Agency Information Collection Activities: Proposed Collection; Comment Request, 6630-6631 [E9-2679]

Download as PDF 6630 Federal Register / Vol. 74, No. 26 / Tuesday, February 10, 2009 / Notices is not an admission of liability on the part of the Respondent. Respondent neither admits nor denies ORI’s finding of scientific misconduct. Respondent acknowledges that original data relating to the above referenced falsified figures are missing. Dr. Tanaka has voluntarily agreed, for a period of three (3) years, beginning on January 14, 2009: (1) To exclude himself from any contracting or subcontracting with any agency of the United States Government and from eligibility or involvement in nonprocurement programs of the United States Government referred to as ‘‘covered transactions’’ pursuant to HHS’ Implementation (2 CFR Part 376 et seq.) of OMB Guidelines to Agencies on Government wide Debarment and Suspension (2 CFR, Part 180); and (2) To exclude himself from serving in any advisory capacity to PHS, including but not limited to service on any PHS advisory committee, board, and/or peer review committee, or as a consultant. FOR FURTHER INFORMATION CONTACT: Director, Division of Investigative Oversight, Office of Research Integrity, 1101 Wootton Parkway, Suite 750, Rockville, MD 20852, (240) 453–8800. Chris B. Pascal, Director, Office of Research Integrity. [FR Doc. E9–2720 Filed 2–9–09; 8:45 am] BILLING CODE 4150–31–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request erowe on PROD1PC63 with NOTICES 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 information collection project: ‘‘Evaluation of Phase I Demonstrations of the Pharmacy Quality Alliance.’’ 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 April 13, 2009. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, VerDate Nov<24>2008 14:17 Feb 09, 2009 Jkt 217001 Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by e-mail at doris.lefkowitz@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: Evaluation of Phase I Demonstrations of the Pharmacy Quality Alliance AHRQ proposes to conduct an independent evaluation of five Phase I demonstrations undertaken by the Pharmacy Quality Alliance (PQA). The PQA launched the five demonstration projects to test the feasibility of implementing a pharmacy provider report card system, which will be used to provide feedback to pharmacies on their performance. The goals of the demonstrations are to obtain feedback from pharmacists on the credibility of the performance reports and their utility in performance improvement, and to identify the most efficient and useful ways to implement a performance-based quality reporting system. The evaluation will be conducted for AHRQ by its contractor, the CNA Corporation and Thomas Jefferson Medical College. The purpose of this evaluation is to identify problems associated with the implementation of a performance-based quality reporting system. The evaluation of the Phase I demonstrations will: • Test the feasibility and utility of (1) using 15 PQA claims-based measures on pharmacy performance and (2) a survey of consumers about their experience with pharmacy services, which was developed by the PQA; • Determine the resource (time and cost) requirements for collecting the data and generating the pharmacy performance reports; and • Provide a base of knowledge that enables the PQA to improve the implementation process, increase operational efficiency, reduce operational costs, and enhance the utility and validity of the performance measures. This project is being conducted pursuant to AHRQ’s statutory authority to conduct and support research and evaluations on health care and on systems for the delivery of such care, including activities with respect to (1) the quality, effectiveness, efficiency, appropriateness and value of health care services and (2) quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 Method of Collection The project will include the following three data collections: (1) On-site interviews with key personnel involved in the demonstration; (2) a pre-interview questionnaire for the on site interview participants; and (3) a survey of pharmacy staff. The data will be collected to obtain the following types of information necessary for the evaluation: • Organizational background related to quality measurement, organizational resources for quality measurement; • Measurement methodology; • Opinions on the performance measures; • The process for disseminating the performance measures; • Incentives and penalties for participation in pharmacy quality improvement; • Usability of the performance reports; • Future directions for quality measurement in the organization; and • Respondent characteristics. Onsite Interviews With Key Demonstration Participants On-site interviews will be conducted with up to six persons at each of the five demonstration sites. The study will try to interview representatives from the following job functions: (1) Pharmacy operations management; (2) clinical pharmacy staff; (3) qualityimprovement; (4) utilization management; (5) analytics management responsible for oversight of performance report analyses; (6) analytics staff assigned to complete the performance reports; (7) information technology (IT) staff responsible for developing and/or coordinating Internet components of the project; and (8) senior management (executive leadership, i.e., Vice President level and above). Pre-Interview Questionnaire In addition to the on-site interview, a brief written questionnaire will be used to collect information from interview participants prior to the interview. There will be two different versions of this questionnaire, one for the demonstration project leaders and one for all on-site interview participants. Survey of Pharmacy Staff A pharmacy staff survey will be developed to yield additional quantitative data about the demonstration projects. The sample will consist of practicing pharmacists who are participating in the demonstration sites and who received one or more of the performance reports. It will also include field managers and supervisors. E:\FR\FM\10FEN1.SGM 10FEN1 6631 Federal Register / Vol. 74, No. 26 / Tuesday, February 10, 2009 / Notices At each of the five sites, up to 100 pharmacy staff members will be sampled, with an expected response rate of 75 percent, yielding 75 respondents per site. Estimated Annual Respondent Burden Exhibit 1 show the estimated annualized burden hours for the respondents’ time to participate in this evaluation. The on-site interviews will require about 1 hour to complete for a total of 30 burden hours. The preinterview questionnaire is expected to take 15 minutes to complete for a total of 9 burden hours. The phannacy staff survey will take about 30 minutes to complete for a total of 188 burden hours. The total burden hours for all data collections is estimated to be 227 hours. Exhibit 2 shows the estimated annualized cost burden associated with the respondents’ time to participate in this project. The cost burden is estimated to be $10,800. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of responses per site Number of sites Form name Hours per response Total burden hours On-Site Interviews ........................................................................................... Pre-Interview Questionnaire for Demonstration Project Leaders ............. Pre-Interview Questionnaire for All Interview Participants ....................... Survey of Pharmacy Staff ................................................................................ 5 5 5 5 6 1 6 75 1.00 15/60 15/60 30/60 30 1 8 188 Total ................................................................................................... 20 ........................ ........................ 227 EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of sites Form name Total burden hours Average hourly wage rate* Total cost burden On-Site Interviews ........................................................................................... Pre-Interview Questionnaire for Demonstration Project Leaders ............. Pre-Interview Questionnaire for All Interview Participants ....................... Survey of Pharmacy Staff ................................................................................ 5 5 5 5 30 1 8 188 $47.58 47.58 47.58 47.58 $1,427 48 380 8,945 Total ................................................................................................... 20 227 ........................ $10,800 *Based on the national average wage for pharmacists (29–1051), National Compensation Survey: Occupational wages in the United States May 2007, U.S. Department of Labor, Bureau of Labor Statistics. Estimated Annual Costs to the Federal Government The estimated total cost to the Federal government for this one year evaluation is $208,874. Exhibit 3 shows a breakdown of the costs. EXHIBIT 3—ESTIMATED ANNUAL COSTS TO THE FEDERAL GOVERNMENT Component Total Developing the interview guide and survey instrument .............. Preparing OMB clearance submission ...................................... Site visits to each demonstration Analyzing the data from each demonstration site ..................... Preparing a final report ................. erowe on PROD1PC63 with NOTICES Total ............................... $33,905 6,704 73,368 54,835 40,062 208,874 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 VerDate Nov<24>2008 14:17 Feb 09, 2009 Jkt 217001 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: February 2, 2009. Carolyn M. Clancy, Director. [FR Doc. E9–2679 Filed 2–9–09; 8:45 am] BILLING CODE 4160–90–M PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 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 information collection project: ‘‘Reducing Waste and Inefficiency through Process Redesign: Lean/Toyota Production System (TPS) Implementation.’’ In accordance with the Paperwork Reduction Act of 1995, 44 U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on November 21, 2008 and allowed 60 days for public comment. No comments were received. The purpose E:\FR\FM\10FEN1.SGM 10FEN1

