Agency Information Collection Activities: Proposed Collection; Comment Request, 45455-45457 [E9-21079]

Download as PDF Federal Register / Vol. 74, No. 169 / Wednesday, September 2, 2009 / Notices maintained should registrations exceed room capacity. Individuals on the waiting list will be contacted as additional space for the meeting becomes available. On September 17 and 18, 2009, registered meeting attendees should arrive 45 minutes prior to the start of the meeting for the necessary security procedures to be conducted. Security procedures require that all registered public attendees must present a valid photo identification (i.e., driver’s license) and be escorted by appropriate Federal staff to the designated meeting site. Registration questions may be directed to Hillary Scherer at the following e-mail address: HP2020@norc.org, by phone on (301) 634–9374 or by fax at (301) 634–9301. Dated: August 28, 2009. Penelope Slade-Sawyer, P.T., M.S.W., RADM, USPHS, Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion), Office of Disease Prevention and Health Promotion. [FR Doc. E9–21217 Filed 9–1–09; 8:45 am] BILLING CODE 4150–32–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Standards Committee Advisory Meeting; Notice of Meeting jlentini on DSKJ8SOYB1PROD with NOTICES AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a forthcoming meeting of a public advisory committee of the Office of the National Coordinator for Health Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Standards Committee. General Function of the Committee: To provide recommendations to the National Coordinator on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information for purposes of adoption, consistent with the implementation of the Federal Health IT Strategic Plan, and in accordance with policies developed by the HIT Policy Committee. Date and Time: The meeting will be held on September 15, 2009, from 9:00 a.m. to 3 p.m./Eastern Time. Location: The Omni Shoreham Hotel, 2500 Calvert Street, NW., Washington, DC. The hotel telephone number is 202– 234–0700. VerDate Nov<24>2008 16:56 Sep 01, 2009 Jkt 217001 Contact Person: Judy Sparrow, Office of the National Coordinator, HHS, 330 C Street, SW., Washington, DC 20201, 202–205–4528, Fax: 202–690–6079, email: judy.sparrow@hhs.gov Please call the contact person for up-to-date information on this meeting. A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Agenda: The Committee will discuss a report from its Privacy and Security Workgroup, and a discussion on implementation guidance. ONC intends to make background material available to the public no later than two (2) business days prior to the meeting. If ONC is unable to post the background material on its Web site prior to the meeting, it will be made publicly available at the location of the advisory committee meeting, and the background material will be posted on ONC’s Web site after the meeting, at https:// healthit.hhs.gov Procedure: Interested persons may present data, information, or views, orally or in writing, on issues pending before the committee. Written submissions may be made to the contact person on or before September 4, 2009. Oral comments from the public will be scheduled between approximately 2:30 p.m. to 3 p.m. Time allotted for each presentation may be limited. If the number of speakers requesting to comment is greater than can be reasonably accommodated during the scheduled open public hearing session, ONC will take written comments after the meeting until close of business. Persons attending ONC’s advisory committee meetings are advised that the agency is not responsible for providing access to electrical outlets. ONC welcomes the attendance of the public at its advisory committee meetings. Seating is limited at the location, and ONC will make every effort to accommodate persons with physical disabilities or special needs. If you require special accommodations due to a disability, please contact Judy Sparrow at least seven (7) days in advance of the meeting. ONC is committed to the orderly conduct of its advisory committee meetings. Please visit our Web site at https://healthit.hhs.gov for procedures on public conduct during advisory committee meetings. Notice of this meeting is given under the Federal Advisory Committee Act (Pub. L. No. 92–463, 5 U.S.C., App. 2). PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 45455 Dated: August 28, 2009. Judith Sparrow, Office of Programs and Coordination, Office of the National Coordinator for Health Information Technology. [FR Doc. E9–21204 Filed 9–1–09; 8:45 am] BILLING CODE 4150–45–P 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: ‘‘Collection of Information for Agency for Healthcare Research and Quality’s (AHRQ) Hospital Survey on Patient Safety Culture Comparative Database.’’ 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. DATES: Comments on this notice must be received by November 2, 2009. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrg.