Agency Information Collection Activities: Proposed Collection; Comment Request, 35396-35398 [2012-14206]
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Federal Register / Vol. 77, No. 114 / Wednesday, June 13, 2012 / Notices
disseminate toxicological and safety
testing information. ICCVAM conducts
technical evaluations of new, revised,
and alternative safety testing methods
and strategies with regulatory
applicability and promotes the scientific
validation and regulatory acceptance of
toxicological and safety testing methods
that more accurately assess the safety
and hazards of chemicals and products.
ICCVAM evaluations include test
methods and strategies that will reduce
or replace animal use, or refine animal
use by enhancing animal welfare and
avoiding or lessening pain and distress.
The ICCVAM Authorization Act of
2000 (42 U.S.C. 285l–3) established
ICCVAM as a permanent interagency
committee of the NIEHS under
NICEATM. NICEATM administers
ICCVAM, provides scientific and
operational support for ICCVAM-related
activities, and conducts independent
validation studies to assess the
usefulness and limitations of new,
revised, and alternative test methods
and strategies. NICEATM and ICCVAM
work collaboratively to evaluate new
and improved test methods and
strategies applicable to the needs of U.S.
Federal agencies.
NICEATM and ICCVAM welcome the
public nomination of new, revised, and
alternative test methods and strategies
for validation studies and technical
evaluations. Additional information
about NICEATM and ICCVAM can be
found on the NICEATM–ICCVAM Web
site (https://iccvam.niehs.nih.gov).
References
ICCVAM. 2008. The NICEATM–
ICCVAM Five-Year Plan (2008–2012). A
plan to advance alternative test methods
of high scientific quality to protect and
advance the health of people, animals,
and the environment. NIH Publication
No. 08–6410. Research Triangle Park,
NC: NIEHS.
Available: https://
iccvam.niehs.nih.gov/docs/
5yearplan.htm.
Dated: June 4, 2012.
John R. Bucher,
Associate Director, National Toxicology
Program.
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[FR Doc. 2012–14435 Filed 6–12–12; 8:45 am]
BILLING CODE 4140–01–P
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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:
‘‘Adapting Best Practices for Medicaid
Readmissions.’’ 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 March 28th, 2012 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 July 13, 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@AHRO.hhs.gov.
SUPPLEMENTARY INFORMATION:
SUMMARY:
Proposed Project
Adapting Best Practices for Medicaid
Readmissions
One particular mission of AHRQ is to
improve the efficiency of health care
through reducing unnecessary health
care costs while maintaining or
improving quality. The proposed data
collection supports this goal through
developing strategies to assist safety net
hospitals in reducing readmissions for
Medicaid patients. Previous research
has shown that a focus on transitional
care, including needs assessment,
discharge planning, post-discharge
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
intervention, and care coordination can
reduce avoidable readmissions. Based
on this evidence, there have been a
number of strategies and resources
developed for hospitals to reduce
avoidable readmissions, including:
• The Aging & Disability Resource
Centers Evidence-Based Care
Transitions program by the
Administration on Aging & CMS to
support state efforts in implementing
evidence-based care transition models
for older adults and individuals with
disabilities.
• The State Action on Avoidable
Rehospitalizations (STAAR) initiative
by the Institute for Healthcare
Improvement to improve care
transitions and care coordination
through state-based multi-stakeholder
collaborative efforts.
• The Hospital-to-Home (H2H)
initiative by the American College of
Cardiology to reduce readmissions for
patients with cardiovascular conditions.
• Project Re-Engineered Discharge
(RED), funded by AHRQ and the
National Institutes of Health (NIH)
National Heart, Lung, and Blood
Institute, to reduce re-hospitalizations
by improving hospital discharge
processes.
However, the majority of these
strategies and resources focuses on
general patient populations or
specifically targets the elderly and/or
disabled, primarily Medicare
populations. Recent research finds that
rates of readmission among Medicaidinsured non-elderly adults equals that of
the elderly, Medicare-insured
population and is 60 percent higher
than a privately-insured population. It is
not known whether existing resources
and strategies to reduce readmissions
address the circumstances and
characteristics of Medicaid-insured
patients. Particular socio-demographic
characteristics more prevalent in
populations insured through Medicaid,
such as low-income, racial and ethnic
minority, low literacy, housing
instability, mental illness, substance
abuse disorders, chronic and disabling
conditions, language barriers, and
discontinuous insurance coverage may
mean that strategies for reducing
readmissions need to be tailored
specifically to the unique needs of this
population.
