Agency Information Collection Activities: Proposed Collection; Comment Request, 35210-35212 [2017-15886]
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<![CDATA[
35210
Federal Register / Vol. 82, No. 144 / Friday, July 28, 2017 / Notices
b Based
c Based
d Based
on the mean wages for 29–1141 Registered Nurse.
on the mean wages for 11–9111 Medical and Health Services Managers.
on the mean wages for 00–0000 All Occupations.
DATES:
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.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2017–15885 Filed 7–27–17; 8:45 am]
BILLING CODE 4160–90–P
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
‘‘Expanding the Comprehensive Unitbased Safety Program (CUSP) to Reduce
Central Line-Associated Blood Stream
Infections (CLABSI) and CatheterAssociated Urinary Tract Infections
(CAUTI) in Intensive Care Units (ICU)
with Persistently Elevated Infection
Rates.’’
asabaliauskas on DSKBBXCHB2PROD with NOTICES
SUMMARY:
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18:50 Jul 27, 2017
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Comments on this notice must be
received by September 26, 2017.
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:
include the national implementation of
CUSP for CAUTI in hospitals across the
United States. This effort was carried
out under an ACTION II contract with
HRET, in partnership with Johns
Hopkins University and the Michigan
Hospital Association.
As part of the Department of Health
and Human Services National Action
Plan to Prevent Healthcare-Associated
Infections, AHRQ has supported the
implementation and adoption of the
CUSP for CLABSI and CUSP for CAUTI,
and is applying the principles and
concepts that have been learned from
these HAI reduction efforts to ICUs with
persistently elevated infection rates.
Proposed Project
Results of Implementation of CUSP for
CLABSI and CAUTI
The nationwide CUSP for CLABSI
project implemented CUSP with teams
at more than 1,100 adult ICUs in 44
states over a 4-year period. ICUs
participating in this project reduced the
rate of CLABSIs nationally from 1.915
infections per 1,000 central line days to
1.133 infections per 1,000 line days, an
overall reduction of 41 percent.
However, not all ICUs performed
equally well.
The CUSP for CAUTI project
implemented CUSP in nine cohorts,
representing over 1,600 hospital units in
over 1,200 hospitals located across 40
states, the District of Columbia, and
Puerto Rico. Inpatient CAUTI rates in
non-ICUs were decreased by 30%.
However, CAUTI rates in ICUs were not
reduced significantly.
In other words, while the overall
results of the implementation of CUSP
for CLABSI and CUSP for CAUTI have
shown remarkable progress, not all ICUs
in the projects have achieved the
intended rate reductions, nor have all
ICUs participated in the two projects.
Moreover, a significant number of
institutions and ICUs continue to have
persistently elevated infection rates.
There are institutions that have varying
rates of infections within the same
institution, indicating that infection
control is often a unit-based issue.
In sum, despite the significant overall
reductions in CLABSI and CAUTI rates
that have been achieved in these two
projects, there is evidence that ICUs
have generally faced challenges in
reducing CAUTI rates, and that many
hospitals still are not where they should
be in CLABSI rates. Modified
approaches and strategies for the CUSP
intervention need to be developed and
implemented to reach ICUs with
Expanding the Comprehensive UnitBased Safety Program (CUSP) To
Reduce Central Line-Associated Blood
Stream Infections (CLABSI) and
Catheter-Associated Urinary Tract
Infections (CAUTI) in Intensive Care
Units (ICU) With Persistently Elevated
Infection Rates
In accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501–3521,
AHRQ invites the public to comment on
this proposed information collection.
Healthcare-associated infections, or
HAIs, are a highly significant cause of
illness and death for patients in the U.S.
health care system. At any given time,
HAIs affect one out of every 25 hospital
inpatients. More than a million of these
infections occur across our health care
system every year, leading to significant
patient harm and the annual loss of tens
of thousands of lives, and costing
billions of dollars each year. Some of
the most prevalent HAIs include:
Surgical site infections, catheterassociated urinary tract infections
(CAUTI), central-line associated blood
stream infections (CLABSI), and
ventilator-associated pneumonia. It is
estimated that CAUTIs affect
approximately 250,000 hospital patients
per year, and approximately 40,000
CLABSI cases occur annually with a
mortality rate from 12 to 25 percent.
