Agency Information Collection Activities: Proposed Collection; Comment Request, 38107-38109 [2010-15795]
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38107
Federal Register / Vol. 75, No. 126 / Thursday, July 1, 2010 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
nursing homes
Form name
Total burden
hours
Average
hourly wage
rate*
Total cost
burden
Pre-implementation semi-structured interviews ...............................................
Administrator Interviews ..................................................................................
Train-the-trainer training ..................................................................................
Train-the-nurses training ..................................................................................
Train-the-physicians training ............................................................................
Final Semi-Structured Interview .......................................................................
Nurse survey ....................................................................................................
Physician survey ..............................................................................................
6
12
6
6
6
6
12
12
18
3
48
156
18
24
144
30
**51.68
***46.59
31.31
77.64
31.31
77.64
***46.59
46.10
$930
140
1,503
12,112
564
1,863
6,709
1,383
Total ..........................................................................................................
66
441
n/a
25,204
* Based upon the mean of the average wages, National Occupational Employment and Wage Estimates, U.S. Department of Labor, Bureau of
Labor Statistics. May 2008.
** Average wages for one registered nurse ($31.31), one physician ($77.64), and one Administrator ($46.10).
*** Average wages for two registered nurse ($31.31), one physician ($77.64), and one Administrator ($46.10).
Estimated Annual Costs to the Federal
Government
Exhibit 3 shows the total and
annualized cost for conducting this
research. The total budget for this three
year study is $999,976. The
administration task includes costs
associated with the initial kick-off
conference call with AHRQ and
monthly progress reports and ongoing
conference calls. The research plan task
includes costs to finalize the research
plan; conduct the literature search;
prepare and submit the IRB applications
and OMB package; recruit facilities;
collect baseline and monthly data from
medical record reviews and conduct
pre- and post-intervention provider
interviews; implement the intervention;
and write the final report on the
explanatory model. The dissemination
costs include the writing of a
dissemination plan and two
manuscripts for publication as well as
presentations at two national
conferences. The final report costs
include the writing of a draft and final
report.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST
Cost component
Total
Annualized
cost
Administration ..........................................................................................................................................................
Research Plan .........................................................................................................................................................
Dissemination Plan ..................................................................................................................................................
Final Report .............................................................................................................................................................
Overhead .................................................................................................................................................................
$24,474
591,788
63,397
46,501
273,816
$8,158
197,263
21,132
15,500
91,272
Total ..................................................................................................................................................................
999,976
333,325
jlentini on DSKJ8SOYB1PROD with NOTICES
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 healthcare research and
healthcare 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.
VerDate Mar<15>2010
16:02 Jun 30, 2010
Jkt 220001
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: June 22, 2010.
Carolyn M. Clancy,
Director.
[FR Doc. 2010–15796 Filed 6–30–10; 8:45 am]
BILLING CODE 4160–90–M
PO 00000
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:
‘‘Assessing the Impact of the National
Implementation of TeamSTEPPS Master
Training Program.’’ In accordance with
the Paperwork Reduction Act, 44 U.S.C.
3501–3520, AHRQ invites the public to
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38108
Federal Register / Vol. 75, No. 126 / Thursday, July 1, 2010 / Notices
comment on this proposed information
collection.
