Agency Information Collection Activities: Proposed Collection; Comment Request, 4038-4041 [2012-1400]
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4038
Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED TOTAL COST BURDEN
Type of data
collection
Number of
respondents
Average
hourly wage
rate *
Total
burden hours
Total
cost burden
Focus Groups with Clinicians ..........................................................
Focus Groups with Support Staff ....................................................
Patient Interviews ............................................................................
Feedback Questionnaire for Patients Requesting Mailed Guides ..
Feedback Questionnaire for Patients Visiting Mobile Web site ......
30
36
300
200
200
23
27
75
33
33
$83.59
14.31
21.35
21.35
21.35
$1,923
386
1,601
705
705
Total ..........................................................................................
766
191
na
5,320
* Based upon the mean wages for clinicians (29–1062 family and general practitioners), clinical team members (31–9092 medical assistants)
and consumers (00–0000 all occupations), National Compensation Survey: Occupational wages in the United States May 2010, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
Estimated Annual Costs to the Federal
Government
The maximum cost to the Federal
Government is estimated to be $203,531
annually. Exhibit 3 shows the total and
annualized cost by the major cost
components.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST
Cost component
Total cost
Annualized cost
Project Development .......................................................................................................................................
Data Collection Activities .................................................................................................................................
Data Processing and Analysis .........................................................................................................................
Project Management ........................................................................................................................................
Overhead .........................................................................................................................................................
$146,175
85,425
65,375
47,588
62,500
$73,088
42,713
32,688
23,794
31,250
Total ..........................................................................................................................................................
407,063
203,531
mstockstill on DSK4VPTVN1PROD with NOTICES
Request for Comments
In accordance with the Paperwork
Reduction Act, 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.
VerDate Mar<15>2010
17:14 Jan 25, 2012
Jkt 226001
Dated: January 17, 2012.
Carolyn M. Clancy,
Director.
[FR Doc. 2012–1402 Filed 1–25–12; 8:45 am]
BILLING CODE 4160–90–M
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: ‘‘Nursing
Home Survey on Patient Safety Culture
Comparative Database.’’ In accordance
with the Paperwork Reduction Act, 44
U.S.C. 3501–3521, AHRQ invites the
public to comment on this proposed
information collection.
This proposed information collection
was previously published in the Federal
SUMMARY:
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Sfmt 4703
Register on November 2nd, 2011 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 February 27, 2012.
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
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Nursing Home 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
E:\FR\FM\26JAN1.SGM
26JAN1
mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices
collection of information for the AHRQ
Nursing Home Survey on Patient Safety
Culture (Nursing Home SOPS)
Comparative Database. The Nursing
Home SOPS Comparative Database
consists of data from the AHRQ Nursing
Home Survey on Patient Safety Culture.
Nursing homes in the U.S. are asked to
voluntarily submit data from the survey
to AHRQ through its contractor, Westat.
The Nursing Home SOPS Database is
modeled after the Hospital SOPS
Database [OMB NO. 0935–0162,
approved 05/04/2010] that was
originally 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 1999, the
Institute of Medicine called for health
care organizations to develop a ‘‘culture
of safety’’ such that their workforce 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 nursing homes, AHRQ
developed and pilot tested the Nursing
Home Survey on Patient Safety Culture
with OMB approval (OMB NO.0935–
0132; Approved July 5, 2007). The
survey is designed to enable nursing
homes to assess provider and 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 into the
public domain along with a Survey
User’s Guide and other toolkit materials
in November 2008 on the AHRQ Web
site (located at https://www.ahrq.gov/
qual/patientsafetyculture/
nhsurvindex.htm). Since its release, the
survey has been voluntarily used by
hundreds of nursing homes in the U.S.
The Nursing Home SOPS and the
Comparative Database are supported by
AHRQ to meet its goals of promoting
improvements in the quality and safety
of health care in nursing home settings.
The survey, toolkit materials, and
preliminary 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 nursing
homes, to facilitate the use of these
materials for nursing home patient
safety and quality improvement.
