Agency Information Collection Activities: Proposed Collection; Comment Request, 74536-74537 [06-9642]

Download as PDF 74536 Federal Register / Vol. 71, No. 238 / Tuesday, December 12, 2006 / Notices Susan R. Woskie, PhD ............................................................................. Background Information on the CERHR The NTP established CERHR in June 1998 [Federal Register, December 14, 1998 (Volume 63, Number 239, page 68782)]. CERHR is a publicly accessible resource for information about adverse reproductive and/or developmental health effects associated with exposure to environmental and/or occupational exposures. Expert panels conduct scientific evaluations of agents selected by the CERHR in public forums. CERHR invites the nomination of agents for review or scientists for its expert registry. Information about CERHR and the nomination process can be obtained from its homepage (http:// cerhr.niehs.nih.gov) or by contacting Dr. Shelby (see FOR FURTHER INFORMATION CONTACT above). CERHR selects chemicals for evaluation based upon several factors including production volume, potential for human exposure from use and occurrence in the environment, extent of public concern, and extent of data from reproductive and developmental toxicity studies. CERHR follows a formal, multi-step process for review and evaluation of selected chemicals. The formal evaluation process was published in the Federal Register on July 16, 2001 (Volume 66, Number 136, pages 37047– 37048) and is available on the CERHR Web site under ‘‘About CERHR’’ or in printed copy from CERHR. Dated: November 27, 2006. Samuel H. Wilson, Deputy Director, National Institute of Environmental Health Sciences and National Toxicology Program. [FR Doc. E6–21040 Filed 12–11–06; 8:45 am] BILLING CODE 4140–01–P University of Massachusetts Lowell, Lowell, MA. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request Agency for Healthcare Research and Quality, Department of Health and Human Services. ACTION: Notice. AGENCY: home setting. The instrument will be pilot tested with staff in 40 nursing homes. The data collected will be analyzed to determine the psychometric properties of the survey’s items and dimensions and provide information for the revision and shortening of the final survey based on an assessment of its reliability and construct validity. The final survey will be made publicly available to enable nursing homes to assess their resident safety culture. Methods of Collection 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) allow the proposed information collection project: ‘‘Pilot Study of Proposed Nursing Home Survey on Resident Safety’’. In accordance with the Paperwork Reduction Act of 1995, Public Law 104– 13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by February 12, 2007. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from AHRQ’s Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports Clearance Officer, (301) 427–1477. SUPPLEMENTARY INFORMATION: A purposive sample of 40 nursing homes will be recruited and selected. These nursing homes will represent a distrubition of bed size, nature of ownership (non-profit/for-profit), urbanity (urban/rural), and geographic region of the United States. Recruited nursing homes will be allocated to each category in numbers roughly proportionate to the national distribution of homes in each category. All employees, contractors and agency staff in all job classes in nursing homes with up to 200 employees will be asked to respond to the survey. In nursing homes with more than 200 employees, a random sample of 200 employees will be selected. Since not all nursing homes staff have access to or are familiar with e-mail or the internet, paper surveys will be administered. Standard non-response follow-up techniques such as reminder postcards and distrubiton of a second survey will be used. Individuals and organizations contacted will be assured of the confidentiality of their replies under Section 924(c) of the Healthcare Research and Quality Act of 1999. Proposed Project Estimated Annual Respondent Burden ‘‘Pilot Study of Proposed Nursing Home Survey on Resident Safety’’ This activity is an expansion and refinement of AHRQ’s Hospital Survey on Patient Safety Culture (HSOPSC) which was developed and released to the public for use in November 2004. This proposed new tool is based on the HSOPSC but also contains new and revised items as well as dimensions that more accurately apply to the nursing The survey will be distributed to approximately 5,500 nursing home employees, with a target response rate of 70%, or 3,850 returned surveys. Respondents should take approximately 15 minutes to complete the survey. Therefore, we estimate that the respondent burden for completing the survey will be 963 hours (3,850 completes multiplied by 0.25 hours per completed survey). jlentini on PROD1PC65 with NOTICES Type of Respondent Number of Respondents Number of Responses per Respondent Estimated Time per Respondent (hours) Estimated Total Respondent Burden Hours Nursing home staff member ............................................................................ 