This proposed information collection
was previously published in the Federal
Register on May 3rd, 2010 and allowed
60 days for public comment. No
comments were 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 August 2, 2010.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.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@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
jlentini on DSKJ8SOYB1PROD with NOTICES
Assessing the Impact of the National
Implementation of TeamSTEPPS Master
Training Program
As part of their effort to fulfill their
mission goals, AHRQ, in collaboration
with the Department of Defense’s (DoD)
Tricare Management Activity (TMA),
developed TeamSTEPPS® (aka Team
Strategies and Tools for Enhancing
Performance and Patient Safety) to
provide an evidence-based suite of tools
and strategies for training teamworkbased patient safety to health care
professionals. In 2007, AHRQ and DoD
coordinated the national
implementation of the TeamSTEPPS
program. The main objective of this
program is to improve patient safety by
training a select group of stakeholders
such as Quality Improvement
Organization (QIO) personnel, High
Reliability Organization (HRO) staff, and
healthcare system staff in various
teamwork, communication, and patient
safety concepts, tools, and techniques
and ultimately helping to build a
national infrastructure for supporting
teamwork-based patient safety efforts in
healthcare organizations and at the state
level. The implementation includes the
training of Master Trainers in various
health care systems capable of
stimulating the utilization and adoption
of TeamSTEPPS in their health care
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16:02 Jun 30, 2010
Jkt 220001
delivery systems, providing technical
assistance and consultation on
implementing TeamSTEPPS, and
developing various channels of learning
(e.g., user networks, various educational
venues) for continuation support and
improvement of teamwork in health
care. During this effort, AHRQ has
trained a corps of 2400 participants to
serve as the Master Trainer
infrastructure supporting national
adoption of TeamSTEPPS. Participants
in training become Master Trainers in
TeamSTEPPS and are afforded the
opportunity to observe the tools and
strategies provided in the program in
action. In addition to developing a corps
of Master Trainers, AHRQ has also
developed a series of support
mechanisms for this effort including a
data collection Web tool, a
TeamSTEPPS call support center, and a
monthly consortium to address any
challenges encountered by
implementers of TeamSTEPPS.
To understand the extent to which
this infrastructure of patient safety
knowledge and skills has been created,
AHRQ will conduct an evaluation of the
National Implementation of
TeamSTEPPS Master Training program.
The goals of this evaluation are to
examine the extent to which training
participants have been able to:
(1) Implement the TeamSTEPPS
products, concepts, tools, and
techniques in their home organizations
and,
(2) The extent to which participants
have spread that training, knowledge,
and skills to their organizations, local
areas, regions, and states.
This study is being conducted by
AHRQ through its contractor, American
Institutes for Research (AIR), pursuant
to AHRQ’s statutory authority to
conduct and support research on
healthcare and on systems for the
delivery of such care, including
activities with respect to the quality,
effectiveness, efficiency,
appropriateness and value of healthcare
services and with respect to quality
measurement and improvement. 42
U.S.C. 299a(a)(1) and (2).
Method of Collection
To achieve the goals of this
assessment the following two data
collections will be implemented:
(1) Web-based questionnaire to
examine post-training activities and
teamwork outcomes as a result of
training from multiple perspectives. The
questionnaire is directed to all master
training participants. Items will cover
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post-training activities, implementation
experiences, facilitators and barriers to
implementation encountered, and
perceived outcomes as a result of these
activities.
(2) Semi-structured interviews will be
conducted with members from
organizations who participated in the
TeamSTEPPS Master Training program.
Information gathered from these
interviews will be analyzed and used to
draft a ‘‘lessons learned’’ document that
will capture additional detail on the
issues related to participants’ and
organizations’ abilities to implement
and disseminate the TeamSTEPPS posttraining. The organizations will vary in
terms of type of organization (e.g., QIO
or hospital associations versus
healthcare systems) and region (i.e.,
Northeast, Midwest, Southwest,
Southeast, Mid-Atlantic, West Coast). In
addition, we will strive to ensure
representativeness of the site visits by
ensuring that the distribution of
organizations mirrors the distribution of
organizations in the master training
population. For example, if the
distribution of organizations is such that
only one out of every five organizations
is a QIO, we will ensure that a
maximum of two organizations in the
site visit sample are QIOs. The
interviews will more accurately reveal
the degree of training spread for the
organizations included. Interviewees
will be drawn from qualified
individuals serving in one of two roles
(i.e., implementers or facilitators). The
interview protocol will be adapted for
each role based on the respondent group
and to some degree, for each individual,
based on their training and patient
safety experience.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondent’s time to participate in the
study. Semi-structured interviews will
be conducted with a maximum of 9
individuals from each of 9 participating
organizations and will last about one
hour each. The training participant
questionnaire will be completed by
approximately 10 individuals from each
of about 240 organizations and is
estimated to require 20 minutes to
complete. The total annualized burden
is estimated to be 881 hours.
Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to participate in the
study. The total cost burden is estimated
to be $28,594.
E:\FR\FM\01JYN1.SGM
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38109
Federal Register / Vol. 75, No. 126 / Thursday, July 1, 2010 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form Name
Number of
responses per
respondent
Hours per
response
Total burden
hours
Semi-structured interview ................................................................................
Training participant questionnaire ...................................................................
9
240
9
10
60/60
20/60
81
800
Total ..........................................................................................................
249
NA
NA
881
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Form name
Total burden
hours
Average
hourly wage
rate
Total cost
burden
Semi-structured interview ................................................................................
Training participant questionnaire ...................................................................
9
240
81
800
$32.64
32.64
$2,644
26,112
Total ..........................................................................................................
249
881
NA
28,756
* Based upon the mean of the average wages for all health professionals (29–0000) for the training participant questionnaire and for executives, administrators, and managers for the organizational leader questionnaire presented in the National Compensation Survey: Occupational
Wages in the United States, May, 2008, U.S. Department of Labor, Bureau of Labor Statistics. https://www.bls.gov/oes/current/oes_nat.htm#b290000.
Estimated Annual Costs to the Federal
Government
Exhibit 3 shows the total cost for this
one year project; since the project is for
only one year these are also the
annualized costs. The total cost to the
government for this activity is estimated
to be $181,521 to conduct the one-time
questionnaire and conduct nine site
visits, as well as to analyze and present
all results. This amount includes costs
for developing the data collection tools
($24,889); collecting the data ($108,667);
and analyzing the data ($35,061) and
reporting the findings ($12,903).
EXHIBIT 3—ESTIMATED TOTAL AND
ANNUALIZED COST
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: June 22, 2010.
Carolyn M. Clancy,
Director.
[FR Doc. 2010–15795 Filed 6–30–10; 8:45 am]
Cost component
Total cost
BILLING CODE 4160–90–M
Project Development ................
Data Collection Activities ..........
Data Processing and Analysis
Publication of Results ...............
$24,889
108,667
35,061
12,903
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Total ...................................
181,521
Health Resources and Services
Administration
jlentini on DSKJ8SOYB1PROD with NOTICES
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 healthcare research and
healthcare 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
VerDate Mar<15>2010
16:02 Jun 30, 2010
Jkt 220001
Notice of Availability of Draft Policy
Document for Comment
AGENCY: Health Resources and Services
Administration (HRSA), HHS.
ACTION: The Federal Tort Claims Act
(FTCA) Policy Manual was developed to
serve as the primary policy source for
information on FTCA for Health Center
Program grantees funded under section
330 of the Public Health Service (PHS)
Act (‘‘section 330’’). The Policy Manual
is currently posted on the Internet at
https://bphc.hrsa.gov/draftsforcomment/
ftcamanual/.
PO 00000
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Fmt 4703
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DATES: Comments must be received by
August 6, 2010.
ADDRESSES: Comments should be
submitted to OPPDGeneral@hrsa.gov by
close of business on August 6, 2010.
SUMMARY: HRSA believes that
community input is valuable to the
development of policies and policy
documents related to the
implementation of HRSA programs,
including the Health Center Program.
Therefore, we are requesting comments
on the FTCA Policy Manual referenced
above. Comments will be reviewed and
analyzed, and a summary and general
response to comments will be published
as soon as possible after the comment
submission deadline.
BACKGROUND: HRSA administers the
Health Center Program, which supports
more than 1,100 organizations operating
almost 8,000 health care delivery sites,
including community health centers,
migrant health centers, health care for
the homeless centers, and public
housing primary care centers. Health
centers serve medically underserved
communities delivering preventive and
primary care services to patients
regardless of their ability to pay.