The goal of this project is to create the
Nursing Home SOPS Comparative
Database. This database will (1) allow
nursing homes to compare their patient
safety culture survey results with those
of other nursing homes; (2) provide data
to nursing homes to facilitate internal
assessment and learning in the patient
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17:14 Jan 25, 2012
Jkt 226001
safety improvement process; and (3)
provide supplemental information to
help nursing homes identify their
strengths and areas with potential for
improvement in patient safety culture.
De-identified data files will also be
available to researchers conducting
patient safety analysis. The database
will include 42 items that measure 12
areas, or composites, of patient safety
culture.
This study is being conducted by
AHRQ through its contractor, Westat,
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, and
database development. 42 U.S.C.
299a(a)(1) and (2), and (a)(8).
Method of Collection
To achieve the goal of this project the
following activities and data collections
will be implemented:
(1) Nursing Home Eligibility and
Registration Form—The purpose of this
form is to determine the eligibility
status and initiate the registration
process for nursing homes seeking to
voluntarily submit their NH SOPS data
to the NH SOPS Comparative Database.
The nursing home (or parent
organization) point of contact (POC) will
complete the form. The POC is either a
corporate level health care manager for
a Quality Improvement Organization
(QIO), a survey vendor who contracts
with a nursing home to collect their
data, or a nursing home Director of
Nursing or nurse manager. Many
nursing homes are part of a QIO or
larger nursing home or health system
that includes many nursing home sites
(2) Data Use Agreement—The purpose
of this form is to obtain authorization
from nursing homes to use their
voluntarily submitted NH SOPS data for
analysis and reporting according to the
terms specified in the Data Use
Agreement (DUA). The nursing home
POC will complete the form.
(3) Nursing Home Site Information
Form—The purpose of this form is to
obtain basic information about the
characteristics of the nursing homes
submitting their NH SOPS data to the
NH SOPS Comparative Database (e.g.,
bed size, urbanicity, ownership, and
geographic region). The nursing home
POC will complete the form.
(4) Data Submission—After the
nursing home POC has completed the
Nursing Home Eligibility and
Registration Form, the Data Use
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4039
Agreement and the Nursing Home Site
Information Form they will submit their
data from the NH SOPS to the NH SOPS
Comparative Database.
Data from the AHRQ Nursing Home
Survey on Patient Safety Culture are
used to produce three types of products:
(1) A Nursing Home SOPS Comparative
Database Report that is produced
periodically and made available in the
public domain on the AHRQ Web site
(see https://www.ahrq.gov/qual/
nhsurvey11/nhsurv111.pdf for the 2011
report); (2) Nursing Home Survey
Feedback Reports that are confidential,
customized reports produced for each
nursing home that submits data to the
database; and (3) Research data sets of
staff-level and nursing home-level deidentified data that enable researchers to
conduct additional analyses.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the nursing
home to participate in the Nursing
Home SOPS Comparative Database. The
POC completes a number of data
submission steps and forms, beginning
with completion of the online Nursing
Home SOPS Database Eligibility and
Registration form and Data Use
Agreement, which will be completed for
85 nursing homes or groups of affiliated
nursing homes annually. The Nursing
Home Site Information Form will be
completed for each individual nursing
home; since each POC represents an
average of 5 nursing homes a total of
425 Information Forms will be
completed annually and requires about
5 minutes to complete. The POC will
submit data for all of the nursing homes
they represent which will take about 5
and 1⁄2 hours, including the amount of
time POCs 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. The total
annual burden hours are estimated to be
511.
Nursing homes administer the AHRQ
Nursing Home Survey on Patient Safety
Culture on a periodic basis. Hospitals
submitting to the Hospital SOPS
Comparative Database administer the
survey every 16 months on average.
Similarly, the number of nursing home
submissions to the database is likely to
vary each year because nursing homes
do not administer the survey and submit
data every year. The 85 respondents/
POCs shown in Exhibit 1 are based on
an estimate of nursing homes submitting
data in the coming years, with the
following assumptions:
• 30 POCs for QIOs submitting on
behalf of 10 nursing homes each.