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.1efkowitz@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Collection of Information for Agency for Healthcare Research and Quality’s (AHRQ) Hospital Survey on Patient Safety Culture Comparative Database The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) approve, under the Paperwork Reduction Act of 1995, AHRQ’s collection of information for the AHRQ Hospital Survey on Patient Safety Culture (Hospital SOPS) Comparative E:\FR\FM\02SEN1.SGM 02SEN1 45456 Federal Register / Vol. 74, No. 169 / Wednesday, September 2, 2009 / Notices Database. The Hospital SOPS Comparative Database consists of data from the AHRQ Hospital Survey on Patient Safety Culture. Hospitals in the U.S. are asked to voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The database was developed by AHRQ in 2006 in response to requests from hospitals interested in knowing how their patient safety culture survey results compare to those of other hospitals in their efforts to improve patient safety. In 1999, the Institute of Medicine called for health care organizations to develop a ‘‘culture of safety’’ in which their workforces and processes focus on improving the reliability and safety of care for patients (IOM, 1999; To Err is Human: Building a Safer Health System). To respond to the need for tools to assess patient safety culture in health care, AHRQ developed and pilot tested the Hospital Survey on Patient Safety Culture with OMB approval (OMB No. 0935–01 15; Approved 2/4/ 2003). The survey was designed to enable hospitals to assess staff opinions about patient safety issues, medical error, and error reporting and includes 42 items that measure 12 dimensions of patient safety culture. AHRQ released the survey in the public domain along with a Survey User’s Guide and other toolkit materials in November 2004 on the AHRQ Web site. Since its release, the survey has been voluntarily used by hundreds of hospitals in the U.S. The Hospital SOPS survey and the Hospital SOPS Comparative Database are supported by AHRQ to meet its goals of promoting improvements in the quality and safety of health care in hospital settings. This project is conducted pursuant to AHRQ’s statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of health care services and with respect to health statistics, surveys, and database development. See 42 U.S.C. 299a(a)(l) and (8). The surveys, toolkit materials, and comparative database results are all made available in the public domain along with technical assistance, provided by AHRQ through its contractor at no charge to hospitals, to facilitate the use of these materials for hospital patient safety and quality improvement. Method of Collection Information for the Hospital SOPS database has been collected by AHRQ on an annual basis since 2006. Hospitals are asked to voluntarily submit their Hospital SOPS survey data to the comparative database between May 1 and June 30. The data are then cleaned and aggregated and used to produce a comparative Database Report that displays averages, standard deviations, and percentile scores on the survey’s 42 items and 12 patient safety culture dimensions, as well as displaying these results by hospital characteristics (bed size, teaching status, ownership) and respondent characteristics (hospital work area, staff position, and those with direct interaction with patients). In addition, trend data, showing changes in scores over time, are presented from hospitals that have submitted to the database more than once. Estimated Annual Respondent Burden Hospitals administer the AHRQ Hospital Survey on Patient Safety Culture every 16 months on average. Therefore, the number of hospital submissions to the database varies each year because hospitals do not submit data every year. The 250 respondents/ point-of-contacts (POCs) shown in Exhibit 1 are based on an estimated increase in the number of submissions in 2010 and 2011 (above the 180 respondents from 2009). Data submission is typically handled by one POC who is either a hospital patient safety manager or a survey vendor. The POC completes a number of data submission steps and forms, beginning with completion of an online Eligibility and Registration Form. The POCs typically submit data on behalf of 3 hospitals, on average, because many hospitals are part of a multi-hospital system that is submitting data, or the POC is a vendor that is submitting data for multiple hospitals. In 2009, 180 POCs submitted data on behalf of a total of 535 hospitals (an average of 3 hospital submissions per POC). Exhibits 1 and 2 are based on the estimated number of individual POCs who will complete the database submission steps and forms in the coming years, not based on the number of hospitals. The Patient Safety Improvement Initiatives Form is completed only by POCs from trending hospitals that have submitted data more than once, so only about half of the POCs each year will be asked to complete the form for each of the 3 hospitals (on average) they are submitting data for. The Hospital Information Form is completed by all POCs for each of their hospitals. The total annual burden hours are estimated to be 1,508. Exhibit 2 shows the estimated annualized cost burden based on the respondents’ time to submit their data. The cost burden is estimated to be $69,438 annually. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents/ POCs Form name Number of responses per POC Hours per response Total burden hours Eligibility/Registration Form and Data Submission* ........................................ Data Use Agreement ....................................................................................... Patient Safety Improvement Initiatives Form (for trending hospitals only) ..... Hospital Information Form ............................................................................... 250 250 125 250 1 1 3 3 5.6 3/60 5/60 5/60 1,400 13 32 63 Total .......................................................................................................... 