Agency Information Collection Activities: Proposed Collection; Comment Request, 69677-69679 [2010-28367]
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69677
Federal Register / Vol. 75, No. 219 / Monday, November 15, 2010 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of
respondents
Form name
Total ..........................................................................................................
Total burden
hours
977
Average hourly wage rate*
1,190
n/a
Total cost
burden
27,316
* Based upon the mean of the wages for 11–9111 Medical & Health Services Manager ($43.74), 29–000 Healthcare Practitioner and Technical
Occupations ($33.51), 43–6011 Executive Secretaries and Administrative Assistants ($21.16) and 00–0000 All Occupations ($20.90), May 2009
National Occupational Employment and Wage Estimates. United States, ‘‘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 below breaks down the costs
related to this study. Since this study
will span two years, the costs have been
annualized over a two year period. The
total annualized cost is estimated to be
$536,396.50.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST
Cost component
Total cost
Guide Development ...............................................................................................................................................
Data Collection Activities .......................................................................................................................................
Data Processing and Analysis ...............................................................................................................................
Project Management ..............................................................................................................................................
Overhead ...............................................................................................................................................................
$526,214
310,006
110,620
20,270
105,683
Total ................................................................................................................................................................
1,072,793
srobinson on DSKHWCL6B1PROD 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.
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: November 1, 2010.
Carolyn M. Clancy,
Director.
[FR Doc. 2010–28368 Filed 11–12–10; 8:45 am]
BILLING CODE 4160–90–M
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18:04 Nov 12, 2010
Jkt 223001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:
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:
‘‘Standardizing Antibiotic Use in Longterm Care Settings.’’ In accordance with
the Paperwork Reduction Act, 44 U.S.C.
3501–3520, AHRQ invites the public to
comment on this proposed information
collection.
DATES: Comments on this notice must be
received by January 14, 2011.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
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
SUMMARY:
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
Annualized cost
$263,107
155,003
55,310
10,135
52,842
536,396.50
Clearance Officer, (301) 427–1477, or by
e-mail at
doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Standardizing Antibiotic Use in Longterm Care Settings
This project seeks to contribute to
AHRQ’s mission by optimizing
antibiotic prescribing practices in
nursing homes. Nursing homes serve as
one of our most fertile breeding grounds
for antibiotic-resistant strains of
bacteria. Nursing home residents, with
their combination of the effects of
normal aging and multiple chronic
diseases, have relatively high rates of
infection. With high rates of respiratory,
urinary, skin, and other infection comes
a very high rate of antibiotic use that
gives rise to Methicillin-resistant
Staphylococcus aureus (MRSA),
Vancomycin-resistant Enterococci
(VRE), fluoroquinolone-resistant strains
of a variety of bacteria, and multi-drug
resistant organisms (MDROs).
Inappropriate antibiotic prescribing
practices by primary care clinicians
caring for residents in long-term care
(LTC) communities is becoming a major
public health concern. Antibiotics are
among the most commonly prescribed
pharmaceuticals in LTC settings, yet
reports indicate that a high proportion
of antibiotic prescriptions are
inappropriate.
In an effort to reduce antibiotic
overprescribing, Loeb and colleagues
E:\FR\FM\15NON1.SGM
15NON1
69678
Federal Register / Vol. 75, No. 219 / Monday, November 15, 2010 / Notices
srobinson on DSKHWCL6B1PROD with NOTICES
developed minimum criteria for the
initiation of antibiotics in LTC setting.
The criteria have been tested in several
studies, but their implementation and
tests of validity have been limited. In
particular, though Loeb and colleagues
developed distinct minimum criteria for
several types of infection (skin and softtissue, respiratory, urinary tract, and
unexplained fever), a rigorous
evaluation has been conducted only for
urinary tract infections.
This project will assess an approach
to using the Loeb criteria that requires
minimal changes in facility procedures
and, therefore, is likely to be widely
adopted by nursing homes. The
intervention makes use of a
Communication and Order Form (COF),
which has been designed by the
researchers and will be used by the
nurses and physicians to guide their
decisionmaking about whether to order
an antibiotic for a specific resident
experiencing a specific infection.
Twelve nursing homes will participate
in this project with eight assigned to the
intervention and four serving as
controls. The eight intervention sites
will be divided into two groups of four
sites each, with one group receiving an
additional follow-up training 2 months
after the intervention.