Additionally, safety net hospitals,
which serve large populations of the
most vulnerable in society and where
Medicaid is often a major payer, face
unique conditions. Not only do they
serve more vulnerable populations, they
are often constrained by their financing
and governance structures. Safety net
hospitals generally operate on lower
E:\FR\FM\13JNN1.SGM
13JNN1
erowe on DSK2VPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 114 / Wednesday, June 13, 2012 / Notices
financial margins than other hospitals
because they are often underpaid for
many services provided to Medicaid
recipients and the uninsured. Faced
with declining contributions from state
and local governments and payment
reduction from both public and private
payers, many are struggling to meet the
growing demand for their services with
stagnant or declining revenues.
Resources addressing hospital
readmissions may also have to be
tailored to meet the unique
circumstances of safety net settings.
This project will recruit six safety net
hospitals to assess the existing resources
and strategies and suggest and test
modifications to address the particular
circumstances related to Medicaid
readmissions and safety net hospital
settings. The goals of this project are to:
• Identify factors at the patient,
provider, and community levels that
especially contribute to hospital
readmissions for Medicaid patients;
• Assess and test existing strategies to
reduce avoidable readmissions for their
adequacy and applicability to Medicaidinsured populations and safety net
hospital settings;
• Modify and test modifications of
existing strategies as necessary for
applicability to Medicaid-insured
populations and safety net hospital
settings; and
• Develop a package of revised
strategies for reducing avoidable
readmissions that are specific to the
factors contributing to Medicaid-insured
patient readmissions in safety net
settings.
Four cycles of testing will be
conducted to collect data on samples of
patient readmissions in each of the
participating hospitals. The data will be
collected and analyzed by the hospital
staff after each cycle. The first cycle will
identify factors related to Medicaid
readmissions, as well as establishing
baseline measures, while the next 3
cycles will be a quality improvement
effort to test the existing strategies, or
modifications to existing strategies, to
address the factors identified in the first
cycle. Each cycle will use a different
sample of Medicaid readmission
patients.
This study is being conducted by
AHRQ through its contractor, John
Snow, Inc. (JSI), 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,
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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 project the
following data collections will be
implemented:
(1) Medical records review—The
medical records review will gather
background information about a
patient’s index admission and
readmission. Data to be abstracted from
the medical record includes patient
demographic information, living
arrangements, dates and timing of index
and readmissions, lengths of stay,
diagnoses on admission, source of
admission, discharge disposition, and
other transition factors, as well as the
name and setting of the patient’s
primary care provider (PCP), and
whether an appointment was made with
the PCP before discharge.
(2) Patient/family/caregiver
interview—After completion of the
patient’s medical record review,
interviews will be conducted with the
patient and a family member or
caretaker (using the same tool for all)
who has permission to discuss the
patient’s case. The purpose of the
patient/family/caregiver interviews is to
obtain the patient/family perspective, in
their own words, of their index
admission, their transition period, and
their readmission. Data to be collected
includes perspectives on reasons for
readmission, discharge experience,
extent to which they were able to follow
any discharge instructions provided,
setting to which they were discharged,
and any other assistance needed.
(3) Provider interview—Provider
interviews will complete the patient
readmission data. Two providers
involved in each readmission case will
be interviewed. Providers are likely to
be from the hospital setting (e.g.,
hospitalists, admitting physicians,
emergency room physicians) but also
may be from the larger care community
(e.g., primary care, skilled nursing
facility, home health). Providers
selected will change from case to case,
although any particular provider may be
asked about more than one readmission
over the course of the project. Providers
will be asked why they believe the
patient was readmitted and what they
think could have been done to avoid the
readmission.
The purpose of the primary data
collections is to add insight and direct
PO 00000
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Sfmt 4703
35397
patient/family and provider input and
experience into all phases of the project.
The first data collection will provide
patient/family and provider insight into
the process of identifying factors related
to Medicaid readmissions. Based on
these factors, existing readmissions
strategies will be assessed for their
suitability in addressing these factors.
Participating hospitals will then select
existing or modified strategies to test in
their settings using a rapid cycle QI
process. Primary data collection will
occur during each of the three testing
cycles for purposes of gathering patient
and provider insight into the factors
associated with readmissions of
Medicaid patients and gauging the
extent to which the modified strategies
would be able to address those factors.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden for the respondent’s
time to participate in the project. The
medical records review will be
performed by one QI nurse at each of
the 6 participating hospitals for 80
readmission cases (20 from each of 4
cycles) and will take about 20 minutes
per case. In that the primary data
collections are intended to inform the
factors related to Medicaid readmissions
and inform the testing of existing or
modified strategies, there is no set
number of readmissions cases required
during each of the four data collection
cycles. Participating hospitals will be
instructed that it is a process that
should continue until patterns of
response converge and little new
information is being learned, with 20
cases as the maximum during any one
of the four cycles of data collection.
