Agency Information Collection Activities; Proposed Collection; Comment Request, 45192-45194 [2014-18296]
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Federal Register / Vol. 79, No. 149 / Monday, August 4, 2014 / Notices
annualized burden is estimated to be 50
hours.
Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to participate in the
study. The total cost burden is estimated
to be $4,348.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Number of
responses per
respondent
Hours per
response
Total
burden
hours
TeamSTEPPS in Primary Care Post-Training Survey ....................................
150
1
20/60
50
Total ..........................................................................................................
150
NA
NA
50
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Form name
Total
burden
hours
Average
hourly
wage rate *
Total cost
burden
TeamSTEPPS Primary Care Post-Training Survey ........................................
150
50
a $86.95
$4,348
Total ..........................................................................................................
150
50
86.95
4,348
* National Compensation Survey: Occupational wages in the United States May 2012, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
a Based on the mean wages for Family and General Practitioners 29–1062.
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 health care
research and health care 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.
tkelley on DSK3SPTVN1PROD with NOTICES
Dated: July 25, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014–18299 Filed 8–1–14; 8:45 am]
BILLING CODE 4160–90–P
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17:28 Aug 01, 2014
Jkt 232001
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:
‘‘Continuing Education for Comparative
Effectiveness Research Survey.’’ In
accordance with the Paperwork
Reduction Act of 1995, Public Law 104–
13 (44 U.S.C. 3506(c)(2)(A)), AHRQ
invites the public to comment on this
proposed information collection.
DATES: Comments on this notice must be
received by October 3, 2014.
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
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
SUMMARY:
PO 00000
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Fmt 4703
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Proposed Project
Continuing Education for Comparative
Effectiveness Research Survey
Patient-centered outcomes research
(PCOR) is an area that has seen
increased focus from research agencies
and other government entities. Also
known as comparative effectiveness
research, PCOR is the focus of AHRQ’s
Effective Health Care (EHC) program,
which has the mission of providing
health care decision-makers (e.g.,
patients, healthcare providers,
purchasers, and policymakers) with
recent evidence-based information
about the harms, benefits, and
effectiveness of various treatment
options by comparing medical devices,
surgeries, tests, drugs, or ways to deliver
health care.
The EHC program was created in
response to Section 1013 of the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 and became the first federal
program to conduct PCOR and
disseminate those findings to the public.
AHRQ works with researchers,
academic organizations, and research
centers through the EHC program on
work relating to methods, training, and
dissemination of products to a variety of
stakeholders to help spread awareness
and knowledge about PCOR. It is
important for AHRQ to be able to
measure the effectiveness of these
products, which include training
modules and publications, specifically
around how they are affecting health
care professionals’ understanding,
awareness, and use of PCOR and its
related concepts. It is also important for
E:\FR\FM\04AUN1.SGM
04AUN1
45193
Federal Register / Vol. 79, No. 149 / Monday, August 4, 2014 / Notices
AHRQ to be able to identify ways to
improve how this information is being
disseminated to the medical
community.
The Continuing Education for
Comparative Effectiveness Research
Project is designed to provide online
continuing education materials that
inform physicians and other healthcare
providers about patient-centered health
research from the EHC Program,
specifically comparative effectiveness
research reports, and other governmentfunded comparative clinical
effectiveness research. Online
multimedia continuing education
modules based on the Effective Health
Care Program https://
www.effectivehealthcare.ahrq.gov/toolsand-resources/cmece-activities/
comparative effectiveness research
reports will be planned, developed,
disseminated, and promoted. In
addition, data will be collected on the
modules to assess their effectiveness
and impact.
This study is being conducted by
AHRQ through its contractor, Hayes Inc.
(Hayes) and Hayes’ subcontractors,
Deloitte Consulting LLP (Deloitte),
pursuant to AHRQ’s statutory authority
to support the agency’s dissemination of
comparative clinical effectiveness
research findings. 42 U.S.C. 299b–37(a)–
(c).
Method of Collection
To achieve the goals of this project,
the following data collection will be
implemented:
(1) Each training module will involve
one follow-up questionnaire that would
be administered six months after the
completion of the course for the
purposes of tracking the longer-term
effectiveness of the modules.
This data collection will help to meet
AHRQ’s objectives to:
1. Understand the extent to which
these online continuing education
modules based on the EHC Program
comparative effectiveness research
reports improve knowledge of each
topic and change participants’
awareness of, attitude towards, and/or
confidence to apply GER in their
clinical practice.
