Agency Information Collection Activities: Proposed Collection; Comment Request, 36606-36607 [2019-16043]
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36606
Federal Register / Vol. 84, No. 145 / Monday, July 29, 2019 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of
respondents
Data collection method or project activity
Average
hourly wage
rate *
Total cost
burden
5. QI Measures ................................................................................................
6. Secondary data ...........................................................................................
15
15
600
720
20.59
53.69
12,354
38,657
Total ..........................................................................................................
........................
........................
........................
91,623
The average hourly rate of $48.45 for
the clinical staff survey was calculated
based on the 2017 mean hourly wage
rate for health diagnosing and treating
practitioners, $48.45 (occupation code
29–1000).
The average hourly rate of $53.69 for
QI lead interviews was calculated based
on the 2017 mean hourly wage rate for
medical and health services managers,
$53.69 (occupation code 11–9111). The
average hourly rate of $38.83 for staff
interviews was calculated based on the
2017 mean hourly wage rate for
healthcare practitioners and technical
occupations, $38.83 (occupation code
29–0000).
The average hourly rate of $53.69 for
the virtual launch meeting was
calculated based on the 2017 mean
hourly wage rate for medical and health
services managers, $53.69 (occupation
code 11–9111).
The average hourly wage rate of
$38.83 for quarterly check-in calls was
calculated based on the 2017 mean
hourly wage rate for healthcare
practitioners and technical occupations,
$38.83 (occupation code 29–0000).
The average hourly rate of $20.59 for
QI measures was calculated based on
the 2017 mean hourly wage rate for
medical records and health information
technicians, $20.59 (occupation code
29–2071).
The average hourly rate of $53.69 for
secondary data was calculated based on
the 2017 mean hourly wage rate for
medical and health services managers,
$53.69 (occupation code 11–9111).
Mean hourly wage rates for these
groups of occupations were obtained
from the Bureau of Labor & Statistics on
‘‘Occupational Employment and Wages,
May 2017’’ found at the following URL:
https://www.bls.gov/oes/current/oes_
nat.htm#b29-0000.htm.
khammond on DSKBBV9HB2PROD with NOTICES
Total burden
hours
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
VerDate Sep<11>2014
16:54 Jul 26, 2019
Jkt 247001
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: July 23, 2019.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019–15986 Filed 7–26–19; 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.
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:
‘‘Embedded Research in Care Delivery
Systems.’’
DATES: Comments on this notice must be
received by 60 days after date of
publication.
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
SUMMARY:
PO 00000
Frm 00042
Fmt 4703
Sfmt 4703
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
‘‘Embedded Research in Care Delivery
Systems’’
Embedded researchers contribute to
learning health systems by collaborating
with delivery system stakeholders to
produce innovations and evidence that
can be rapidly implemented to improve
the outcomes of individuals and
populations and health system
performance.
Research is defined in this proposed
project as embedded when it is
conducted by an investigator who is
employed or closely affiliated with the
care delivery system and when the
research project at least partially
addresses operational concerns of the
system (e.g., ways to improve care
quality, value, or other aspects of system
performance, such as patient and staff
satisfaction).
AHRQ is developing tools and
findings to support learning health
systems and embedded research, and is
funding training of researchers to
conduct embedded research.
The proposed project has the
following goals:
• Select health care delivery systems
that currently apply diverse and
distinctive strategies for embedded
research.
• Conduct and report on qualitative
case studies documenting how
embedded research is prioritized,
funded, managed, conducted, and used
in these systems.
• Specify several promising strategies
for organizing and conducting
embedded research.
• Provide summaries of study
findings that will stimulate
consideration of current and future
strategies for embedded research among
funders, trainers, and delivery system
leaders.