For each readmission case interviews
will be conducted by the QI nurse with
a total of 120 patients and family
member or care giver (20 of each from
each of the 6 hospitals) during each of
the 4 cycles of data collection. The
interviews are estimated to require 10
minutes each. The QI nurse will also
conduct interviews with 2 providers
associated with each readmission case
(a total of 240 providers across the 6
hospitals) during each of the 4 cycles
and will take about 5 minutes. The total
burden is estimated to be 640 hours
annually.
Exhibit 2 shows the estimated cost
burden associated with the respondent’s
time to participate in this project. The
total cost burden is estimated to be
$23,398 annually.
E:\FR\FM\13JNN1.SGM
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35398
Federal Register / Vol. 77, No. 114 / Wednesday, June 13, 2012 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Number of
responses per
respondent
Hours per
response
Total burden
hours
Medical records review ....................................................................................
Patient/family/caregiver interviews ..................................................................
Patient interview ..............................................................................................
Family/caregiver interview QI Nurse to conduct interviews ............................
Provider interviews:
Provider interviews
QI Nurse to conduct interviews ................................................................
6
120
120
6
80
4
4
160
20/60
10/60
10/60
10/60
160
80
80
160
240
6
4
160
5/60
5/60
80
80
Total ..........................................................................................................
498
na
na
640
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Form name
Total burden
hours
Average
hourly wage
rate*
Total cost
burden
Medical records review ....................................................................................
Patient/family/caregiver interviews:
Patient interview .......................................................................................
Family/caregiver interview ........................................................................
QI Nurse to conduct interviews ................................................................
Provider interviews:
Provider interviews ...................................................................................
QI Nurse to conduct interviews ................................................................
120
160
$32.56
$5,210
120
120
6
80
80
160
$21.35
$21.35
$32.56
$1,708
$1,708
$5,210
240
6
80
80
$86.96
$32.56
$6,957
$2,605
Total ..........................................................................................................
498
640
na
$23,398
* Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United States May 2010, ‘‘U.S. Department of Labor, Bureau of Labor Statistics;’’ 29–1111 (Registered Nurse, $32.56/hr); 00–0000 (All Occupations, $21.35/hr); 29–1069 (Physicians and Surgeons, All Other, $86.96/hr).
Estimated Annual Costs to the Federal
Government
The total cost to the government is
estimated to be $253,033, which
includes costs for project development,
data collection, data analysis,
publication, project management, and
overhead as shown in Exhibit 3. The
data collection occurs throughout the
2.5 year project term (30 months); thus,
it has an estimated annual cost of
$101,212.
EXHIBIT 3—ESTIMATED ANNUAL AND TOTAL COSTS TO THE FEDERAL GOVERNMENT
Estimated annual
cost
Task/activity
Estimated total
cost
Project Development ...................................................................................................................................
Data collection .............................................................................................................................................
Data analysis ...............................................................................................................................................
Publication ...................................................................................................................................................
Project Management ....................................................................................................................................
Overhead .....................................................................................................................................................
$7,438
30,866
9,470
5,606
15,086
32,746
$18,596
77,165
23,676
14,016
37,716
81,864
Total ......................................................................................................................................................
101,212
253,033
erowe on DSK2VPTVN1PROD 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
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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.
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Dated: June 1, 2012.
Carolyn M. Clancy,
Director.
[FR Doc. 2012–14206 Filed 6–12–12; 8:45 am]
BILLING CODE 4160–90–M
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]]>Agencies
[Federal Register Volume 77, Number 114 (Wednesday, June 13, 2012)]
[Notices]
[Pages 35396-35398]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-14206]
-----------------------------------------------------------------------
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: ``Adapting Best Practices for Medicaid Readmissions.'' 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 March 28th, 2012 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 July 13, 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@AHRO.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Adapting Best Practices for Medicaid Readmissions
One particular mission of AHRQ is to improve the efficiency of
health care through reducing unnecessary health care costs while
maintaining or improving quality. The proposed data collection supports
this goal through developing strategies to assist safety net hospitals
in reducing readmissions for Medicaid patients. Previous research has
shown that a focus on transitional care, including needs assessment,
discharge planning, post-discharge intervention, and care coordination
can reduce avoidable readmissions. Based on this evidence, there have
been a number of strategies and resources developed for hospitals to
reduce avoidable readmissions, including:
The Aging & Disability Resource Centers Evidence-Based
Care Transitions program by the Administration on Aging & CMS to
support state efforts in implementing evidence-based care transition
models for older adults and individuals with disabilities.