The objectives of the study are to:
1. Implement a quality improvement
(01) intervention program to optimize
antibiotic prescribing practices;
2. Evaluate the effect of the 01
intervention on antibiotic prescribing
practices including validation of the
Loeb minimum criteria; and
3. Develop and execute a
dissemination plan to ensure wide
dissemination of the findings and
recommendations for improving
antibiotic prescribing behaviors in LTC
settings.
This study is being conducted by
AHRQ through its contractor, the
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
The following data collection
activities and trainings will be
implemented to achieve the first two
objectives of this project:
1. Loeb criteria communication and
Order Form—This form will be
completed by staff in the eight
VerDate Mar<15>2010
18:04 Nov 12, 2010
Jkt 223001
intervention nursing homes to
determine if the Loeb criteria have been
met. The COF provides a logical
decision model for determining the
need for an antibiotic. Facility staff will
complete the paper form and the data
from the forms will be entered into a
database by the project researchers.
Based on a preliminary review of the
infection logs at 4 nursing homes, we
estimate that staff nurses will complete
an average of 17 COFs per month per
nursing home at the 8 nursing homes
that will use the COF during the 6month intervention period.
2. Medical record reviews (MMR)—To
be conducted by research staff to collect
outcome data to determine antibiotic
prescribing practices and their effects
and to assess the resident’s health and
functional status, which are potentially
important control variables. Outcome
and control variables will be obtained
by monthly chart review and review of
the Nursing Home Minimum Data Set
(MDS) for a period of nine months: three
months preceding the initiation of the
01 intervention (for which the charts of
all eligible residents will be abstracted
for a 3-month period at one time), and
every other month during a 6-month
period following the inception of the
intervention (for which the charts of all
eligible residents will be abstracted for
the preceding two months. AHRQ’s
contractor will conduct the data
abstraction at all 12 facilities (treatment
and control). Since this data collection
will not impose a burden on the facility
staff, OMB clearance is not required.
3. Staff training—Prior to
implementation, the staff
(administrators, nurses, and physicians)
at all eight intervention sites will be
trained in the proper use of the Loeb
Criteria COF. Staff at four of the
intervention sites will be trained a
second time 2 months after the initial
training. We estimate that an average of
24 nurses and 2 physicians will be
trained at each nursing home.
4. Pre-implementation semistructured interview—The purpose of
this interview is to gain an
understanding of: (1) How the staff and
the department(s) and/or wider facility
perceive quality improvement, in
general; (2) the amount of experience
the site has in QI and its processes for
handling infections; (3) why the facility
decided to adopt the Loeb Criteria COF;
and (4) the facility’s goals for the Loeb
Criteria COF implementation. Four staff
members will be interviewed at each
nursing home: two champions (likely
the administrator, director of nursing,
and/or the assistant director of nursing),
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
one line nurse, and one staff physician.
Questions vary by respondent type.
5. Post-training semi-structured
interview—The purpose of this
interview is to measure the staff’s: (1)
Perceived adequacy of the training; (2)
their reactions to the training; and (3)
their plans for implementation. The
same four persons at each nursing home
who were interviewed for the preimplementation semi-structured
interviews will participate in this
interview. Questions vary by respondent
type.
6. Post-implementation semistructured interview—The purpose of
this interview is to identify: (1)
Facilitators and barriers to
implementation; (2) how barriers were
overcome; (3) what barriers remain; (4)
perceived impacts of the Loeb Criteria
COF on the use of antibiotics within the
facility; and (5) the facility’s view on the
business case for Loeb Criteria COF. The
same four persons at each nursing home
who participated in the previous semistructured interviews will participate in
this interview. Questions do not vary by
respondent type.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the nursing
homes’ time to participate in this
project. All of the data collections and
training in Exhibit 1 pertain only to the
eight intervention nursing homes. The
Loeb Criteria COF will be completed
approximately 17 times a month for 6
months (102 total) by staff at each
nursing home and will require about 5
minutes to complete. Staff training will
be attended by all nursing and medical
staff members at each nursing home (an
average of 24 nurses and two physicians
per facility) and will last 1 hour. All
eight intervention facilities will receive
training once at the start of the
intervention and four of the eight
facilities will receive a second training
one month later to see if reinforcement
results in improved performance. The
pre-implementation, post training and
post-implementation semi-structured
interviews will be completed by the
same four staff members at each nursing
home consisting of two champions
(likely the administrator, director of
nursing, and/or the assistant director of
nursing), one line nurse, and one staff
physician. Each interview will be
scheduled for 1 hour. The total annual
burden is estimated to be 476 hours.