From 2008–2012, AHRQ supported
the National Implementation of the
Comprehensive Unit-Based Safety
Program (CUSP) to Reduce Central LineAssociated Blood Stream Infections
(under an ACTION contract with the
Health Research and Educational Trust
(HRET), in partnership with Johns
Hopkins University and the Michigan
Hospital Association. From 2011–2015,
AHRQ expanded its CUSP efforts to
PO 00000
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Fmt 4703
Sfmt 4703
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28JYN1
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Federal Register / Vol. 82, No. 144 / Friday, July 28, 2017 / Notices
persistently elevated CLABSI and
CAUTI rates and help them succeed in
preventing these infections. To address
this need, AHRQ will launch this
project aimed at spreading nationally
implementation of an adaptation of
CUSP for CLABSI and CAUTI for ICUs
with persistently elevated rates,
optimizing the approach to maximize
effectiveness, and further preventing
these infections throughout the United
States.
This project has the following goals:
• Reduce CLABSI and CAUTI in ICUs
with persistently elevated rates.
• Revise and augment current CUSP
training resources and materials for
CUSP for CLABSI and CAUTI in ICUs
with persistently elevated rates. The
resulting toolkit will be intended for use
in ICUs whose infection rates for either
or both of these HAIs are persistently
elevated compared to other ICUs.
• Recruit 450–600 ICUs with
persistently elevated rates nationally to
demonstrate the utility of applying a
modified CUSP for CLABSI and CUSP
for CAUTI during the performance
period to reduce rates of CLABSI and
CAUTI in these ICUs.
• Assess the adoption of the modified
CUSP for CLABSI and CAUTI and
evaluate the effectiveness of the
intervention in the participating ICUs
This study is being conducted by
AHRQ through its contractor, 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) ICU Assessment Tool: The ICU
assessment tool will be completed by
the unit project team leader in
collaboration with individuals with
strong knowledge of current clinical and
safety practices in the ICU, such as the
ICU manager, infection preventionist,
quality leader, clinical educator, or
clinical nurse specialist. The purpose of
this assessment is to understand current
HAI prevention practices, policies, and
procedures to tailor the educational
program to meet the needs of the ICU.
An assessment will be administered at
the end of the program to monitor any
changes in practices, policies, and
procedures after program participation;
the unit will receive an individualized
report based on responses.
(2) Team Checkup Tool: The unit
team members (such as the ICU
manager, quality leader, clinical
educator, or clinical nurse specialist)
will complete one Team Check-up Tool
every month during the project period.
The information collected will be used
for coaching assistance by the unit
project team leader. This tool helps
assess unit strengths and opportunities
for improving unit processes,
procedures, and safety culture. This will
be accomplished by the following steps:
• Hold a short, recurring meeting
with the team to complete this tool and
review the results.
• Randomly select staff from the unit
to answer questions 1–3. Staff selected
should not exclusively include those
completing this form.
• For statements where the ‘No’ or
‘Don’t Know’ column is checked, review
opportunities for improvement.
• Develop a Plan-Do-Study-Act
(PDSA) plan and complete rapid cycles
of improvement over the course of the
month and reevaluate.
(3) Site Visits: State leads and clinical
mentors will coordinate state-level, inperson site visits for 50 percent of
participating hospital units. Site visits
are an opportunity for state leads and
clinical mentors to meet with ICU teams
and their leadership to strengthen
relationships, engage in open discussion
about infection prevention, and
facilitate unit-specific changes through
action planning. Site visit evaluation is
based on the Site Visit Guidance and
Action Planning Template. State leads
will submit an action planning report to
the project Web site within one week of
the visit.
This data collection effort will be part
of a comprehensive evaluation strategy
to assess the adoption of the Expansion
of the Comprehensive Unit-Based Safety
Program for CLABSI and CAUTI in ICUs
with persistently elevated rates;
measure the effectiveness of the
interventions in the participating units;
and evaluate the characteristics of teams
that are associated with successful
implementation and improvements in
outcomes.