875 NA NA 1,508 jlentini on DSKJ8SOYB1PROD with NOTICES * The Eligibility and Registration Form requires 3 minutes to complete; however, about 5.5 hours is required to prepare/plan for the data submission. This includes the amount of time POCs and other hospital staff (CEO, lawyer, database administrator) typically spend deciding whether to participate in the database and preparing their materials and data set for submission to the database, and performing the submission. EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents/ POCs Form name Eligibility/Registration Form and Data Submission .......................................... VerDate Nov<24>2008 16:56 Sep 01, 2009 Jkt 217001 PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 Total burden hours 250 E:\FR\FM\02SEN1.SGM 1,400 02SEN1 Average hourly wage rate* $46.11 Total cost burden $64,554 45457 Federal Register / Vol. 74, No. 169 / Wednesday, September 2, 2009 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued Number of respondents/ POCs Form name Total burden hours Average hourly wage rate* Total cost burden Data Use Agreement ....................................................................................... Patient Safety Improvement Initiatives Form (for trending hospitals only) ..... Hospital Information Form ............................................................................... 250 125 250 13 32 63 45.22 45.22 45.22 588 1,447 2,849 Total .......................................................................................................... 875 1,508 NA 69,438 * Wage rates were calculated using the mean hourly wage based on occupational employment and wage estimates from the Dept of Labor, Bureau of Labor Statistics’ May 2008 National Industry-Specific Occupational Employment and Wage Estimates NAICS 622000—Hospitals, located at https://www.bls.gov/oes/2008/may/naics3_622000.htm. Wage rate of $46.22 is based on the mean hourly wages for Medical and Health Services Managers. Wage rate of $46.11 is the weighted mean hourly wage for: Medical and Health Services Managers ($45.22 × 2.6 hours = $117.57), Lawyers ($62.95 × .5 hours = $31.48), Chief Executives ($89.16 × .5 hours = $44.58), and Database Administrators ($32.30 × 2 hours = $64.60) [Weighted mean ($117.57 + 31.48 + 44.58 + 64.60)/5.6 hours = $258.23/5.6 hours = $46.11/hour]. Estimated Annual Costs to the Federal Government comments will become a matter of public record. Exhibit 3 shows the estimated annualized cost to the government for developing, maintaining, and managing the database and analyzing the data and producing reports. The cost is estimated to be $250,000 annually. Dated: August 26, 2009. Carolyn M. Clancy, Director. [FR Doc. E9–21079 Filed 9–1–09; 8:45 am] EXHIBIT 3—ESTIMATED ANNUALIZED COST Cost component Database Development and Maintenance ...................... Data Submission .................. Data Analysis & Reports ...... Total ............................... Annualized cost jlentini on DSKJ8SOYB1PROD with NOTICES Agency for Healthcare Research and Quality The Patient Safety and Quality Improvement Act of 2005, 42 U.S.C. 299b–21 to b–26 (Patient Safety Act), provides for the formation of Patient Safety Organizations (PSOs), which collect, aggregate, and analyze confidential information regarding the quality and safety of healthcare delivery. The Patient Safety Act (at 42 U.S.C. 299b–23) authorizes the collection of this information in a standardized manner, as explained in the related Patient Safety and Quality Improvement Final Rule, 42 CFR part 3 (Patient Safety Rule), published in the Federal Register on November 21, 2008: 73 FR 70731–70814. As authorized by the Secretary of HHS, AHRQ coordinates the development of a set of common definitions and reporting formats (Common Formats) that allow healthcare providers to voluntarily collect and submit standardized information regarding patient safety events. The initial release of the formats, Version 0.1 Beta, was announced in the Federal Register on August 29, 2008: 73 FR 50974–50976. The purpose of this notice is to announce the availability of SUMMARY: 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, quality improvement and 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 16:56 Sep 01, 2009 DEPARTMENT OF HEALTH AND HUMAN SERVICES Common Formats for Patient Safety $50,000 Data Collection and Event Reporting 75,000 AGENCY: Agency for Healthcare Research 125,000 and Quality (AHRQ), HHS. 250,000 ACTION: Notice of Availability— Common Formats Version 1.0. Request for Comments VerDate Nov<24>2008 BILLING CODE 4160–90–M Jkt 217001 PO 00000 Frm 00046 Fmt 4703 Sfmt 4703 the expanded and enhanced Common Formats Version 1.0 and the process for their continued development and refinement. Ongoing public input. The Common Formats can be accessed electronically at the following HHS Web site: https:// www.pso.ahrq.gov/. FOR FURTHER INFORMATION CONTACT: Susan Grinder, Center for Quality Improvement and Patient Safety, AHRQ, 540 Gaither Road, Rockville, MD 20850; Telephone (toll free): (866) 403–3697; Telephone (local): (301) 427–1111; TTY (toll free): (866) 438–7231; TTY (local): (301) 427–1130; E-mail: pso@ahrq.hhs.gov. DATES: ADDRESSES: SUPPLEMENTARY INFORMATION: Background The Patient Safety Act and Patient Safety Rule establish a framework by which doctors, hospitals, and other healthcare providers may voluntarily report information regarding patient safety events and quality of care. Information that is assembled and developed by providers for reporting to PSOs and the information received and analyzed by PSOs—called ‘‘patient safety work product’’—is privileged and confidential. Patient safety work product is used to identify events, patterns of care, and unsafe conditions that increase risks and hazards to patients. Definitions and other details about PSOs and patient safety work product are included in the Patient Safety Rule. The Patient Safety Act and Patient Safety Rule require PSOs, to the extent practical and appropriate, to collect patient safety work product from providers in a standardized manner in order to permit valid comparisons of similar cases among similar providers. The collection of patient safety work product allows the aggregation of sufficient data to identify and address E:\FR\FM\02SEN1.SGM 02SEN1

