AHRQ Quality Indicators Workgroup on Inpatient and Patient Safety Composite Measures, 16786-16787 [06-3207]
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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–
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3100.
By Direction of the Commission.
Donald S. Clark,
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[FR Doc. 06–3213 Filed 4–3–06; 8:45 am]
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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 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:
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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
https://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
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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).
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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 https://
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