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Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices
• 5 POCs for vendors outside of QIOs
submitting on behalf of 10 nursing
homes each.
• 50 independent nursing homes
submitting on their own behalf.
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 Forms ...........................................................
Data Use Agreement .......................................................................
Nursing Home Site Information Form ..............................................
Data Submission ..............................................................................
85
85
85
85
1
1
5
1
3/60
3/60
5/60
5.5
4
4
35
468
Total ..........................................................................................
340
NA
NA
511
Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to submit their data.
The cost burden is estimated to be
$21,152 annually.
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs
Form name
Total burden
hours
Average hourly
wage rate *
Total cost burden
Eligibility/Registration Forms ...........................................................
Data Use Agreement .......................................................................
Nursing Home Site Information Form ..............................................
Data Submission ..............................................................................
85
85
85
85
4
4
35
468
$41.39
41.39
41.39
41.39
$166
166
1,449
19,371
Total ..........................................................................................
340
511
NA
21,152
* The wage rate in Exhibit 2 is based on May 2009 National Industry-Specific Occupational Employment and Wage Estimates, Bureau of Labor
Statistics, U.S. Dept of Labor. Mean hourly wages for nursing home POCs are located at https://www.bls.gov/oes/2009/may/naics4_623100.htm
and https://www.bls.gov/oes/2009/may/naics2_62.htm. The hourly wage of $41.39 is the weighted mean of $41.94 (General and Operations Managers; N = 25), $37.29 (Medical and Health Services Managers; N = 25), $42.89 (General and Operations Managers; N = 30) and $50.00 (Computer and Information Systems Managers; N = 5).
Estimated Annual Costs to the Federal
Government
The estimated annualized cost to the
government for developing,
maintaining, and managing the database
and analyzing the data and producing
reports is shown below. The cost is
estimated to be $310,000 annually. The
total cost over the three years of this
information collection request is
$930,000.
EXHIBIT 3—ESTIMATED ANNUALIZED COST
Cost component
Total cost
Annualized cost
Project Development .......................................................................................................................................
Data Collection Activities .................................................................................................................................
Data Processing and Analysis .........................................................................................................................
Publication of Results ......................................................................................................................................
Project Management ........................................................................................................................................
Overhead .........................................................................................................................................................
$59,715
82,107
111,963
111,966
7,464
556,785
$19,905
27,369
37,321
37,322
2,488
185,595
Total ..........................................................................................................................................................
930,000
310,000
mstockstill on DSK4VPTVN1PROD with NOTICES
Request for Comments
In accordance with the Paperwork
Reduction Act, 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
VerDate Mar<15>2010
17:14 Jan 25, 2012
Jkt 226001
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.
PO 00000
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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.
E:\FR\FM\26JAN1.SGM
26JAN1
Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices
Dated: January 17, 2012.
Carolyn M. Clancy,
Director.
Proposed Project
[FR Doc. 2012–1400 Filed 1–25–12; 8:45 am]
BILLING CODE 4160–90–M
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.
AGENCY:
ACTION:
Notice.
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 Feasibility of
Disseminating Effective Health Care
Products through a Shared Electronic
Medical Record Serving Member
Organization of a Health Information
Exchange.’’ In accordance with the
Paperwork Reduction Act, 44 U.S.C.
3501–3521, AHRQ invites the public to
comment on this proposed information
collection.
This proposed information collection
was previously published in the Federal
Register on November 15th, 2011 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.
SUMMARY:
Comments on this notice must be
received by February 27, 2012.
DATES:
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.
mstockstill on DSK4VPTVN1PROD with NOTICES
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
VerDate Mar<15>2010
17:14 Jan 25, 2012
Jkt 226001
Assessing the Feasibility of
Disseminating Effective Health Care
Products through a Shared Electronic
Medical Record Serving Member
Organization of a Health Information
Exchange
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 this collection of
information from users of work products
and services initiated by the John M.
Eisenberg Clinical Decisions and
Communications Science Center
(Eisenberg Center).