2. Track information about the
dissemination efforts employed for CE/
CER information specific to the
modules, and the uptake of AHRQ’s
other EHC Program materials as a result
of the project, including the Clinician
and Consumer Summaries when
available.
3. Determine implementation
practices (e.g. changes in practice
behavior or implementation of the
information conveyed in the modules)
that occur as a result of the learning.
4. Identify opportunities for
improving the presentation and delivery
of CE modules by gathering information
on the participants’ reactions to the
modules and to the faculty presenters
through the post-event evaluation
assessment.
AHRQ will use the information
collected through this Information
Collection Request to assess the shortand long-term progress in achieving the
dissemination and implementation aims
of the Continuing Education project.
Estimated Total Respondent Burden
Exhibit 1 provides information on the
estimated time to complete the data
collection survey. These educational
activities are enduring training modules
and will be available for a 2-year period.
The AHRQ Continuing Education for
Comparative Effectiveness Research
Survey will be administered to each
individual 6 months after completing
the module. On average, respondents
will spend 5 minutes completing the
survey. As many as 4,400 health care
professionals are expected to complete
the surveys, based on an average of
2,000 health care providers taking each
module with a 10% response rate, or
200; 200 × 22 modules = 4,400. On
average, respondents will spend 5
minutes completing the survey. The
total burden is estimated to be 367
hours.
EXHIBIT 1—ESTIMATED RESPONDENT BURDEN
A
B
C
D
E
F
G
Estimated number of respondents
Average
burden per
respondent
(minutes)
Total burden
(minutes)
(A*B)
Number of
responses per
respondent
Total
respondent
burden
(minutes)
(C*D)
Total
burden per
respondent
(minutes)
(B*D)
Total
respondent
burden
(hours)
(E/60)
4400 .........................................................
5
22,000
1
22,000
5
367
Total burden
hours
Average
hourly wage
rate *
Total cost
burden
EXHIBIT 2—ESTIMATED COST BURDEN
Number of
respondents
Form name
AHRQ Online CME/CE 6-Month Evaluation ....................................................
4,400
367
$49.83
$18,288
Total ..........................................................................................................
4,400
367
N/A
18,288
tkelley on DSK3SPTVN1PROD with NOTICES
* Based upon the mean of the average hourly wages for Physicians (29–1069; $92.25), Pharmacists (29–1051; $56.01), Physician Assistants
(29–1071; $45.36), Nurse Practitioners (29–1171; $45.71), Registered Nurses (29–1111; $33.13), and Healthcare Practitioners (29–9099;
$26.54), May 2013 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#29-0000 viewed May 5, 2014.
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
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17:28 Aug 01, 2014
Jkt 232001
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
PO 00000
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Fmt 4703
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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
E:\FR\FM\04AUN1.SGM
04AUN1
45194
Federal Register / Vol. 79, No. 149 / Monday, August 4, 2014 / Notices
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: July 24, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014–18296 Filed 8–1–14; 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:
‘‘Updating and Expanding the AHRQ QI
Toolkit for Hospitals.’’ In accordance
with the Paperwork Reduction Act of
1995, Public Law 104–13 (44 U.S.C.
3506(c)(2)(A)), AHRQ invites the public
to comment on this proposed
information collection.
This proposed information collection
was previously published in the Federal
Register on May 12th 2014 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 September 3, 2014.
DATES:
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.
tkelley on DSK3SPTVN1PROD 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
17:28 Aug 01, 2014
Jkt 232001
Proposed Project
Updating and Expanding the AHRQ QI
Toolkit for Hospitals
AHRQ has developed sets of Quality
Indicators (QIs) that can be used to
document quality and safety conditions
at U.S. hospitals. Three sets of QIs are
particularly relevant for hospitals and
include: The Inpatient Quality
Indicators (IQIs), the Patient Safety
Indicators (PSIs), and the Pediatric
Quality Indicators (PDIs). The IQIs
contain measures of volume, mortality,
and utilization for common medical
conditions and major surgical
procedures. The PSIs are a set of
measures to screen for potentially
preventable adverse events that patients
may experience during hospitalization.
The PDIs measure the quality of
pediatric health care, mainly focusing
on preventable complications that occur
as a consequence of hospitalization
among pediatric patients. These QIs
have been previously developed and
evaluated by AHRQ, and are in use at
a number of hospitals throughout the
country. The QIs and supportive
documentation on how to work with
them are posted on AHRQ’s Web site at
www.qualityindicators.ahrq.gov.