Agencies

[Federal Register Volume 74, Number 169 (Wednesday, September 2, 2009)]
[Notices]
[Pages 45455-45457]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21079]


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

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: ``Collection of Information for Agency for Healthcare Research 
and Quality's (AHRQ) Hospital Survey on Patient Safety Culture 
Comparative Database.'' 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.

DATES: Comments on this notice must be received by November 2, 2009.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by e-mail at 
doris.lefkowitz@ahrg.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.1efkowitz@ahrq.hhs.gov.

SUPPLEMENTARY INFORMATION:

Proposed Project

Collection of Information for Agency for Healthcare Research and 
Quality's (AHRQ) Hospital Survey on Patient Safety Culture Comparative 
Database

    The Agency for Healthcare Research and Quality (AHRQ) requests that 
the Office of Management and Budget (OMB) approve, under the Paperwork 
Reduction Act of 1995, AHRQ's collection of information for the AHRQ 
Hospital Survey on Patient Safety Culture (Hospital SOPS) Comparative

[[Page 45456]]

Database. The Hospital SOPS Comparative Database consists of data from 
the AHRQ Hospital Survey on Patient Safety Culture. Hospitals in the 
U.S. are asked to voluntarily submit data from the survey to AHRQ, 
through its contractor, Westat. The database was developed by AHRQ in 
2006 in response to requests from hospitals interested in knowing how 
their patient safety culture survey results compare to those of other 
hospitals in their efforts to improve patient safety.
    In 1999, the Institute of Medicine called for health care 
organizations to develop a ``culture of safety'' in which their 
workforces and processes focus on improving the reliability and safety 
of care for patients (IOM, 1999; To Err is Human: Building a Safer 
Health System). To respond to the need for tools to assess patient 
safety culture in health care, AHRQ developed and pilot tested the 
Hospital Survey on Patient Safety Culture with OMB approval (OMB No. 
0935-01 15; Approved 2/4/2003). The survey was designed to enable 
hospitals to assess staff opinions about patient safety issues, medical 
error, and error reporting and includes 42 items that measure 12 
dimensions of patient safety culture. AHRQ released the survey in the 
public domain along with a Survey User's Guide and other toolkit 
materials in November 2004 on the AHRQ Web site. Since its release, the 
survey has been voluntarily used by hundreds of hospitals in the U.S.
    The Hospital SOPS survey and the Hospital SOPS Comparative Database 
are supported by AHRQ to meet its goals of promoting improvements in 
the quality and safety of health care in hospital settings. This 
project is conducted pursuant to AHRQ's statutory authority to conduct 
and support research on health care and on systems for the delivery of 
such care, including activities with respect to the quality, 
effectiveness, efficiency, appropriateness and value of health care 
services and with respect to health statistics, surveys, and database 
development. See 42 U.S.C. 299a(a)(l) and (8). The surveys, toolkit 
materials, and comparative database results are all made available in 
the public domain along with technical assistance, provided by AHRQ 
through its contractor at no charge to hospitals, to facilitate the use 
of these materials for hospital patient safety and quality improvement.

Method of Collection

    Information for the Hospital SOPS database has been collected by 
AHRQ on an annual basis since 2006. Hospitals are asked to voluntarily 
submit their Hospital SOPS survey data to the comparative database 
between May 1 and June 30. The data are then cleaned and aggregated and 
used to produce a comparative Database Report that displays averages, 
standard deviations, and percentile scores on the survey's 42 items and 
12 patient safety culture dimensions, as well as displaying these 
results by hospital characteristics (bed size, teaching status, 
ownership) and respondent characteristics (hospital work area, staff 
position, and those with direct interaction with patients). In 
addition, trend data, showing changes in scores over time, are 
presented from hospitals that have submitted to the database more than 
once.