Exhibit 2 shows the estimated annual
cost burden associated with the
respondents’ time to participate in this
project. The total annual cost burden is
estimated to be $17,508.
E:\FR\FM\15NON1.SGM
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69679
Federal Register / Vol. 75, No. 219 / Monday, November 15, 2010 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
nursing homes
Number of responses per
nursing home
Loeb Criteria COF Staff training ......................................................................
Initial Training ..................................................................................................
Re-training .......................................................................................................
Pre-implementation semi-structured interview .................................................
Post training semi-structured interview ............................................................
Post-implementation semi-structured interview ...............................................
8
8
4
8
8
8
102
26
26
4
4
4
5/60
1
1
1
1
1
68
208
104
32
32
32
Total ..........................................................................................................
44
na
na
476
Form name
Hours per
response
Total burden
hours
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
nursing homes
Form name
Total burden
hours
Average hourly wage rate*
Total burden
Loeb Criteria COF Staff training ......................................................................
Initial Training ..................................................................................................
Re-training .......................................................................................................
Pre-implementation semi-structured interview .................................................
Post training semi-structured interview ............................................................
Post-implementation semi-structured interview ...............................................
8
8
8
8
8
8
68
208
104
32
32
32
$33
36
36
42
42
42
$2,244
7,488
3,744
1,344
1,344
1,344
Total ..........................................................................................................
44
476
na
17,508
* Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United States May 2009, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ $33 is the average wage for nurses who will complete the COF. $36 is the weighted average
wage of 24 nurses at $33 per hour and 2 physicians at $70 per hour who will be trained. $42 is the weighted average wage of 3 nurses and administrators at $33 per hour and 1 physician at $70 per hour who will be interviewed.
Estimated Annual Costs to the Federal
Government
Exhibit 3 shows the estimated total
and annual cost to the government for
funding this project. Although data
collection will require less than one
year, the entire project will span 2 years.
The total cost of this research is
estimated to be $999,554.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST
Cost component
Total cost
Annualized
cost
Project Development ...............................................................................................................................................
Data Collection Activities .........................................................................................................................................
Data Processing and Analysis .................................................................................................................................
Publication of Results ..............................................................................................................................................
Project Management ................................................................................................................................................
Overhead .................................................................................................................................................................
$103,498
361,178
193,830
48,497
65,334
227,217
$51,749
180,589
96,915
24,249
32,667
113,609
Total ..................................................................................................................................................................
$999,554
$499,777
srobinson on DSKHWCL6B1PROD 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
VerDate Mar<15>2010
18:04 Nov 12, 2010
Jkt 223001
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.
PO 00000
Frm 00061
Fmt 4703
Sfmt 9990
Dated: November 4, 2010.
Carolyn M. Clancy,
Director.
[FR Doc. 2010–28367 Filed 11–12–10; 8:45 am]
BILLING CODE 4160–90–M
E:\FR\FM\15NON1.SGM
15NON1
]]>Agencies
[Federal Register Volume 75, Number 219 (Monday, November 15, 2010)]
[Notices]
[Pages 69677-69679]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-28367]
-----------------------------------------------------------------------
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: ``Standardizing Antibiotic Use in Long-term Care Settings.''
In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-3520,
AHRQ invites the public to comment on this proposed information
collection.
DATES: Comments on this notice must be received by January 14, 2011.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by e-mail at hhs.gov">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
hhs.gov">doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Standardizing Antibiotic Use in Long-term Care Settings
This project seeks to contribute to AHRQ's mission by optimizing
antibiotic prescribing practices in nursing homes. Nursing homes serve
as one of our most fertile breeding grounds for antibiotic-resistant
strains of bacteria. Nursing home residents, with their combination of
the effects of normal aging and multiple chronic diseases, have
relatively high rates of infection. With high rates of respiratory,
urinary, skin, and other infection comes a very high rate of antibiotic
use that gives rise to Methicillin-resistant Staphylococcus aureus
(MRSA), Vancomycin-resistant Enterococci (VRE), fluoroquinolone-
resistant strains of a variety of bacteria, and multi-drug resistant
organisms (MDROs). Inappropriate antibiotic prescribing practices by
primary care clinicians caring for residents in long-term care (LTC)
communities is becoming a major public health concern. Antibiotics are
among the most commonly prescribed pharmaceuticals in LTC settings, yet
reports indicate that a high proportion of antibiotic prescriptions are
inappropriate.