Despite the availability of the QIs as
tools to help hospitals assess their
performance, many U.S. hospitals have
limited experience with the use of such
measurement tools, or in using quality
improvement methods to improve their
performance as assessed by these
measures. To this end, RAND has
previously contracted with AHRQ to
develop an AHRQ Quality Indicators
Toolkit for Hospitals (Toolkit). This
Toolkit is publicly available and is
posted on AHRQ’s Web site at https://
www.ahrq.gov/professionals/systems/
hospital/qitoolkit/. The
Toolkit assists hospitals in both using
the QIs and improving the quality and
safety of the care they provide, as
measured by those indicators. As such,
the Toolkit includes: (1) Instruction on
how a hospital can apply the QIs to its
inpatient data to estimate rates for each
indicator; (2) methods the hospital can
use to evaluate these QI rates for
identifying opportunities for
improvement; (3) strategies for
implementing interventions (or
evidence-based best practices); (4)
methods to measure progress and
performance on the QIs; (5) tools for
evaluating the cost-effectiveness of these
changes; and (6) discussion of the value
of using the QIs for quality
improvement as well as potential
challenges and barriers to quality
improvement efforts that incorporate the
QIs and how to help overcome them.
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OMB approval was obtained for the
development and evaluation of the
original Toolkit in 2012, Development
and Evaluation of AHRQ’s Quality
Indicators Improvement Toolkit (OMB
#0935–0164), which consisted of a
protocol very similar to the one
described in this statement.
Since the release of the Toolkit in
2012, the QIs have been updated and
expanded, best practices have advanced,
and many hospitals have improved their
understanding of their quality
improvement needs as well as increased
their familiarity with the use of the
Toolkit. These factors all point to the
critical need to update the Toolkit.
AHRQ has funded RAND which
partners with the University
HealthSystem Consortium (UHC) to
update and expand the Toolkit, and
field test the updated Toolkit with
hospitals as they carry out initiatives
designed to improve performance on the
QIs.
This research has the following goals:
(1) To assess the usability of the
updated Toolkit for hospitals—with an
emphasis on the Pediatric Quality
Indicators (PDI)—in order to improve
the Toolkit, and
(2) To examine hospitals’ experiences
in implementing interventions to
improve their performance on the
AHRQ QIs, the results of which will be
used to guide successful future
applications of the Toolkit.
This study is being conducted by
AHRQ through its contractor, the RAND
Corporation, under contract number
HHSA290201000017I, pursuant to
AHRQ’s statutory authority to conduct
and support research on health care and
on systems for the delivery of such care,
including activities with respect to the
quality, effectiveness, efficiency,
appropriateness and value of health care
services and with respect to 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) Pre/post-test interview protocol—
consisting of both open and closed
ended questions will be administered
prior to implementation of the Toolkit
and again post implementation. The
purpose of this data collection is to
obtain data on the steps the hospitals
took to implement actions to improve
performance on the QIs; their plans for
making process changes; and their
experiences in achieving changes and
perceptions regarding lessons learned
that could be shared with other
hospitals.
E:\FR\FM\04AUN1.SGM
04AUN1
]]>Agencies
[Federal Register Volume 79, Number 149 (Monday, August 4, 2014)]
[Notices]
[Pages 45192-45194]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-18296]
-----------------------------------------------------------------------
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: ``Continuing Education for Comparative Effectiveness Research
Survey.'' In accordance with the Paperwork Reduction Act of 1995,
Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to
comment on this proposed information collection.
DATES: Comments on this notice must be received by October 3, 2014.
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
Clearance Officer, (301) 427-1477, or by email at
doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Continuing Education for Comparative Effectiveness Research Survey
Patient-centered outcomes research (PCOR) is an area that has seen
increased focus from research agencies and other government entities.
Also known as comparative effectiveness research, PCOR is the focus of
AHRQ's Effective Health Care (EHC) program, which has the mission of
providing health care decision-makers (e.g., patients, healthcare
providers, purchasers, and policymakers) with recent evidence-based
information about the harms, benefits, and effectiveness of various
treatment options by comparing medical devices, surgeries, tests,
drugs, or ways to deliver health care.