Health Center Program grantees
funded under section 330 of the PHS
Act, including Community Health
Centers, Migrant Health Centers, Health
Care for the Homeless Health Centers,
and Public Housing Primary Care Health
Centers, have access to medical
malpractice coverage under the Federal
Tort Claims Act (FTCA). FTCA, enacted
in 1946, is the legal mechanism for
compensating people who have suffered
personal injury due to the negligent or
wrongful action of employees of the
E:\FR\FM\01JYN1.SGM
01JYN1
]]>Agencies
[Federal Register Volume 75, Number 126 (Thursday, July 1, 2010)]
[Notices]
[Pages 38107-38109]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-15795]
-----------------------------------------------------------------------
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: ``Assessing the Impact of the National Implementation of
TeamSTEPPS Master Training Program.'' In accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501-3520, AHRQ invites the public to
[[Page 38108]]
comment on this proposed information collection.
This proposed information collection was previously published in
the Federal Register on May 3rd, 2010 and allowed 60 days for public
comment. No comments were 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 August 2, 2010.
ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
e-mail at OIRA_submission@omb.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@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Assessing the Impact of the National Implementation of TeamSTEPPS
Master Training Program
As part of their effort to fulfill their mission goals, AHRQ, in
collaboration with the Department of Defense's (DoD) Tricare Management
Activity (TMA), developed TeamSTEPPS[supreg] (aka Team Strategies and
Tools for Enhancing Performance and Patient Safety) to provide an
evidence-based suite of tools and strategies for training teamwork-
based patient safety to health care professionals. In 2007, AHRQ and
DoD coordinated the national implementation of the TeamSTEPPS program.
The main objective of this program is to improve patient safety by
training a select group of stakeholders such as Quality Improvement
Organization (QIO) personnel, High Reliability Organization (HRO)
staff, and healthcare system staff in various teamwork, communication,
and patient safety concepts, tools, and techniques and ultimately
helping to build a national infrastructure for supporting teamwork-
based patient safety efforts in healthcare organizations and at the
state level. The implementation includes the training of Master
Trainers in various health care systems capable of stimulating the
utilization and adoption of TeamSTEPPS in their health care delivery
systems, providing technical assistance and consultation on
implementing TeamSTEPPS, and developing various channels of learning
(e.g., user networks, various educational venues) for continuation
support and improvement of teamwork in health care. During this effort,
AHRQ has trained a corps of 2400 participants to serve as the Master
Trainer infrastructure supporting national adoption of TeamSTEPPS.
Participants in training become Master Trainers in TeamSTEPPS and are
afforded the opportunity to observe the tools and strategies provided
in the program in action. In addition to developing a corps of Master
Trainers, AHRQ has also developed a series of support mechanisms for
this effort including a data collection Web tool, a TeamSTEPPS call
support center, and a monthly consortium to address any challenges
encountered by implementers of TeamSTEPPS.
To understand the extent to which this infrastructure of patient
safety knowledge and skills has been created, AHRQ will conduct an
evaluation of the National Implementation of TeamSTEPPS Master Training
program. The goals of this evaluation are to examine the extent to
which training participants have been able to:
(1) Implement the TeamSTEPPS products, concepts, tools, and
techniques in their home organizations and,
(2) The extent to which participants have spread that training,
knowledge, and skills to their organizations, local areas, regions, and
states.
This study is being conducted by AHRQ through its contractor,
American Institutes for Research (AIR), pursuant to AHRQ's statutory
authority to conduct and support research on healthcare and on systems
for the delivery of such care, including activities with respect to the
quality, effectiveness, efficiency, appropriateness and value of
healthcare services and with respect to quality measurement and
improvement. 42 U.S.C. 299a(a)(1) and (2).
Method of Collection
To achieve the goals of this assessment the following two data
collections will be implemented:
(1) Web-based questionnaire to examine post-training activities and
teamwork outcomes as a result of training from multiple perspectives.
