AHRQ Quality Indicators Workgroup on Inpatient and Patient Safety Composite Measures, 16786-16787 [06-3207]

Download as PDF 16786 Federal Register / Vol. 71, No. 64 / Tuesday, April 4, 2006 / Notices FOR FURTHER INFORMATION CONTACT: Sandra M. Peay, Contact Representative or Renee Hallman, Contact Representative. Federal Trade Commission, Premerger Notification Office, Bureau of Competition, Room H– 303, Washington, DC 20580. (202) 326– 3100. By Direction of the Commission. Donald S. Clark, Secretary. [FR Doc. 06–3213 Filed 4–3–06; 8:45 am] BILLING CODE 6750–01–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality AHRQ Quality Indicators Workgroup on Inpatient and Patient Safety Composite Measures Agency for Healthcare Research and Quality (AHRQ), DHHS. ACTION: Notice of request for nominations. AGENCY: The Agency for Healthcare Research and Quality (AHRQ) is seeking nominations for members of an AHRQconvened Quality Indicators Workgroup on Composite Measures for the Inpatient Quality Indicators (IQIs) and the Patient Safety Indicators (PSIs) as part of a general workgroup on composite measures. The AHRQ QI Composite Measures General Workgroup and subsequent IQI and PSI sub-workgroups are being formed as part of a structured approach for developing composite measures from the IQI and PSI software tools for public reporting of quality of hospital care at the national and state level. The purpose of this project is to obtain input from interested organizations and individuals on the development of composite quality measures based on hospital discharge data, specifically using the IQI and PSI measures. The Workgroups will evaluate appropriate technical and methodological approaches currently available and will discuss and suggest strategies as to what composite measure methodology would best fit QI user needs. As part of this effort and using the AHRQ PSIs and IQIs, the Workgroup members will be addressing several key issues for the development of composite measures, including but not limited to: • Identifying and defining the quality concept that each composite is intended to measure; • Suggesting and considering the individual quality indicators that should be included in the composite; sroberts on PROD1PC70 with NOTICES SUMMARY: VerDate Aug<31>2005 18:55 Apr 03, 2006 Jkt 208001 • The manner of weighting with which individual quality indicators could or should be combined; • Evaluation of using conditionspecific quality of care composites (e.g., for cardiovascular disease, or diabetes) or population-specific composites (e.g., pediatrics, women, or geriatrics) or domain specific composites (e.g., surgical, or infections); and • Discussion of the methodological considerations which are appropriate or important when combining quality indicators and the considerations when composites are used for publicly reporting data. For additional information about the AHRQ Quality Indicators, please visit the AHRQ Quality Indicators Web site at http://www.qualityindicators.ahrq.gov. Specifically, the AHRQ QI Composite Measures General Workgroup will consist of up to 15 individuals who have expertise in one or more of the following areas: Statistical methods, hospital quality improvement and patient safety, health services research, and administrative data. To the extent possible, this Workgroup will represent a variety of stakeholder perspectives, specifically including—(1) Consumers, (2) healthcare purchasers, (3) quality improvement organizations, (4) researchers, (5) healthcare professionals, (6) state-based organizations, and (7) Federal health care provider organizations. The Workgroup will be further divided into two subworkgroups to focus on the IQIs and the PSIs separately. Each sub-workgroup will have a series of conference calls to share perspectives, discuss the technical and policy issues surrounding composite measures for each module and will then summarize their discussions for presentation to the AHRQ QI Composite Measures General Workgroup. The AHRQ QI Composite Measures General Workgroup will provide responses to the subworkgroups’ findings. AHRQ will then develop a summary of the discussion in a technical report. This report will be made available for public comment. DATES: Please submit nominations on or before May 4, 2006. Self-nominations are welcome. Third-party nominations must indicate that the individual has been contacted and is willing to serve on one of the workgroups. Notification of selected candidates will be contacted by AHRQ no later than May 15, 2006. ADDRESSES: Nominations can be sent in the form of a letter or e-mail, preferably as an electronic file with an e-mail attachment and should specifically address the submission criteria as noted below. Electronic submissions are PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 strongly encouraged. Responses should be submitted to: AHRQ Quality Indicators Initiative, Agency for Healthcare Research and Quality, Center for Delivery, Organization and Markets, 540 Gaither Road, Room 5121, Rockville, MD 20850. E-mail: project officer@qualityindicators.ahrq.gov. Submission Criteria To be considered for membership on the AHRQ QI Workgroups, please send the following information for each nominee: 1. A brief nomination letter highlighting experience/knowledge relevant in the development and use of composite performance measures and familiarity with the AHRQ QIs and health care administrative data. (See selection criteria below.) Please include full contact information of nominee: Name, title, organization, mailing address, telephone and fax numbers, and e-mail address). 