The EHC program was created in response to Section 1013 of the
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
and became the first federal program to conduct PCOR and disseminate
those findings to the public. AHRQ works with researchers, academic
organizations, and research centers through the EHC program on work
relating to methods, training, and dissemination of products to a
variety of stakeholders to help spread awareness and knowledge about
PCOR. It is important for AHRQ to be able to measure the effectiveness
of these products, which include training modules and publications,
specifically around how they are affecting health care professionals'
understanding, awareness, and use of PCOR and its related concepts. It
is also important for
[[Page 45193]]
AHRQ to be able to identify ways to improve how this information is
being disseminated to the medical community.
The Continuing Education for Comparative Effectiveness Research
Project is designed to provide online continuing education materials
that inform physicians and other healthcare providers about patient-
centered health research from the EHC Program, specifically comparative
effectiveness research reports, and other government-funded comparative
clinical effectiveness research. Online multimedia continuing education
modules based on the Effective Health Care Program https://www.effectivehealthcare.ahrq.gov/tools- and-resources/cmece-activities/
comparative effectiveness research reports will be planned, developed,
disseminated, and promoted. In addition, data will be collected on the
modules to assess their effectiveness and impact.
This study is being conducted by AHRQ through its contractor, Hayes
Inc. (Hayes) and Hayes' subcontractors, Deloitte Consulting LLP
(Deloitte), pursuant to AHRQ's statutory authority to support the
agency's dissemination of comparative clinical effectiveness research
findings. 42 U.S.C. 299b-37(a)-(c).
Method of Collection
To achieve the goals of this project, the following data collection
will be implemented:
(1) Each training module will involve one follow-up questionnaire
that would be administered six months after the completion of the
course for the purposes of tracking the longer-term effectiveness of
the modules.
This data collection will help to meet AHRQ's objectives to:
1. Understand the extent to which these online continuing education
modules based on the EHC Program comparative effectiveness research
reports improve knowledge of each topic and change participants'
awareness of, attitude towards, and/or confidence to apply GER in their
clinical practice.
2. Track information about the dissemination efforts employed for
CE/CER information specific to the modules, and the uptake of AHRQ's
other EHC Program materials as a result of the project, including the
Clinician and Consumer Summaries when available.
3. Determine implementation practices (e.g. changes in practice
behavior or implementation of the information conveyed in the modules)
that occur as a result of the learning.
4. Identify opportunities for improving the presentation and
delivery of CE modules by gathering information on the participants'
reactions to the modules and to the faculty presenters through the
post-event evaluation assessment.
AHRQ will use the information collected through this Information
Collection Request to assess the short- and long-term progress in
achieving the dissemination and implementation aims of the Continuing
Education project.
Estimated Total Respondent Burden
Exhibit 1 provides information on the estimated time to complete
the data collection survey. These educational activities are enduring
training modules and will be available for a 2-year period. The AHRQ
Continuing Education for Comparative Effectiveness Research Survey will
be administered to each individual 6 months after completing the
module. On average, respondents will spend 5 minutes completing the
survey. As many as 4,400 health care professionals are expected to
complete the surveys, based on an average of 2,000 health care
providers taking each module with a 10% response rate, or 200; 200 x 22
modules = 4,400. On average, respondents will spend 5 minutes
completing the survey. The total burden is estimated to be 367 hours.
Exhibit 1--Estimated Respondent Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
A B C D E F G
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total
Average burden Total burden Number of respondent Total burden respondent
Estimated number of respondents per respondent (minutes) (A*B) responses per burden per respondent burden (hours)
(minutes) respondent (minutes) (C*D) (minutes) (B*D) (E/60)
--------------------------------------------------------------------------------------------------------------------------------------------------------
4400.............................................. 5 22,000 1 22,000 5 367
--------------------------------------------------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Form name respondents hours wage rate * burden
----------------------------------------------------------------------------------------------------------------
AHRQ Online CME/CE 6-Month Evaluation........... 4,400 367 $49.83 $18,288
---------------------------------------------------------------
Total....................................... 4,400 367 N/A 18,288
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average hourly wages for Physicians (29-1069; $92.25), Pharmacists (29-1051;
$56.01), Physician Assistants (29-1071; $45.36), Nurse Practitioners (29-1171; $45.71), Registered Nurses (29-
1111; $33.13), and Healthcare Practitioners (29-9099; $26.54), May 2013 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#29-0000 viewed May 5, 2014.
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 health care research and
health care 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
[[Page 45194]]
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: July 24, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014-18296 Filed 8-1-14; 8:45 am]
BILLING CODE 4160-90-M