In an effort to reduce antibiotic overprescribing, Loeb and
colleagues
[[Page 69678]]
developed minimum criteria for the initiation of antibiotics in LTC
setting. The criteria have been tested in several studies, but their
implementation and tests of validity have been limited. In particular,
though Loeb and colleagues developed distinct minimum criteria for
several types of infection (skin and soft-tissue, respiratory, urinary
tract, and unexplained fever), a rigorous evaluation has been conducted
only for urinary tract infections.
This project will assess an approach to using the Loeb criteria
that requires minimal changes in facility procedures and, therefore, is
likely to be widely adopted by nursing homes. The intervention makes
use of a Communication and Order Form (COF), which has been designed by
the researchers and will be used by the nurses and physicians to guide
their decisionmaking about whether to order an antibiotic for a
specific resident experiencing a specific infection. Twelve nursing
homes will participate in this project with eight assigned to the
intervention and four serving as controls. The eight intervention sites
will be divided into two groups of four sites each, with one group
receiving an additional follow-up training 2 months after the
intervention.
The objectives of the study are to:
1. Implement a quality improvement (01) intervention program to
optimize antibiotic prescribing practices;
2. Evaluate the effect of the 01 intervention on antibiotic
prescribing practices including validation of the Loeb minimum
criteria; and
3. Develop and execute a dissemination plan to ensure wide
dissemination of the findings and recommendations for improving
antibiotic prescribing behaviors in LTC settings.
This study is being conducted by AHRQ through its contractor, the
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
The following data collection activities and trainings will be
implemented to achieve the first two objectives of this project:
1. Loeb criteria communication and Order Form--This form will be
completed by staff in the eight intervention nursing homes to determine
if the Loeb criteria have been met. The COF provides a logical decision
model for determining the need for an antibiotic. Facility staff will
complete the paper form and the data from the forms will be entered
into a database by the project researchers. Based on a preliminary
review of the infection logs at 4 nursing homes, we estimate that staff
nurses will complete an average of 17 COFs per month per nursing home
at the 8 nursing homes that will use the COF during the 6-month
intervention period.
2. Medical record reviews (MMR)--To be conducted by research staff
to collect outcome data to determine antibiotic prescribing practices
and their effects and to assess the resident's health and functional
status, which are potentially important control variables. Outcome and
control variables will be obtained by monthly chart review and review
of the Nursing Home Minimum Data Set (MDS) for a period of nine months:
three months preceding the initiation of the 01 intervention (for which
the charts of all eligible residents will be abstracted for a 3-month
period at one time), and every other month during a 6-month period
following the inception of the intervention (for which the charts of
all eligible residents will be abstracted for the preceding two months.
AHRQ's contractor will conduct the data abstraction at all 12
facilities (treatment and control). Since this data collection will not
impose a burden on the facility staff, OMB clearance is not required.
3. Staff training--Prior to implementation, the staff
(administrators, nurses, and physicians) at all eight intervention
sites will be trained in the proper use of the Loeb Criteria COF. Staff
at four of the intervention sites will be trained a second time 2
months after the initial training. We estimate that an average of 24
nurses and 2 physicians will be trained at each nursing home.
4. Pre-implementation semi-structured interview--The purpose of
this interview is to gain an understanding of: (1) How the staff and
the department(s) and/or wider facility perceive quality improvement,
in general; (2) the amount of experience the site has in QI and its
processes for handling infections; (3) why the facility decided to
adopt the Loeb Criteria COF; and (4) the facility's goals for the Loeb
Criteria COF implementation. Four staff members will be interviewed at
each nursing home: two champions (likely the administrator, director of
nursing, and/or the assistant director of nursing), one line nurse, and
one staff physician. Questions vary by respondent type.