AHRQ is the lead agency charged
with supporting research designed to
improve the quality of healthcare,
reduce its cost, improve patient safety,
decrease medical errors, and broaden
access to essential services. AHRQ’s
Eisenberg Center’s mission is improving
communication of findings to a variety
of audiences (‘‘customers’’), including
consumers, clinicians, and health care
policy makers. The Eisenberg Center
compiles research results into useful
formats for customer stakeholders. The
Eisenberg Center also conducts
investigations into effective
communication of research findings in
order to improve the usability and rapid
incorporation of findings into medical
practice. The Eisenberg Center is one of
three components of AHRQ’s Effective
Health Care (EHC) Program. The
collections proposed under this
clearance include activities to assess the
feasibility of disseminating materials
developed by the Eisenberg Center
through the use of an electronic medical
record (EMR) shared by a network of
clinical care providers that are part of a
Health Information Exchange (HIE)
operating in multiple sites in several
states. Our Community Health
Information Network (OCHIN) members
include 30 clinical care organizations
operating more than 230 primary care
clinics in six states. Data will be
gathered from three different OCHINmember organizations representing a
total of 10 primary care clinics. The
information generated will be provided
to AHRQ to guide decision making and
planning for additional efforts to foster
EHC Program product distribution via
EMR prompting and product linkages.
This research has the following goals:
(1) Identify facilitators and barriers to
successful efforts to implement
processes that: (a) Support use of EHC
Program products by clinicians in
practice, and (b) place relevant clinical
information in the hands of patients and
family members in languages and
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4041
formats that are appropriate to patients’
information needs;
(2) Examine ways in which EHC
Program products can be used in
concert with other support programs
and products (e.g., healthwise®
resources available through the EMR;
brief patient instructions and letters,
including those designed for use with
persons having very low literacy skills);
(3) Assess the extent to which EHC
Program products are used (e.g.,
accessed by clinicians, provided to
patients in relevant formats) in settings
where use is supported by automated
EMR features, such as on-screen
prompts and reminders; and
(4) Document the perceived value of
integrating EHC Program products into
systems of care supported by an EMR
system as self-reported by clinicians
involved in direct care of patients and
clinic support personnel who interact
with patients.
This study is being conducted by
AHRQ through its contractor, the
Eisenberg Center—Baylor College of
Medicine, pursuant to AHRQ’s statutory
authority to conduct and support
research, and disseminate information,
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 clinical practice. 42 U.S.C.
299a(a)(1) and (4).
Method of Collection
To achieve the goals of this project the
following data collections will be
implemented:
(1) Automated Data Capture from
EMR Usage Logs. Electronic usage data
will be collected to determine the extent
to which EHC Program guides for
clinicians and patients were accessed to
support shared decision making and
patient education. The data will be
retrieved from the existing EMR-linked
database operated by the Kaiser
Permanente staff in their coordination of
activities related to the OCHIN HIE.
Data will include: (a) Number and
frequency of retrieval of EHC resource
materials; (b) specific types of materials
retrieved; and (c) health topic or
condition targeted in the EHC materials.
These data will inform the development
of follow-up questions to be
administered to clinicians and patients
in the interviews and surveys described
below. Because the data will be
obtained using automated systems
already in place, no special effort will
be needed to generate these data, and
thus this task is not included in the
burden estimates in Exhibits 1 and 2.
E:\FR\FM\26JAN1.SGM
26JAN1
]]>Agencies
[Federal Register Volume 77, Number 17 (Thursday, January 26, 2012)]
[Notices]
[Pages 4038-4041]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-1400]
-----------------------------------------------------------------------
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: ``Nursing Home Survey on Patient Safety Culture Comparative
Database.'' In accordance with the Paperwork Reduction Act, 44 U.S.C.
3501-3521, AHRQ invites the public to comment on this proposed
information collection.
This proposed information collection was previously published in
the Federal Register on November 2nd, 2011 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 February 27, 2012.