The evaluation of this data collection
is largely foundational in nature as
AHRQ seeks information on the
implementation and effectiveness of the
CUSP for CLABSI and CAUTI in ICUs
with persistently elevated rates. The
evaluation of the tools above will utilize
a pre-post design, comparing practices,
policies and procedures before and after
participating in the program.
Estimated Annual Respondent Burden
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Number of
responses per
respondent
Hours per
response
Total burden
hours
ICU Assessment Tool ......................................................................................
Team Checkup Tool ........................................................................................
Site Visits .........................................................................................................
150
150
75
2
12
1
1.25
.2
4
375
360
300
Total ..........................................................................................................
375
N/A
N/A
1,035
asabaliauskas on DSKBBXCHB2PROD with NOTICES
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Form name
ICU Assessment Tool ......................................................................................
Team Checkup Tool ........................................................................................
Site Visits .........................................................................................................
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Frm 00040
Fmt 4703
Sfmt 4703
Total burden
hours
150
150
75
E:\FR\FM\28JYN1.SGM
375
360
75
150
37.5
28JYN1
Average
hourly wage
rate *
a $52.58
a 52.58
b 27.87
c 34.70
a 52.58
Total cost
burden
$19,718
18,929
2,090
5,205
1,972
35212
Federal Register / Vol. 82, No. 144 / Friday, July 28, 2017 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of
respondents
Form name
Total burden
hours
Average
hourly wage
rate *
Total cost
burden
37.5
Total ..........................................................................................................
3,706
1,035
375
d 98.83
N/A
$51,620
National Compensation Survey: Occupational wages in the United States May 2016 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’
https://www.bls.gov/oes/current/oes_stru.htm.
a Based on the mean wages for 11–9111 Medical and Health Services Managers.
b Based on the mean wages for 29–9099 Miscellaneous Health Practitioners and Technical Workers: Healthcare Practitioners and Technical
Workers, All Other.
c Based on the mean wages for 29–1141 Registered Nurse.
d Based on the mean wages for 29–1069 Physicians and Surgeons, All other.
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’s 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.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2017–15886 Filed 7–27–17; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
asabaliauskas on DSKBBXCHB2PROD with NOTICES
[Document Identifiers: CMS–10506]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
SUMMARY:
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18:50 Jul 27, 2017
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an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions, the accuracy of
the estimated burden, ways to enhance
the quality, utility, and clarity of the
information to be collected; and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by August 28, 2017.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–5806 OR, Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
Web site address at https://
www.cms.gov/Regulations-andGuidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
William Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. No
comments were received in response to
the 60-day comment period. To comply
with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Conditions of
Participation for Community Mental
Health Centers and Supporting
Regulations; Use: On June 17, 2011, we
proposed for the first time new
conditions of participation (CoPs) for
community mental health centers
(CMHCs). We finalized it in the final
rule that published October 29, 2013 (78
FR 64604), with an effective date 12
months after publication of the final
rule. These CoPs which are based on
criteria prescribed in law and are
E:\FR\FM\28JYN1.SGM
28JYN1
]]>Agencies
[Federal Register Volume 82, Number 144 (Friday, July 28, 2017)]
[Notices]
[Pages 35210-35212]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-15886]
-----------------------------------------------------------------------
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 ``Expanding the Comprehensive Unit-based Safety Program (CUSP)
to Reduce Central Line-Associated Blood Stream Infections (CLABSI) and
Catheter-Associated Urinary Tract Infections (CAUTI) in Intensive Care
Units (ICU) with Persistently Elevated Infection Rates.''
DATES: Comments on this notice must be received by September 26, 2017.