E:\FR\FM\29JYN1.SGM
29JYN1
36607
Federal Register / Vol. 84, No. 145 / Monday, July 29, 2019 / Notices
The proposed project does not intend
to create a comprehensive inventory of
current practice in embedded research
or to provide a representative sample of
embedded research activities. Instead,
the illustrative case studies will
stimulate discussion at AHRQ and
elsewhere about how to prepare
researchers to conduct embedded
research. Additionally, the case studies
may provide insights to health research
funding agencies about ways that
funding criteria can influence the
conduct of embedded research. The case
studies may also provide health care
leaders with illustrations of some of the
potential benefits of supporting
embedded research and some of the
challenges of alternative approaches to
incorporating such research into care
delivery systems. AHRQ is conducting
this study pursuant to the agency’s
statutory authority to conduct and
support research on healthcare and on
systems for the delivery of such care. 42
U.S.C. 299a(a).
Method of Collection
Based on an environmental scan, six
to eight care delivery systems will be
selected that employ people engaged in
embedded research; have engaged in
this type of research for at least two
fiscal years; and take a distinctive
approach to it or are recognized as a
leader in this field. At least one system
will be selected that has a mission and
a commitment to serving AHRQ’s
priority populations. The investigators
will conduct phone interviews with up
to eight people in each of the selected
systems. The interview subjects in each
delivery system will include at least one
occupant of each of the following roles:
Executive-level manager; person
exercising oversight over embedded
research activities; person from a service
line or care sector in which several
embedded research projects have been
carried out; lead investigator on one or
more embedded research projects.
Interviews will be coded and case study
summaries created for each system. The
case study summaries will describe
promising embedded research strategies,
potential benefits and challenges of this
type of research, and lessons learned
about addressing challenges. The
findings will be shared with AHRQ
leadership, other health system leaders
and funders of embedded research
projects, and with the health services
research community.
Estimated Annual Respondent Burden
Exhibit 1 is based on the following
assumptions: No more than 8 subjects
will participate in the main round of
interviews in each system (site). There
will be a maximum of 8 sites. If
supplementary information is needed
on selected projects, no more than 3
supplementary interviews will be
conducted. Each supplementary
interview will include 3–4 participants,
with a total of no more than 10
participants in the whole set of
supplementary interviews.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Collection activity-interviews
Number of
responses per
respondent
Hours per
response
Total burden
hours
Interviews with executive-level subjects ..........................................................
Interviews with physicians ...............................................................................
Interviews with researchers and other operations staff ...................................
10
22
42
1
1
1
1
1
1
10
22
42
Total ..........................................................................................................
........................
........................
........................
74
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Interview participants
Total burden
hours
Average
hourly wage
rate *
Total cost
burden
Executive level (code 11–1011) ......................................................................
Physicians (code 29–1060) .............................................................................
Researchers and other operations staff (based on Operations Research Analysts code 15–2031) ...................................................................................
10
22
10
22
$96.22
101.43
$962.20
2,231.46
42
42
42.48
1,784.16
Total ..........................................................................................................
........................
........................
........................
4,977.82
* National Compensation Survey: Occupational wages in the United States May 2018 ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
khammond on DSKBBV9HB2PROD with NOTICES
Request for Comments
In accordance with the Paperwork
Reduction Act, 42 U.S.C. 3501–3521,
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;
VerDate Sep<11>2014
16:54 Jul 26, 2019
Jkt 247001
(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
PO 00000
Frm 00043
Fmt 4703
Sfmt 4703
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: 24 July 2019.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019–16043 Filed 7–26–19; 8:45 am]
BILLING CODE 4160–90–P
E:\FR\FM\29JYN1.SGM
29JYN1
]]>Agencies
[Federal Register Volume 84, Number 145 (Monday, July 29, 2019)]
[Notices]
[Pages 36606-36607]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-16043]
-----------------------------------------------------------------------
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: ``Embedded Research in Care Delivery Systems.''
DATES: Comments on this notice must be received by 60 days after date
of publication.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at
[email protected].
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
[email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
``Embedded Research in Care Delivery Systems''
Embedded researchers contribute to learning health systems by
collaborating with delivery system stakeholders to produce innovations
and evidence that can be rapidly implemented to improve the outcomes of
individuals and populations and health system performance.