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 email at
doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Nursing Home 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
[[Page 4039]]
collection of information for the AHRQ Nursing Home Survey on Patient
Safety Culture (Nursing Home SOPS) Comparative Database. The Nursing
Home SOPS Comparative Database consists of data from the AHRQ Nursing
Home Survey on Patient Safety Culture. Nursing homes in the U.S. are
asked to voluntarily submit data from the survey to AHRQ through its
contractor, Westat. The Nursing Home SOPS Database is modeled after the
Hospital SOPS Database [OMB NO. 0935-0162, approved 05/04/2010] that
was originally 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 1999, the Institute of
Medicine called for health care organizations to develop a ``culture of
safety'' such that their workforce 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 nursing homes, AHRQ developed
and pilot tested the Nursing Home Survey on Patient Safety Culture with
OMB approval (OMB NO.0935-0132; Approved July 5, 2007). The survey is
designed to enable nursing homes to assess provider and 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 into the public domain along with a Survey
User's Guide and other toolkit materials in November 2008 on the AHRQ
Web site (located at https://www.ahrq.gov/qual/patientsafetyculture/nhsurvindex.htm). Since its release, the survey has been voluntarily
used by hundreds of nursing homes in the U.S.
The Nursing Home SOPS and the Comparative Database are supported by
AHRQ to meet its goals of promoting improvements in the quality and
safety of health care in nursing home settings. The survey, toolkit
materials, and preliminary 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 nursing homes, to
facilitate the use of these materials for nursing home patient safety
and quality improvement.
The goal of this project is to create the Nursing Home SOPS
Comparative Database. This database will (1) allow nursing homes to
compare their patient safety culture survey results with those of other
nursing homes; (2) provide data to nursing homes to facilitate internal
assessment and learning in the patient safety improvement process; and
(3) provide supplemental information to help nursing homes identify
their strengths and areas with potential for improvement in patient
safety culture. De-identified data files will also be available to
researchers conducting patient safety analysis. The database will
include 42 items that measure 12 areas, or composites, of patient
safety culture.
This study is being conducted by AHRQ through its contractor,
Westat, 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, and database
development. 42 U.S.C. 299a(a)(1) and (2), and (a)(8).
Method of Collection
To achieve the goal of this project the following activities and
data collections will be implemented:
(1) Nursing Home Eligibility and Registration Form--The purpose of
this form is to determine the eligibility status and initiate the
registration process for nursing homes seeking to voluntarily submit
their NH SOPS data to the NH SOPS Comparative Database. The nursing
home (or parent organization) point of contact (POC) will complete the
form. The POC is either a corporate level health care manager for a
Quality Improvement Organization (QIO), a survey vendor who contracts
with a nursing home to collect their data, or a nursing home Director
of Nursing or nurse manager. Many nursing homes are part of a QIO or
larger nursing home or health system that includes many nursing home
sites
(2) Data Use Agreement--The purpose of this form is to obtain
authorization from nursing homes to use their voluntarily submitted NH
SOPS data for analysis and reporting according to the terms specified
in the Data Use Agreement (DUA). The nursing home POC will complete the
form.
(3) Nursing Home Site Information Form--The purpose of this form is
to obtain basic information about the characteristics of the nursing
homes submitting their NH SOPS data to the NH SOPS Comparative Database
(e.g., bed size, urbanicity, ownership, and geographic region). The
nursing home POC will complete the form.
(4) Data Submission--After the nursing home POC has completed the
Nursing Home Eligibility and Registration Form, the Data Use Agreement
and the Nursing Home Site Information Form they will submit their data
from the NH SOPS to the NH SOPS Comparative Database.