3,850 1 0.25 963 VerDate Aug<31>2005 18:00 Dec 11, 2006 Jkt 211001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\12DEN1.SGM 12DEN1 Federal Register / Vol. 71, No. 238 / Tuesday, December 12, 2006 / Notices Estimated Annual Costs to the Federal Government The total cost to the Government for developing this survey is approximately $319,000, and is being funded solely by AHRQ. This estimate includes the costs of a background literature review, survey development, cognitive testing, pilot data collection, data analysis, and preparation of final deliverables and reports. Request for Comments In accordance with the above-cited Paperwork Reduction Act legislation, 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. Dated: December 1, 2006. Carolyn M. Clancy, Director. [FR Doc. 06–9642 Filed 12–11–06; 8:45 am] BILLING CODE 4160-90-M DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request Agency for Healthcare Research and Quality, Department of Health and Human Services. ACTION: Notice. jlentini on PROD1PC65 with NOTICES AGENCY: 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) allow the proposed VerDate Aug<31>2005 18:00 Dec 11, 2006 Jkt 211001 information collection project: ‘‘Development of an Electronic System for Reporting Medication Errors and Adverse Drug Events in Primary Care Practice (MEADERS).’’ In accordance with the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by February 12, 2007. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from AHRQ’s Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports Clearance Officer, (301) 427–1477. SUPPLEMENTARY INFORMATION: Proposed Project ‘‘Development of an Electronic System for Reporting Medication Errors and Adverse Drug Events in Primary Care Practice (MEADERS)’’ The project is being conducted in response to an AHRQ RFP entitled ‘‘Resource Center for Primary Care Practice-Based Research Networks (PBRNs)’’ (issued under Contract 290– 88–0008). In response to a proposed modification to AHRQ contract no. 290.02.0008, the PBRN Resource Center is proposing to assist AHRQ in its continued commitment to assessing the status and capabilities of its funded PBRNs and making available to them the tools and resources necessary to improve the quality of care they provide. Through the modification of this contract, the PBRN Resource Center will develop and make available an electronic system for reporting medication errors and adverse drug events that occur in outpatient physician practices of selected PBRNs to their own practices for quality improvement purposes and to the Food and Drug Administration (FDA). The landmark Harvard Medical Practice Study was published in 1991 and stated that 98,000 Americans die each year from medical errors. 1 Although the exact figure has been disputed, no one disputes the fact that too many Americans are injured unnecessarily by medical mistakes that could be avoided.2 3 Another study performed by the Department of PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 74537 Veterans Affairs suggests that in one out of every 10,000 hospitalizations, a patient dies due directly to a medical error .4 In response to the growing concern over medical errors, the Agency for Healthcare Research and Quality (AHRQ) has published three important monographs outlining the problem of errors,5 their effects on the quality of care,6 and offering suggestions on improving patient safety.7 The first recommendation of this third monograph was to ‘‘capture information on patient safety—including both adverse events and near misses—as a byproduct of care, and use this information to design even safer care delivery systems.’’ One central theme to each of these monographs is that there simply is too much chaotic information flowing in the medical environment for a single provider to handle effectively. Therefore, solutions to the problem of medical errors should include some combination of health information technology and redesign of health care systems to enhance the prevalence of appropriate decisions (i.e., avoiding errors of omission) and reduce the occurrence of avoidable mistakes (i.e., avoiding errors of commission). A recent conference sponsored by AHRQ highlighted interventions to improve medical decision-making and reduce medical errors.8 Most of the interventions presented were based in hospitals, where the most intensive and immediately life-threatening events occur. Yet the majority of medical decisions are made in outpatient practices and offices where there has been little error-reduction research performed. Further, most outpatient studies have been performed in academic medical centers which have capabilities, providers, and patients that may not typify the average U.S. medical practice.9 With the recent passing of the Patient Safety and Quality Improvement Act of 2005, 42 U.S.C. 299b–21–b–26, now is an opportune time to evaluate a primary care error reporting system, and PBRNs are an ideally suited place to study interventions aimed at reporting and reducing medical errors. In most primary care practices there is no mechanism in place to report medical errors as they occur. We propose to develop, implement, and study an outpatient error reporting system to better understand the ability of physicians to identify their own errors and their willingness to report them to their own practices and the FDA and AHRQ. We will focus on the most common invasive intervention invoked in outpatient practice—drug treatment E:\FR\FM\12DEN1.SGM 12DEN1

Agencies

[Federal Register Volume 71, Number 238 (Tuesday, December 12, 2006)]
[Notices]
[Pages 74536-74537]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-9642]


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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, Department of 
Health and Human Services.