Estimated Annual Respondent Burden

    Hospitals administer the AHRQ Hospital Survey on Patient Safety 
Culture every 16 months on average. Therefore, the number of hospital 
submissions to the database varies each year because hospitals do not 
submit data every year. The 250 respondents/point-of-contacts (POCs) 
shown in Exhibit 1 are based on an estimated increase in the number of 
submissions in 2010 and 2011 (above the 180 respondents from 2009). 
Data submission is typically handled by one POC who is either a 
hospital patient safety manager or a survey vendor. The POC completes a 
number of data submission steps and forms, beginning with completion of 
an online Eligibility and Registration Form. The POCs typically submit 
data on behalf of 3 hospitals, on average, because many hospitals are 
part of a multi-hospital system that is submitting data, or the POC is 
a vendor that is submitting data for multiple hospitals. In 2009, 180 
POCs submitted data on behalf of a total of 535 hospitals (an average 
of 3 hospital submissions per POC). Exhibits 1 and 2 are based on the 
estimated number of individual POCs who will complete the database 
submission steps and forms in the coming years, not based on the number 
of hospitals.
    The Patient Safety Improvement Initiatives Form is completed only 
by POCs from trending hospitals that have submitted data more than 
once, so only about half of the POCs each year will be asked to 
complete the form for each of the 3 hospitals (on average) they are 
submitting data for. The Hospital Information Form is completed by all 
POCs for each of their hospitals. The total annual burden hours are 
estimated to be 1,508.
    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to submit their data. The cost burden is estimated to 
be $69,438 annually.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/    responses per     Hours per     Total burden
                                                       POCs             POC          response          hours
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Form and Data                       250               1             5.6           1,400
 Submission*....................................
Data Use Agreement..............................             250               1            3/60              13
Patient Safety Improvement Initiatives Form (for             125               3            5/60              32
 trending hospitals only).......................
Hospital Information Form.......................             250               3            5/60              63
                                                 ---------------------------------------------------------------
    Total.......................................             875              NA              NA          1,508
----------------------------------------------------------------------------------------------------------------
* The Eligibility and Registration Form requires 3 minutes to complete; however, about 5.5 hours is required to
  prepare/plan for the data submission. This includes the amount of time POCs and other hospital staff (CEO,
  lawyer, database administrator) typically spend deciding whether to participate in the database and preparing
  their materials and data set for submission to the database, and performing the submission.


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of
                    Form name                      respondents/    Total burden   Average hourly    Total cost
                                                       POCs            hours        wage rate*        burden
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Form and Data                       250           1,400          $46.11         $64,554
 Submission.....................................

[[Page 45457]]

 
Data Use Agreement..............................             250              13           45.22             588
Patient Safety Improvement Initiatives Form (for             125              32           45.22           1,447
 trending hospitals only).......................
Hospital Information Form.......................             250              63           45.22           2,849
                                                 ---------------------------------------------------------------
    Total.......................................             875           1,508              NA         69,438
----------------------------------------------------------------------------------------------------------------
* Wage rates were calculated using the mean hourly wage based on occupational employment and wage estimates from
  the Dept of Labor, Bureau of Labor Statistics' May 2008 National Industry-Specific Occupational Employment and
  Wage Estimates NAICS 622000--Hospitals, located at https://www.bls.gov/oes/2008/may/naics3_622000.htm. Wage
  rate of $46.22 is based on the mean hourly wages for Medical and Health Services Managers. Wage rate of $46.11
  is the weighted mean hourly wage for: Medical and Health Services Managers ($45.22 x 2.6 hours = $117.57),
  Lawyers ($62.95 x .5 hours = $31.48), Chief Executives ($89.16 x .5 hours = $44.58), and Database
  Administrators ($32.30 x 2 hours = $64.60) [Weighted mean ($117.57 + 31.48 + 44.58 + 64.60)/5.6 hours =
  $258.23/5.6 hours = $46.11/hour].

Estimated Annual Costs to the Federal Government

    Exhibit 3 shows the estimated annualized cost to the government for 
developing, maintaining, and managing the database and analyzing the 
data and producing reports. The cost is estimated to be $250,000 
annually.

                  Exhibit 3--Estimated Annualized Cost
------------------------------------------------------------------------
                                                            Annualized
                     Cost component                            cost
------------------------------------------------------------------------
Database Development and Maintenance....................         $50,000
Data Submission.........................................          75,000
Data Analysis & Reports.................................         125,000
                                                         ---------------
    Total...............................................         250,000
------------------------------------------------------------------------

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, quality improvement and 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: August 26, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9-21079 Filed 9-1-09; 8:45 am]
BILLING CODE 4160-90-M
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