Agencies

[Federal Register Volume 74, Number 26 (Tuesday, February 10, 2009)]
[Notices]
[Pages 6630-6631]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-2679]


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

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 information collection 
project: ``Evaluation of Phase I Demonstrations of the Pharmacy Quality 
Alliance.'' 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 April 13, 2009.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by e-mail at 
doris.lefkowitz@ahrq.hhs.gov.
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from the AHRQ Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by e-mail at 
doris.lefkowitz@ahrq.hhs.gov.

SUPPLEMENTARY INFORMATION:

Evaluation of Phase I Demonstrations of the Pharmacy Quality Alliance

    AHRQ proposes to conduct an independent evaluation of five Phase I 
demonstrations undertaken by the Pharmacy Quality Alliance (PQA). The 
PQA launched the five demonstration projects to test the feasibility of 
implementing a pharmacy provider report card system, which will be used 
to provide feedback to pharmacies on their performance. The goals of 
the demonstrations are to obtain feedback from pharmacists on the 
credibility of the performance reports and their utility in performance 
improvement, and to identify the most efficient and useful ways to 
implement a performance-based quality reporting system. The evaluation 
will be conducted for AHRQ by its contractor, the CNA Corporation and 
Thomas Jefferson Medical College.
    The purpose of this evaluation is to identify problems associated 
with the implementation of a performance-based quality reporting 
system. The evaluation of the Phase I demonstrations will:
     Test the feasibility and utility of (1) using 15 PQA 
claims-based measures on pharmacy performance and (2) a survey of 
consumers about their experience with pharmacy services, which was 
developed by the PQA;
     Determine the resource (time and cost) requirements for 
collecting the data and generating the pharmacy performance reports; 
and
     Provide a base of knowledge that enables the PQA to 
improve the implementation process, increase operational efficiency, 
reduce operational costs, and enhance the utility and validity of the 
performance measures.
    This project is being conducted pursuant to AHRQ's statutory 
authority to conduct and support research and evaluations on health 
care and on systems for the delivery of such care, including activities 
with respect to (1) the quality, effectiveness, efficiency, 
appropriateness and value of health care services and (2) quality 
measurement and improvement. 42 U.S.C. 299a(a)(1) and (2).