2. Curriculum vita (with citations to any pertinent publications). Nominee Selection Criteria Nominees should have technical expertise in health care quality measurement development, and a familiarity with statistical methods and risk adjustment strategies in the area of composite measure development. More specifically, each candidate will be evaluated using the following criteria: • Peer-reviewed publications relevant to the development of composite measures; performance measures and reporting; • Expertise in statistical methods relevant to the development of composite measures; • Knowledge of recent composite methodologies published in the literature; • Experience with development of measures based on administrative data and its uses; • Expertise in hospital quality improvement and patient safety; • Familiarity with the AHRQ Quality Indicators and their application; • Experience with application of performance measures for public reporting; and, • Availability to provide written comments and conference calls between late April and early August. Time Commitment In an effort to provide for expert input and for recommendations to develop a composite measure methodology, we are initiating a review process that will require participation in approximately four to five conference calls with some E:\FR\FM\04APN1.SGM 04APN1 Federal Register / Vol. 71, No. 64 / Tuesday, April 4, 2006 / Notices pre- and post-evaluation time (approximately 10 hours). Results from this process will influence the development of composite measures for the AHRQ Quality indicators. Beginning in late April/early May through early August, selected nominees will be asked to participate in the following activities: IQI/PSI Sub-Workgroup Activities 1. Provide evaluative comments on current methodology for composite indicators (2.0 hours) and participate in subsequent General Workgroup call (1.0 hour); 2. Participate in one Sub-Workgroup conference call to discuss suggested changes to the current composite indicator methodology (1.5 hours); 3. Provide evaluative comments on AHRQ’s new draft or revised methodology (1.5 hour); 4. Participate in second Subgroup call to respond to each others’ comments and questions or provide additional clarifications regarding draft methodology (1.5 hours); and 5. Participate in second General workgroup call. Provide suggestions for summary document for public comment (2.0 hours). The Workgroup will conduct business by telephone, e-mail, or other electronic means as needed. FOR FURTHER INFORMATION CONTACT: Mamatha Pancholi, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850; Phone: (301) 427–1470; Fax: (301) 427– 1430; E-mail: mamatha.pancholi@ahrq.hhs.gov; or Marybeth Farquhar, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850; Phone: (301) 427–1317; Fax: (301) 427–1430; E-mail: marybeth.farquhar@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: sroberts on PROD1PC70 with NOTICES Background The AHRQ Quality Indicators (AHRQ QIs) are a unique set of measures of health care quality that make use of readily available hospital inpatient administrative data. The QIs have been used for various purposes. Some of these include tracking, hospital selfassessment, reporting of hospitalspecific quality or pay for performance. The AHRQ QIs are provider- and arealevel quality indicators and currently consist of four modules: The Prevention Quality Indicators (PQI), the Inpatient Quality Indicators, the Patient Safety Indicators (PSI) and the Pediatric Quality Indicators (PedsQIs). In VerDate Aug<31>2005 18:55 Apr 03, 2006 Jkt 208001 response to feedback from the AHRQ QI user community, AHRQ is committed to developing composite measures in an effort to provide an overall view of quality that is complete, useful and easily understandable to consumers and others within the health care field. Dated: March 29, 2006. Carolyn M. Clancy, Director. [FR Doc. 06–3207 Filed 4–3–06; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–06–06BC] Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will publish periodic summaries of proposed projects. To request more information on the proposed projects or to obtain a copy of the data collection plans and instruments, call 404–639–5960 and send comments to Seleda Perryman, CDC Assistant Reports Clearance Officer, 1600 Clifton Road, MS–D74, Atlanta, GA 30333 or send an e-mail to omb@cdc.gov. Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection 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 on respondents, including through the use of automated collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project National Survey of the Mining Population-New-National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC). PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 16787 Background and Brief Description Surveillance of occupational injuries, illnesses, and exposures has been an integral part of the work of the National Institute for Occupational Safety and Health (NIOSH) since its creation by the Occupational Safety and Health Act in 1970. To improve its surveillance capability related to occupational risks in mining, NIOSH is planning to conduct a national survey of mines and mine employees. No national surveys have specifically targeted the mining labor force since the 1986 Mining Industry Population Survey (MIPS). The mining industry has experienced many changes in the last 20 years; consequently, the MIPS data are no longer representative of the current mining industry labor force. NIOSH conducted a pilot study for the proposed national survey in the fall of 2004 (OMB No. 0920–0633, Exp. Date 3/31/2005). The pilot study was designed to emulate the main study design in order to evaluate the effectiveness of the recruitment materials, questionnaire, and survey procedures in acquiring complete, high quality data from a sample of 45 mining operations. Objective data collected in the pilot study included overall response rates and individual item response rates. Subjective data were collected using telephone logs, and participant and non-participant debriefing interviews. Data captured in the pilot study were used to guide improvements to maximize the performance of the various components of the full-scale study. The proposed national survey will be based upon a probability sample of mining operations and their employees. The survey will be conducted in the five major mining sectors (coal, metal, nonmetal, stone, and sand and gravel). The major objectives of the survey will be to: (1) Obtain denominator data so that mine accident, injury, and illness reports can be evaluated in relation to the population at risk; (2) understand the demographic and occupational characteristics of the mining industry workforce; (3) estimate the number and occupational characteristics of independent contractor employees used by mining operations; and (4) obtain mine level information on selected variables. The sampled mining operations will provide all survey data; individual mine operator and independent contractor employees will not be directly surveyed. As a result of this study, surveillance researchers and government agencies will be able to identify groups of miners with a disproportionately high risk of injury or E:\FR\FM\04APN1.SGM 04APN1