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) allow the proposed information collection 
project: ``Pilot Study of Proposed Nursing Home Survey on Resident 
Safety''. In accordance with the Paperwork Reduction Act of 1995, 
Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to 
comment on this proposed information collection.

DATES: Comments on this notice must be received by February 12, 2007.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, 540 Gaither Road, Room 5036, 
Rockville, MD 20850.
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from AHRQ's Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports 
Clearance Officer, (301) 427-1477.

SUPPLEMENTARY INFORMATION:

Proposed Project

``Pilot Study of Proposed Nursing Home Survey on Resident Safety''

    This activity is an expansion and refinement of AHRQ's Hospital 
Survey on Patient Safety Culture (HSOPSC) which was developed and 
released to the public for use in November 2004. This proposed new tool 
is based on the HSOPSC but also contains new and revised items as well 
as dimensions that more accurately apply to the nursing home setting. 
The instrument will be pilot tested with staff in 40 nursing homes. The 
data collected will be analyzed to determine the psychometric 
properties of the survey's items and dimensions and provide information 
for the revision and shortening of the final survey based on an 
assessment of its reliability and construct validity. The final survey 
will be made publicly available to enable nursing homes to assess their 
resident safety culture.

Methods of Collection

    A purposive sample of 40 nursing homes will be recruited and 
selected. These nursing homes will represent a distrubition of bed 
size, nature of ownership (non-profit/for-profit), urbanity (urban/
rural), and geographic region of the United States. Recruited nursing 
homes will be allocated to each category in numbers roughly 
proportionate to the national distribution of homes in each category.
    All employees, contractors and agency staff in all job classes in 
nursing homes with up to 200 employees will be asked to respond to the 
survey. In nursing homes with more than 200 employees, a random sample 
of 200 employees will be selected. Since not all nursing homes staff 
have access to or are familiar with e-mail or the internet, paper 
surveys will be administered. Standard non-response follow-up 
techniques such as reminder postcards and distrubiton of a second 
survey will be used. Individuals and organizations contacted will be 
assured of the confidentiality of their replies under Section 924(c) of 
the Healthcare Research and Quality Act of 1999.

Estimated Annual Respondent Burden

    The survey will be distributed to approximately 5,500 nursing home 
employees, with a target response rate of 70%, or 3,850 returned 
surveys. Respondents should take approximately 15 minutes to complete 
the survey. Therefore, we estimate that the respondent burden for 
completing the survey will be 963 hours (3,850 completes multiplied by 
0.25 hours per completed survey).

----------------------------------------------------------------------------------------------------------------
                                                                  Number of      Estimated Time  Estimated Total
             Type of Respondent                  Number of      Responses per    per Respondent     Respondent
                                                Respondents       Respondent        (hours)        Burden Hours
----------------------------------------------------------------------------------------------------------------
Nursing home staff member...................           3,850                1             0.25              963
----------------------------------------------------------------------------------------------------------------


[[Page 74537]]

Estimated Annual Costs to the Federal Government

    The total cost to the Government for developing this survey is 
approximately $319,000, and is being funded solely by AHRQ. This 
estimate includes the costs of a background literature review, survey 
development, cognitive testing, pilot data collection, data analysis, 
and preparation of final deliverables and reports.

Request for Comments

    In accordance with the above-cited Paperwork Reduction Act 
legislation, 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.

    Dated: December 1, 2006.
Carolyn M. Clancy,
Director.
[FR Doc. 06-9642 Filed 12-11-06; 8:45 am]
BILLING CODE 4160[dash]90[dash]M