Agency Information Collection Activities: Proposed Collection; Comment Request, 18725-18726 [E9-9248]

Download as PDF Federal Register / Vol. 74, No. 78 / Friday, April 24, 2009 / Notices 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 (0MB) 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. This proposed information collection was previously published in the Federal Register on February 10th, 2009 and allowed 60 days for public comment. One comment was received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by May 26, 2009. ADDRESSES: Written comments should be submitted to: AHRQ’s 0MB Desk Officer by fax at (202) 395–6974 (attention: AHRQ’s desk officer) or by email at OIRA_submissionomb.eop.gov (attention: AHRQ’s desk officer). 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@ahrg.hhs.gov. SUPPLEMENTARY INFORMATION: mstockstill on PROD1PC66 with NOTICES ‘‘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 VerDate Nov<24>2008 16:20 Apr 23, 2009 Jkt 217001 18725 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)(l) and (2). • Usability of the performance reports; • Future directions for quality measurement in the organization; and • Respondent characteristics. On-site 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). Method of Collection The evaluation will include the following two data collections: (1) Onsite interviews with key staff from each demonstration project and (2) 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; Estimated Annual Respondent Burden PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 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. 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. Exhibit 1 shows the estimated annualized burden hours for this one year data collection. On-site interviews will be conducted with 6 staff members from each of the 5 demonstration projects and will last about 1 hour and 15 minutes. The survey of pharmacists will be completed by about 75 staff members from each demonstration project and is estimated to take 30 minutes to complete. The total estimated annualized burden is 226 hours. Exhibit 2 shows the estimated annualized cost burden associated with the respondents’ time to participate in this evaluation. The cost burden is estimated to be $10,753. E:\FR\FM\24APN1.SGM 24APN1 18726 Federal Register / Vol. 74, No. 78 / Friday, April 24, 2009 / Notices EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of responses per project Number of projects Form name Hours per response Total burden hours Demonstration Staff Interviews ........................................................................ Survey of Pharmacists ..................................................................................... 5 5 6 * 75 1.25 30/60 38 188 Total .......................................................................................................... 10 na na 226 * We expect that some demonstration projects will have fewer than 75 responses, but we are indicating 75 responses here to avoid underestimating the response burden. EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of projects Form name Total burden hours Average hourly wage rate * Total cost burden Demonstration Staff Interviews ........................................................................ Survey of Pharmacists ..................................................................................... 5 5 38 188 $47.58 47.58 $1,808 8,945 Total .......................................................................................................... 10 226 na 10,753 * 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 0MB clearance submission ............................................ Site visits to each demonstration Analyzing the data from each demonstration site. .................... Preparing a final report ................. mstockstill on PROD1PC66 with NOTICES Total ....................................... $33,905 16:20 Apr 23, 2009 Dated: April 15, 2009. Carol M. Clancy, Director. [FR Doc. E9–9248 Filed 4–23–09; 8:45 am] 6,704 73,368 BILLING CODE 4160–90–M 54,835 40,062 DEPARTMENT OF HEALTH AND HUMAN SERVICES 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 VerDate Nov<24>2008 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. Jkt 217001 Health Resources and Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Health Resources and Services Administration (HRSA) publishes abstracts of information collection requests under review by the Office of Management and Budget (OMB), in compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a copy of the clearance requests submitted to OMB for review, e-mail paperwork@hrsa.gov or call the HRSA Reports Clearance Office on (301) 443– 1129. The following request has been submitted to the Office of Management PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 and Budget for review under the Paperwork Reduction Act of 1995: Proposed Project: Voluntary Partner Surveys in the Health Resources and Services Administration—(OMB No. 0915–0212): Extension In response to Executive Order 12862, the Health Resources and Services Administration (HRSA) conducts voluntary customer surveys of its partners to assess strengths and weaknesses in program services. To continue the periodic customer or partner satisfaction survey activities, HRSA is requesting an extension of approval from OMB. HRSA partners are, typically, State or local governments, health care facilities, health care consortia, and health care providers. Partner surveys to be conducted by HRSA might include, for example, brief surveys of grantees to determine satisfaction with a technical assistance contractor, or, in-class evaluation forms completed by providers who receive training from HRSA grantees, to measure satisfaction with the training experience. Results of these surveys will be used to plan and direct program efforts as needed to improve service. Focus groups may also be used as a potential method to obtain input on services and training. Focus groups, inclass evaluation surveys, and satisfaction surveys provide valuable input from HRSA partners and customers on agency services and materials. The estimated annual burden is as follows: E:\FR\FM\24APN1.SGM 24APN1

Agencies

[Federal Register Volume 74, Number 78 (Friday, April 24, 2009)]
[Notices]
[Pages 18725-18726]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-9248]



[[Page 18725]]

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

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 (0MB) 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.
    This proposed information collection was previously published in 
the Federal Register on February 10th, 2009 and allowed 60 days for 
public comment. One comment was received. The purpose of this notice is 
to allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by May 26, 2009.

ADDRESSES: Written comments should be submitted to: AHRQ's 0MB Desk 
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by 
e-mail at OIRA--submissionomb.eop.gov (attention: AHRQ's desk officer).
    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@ahrg.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)(l) and (2).

Method of Collection

    The evaluation will include the following two data collections: (1) 
On-site interviews with key staff from each demonstration project and 
(2) 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.
    On-site 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).

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. 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 shows the estimated annualized burden hours for this one 
year data collection. On-site interviews will be conducted with 6 staff 
members from each of the 5 demonstration projects and will last about 1 
hour and 15 minutes. The survey of pharmacists will be completed by 
about 75 staff members from each demonstration project and is estimated 
to take 30 minutes to complete. The total estimated annualized burden 
is 226 hours.
    Exhibit 2 shows the estimated annualized cost burden associated 
with the respondents' time to participate in this evaluation. The cost 
burden is estimated to be $10,753.

[[Page 18726]]



                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of    responses  per     Hours per     Total burden
                                                     projects         project        response          hours
----------------------------------------------------------------------------------------------------------------
Demonstration Staff Interviews..................               5               6            1.25              38
Survey of Pharmacists...........................               5            * 75           30/60             188
                                                 ---------------------------------------------------------------
    Total.......................................              10              na              na             226
----------------------------------------------------------------------------------------------------------------
* We expect that some demonstration projects will have fewer than 75 responses, but we are indicating 75
  responses here to avoid underestimating the response burden.


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                    Form name                        Number of     Total burden     hourly wage     Total cost
                                                     projects          hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Demonstration Staff Interviews..................               5              38          $47.58          $1,808
Survey of Pharmacists...........................               5             188           47.58           8,945
                                                 ---------------------------------------------------------------
    Total.......................................              10             226              na          10,753
----------------------------------------------------------------------------------------------------------------
* 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 0MB 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: April 15, 2009.
Carol M. Clancy,
Director.
[FR Doc. E9-9248 Filed 4-23-09; 8:45 am]
BILLING CODE 4160-90-M
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