Agencies

[Federal Register Volume 71, Number 64 (Tuesday, April 4, 2006)]
[Notices]
[Pages 16786-16787]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-3207]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


AHRQ Quality Indicators Workgroup on Inpatient and Patient Safety 
Composite Measures

AGENCY: Agency for Healthcare Research and Quality (AHRQ), DHHS.

ACTION: Notice of request for nominations.

-----------------------------------------------------------------------

SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is 
seeking nominations for members of an AHRQ-convened Quality Indicators 
Workgroup on Composite Measures for the Inpatient Quality Indicators 
(IQIs) and the Patient Safety Indicators (PSIs) as part of a general 
workgroup on composite measures. The AHRQ QI Composite Measures General 
Workgroup and subsequent IQI and PSI sub-workgroups are being formed as 
part of a structured approach for developing composite measures from 
the IQI and PSI software tools for public reporting of quality of 
hospital care at the national and state level. The purpose of this 
project is to obtain input from interested organizations and 
individuals on the development of composite quality measures based on 
hospital discharge data, specifically using the IQI and PSI measures. 
The Workgroups will evaluate appropriate technical and methodological 
approaches currently available and will discuss and suggest strategies 
as to what composite measure methodology would best fit QI user needs. 
As part of this effort and using the AHRQ PSIs and IQIs, the Workgroup 
members will be addressing several key issues for the development of 
composite measures, including but not limited to:
     Identifying and defining the quality concept that each 
composite is intended to measure;
     Suggesting and considering the individual quality 
indicators that should be included in the composite;
     The manner of weighting with which individual quality 
indicators could or should be combined;
     Evaluation of using condition-specific quality of care 
composites (e.g., for cardiovascular disease, or diabetes) or 
population-specific composites (e.g., pediatrics, women, or geriatrics) 
or domain specific composites (e.g., surgical, or infections); and
     Discussion of the methodological considerations which are 
appropriate or important when combining quality indicators and the 
considerations when composites are used for publicly reporting data.
    For additional information about the AHRQ Quality Indicators, 
please visit the AHRQ Quality Indicators Web site at http://
www.qualityindicators.ahrq.gov.
    Specifically, the AHRQ QI Composite Measures General Workgroup will 
consist of up to 15 individuals who have expertise in one or more of 
the following areas: Statistical methods, hospital quality improvement 
and patient safety, health services research, and administrative data. 
To the extent possible, this Workgroup will represent a variety of 
stakeholder perspectives, specifically including--(1) Consumers, (2) 
healthcare purchasers, (3) quality improvement organizations, (4) 
researchers, (5) healthcare professionals, (6) state-based 
organizations, and (7) Federal health care provider organizations. The 
Workgroup will be further divided into two sub-workgroups to focus on 
the IQIs and the PSIs separately. Each sub-workgroup will have a series 
of conference calls to share perspectives, discuss the technical and 
policy issues surrounding composite measures for each module and will 
then summarize their discussions for presentation to the AHRQ QI 
Composite Measures General Workgroup. The AHRQ QI Composite Measures 
General Workgroup will provide responses to the sub-workgroups' 
findings. AHRQ will then develop a summary of the discussion in a 
technical report. This report will be made available for public 
comment.

DATES: Please submit nominations on or before May 4, 2006. Self-
nominations are welcome. Third-party nominations must indicate that the 
individual has been contacted and is willing to serve on one of the 
workgroups. Notification of selected candidates will be contacted by 
AHRQ no later than May 15, 2006.