The questionnaire is directed to all master training participants.
Items will cover post-training activities, implementation experiences,
facilitators and barriers to implementation encountered, and perceived
outcomes as a result of these activities.
(2) Semi-structured interviews will be conducted with members from
organizations who participated in the TeamSTEPPS Master Training
program. Information gathered from these interviews will be analyzed
and used to draft a ``lessons learned'' document that will capture
additional detail on the issues related to participants' and
organizations' abilities to implement and disseminate the TeamSTEPPS
post-training. The organizations will vary in terms of type of
organization (e.g., QIO or hospital associations versus healthcare
systems) and region (i.e., Northeast, Midwest, Southwest, Southeast,
Mid-Atlantic, West Coast). In addition, we will strive to ensure
representativeness of the site visits by ensuring that the distribution
of organizations mirrors the distribution of organizations in the
master training population. For example, if the distribution of
organizations is such that only one out of every five organizations is
a QIO, we will ensure that a maximum of two organizations in the site
visit sample are QIOs. The interviews will more accurately reveal the
degree of training spread for the organizations included. Interviewees
will be drawn from qualified individuals serving in one of two roles
(i.e., implementers or facilitators). The interview protocol will be
adapted for each role based on the respondent group and to some degree,
for each individual, based on their training and patient safety
experience.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondent's time to participate in the study. Semi-structured
interviews will be conducted with a maximum of 9 individuals from each
of 9 participating organizations and will last about one hour each. The
training participant questionnaire will be completed by approximately
10 individuals from each of about 240 organizations and is estimated to
require 20 minutes to complete. The total annualized burden is
estimated to be 881 hours.
Exhibit 2 shows the estimated annualized cost burden based on the
respondents' time to participate in the study. The total cost burden is
estimated to be $28,594.
[[Page 38109]]
Exhibit 1--Estimated annualized burden hours
----------------------------------------------------------------------------------------------------------------
Number of
Form Name Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Semi-structured interview....................... 9 9 60/60 81
Training participant questionnaire.............. 240 10 20/60 800
---------------------------------------------------------------
Total....................................... 249 NA NA 881
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Average
Form name Number of Total burden hourly wage Total cost
respondents hours rate burden
----------------------------------------------------------------------------------------------------------------
Semi-structured interview....................... 9 81 $32.64 $2,644
Training participant questionnaire.............. 240 800 32.64 26,112
---------------------------------------------------------------
Total....................................... 249 881 NA 28,756
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages for all health professionals (29-0000) for the training participant
questionnaire and for executives, administrators, and managers for the organizational leader questionnaire
presented in the National Compensation Survey: Occupational Wages in the United States, May, 2008, U.S.
Department of Labor, Bureau of Labor Statistics. https://www.bls.gov/oes/current/oes_nat.htm#b29-0000.
Estimated Annual Costs to the Federal Government
Exhibit 3 shows the total cost for this one year project; since the
project is for only one year these are also the annualized costs. The
total cost to the government for this activity is estimated to be
$181,521 to conduct the one-time questionnaire and conduct nine site
visits, as well as to analyze and present all results. This amount
includes costs for developing the data collection tools ($24,889);
collecting the data ($108,667); and analyzing the data ($35,061) and
reporting the findings ($12,903).
Exhibit 3--Estimated Total and Annualized Cost
------------------------------------------------------------------------
Cost component Total cost
------------------------------------------------------------------------
Project Development........................................ $24,889
Data Collection Activities................................. 108,667
Data Processing and Analysis............................... 35,061
Publication of Results..................................... 12,903
------------
Total.................................................. 181,521
------------------------------------------------------------------------
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 healthcare research and healthcare 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: June 22, 2010.
Carolyn M. Clancy,
Director.
[FR Doc. 2010-15795 Filed 6-30-10; 8:45 am]
BILLING CODE 4160-90-M