The State Action on Avoidable Rehospitalizations (STAAR)
initiative by the Institute for Healthcare Improvement to improve care
transitions and care coordination through state-based multi-stakeholder
collaborative efforts.
The Hospital-to-Home (H2H) initiative by the American
College of Cardiology to reduce readmissions for patients with
cardiovascular conditions.
Project Re-Engineered Discharge (RED), funded by AHRQ and
the National Institutes of Health (NIH) National Heart, Lung, and Blood
Institute, to reduce re-hospitalizations by improving hospital
discharge processes.
However, the majority of these strategies and resources focuses on
general patient populations or specifically targets the elderly and/or
disabled, primarily Medicare populations. Recent research finds that
rates of readmission among Medicaid-insured non-elderly adults equals
that of the elderly, Medicare-insured population and is 60 percent
higher than a privately-insured population. It is not known whether
existing resources and strategies to reduce readmissions address the
circumstances and characteristics of Medicaid-insured patients.
Particular socio-demographic characteristics more prevalent in
populations insured through Medicaid, such as low-income, racial and
ethnic minority, low literacy, housing instability, mental illness,
substance abuse disorders, chronic and disabling conditions, language
barriers, and discontinuous insurance coverage may mean that strategies
for reducing readmissions need to be tailored specifically to the
unique needs of this population.
Additionally, safety net hospitals, which serve large populations
of the most vulnerable in society and where Medicaid is often a major
payer, face unique conditions. Not only do they serve more vulnerable
populations, they are often constrained by their financing and
governance structures. Safety net hospitals generally operate on lower
[[Page 35397]]
financial margins than other hospitals because they are often underpaid
for many services provided to Medicaid recipients and the uninsured.
Faced with declining contributions from state and local governments and
payment reduction from both public and private payers, many are
struggling to meet the growing demand for their services with stagnant
or declining revenues. Resources addressing hospital readmissions may
also have to be tailored to meet the unique circumstances of safety net
settings.
This project will recruit six safety net hospitals to assess the
existing resources and strategies and suggest and test modifications to
address the particular circumstances related to Medicaid readmissions
and safety net hospital settings. The goals of this project are to:
Identify factors at the patient, provider, and community
levels that especially contribute to hospital readmissions for Medicaid
patients;
Assess and test existing strategies to reduce avoidable
readmissions for their adequacy and applicability to Medicaid-insured
populations and safety net hospital settings;
Modify and test modifications of existing strategies as
necessary for applicability to Medicaid-insured populations and safety
net hospital settings; and
Develop a package of revised strategies for reducing
avoidable readmissions that are specific to the factors contributing to
Medicaid-insured patient readmissions in safety net settings.
Four cycles of testing will be conducted to collect data on samples
of patient readmissions in each of the participating hospitals. The
data will be collected and analyzed by the hospital staff after each
cycle. The first cycle will identify factors related to Medicaid
readmissions, as well as establishing baseline measures, while the next
3 cycles will be a quality improvement effort to test the existing
strategies, or modifications to existing strategies, to address the
factors identified in the first cycle. Each cycle will use a different
sample of Medicaid readmission patients.
This study is being conducted by AHRQ through its contractor, John
Snow, Inc. (JSI), 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 project the following data collections
will be implemented:
(1) Medical records review--The medical records review will gather
background information about a patient's index admission and
readmission. Data to be abstracted from the medical record includes
patient demographic information, living arrangements, dates and timing
of index and readmissions, lengths of stay, diagnoses on admission,
source of admission, discharge disposition, and other transition
factors, as well as the name and setting of the patient's primary care
provider (PCP), and whether an appointment was made with the PCP before
discharge.
(2) Patient/family/caregiver interview--After completion of the
patient's medical record review, interviews will be conducted with the
patient and a family member or caretaker (using the same tool for all)
who has permission to discuss the patient's case. The purpose of the
patient/family/caregiver interviews is to obtain the patient/family
perspective, in their own words, of their index admission, their
transition period, and their readmission. Data to be collected includes
perspectives on reasons for readmission, discharge experience, extent
to which they were able to follow any discharge instructions provided,
setting to which they were discharged, and any other assistance needed.
