of Total burden hourly wage
Form name burden
respondents hours rate ($)
($)
Grand Total ................................................................................ 155,895 86,073 na 1,934,860
* Mean hourly wage for All Occupations (00–0000).
** Mean hourly wage for Medical Secretaries (43–6013).
*** Mean hourly wage for Pharmacy Technicians (29–2052). Occupational Employment Statistics, May 2016 National Occupational Employ-
ment and Wage Estimates United States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm#b29-
0000.
Request for Comments Safety Organization Certification for care providers; it offers a mechanism for
In accordance with the Paperwork Initial Listing and Related Forms, creating an environment in which the
Reduction Act, comments on AHRQ’s Patient Safety Confidentiality causes of risks and hazards to patient
information collection are requested Complaint Form, and Common safety can be thoroughly and honestly
with regard to any of the following: (a) Formats.’’ examined and discussed without fear of
Whether the proposed collection of DATES: Comments on this notice must be penalties and liabilities. It provides for
information is necessary for the proper received by April 27, 2018. the voluntary formation of Patient
performance of AHRQ health care Safety Organizations (PSOs) that can
ADDRESSES: Written comments should
research and health care information collect, aggregate, and analyze
be submitted to: Doris Lefkowitz,
dissemination functions, including confidential information reported
Reports Clearance Officer, AHRQ, by
whether the information will have voluntarily by health care providers. By
email at doris.lefkowitz@AHRQ.hhs.gov.
practical utility; (b) the accuracy of Copies of the proposed collection analyzing substantial amounts of patient
AHRQ’s estimate of burden (including plans, data collection instruments, and safety event information across multiple
hours and costs) of the proposed specific details on the estimated burden institutions, PSOs are able to identify
can be obtained from the AHRQ Reports patterns of failures and propose
collection(s) of information; (c) ways to
Clearance Officer. measures to eliminate or reduce risks
enhance the quality, utility, and clarity
and hazards.
of the information to be collected; and FOR FURTHER INFORMATION CONTACT:
In order to implement the Patient
(d) ways to minimize the burden of the Doris Lefkowitz, AHRQ Reports Safety Act, the Department of Health
collection of information upon the Clearance Officer, (301) 427–1477, or by and Human Services (HHS) issued the
respondents, including the use of emails at doris.lefkowitz@ Patient Safety and Quality Improvement
automated collection techniques or AHRQ.hhs.gov. Final Rule (Patient Safety Rule, see
other forms of information technology. SUPPLEMENTARY INFORMATION: Attachment B) which became effective
Comments submitted in response to
Proposed Project on January 19, 2009. The Patient Safety
this notice will be summarized and
Rule establishes a framework by which
included in the Agency’s subsequent ‘‘Patient Safety Organization hospitals, doctors, and other health care
request for OMB approval of the Certification for Initial Listing and providers may voluntarily report
proposed information collection. All Related Forms, Patient Safety information to PSOs, on a privileged
comments will become a matter of Confidentiality Complaint Form, and and confidential basis, for the
public record. Common Formats.’’ aggregation and analysis of patient
Karen J. Migdail, In accordance with the Paperwork safety events. In addition, the Patient
Chief of Staff. Reduction Act, 44 U.S.C. 3501–3521, Safety Rule outlines the requirements
[FR Doc. 2018–03855 Filed 2–23–18; 8:45 am] AHRQ invites the public to comment on that entities must meet to become and
BILLING CODE 4160–90–P this proposed information collection. remain listed as PSOs and the process
The Patient Safety and Quality by which the Secretary of HHS
Improvement Act of 2005 (Patient Safety (Secretary) will accept certifications and
DEPARTMENT OF HEALTH AND Act), signed into law on July 29, 2005, list PSOs.
HUMAN SERVICES was enacted in response to growing When specific statutory requirements
concern about patient safety in the are met, the information collected and
Agency for Healthcare Research and United States and the Institute of the analyses and deliberations regarding
Quality Medicine’s 1999 report, To Err is the information receive confidentiality
Human: Building a Safer Health System. and privilege protections under this
Agency Information Collection The goal of the statute is to create a legislation. The Secretary delegated
Activities: Proposed Collection; national learning system. By providing authority to the Director of the Office for
Comment Request incentives of nation-wide Civil Rights (OCR) to enforce the
AGENCY: Agency for Healthcare Research confidentiality and legal privilege, the confidentiality protections of the Patient
and Quality, HHS. PSO learning system improves patient Safety Act (Federal Register, Vol. 71,
ACTION: Notice. safety and quality by providing an No. 95, May 17, 2006, p. 28701–2). OCR
daltland on DSKBBV9HB2PROD with NOTICES
incentive for health care providers to is responsible for enforcing
SUMMARY: This notice announces the work voluntarily with experts in patient confidentiality protections regarding
intention of the Agency for Healthcare safety to reduce risks and hazards to the patient safety work product (PSWP),
Research and Quality (AHRQ) to request safety and quality of patient care. The which may include: Patient-,
that the Office of Management and Patient Safety Act signifies the Federal provider-, and reporter-identifying
Budget (OMB) approve the proposed Government’s commitment to fostering information that is collected, created, or
information collection project ‘‘Patient a culture of patient safety among health used for or by PSOs for patient safety
VerDate Sep<11>2014 17:58 Feb 23, 2018 Jkt 244001 PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 E:\FR\FM\26FEN1.SGM 26FEN1](https://thefederalregister.org/doc/83_FR_8308/page/5.svg)
Document Created: 2018-02-24 01:00:47
Document Modified: 2018-02-24 01:00:47
| 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 March 28, 2018. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 83 FR 8270 |
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