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
Expanding the Comprehensive Unit-Based Safety Program (CUSP) To Reduce
Central Line-Associated Blood Stream Infections (CLABSI) and Catheter-
Associated Urinary Tract Infections (CAUTI) in Intensive Care Units
(ICU) With Persistently Elevated Infection Rates
In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3521, AHRQ invites the public to comment on this proposed information
collection. Healthcare-associated infections, or HAIs, are a highly
significant cause of illness and death for patients in the U.S. health
care system. At any given time, HAIs affect one out of every 25
hospital inpatients. More than a million of these infections occur
across our health care system every year, leading to significant
patient harm and the annual loss of tens of thousands of lives, and
costing billions of dollars each year. Some of the most prevalent HAIs
include: Surgical site infections, catheter-associated urinary tract
infections (CAUTI), central-line associated blood stream infections
(CLABSI), and ventilator-associated pneumonia. It is estimated that
CAUTIs affect approximately 250,000 hospital patients per year, and
approximately 40,000 CLABSI cases occur annually with a mortality rate
from 12 to 25 percent.
From 2008-2012, AHRQ supported the National Implementation of the
Comprehensive Unit-Based Safety Program (CUSP) to Reduce Central Line-
Associated Blood Stream Infections (under an ACTION contract with the
Health Research and Educational Trust (HRET), in partnership with Johns
Hopkins University and the Michigan Hospital Association. From 2011-
2015, AHRQ expanded its CUSP efforts to include the national
implementation of CUSP for CAUTI in hospitals across the United States.
This effort was carried out under an ACTION II contract with HRET, in
partnership with Johns Hopkins University and the Michigan Hospital
Association.
As part of the Department of Health and Human Services National
Action Plan to Prevent Healthcare-Associated Infections, AHRQ has
supported the implementation and adoption of the CUSP for CLABSI and
CUSP for CAUTI, and is applying the principles and concepts that have
been learned from these HAI reduction efforts to ICUs with persistently
elevated infection rates.
Results of Implementation of CUSP for CLABSI and CAUTI
The nationwide CUSP for CLABSI project implemented CUSP with teams
at more than 1,100 adult ICUs in 44 states over a 4-year period. ICUs
participating in this project reduced the rate of CLABSIs nationally
from 1.915 infections per 1,000 central line days to 1.133 infections
per 1,000 line days, an overall reduction of 41 percent. However, not
all ICUs performed equally well.
The CUSP for CAUTI project implemented CUSP in nine cohorts,
representing over 1,600 hospital units in over 1,200 hospitals located
across 40 states, the District of Columbia, and Puerto Rico. Inpatient
CAUTI rates in non-ICUs were decreased by 30%. However, CAUTI rates in
ICUs were not reduced significantly.
In other words, while the overall results of the implementation of
CUSP for CLABSI and CUSP for CAUTI have shown remarkable progress, not
all ICUs in the projects have achieved the intended rate reductions,
nor have all ICUs participated in the two projects. Moreover, a
significant number of institutions and ICUs continue to have
persistently elevated infection rates. There are institutions that have
varying rates of infections within the same institution, indicating
that infection control is often a unit-based issue.
In sum, despite the significant overall reductions in CLABSI and
CAUTI rates that have been achieved in these two projects, there is
evidence that ICUs have generally faced challenges in reducing CAUTI
rates, and that many hospitals still are not where they should be in
CLABSI rates. Modified approaches and strategies for the CUSP
intervention need to be developed and implemented to reach ICUs with
[[Page 35211]]
persistently elevated CLABSI and CAUTI rates and help them succeed in
preventing these infections. To address this need, AHRQ will launch
this project aimed at spreading nationally implementation of an
adaptation of CUSP for CLABSI and CAUTI for ICUs with persistently
elevated rates, optimizing the approach to maximize effectiveness, and
further preventing these infections throughout the United States.
This project has the following goals:
Reduce CLABSI and CAUTI in ICUs with persistently elevated
rates.
Revise and augment current CUSP training resources and
materials for CUSP for CLABSI and CAUTI in ICUs with persistently
elevated rates. The resulting toolkit will be intended for use in ICUs
whose infection rates for either or both of these HAIs are persistently
elevated compared to other ICUs.
Recruit 450-600 ICUs with persistently elevated rates
nationally to demonstrate the utility of applying a modified CUSP for
CLABSI and CUSP for CAUTI during the performance period to reduce rates
of CLABSI and CAUTI in these ICUs.