ADDRESSES: Nominations can be sent in the form of a letter or e-mail, 
preferably as an electronic file with an e-mail attachment and should 
specifically address the submission criteria as noted below. Electronic 
submissions are strongly encouraged. Responses should be submitted to: 
AHRQ Quality Indicators Initiative, Agency for Healthcare Research and 
Quality, Center for Delivery, Organization and Markets, 540 Gaither 
Road, Room 5121, Rockville, MD 20850. E-mail: project officer@quality
indicators.ahrq.gov.

Submission Criteria

    To be considered for membership on the AHRQ QI Workgroups, please 
send the following information for each nominee:
    1. A brief nomination letter highlighting experience/knowledge 
relevant in the development and use of composite performance measures 
and familiarity with the AHRQ QIs and health care administrative data. 
(See selection criteria below.) Please include full contact information 
of nominee: Name, title, organization, mailing address, telephone and 
fax numbers, and e-mail address).
    2. Curriculum vita (with citations to any pertinent publications).

Nominee Selection Criteria

    Nominees should have technical expertise in health care quality 
measurement development, and a familiarity with statistical methods and 
risk adjustment strategies in the area of composite measure 
development.
    More specifically, each candidate will be evaluated using the 
following criteria:
     Peer-reviewed publications relevant to the development of 
composite measures; performance measures and reporting;
     Expertise in statistical methods relevant to the 
development of composite measures;
     Knowledge of recent composite methodologies published in 
the literature;
     Experience with development of measures based on 
administrative data and its uses;
     Expertise in hospital quality improvement and patient 
safety;
     Familiarity with the AHRQ Quality Indicators and their 
application;
     Experience with application of performance measures for 
public reporting; and,
     Availability to provide written comments and conference 
calls between late April and early August.

Time Commitment

    In an effort to provide for expert input and for recommendations to 
develop a composite measure methodology, we are initiating a review 
process that will require participation in approximately four to five 
conference calls with some

[[Page 16787]]

pre- and post-evaluation time (approximately 10 hours). Results from 
this process will influence the development of composite measures for 
the AHRQ Quality indicators. Beginning in late April/early May through 
early August, selected nominees will be asked to participate in the 
following activities:

IQI/PSI Sub-Workgroup Activities

    1. Provide evaluative comments on current methodology for composite 
indicators (2.0 hours) and participate in subsequent General Workgroup 
call (1.0 hour);
    2. Participate in one Sub-Workgroup conference call to discuss 
suggested changes to the current composite indicator methodology (1.5 
hours);
    3. Provide evaluative comments on AHRQ's new draft or revised 
methodology (1.5 hour);
    4. Participate in second Subgroup call to respond to each others' 
comments and questions or provide additional clarifications regarding 
draft methodology (1.5 hours); and
    5. Participate in second General workgroup call. Provide 
suggestions for summary document for public comment (2.0 hours).
    The Workgroup will conduct business by telephone, e-mail, or other 
electronic means as needed.

FOR FURTHER INFORMATION CONTACT: Mamatha Pancholi, Center for Delivery, 
Organization, and Markets, Agency for Healthcare Research and Quality, 
540 Gaither Road, Rockville, MD 20850; Phone: (301) 427-1470; Fax: 
(301) 427-1430; E-mail: mamatha.pancholi@ahrq.hhs.gov; or
    Marybeth Farquhar, Center for Delivery, Organization, and Markets, 
Agency for Healthcare Research and Quality, 540 Gaither Road, 
Rockville, MD 20850; Phone: (301) 427-1317; Fax: (301) 427-1430; E-
mail: marybeth.farquhar@ahrq.hhs.gov.

SUPPLEMENTARY INFORMATION:

Background

    The AHRQ Quality Indicators (AHRQ QIs) are a unique set of measures 
of health care quality that make use of readily available hospital 
inpatient administrative data. The QIs have been used for various 
purposes. Some of these include tracking, hospital self-assessment, 
reporting of hospital-specific quality or pay for performance. The AHRQ 
QIs are provider- and area-level quality indicators and currently 
consist of four modules: The Prevention Quality Indicators (PQI), the 
Inpatient Quality Indicators, the Patient Safety Indicators (PSI) and 
the Pediatric Quality Indicators (PedsQIs). In response to feedback 
from the AHRQ QI user community, AHRQ is committed to developing 
composite measures in an effort to provide an overall view of quality 
that is complete, useful and easily understandable to consumers and 
others within the health care field.

    Dated: March 29, 2006.
Carolyn M. Clancy,
Director.
[FR Doc. 06-3207 Filed 4-3-06; 8:45 am]
BILLING CODE 4160-90-M