(3) Provider interview--Provider interviews will complete the
patient readmission data. Two providers involved in each readmission
case will be interviewed. Providers are likely to be from the hospital
setting (e.g., hospitalists, admitting physicians, emergency room
physicians) but also may be from the larger care community (e.g.,
primary care, skilled nursing facility, home health). Providers
selected will change from case to case, although any particular
provider may be asked about more than one readmission over the course
of the project. Providers will be asked why they believe the patient
was readmitted and what they think could have been done to avoid the
readmission.
The purpose of the primary data collections is to add insight and
direct patient/family and provider input and experience into all phases
of the project. The first data collection will provide patient/family
and provider insight into the process of identifying factors related to
Medicaid readmissions. Based on these factors, existing readmissions
strategies will be assessed for their suitability in addressing these
factors. Participating hospitals will then select existing or modified
strategies to test in their settings using a rapid cycle QI process.
Primary data collection will occur during each of the three testing
cycles for purposes of gathering patient and provider insight into the
factors associated with readmissions of Medicaid patients and gauging
the extent to which the modified strategies would be able to address
those factors.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden for the
respondent's time to participate in the project. The medical records
review will be performed by one QI nurse at each of the 6 participating
hospitals for 80 readmission cases (20 from each of 4 cycles) and will
take about 20 minutes per case. In that the primary data collections
are intended to inform the factors related to Medicaid readmissions and
inform the testing of existing or modified strategies, there is no set
number of readmissions cases required during each of the four data
collection cycles. Participating hospitals will be instructed that it
is a process that should continue until patterns of response converge
and little new information is being learned, with 20 cases as the
maximum during any one of the four cycles of data collection.
For each readmission case interviews will be conducted by the QI
nurse with a total of 120 patients and family member or care giver (20
of each from each of the 6 hospitals) during each of the 4 cycles of
data collection. The interviews are estimated to require 10 minutes
each. The QI nurse will also conduct interviews with 2 providers
associated with each readmission case (a total of 240 providers across
the 6 hospitals) during each of the 4 cycles and will take about 5
minutes. The total burden is estimated to be 640 hours annually.
Exhibit 2 shows the estimated cost burden associated with the
respondent's time to participate in this project. The total cost burden
is estimated to be $23,398 annually.
[[Page 35398]]
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Form name Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Medical records review.......................... 6 80 20/60 160
Patient/family/caregiver interviews............. 120 4 10/60 80
Patient interview............................... 120 4 10/60 80
Family/caregiver interview QI Nurse to conduct 6 160 10/60 160
interviews.....................................
Provider interviews:
Provider interviews 240 4 5/60 80
QI Nurse to conduct interviews.............. 6 160 5/60 80
---------------------------------------------------------------
Total....................................... 498 na na 640
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Form name respondents hours wage rate* burden
----------------------------------------------------------------------------------------------------------------
Medical records review.......................... 120 160 $32.56 $5,210
Patient/family/caregiver interviews:
Patient interview........................... 120 80 $21.35 $1,708
Family/caregiver interview.................. 120 80 $21.35 $1,708
QI Nurse to conduct interviews.............. 6 160 $32.56 $5,210
Provider interviews:
Provider interviews......................... 240 80 $86.96 $6,957
QI Nurse to conduct interviews.............. 6 80 $32.56 $2,605
---------------------------------------------------------------
Total....................................... 498 640 na $23,398
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United
States May 2010, ``U.S. Department of Labor, Bureau of Labor Statistics;'' 29-1111 (Registered Nurse, $32.56/
hr); 00-0000 (All Occupations, $21.35/hr); 29-1069 (Physicians and Surgeons, All Other, $86.96/hr).
Estimated Annual Costs to the Federal Government
The total cost to the government is estimated to be $253,033, which
includes costs for project development, data collection, data analysis,
publication, project management, and overhead as shown in Exhibit 3.
The data collection occurs throughout the 2.5 year project term (30
months); thus, it has an estimated annual cost of $101,212.
Exhibit 3--Estimated Annual and Total Costs to the Federal Government
------------------------------------------------------------------------
Estimated annual Estimated total
Task/activity cost cost
------------------------------------------------------------------------
Project Development............... $7,438 $18,596
Data collection................... 30,866 77,165
Data analysis..................... 9,470 23,676
Publication....................... 5,606 14,016
Project Management................ 15,086 37,716
Overhead.......................... 32,746 81,864
-------------------------------------
Total......................... 101,212 253,033
------------------------------------------------------------------------
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.
Dated: June 1, 2012.
Carolyn M. Clancy,
Director.
[FR Doc. 2012-14206 Filed 6-12-12; 8:45 am]
BILLING CODE 4160-90-M