Assess the adoption of the modified CUSP for CLABSI and
CAUTI and evaluate the effectiveness of the intervention in the
participating ICUs
This study is being conducted by AHRQ through its contractor,
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) ICU Assessment Tool: The ICU assessment tool will be completed
by the unit project team leader in collaboration with individuals with
strong knowledge of current clinical and safety practices in the ICU,
such as the ICU manager, infection preventionist, quality leader,
clinical educator, or clinical nurse specialist. The purpose of this
assessment is to understand current HAI prevention practices, policies,
and procedures to tailor the educational program to meet the needs of
the ICU. An assessment will be administered at the end of the program
to monitor any changes in practices, policies, and procedures after
program participation; the unit will receive an individualized report
based on responses.
(2) Team Checkup Tool: The unit team members (such as the ICU
manager, quality leader, clinical educator, or clinical nurse
specialist) will complete one Team Check-up Tool every month during the
project period. The information collected will be used for coaching
assistance by the unit project team leader. This tool helps assess unit
strengths and opportunities for improving unit processes, procedures,
and safety culture. This will be accomplished by the following steps:
Hold a short, recurring meeting with the team to complete
this tool and review the results.
Randomly select staff from the unit to answer questions 1-
3. Staff selected should not exclusively include those completing this
form.
For statements where the `No' or `Don't Know' column is
checked, review opportunities for improvement.
Develop a Plan-Do-Study-Act (PDSA) plan and complete rapid
cycles of improvement over the course of the month and reevaluate.
(3) Site Visits: State leads and clinical mentors will coordinate
state-level, in-person site visits for 50 percent of participating
hospital units. Site visits are an opportunity for state leads and
clinical mentors to meet with ICU teams and their leadership to
strengthen relationships, engage in open discussion about infection
prevention, and facilitate unit-specific changes through action
planning. Site visit evaluation is based on the Site Visit Guidance and
Action Planning Template. State leads will submit an action planning
report to the project Web site within one week of the visit.
This data collection effort will be part of a comprehensive
evaluation strategy to assess the adoption of the Expansion of the
Comprehensive Unit-Based Safety Program for CLABSI and CAUTI in ICUs
with persistently elevated rates; measure the effectiveness of the
interventions in the participating units; and evaluate the
characteristics of teams that are associated with successful
implementation and improvements in outcomes.
The evaluation of this data collection is largely foundational in
nature as AHRQ seeks information on the implementation and
effectiveness of the CUSP for CLABSI and CAUTI in ICUs with
persistently elevated rates. The evaluation of the tools above will
utilize a pre-post design, comparing practices, policies and procedures
before and after participating in the program.
Estimated Annual Respondent Burden
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Form name Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
ICU Assessment Tool............................. 150 2 1.25 375
Team Checkup Tool............................... 150 12 .2 360
Site Visits..................................... 75 1 4 300
---------------------------------------------------------------
Total....................................... 375 N/A N/A 1,035
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Average
Form name Number of Total burden hourly wage Total cost
respondents hours rate * burden
----------------------------------------------------------------------------------------------------------------
ICU Assessment Tool............................. 150 375 \a\ $52.58 $19,718
Team Checkup Tool............................... 150 360 \a\ 52.58 18,929
Site Visits..................................... 75 75 \b\ 27.87 2,090
150 \c\ 34.70 5,205
37.5 \a\ 52.58 1,972
[[Page 35212]]
37.5 \d\ 98.83 3,706
---------------------------------------------------------------
Total....................................... 375 1,035 N/A $51,620
----------------------------------------------------------------------------------------------------------------
National Compensation Survey: Occupational wages in the United States May 2016 ``U.S. Department of Labor,
Bureau of Labor Statistics:'' https://www.bls.gov/oes/current/oes_stru.htm.
\a\ Based on the mean wages for 11-9111 Medical and Health Services Managers.
\b\ Based on the mean wages for 29-9099 Miscellaneous Health Practitioners and Technical Workers: Healthcare
Practitioners and Technical Workers, All Other.
\c\ Based on the mean wages for 29-1141 Registered Nurse.
\d\ Based on the mean wages for 29-1069 Physicians and Surgeons, All other.
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's 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.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2017-15886 Filed 7-27-17; 8:45 am]
BILLING CODE 4160-90-P