Method of Collection

    The project will include the following three data collections: (1) 
On-site interviews with key personnel involved in the demonstration; 
(2) a pre-interview questionnaire for the on site interview 
participants; and (3) a survey of pharmacy staff. The data will be 
collected to obtain the following types of information necessary for 
the evaluation:
     Organizational background related to quality measurement, 
organizational resources for quality measurement;
     Measurement methodology;
     Opinions on the performance measures;
     The process for disseminating the performance measures;
     Incentives and penalties for participation in pharmacy 
quality improvement;
     Usability of the performance reports;
     Future directions for quality measurement in the 
organization; and
     Respondent characteristics.

Onsite Interviews With Key Demonstration Participants

    On-site interviews will be conducted with up to six persons at each 
of the five demonstration sites. The study will try to interview 
representatives from the following job functions: (1) Pharmacy 
operations management; (2) clinical pharmacy staff; (3) quality-
improvement; (4) utilization management; (5) analytics management 
responsible for oversight of performance report analyses; (6) analytics 
staff assigned to complete the performance reports; (7) information 
technology (IT) staff responsible for developing and/or coordinating 
Internet components of the project; and (8) senior management 
(executive leadership, i.e., Vice President level and above).

Pre-Interview Questionnaire

    In addition to the on-site interview, a brief written questionnaire 
will be used to collect information from interview participants prior 
to the interview. There will be two different versions of this 
questionnaire, one for the demonstration project leaders and one for 
all on-site interview participants.

Survey of Pharmacy Staff

    A pharmacy staff survey will be developed to yield additional 
quantitative data about the demonstration projects. The sample will 
consist of practicing pharmacists who are participating in the 
demonstration sites and who received one or more of the performance 
reports. It will also include field managers and supervisors.

[[Page 6631]]

At each of the five sites, up to 100 pharmacy staff members will be 
sampled, with an expected response rate of 75 percent, yielding 75 
respondents per site.

Estimated Annual Respondent Burden

    Exhibit 1 show the estimated annualized burden hours for the 
respondents' time to participate in this evaluation. The on-site 
interviews will require about 1 hour to complete for a total of 30 
burden hours. The pre-interview questionnaire is expected to take 15 
minutes to complete for a total of 9 burden hours. The phannacy staff 
survey will take about 30 minutes to complete for a total of 188 burden 
hours. The total burden hours for all data collections is estimated to 
be 227 hours.
    Exhibit 2 shows the estimated annualized cost burden associated 
with the respondents' time to participate in this project. The cost 
burden is estimated to be $10,800.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                       sites           site          response          hours
----------------------------------------------------------------------------------------------------------------
On-Site Interviews..............................               5               6            1.00              30
    Pre-Interview Questionnaire for                            5               1           15/60               1
     Demonstration Project Leaders..............
    Pre-Interview Questionnaire for All                        5               6           15/60               8
     Interview Participants.....................
Survey of Pharmacy Staff........................               5              75           30/60             188
                                                 ---------------------------------------------------------------
        Total...................................              20  ..............  ..............             227
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                          sites           hours        wage rate*        burden
----------------------------------------------------------------------------------------------------------------
On-Site Interviews..............................               5              30          $47.58          $1,427
    Pre-Interview Questionnaire for                            5               1           47.58              48
     Demonstration Project Leaders..............
    Pre-Interview Questionnaire for All                        5               8           47.58             380
     Interview Participants.....................
Survey of Pharmacy Staff........................               5             188           47.58           8,945
                                                 ---------------------------------------------------------------
        Total...................................              20             227  ..............        $10,800
----------------------------------------------------------------------------------------------------------------
*Based on the national average wage for pharmacists (29-1051), National Compensation Survey: Occupational wages
  in the United States May 2007, U.S. Department of Labor, Bureau of Labor Statistics.

Estimated Annual Costs to the Federal Government

    The estimated total cost to the Federal government for this one 
year evaluation is $208,874. Exhibit 3 shows a breakdown of the costs.

       Exhibit 3--Estimated Annual Costs to the Federal Government
------------------------------------------------------------------------
                          Component                              Total
------------------------------------------------------------------------
Developing the interview guide and survey instrument.........    $33,905
Preparing OMB clearance submission...........................      6,704
Site visits to each demonstration............................     73,368
Analyzing the data from each demonstration site..............     54,835
Preparing a final report.....................................     40,062
                                                              ----------
    Total....................................................    208,874
------------------------------------------------------------------------

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: February 2, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9-2679 Filed 2-9-09; 8:45 am]
BILLING CODE 4160-90-M
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