Research is defined in this proposed project as embedded when it is
conducted by an investigator who is employed or closely affiliated with
the care delivery system and when the research project at least
partially addresses operational concerns of the system (e.g., ways to
improve care quality, value, or other aspects of system performance,
such as patient and staff satisfaction).
AHRQ is developing tools and findings to support learning health
systems and embedded research, and is funding training of researchers
to conduct embedded research.
The proposed project has the following goals:
Select health care delivery systems that currently apply
diverse and distinctive strategies for embedded research.
Conduct and report on qualitative case studies documenting
how embedded research is prioritized, funded, managed, conducted, and
used in these systems.
Specify several promising strategies for organizing and
conducting embedded research.
Provide summaries of study findings that will stimulate
consideration of current and future strategies for embedded research
among funders, trainers, and delivery system leaders.
[[Page 36607]]
The proposed project does not intend to create a comprehensive
inventory of current practice in embedded research or to provide a
representative sample of embedded research activities. Instead, the
illustrative case studies will stimulate discussion at AHRQ and
elsewhere about how to prepare researchers to conduct embedded
research. Additionally, the case studies may provide insights to health
research funding agencies about ways that funding criteria can
influence the conduct of embedded research. The case studies may also
provide health care leaders with illustrations of some of the potential
benefits of supporting embedded research and some of the challenges of
alternative approaches to incorporating such research into care
delivery systems. AHRQ is conducting this study pursuant to the
agency's statutory authority to conduct and support research on
healthcare and on systems for the delivery of such care. 42 U.S.C.
299a(a).
Method of Collection
Based on an environmental scan, six to eight care delivery systems
will be selected that employ people engaged in embedded research; have
engaged in this type of research for at least two fiscal years; and
take a distinctive approach to it or are recognized as a leader in this
field. At least one system will be selected that has a mission and a
commitment to serving AHRQ's priority populations. The investigators
will conduct phone interviews with up to eight people in each of the
selected systems. The interview subjects in each delivery system will
include at least one occupant of each of the following roles:
Executive-level manager; person exercising oversight over embedded
research activities; person from a service line or care sector in which
several embedded research projects have been carried out; lead
investigator on one or more embedded research projects. Interviews will
be coded and case study summaries created for each system. The case
study summaries will describe promising embedded research strategies,
potential benefits and challenges of this type of research, and lessons
learned about addressing challenges. The findings will be shared with
AHRQ leadership, other health system leaders and funders of embedded
research projects, and with the health services research community.
Estimated Annual Respondent Burden
Exhibit 1 is based on the following assumptions: No more than 8
subjects will participate in the main round of interviews in each
system (site). There will be a maximum of 8 sites. If supplementary
information is needed on selected projects, no more than 3
supplementary interviews will be conducted. Each supplementary
interview will include 3-4 participants, with a total of no more than
10 participants in the whole set of supplementary interviews.
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Collection activity-interviews Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Interviews with executive-level subjects........ 10 1 1 10
Interviews with physicians...................... 22 1 1 22
Interviews with researchers and other operations 42 1 1 42
staff..........................................
---------------------------------------------------------------
Total....................................... .............. .............. .............. 74
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Average
Interview participants Number of Total burden hourly wage Total cost
respondents hours rate * burden
----------------------------------------------------------------------------------------------------------------
Executive level (code 11-1011).................. 10 10 $96.22 $962.20
Physicians (code 29-1060)....................... 22 22 101.43 2,231.46
Researchers and other operations staff (based on 42 42 42.48 1,784.16
Operations Research Analysts code 15-2031).....
---------------------------------------------------------------
Total....................................... .............. .............. .............. 4,977.82
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2018 ``U.S. Department of Labor,
Bureau of Labor Statistics.''
Request for Comments
In accordance with the Paperwork Reduction Act, 42 U.S.C. 3501-
3521, 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.
Dated: 24 July 2019.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019-16043 Filed 7-26-19; 8:45 am]
BILLING CODE 4160-90-P