Data from the AHRQ Nursing Home Survey on Patient Safety Culture
are used to produce three types of products: (1) A Nursing Home SOPS
Comparative Database Report that is produced periodically and made
available in the public domain on the AHRQ Web site (see https://www.ahrq.gov/qual/nhsurvey11/nhsurv111.pdf for the 2011 report); (2)
Nursing Home Survey Feedback Reports that are confidential, customized
reports produced for each nursing home that submits data to the
database; and (3) Research data sets of staff-level and nursing home-
level de-identified data that enable researchers to conduct additional
analyses.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
nursing home to participate in the Nursing Home SOPS Comparative
Database. The POC completes a number of data submission steps and
forms, beginning with completion of the online Nursing Home SOPS
Database Eligibility and Registration form and Data Use Agreement,
which will be completed for 85 nursing homes or groups of affiliated
nursing homes annually. The Nursing Home Site Information Form will be
completed for each individual nursing home; since each POC represents
an average of 5 nursing homes a total of 425 Information Forms will be
completed annually and requires about 5 minutes to complete. The POC
will submit data for all of the nursing homes they represent which will
take about 5 and \1/2\ hours, including the amount of time POCs
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. The total annual burden hours are
estimated to be 511.
Nursing homes administer the AHRQ Nursing Home Survey on Patient
Safety Culture on a periodic basis. Hospitals submitting to the
Hospital SOPS Comparative Database administer the survey every 16
months on average. Similarly, the number of nursing home submissions to
the database is likely to vary each year because nursing homes do not
administer the survey and submit data every year. The 85 respondents/
POCs shown in Exhibit 1 are based on an estimate of nursing homes
submitting data in the coming years, with the following assumptions:
30 POCs for QIOs submitting on behalf of 10 nursing homes
each.
[[Page 4040]]
5 POCs for vendors outside of QIOs submitting on behalf of
10 nursing homes each.
50 independent nursing homes submitting on their own
behalf.
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Form name Number of responses per Hours per Total burden
respondents/POCs POC response hours
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Forms.......... 85 1 3/60 4
Data Use Agreement...................... 85 1 3/60 4
Nursing Home Site Information Form...... 85 5 5/60 35
Data Submission......................... 85 1 5.5 468
-----------------------------------------------------------------------
Total............................... 340 NA NA 511
----------------------------------------------------------------------------------------------------------------
Exhibit 2 shows the estimated annualized cost burden based on the
respondents' time to submit their data. The cost burden is estimated to
be $21,152 annually.
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Form name respondents/POCs hours wage rate * burden
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Forms.......... 85 4 $41.39 $166
Data Use Agreement...................... 85 4 41.39 166
Nursing Home Site Information Form...... 85 35 41.39 1,449
Data Submission......................... 85 468 41.39 19,371
-----------------------------------------------------------------------
Total............................... 340 511 NA 21,152
----------------------------------------------------------------------------------------------------------------
* The wage rate in Exhibit 2 is based on May 2009 National Industry-Specific Occupational Employment and Wage
Estimates, Bureau of Labor Statistics, U.S. Dept of Labor. Mean hourly wages for nursing home POCs are located
at https://www.bls.gov/oes/2009/may/naics4_623100.htm and https://www.bls.gov/oes/2009/may/naics2_62.htm. The
hourly wage of $41.39 is the weighted mean of $41.94 (General and Operations Managers; N = 25), $37.29
(Medical and Health Services Managers; N = 25), $42.89 (General and Operations Managers; N = 30) and $50.00
(Computer and Information Systems Managers; N = 5).
Estimated Annual Costs to the Federal Government
The estimated annualized cost to the government for developing,
maintaining, and managing the database and analyzing the data and
producing reports is shown below. The cost is estimated to be $310,000
annually. The total cost over the three years of this information
collection request is $930,000.
Exhibit 3--Estimated Annualized Cost
------------------------------------------------------------------------
Cost component Total cost Annualized cost
------------------------------------------------------------------------
Project Development................. $59,715 $19,905
Data Collection Activities.......... 82,107 27,369
Data Processing and Analysis........ 111,963 37,321
Publication of Results.............. 111,966 37,322
Project Management.................. 7,464 2,488
Overhead............................ 556,785 185,595
-----------------------------------
Total........................... 930,000 310,000
------------------------------------------------------------------------
Request for Comments
In accordance with the Paperwork Reduction Act, 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.
[[Page 4041]]
Dated: January 17, 2012.
Carolyn M. Clancy,
Director.
[FR Doc. 2012-1400 Filed 1-25-12; 8:45 am]
BILLING CODE 4160-90-M