5. Post-training semi-structured interview--The purpose of this
interview is to measure the staff's: (1) Perceived adequacy of the
training; (2) their reactions to the training; and (3) their plans for
implementation. The same four persons at each nursing home who were
interviewed for the pre-implementation semi-structured interviews will
participate in this interview. Questions vary by respondent type.
6. Post-implementation semi-structured interview--The purpose of
this interview is to identify: (1) Facilitators and barriers to
implementation; (2) how barriers were overcome; (3) what barriers
remain; (4) perceived impacts of the Loeb Criteria COF on the use of
antibiotics within the facility; and (5) the facility's view on the
business case for Loeb Criteria COF. The same four persons at each
nursing home who participated in the previous semi-structured
interviews will participate in this interview. Questions do not vary by
respondent type.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
nursing homes' time to participate in this project. All of the data
collections and training in Exhibit 1 pertain only to the eight
intervention nursing homes. The Loeb Criteria COF will be completed
approximately 17 times a month for 6 months (102 total) by staff at
each nursing home and will require about 5 minutes to complete. Staff
training will be attended by all nursing and medical staff members at
each nursing home (an average of 24 nurses and two physicians per
facility) and will last 1 hour. All eight intervention facilities will
receive training once at the start of the intervention and four of the
eight facilities will receive a second training one month later to see
if reinforcement results in improved performance. The pre-
implementation, post training and post-implementation semi-structured
interviews will be completed by the same four staff members at each
nursing home consisting of two champions (likely the administrator,
director of nursing, and/or the assistant director of nursing), one
line nurse, and one staff physician. Each interview will be scheduled
for 1 hour. The total annual burden is estimated to be 476 hours.
Exhibit 2 shows the estimated annual cost burden associated with
the respondents' time to participate in this project. The total annual
cost burden is estimated to be $17,508.
[[Page 69679]]
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Form name Number of responses per Hours per Total burden
nursing homes nursing home response hours
----------------------------------------------------------------------------------------------------------------
Loeb Criteria COF Staff training................ 8 102 5/60 68
Initial Training................................ 8 26 1 208
Re-training..................................... 4 26 1 104
Pre-implementation semi-structured interview.... 8 4 1 32
Post training semi-structured interview......... 8 4 1 32
Post-implementation semi-structured interview... 8 4 1 32
---------------------------------------------------------------
Total....................................... 44 na na 476
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly
Form name nursing homes hours wage rate* Total burden
----------------------------------------------------------------------------------------------------------------
Loeb Criteria COF Staff training................ 8 68 $33 $2,244
Initial Training................................ 8 208 36 7,488
Re-training..................................... 8 104 36 3,744
Pre-implementation semi-structured interview.... 8 32 42 1,344
Post training semi-structured interview......... 8 32 42 1,344
Post-implementation semi-structured interview... 8 32 42 1,344
---------------------------------------------------------------
Total....................................... 44 476 na 17,508
---------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United
States May 2009, ``U.S. Department of Labor, Bureau of Labor Statistics.'' $33 is the average wage for nurses
who will complete the COF. $36 is the weighted average wage of 24 nurses at $33 per hour and 2 physicians at
$70 per hour who will be trained. $42 is the weighted average wage of 3 nurses and administrators at $33 per
hour and 1 physician at $70 per hour who will be interviewed.
Estimated Annual Costs to the Federal Government
Exhibit 3 shows the estimated total and annual cost to the
government for funding this project. Although data collection will
require less than one year, the entire project will span 2 years. The
total cost of this research is estimated to be $999,554.
Exhibit 3--Estimated Total and Annualized Cost
------------------------------------------------------------------------
Annualized
Cost component Total cost cost
------------------------------------------------------------------------
Project Development..................... $103,498 $51,749
Data Collection Activities.............. 361,178 180,589
Data Processing and Analysis............ 193,830 96,915
Publication of Results.................. 48,497 24,249
Project Management...................... 65,334 32,667
Overhead................................ 227,217 113,609
-------------------------------
Total............................... $999,554 $499,777
------------------------------------------------------------------------
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: November 4, 2010.
Carolyn M. Clancy,
Director.
[FR Doc. 2010-28367 Filed 11-12-10; 8:45 am]
BILLING CODE 4160-90-M
