Agency Information Collection Activities: Proposed Collection; Comment Request, 36606-36607 [2019-16043]

Download as PDF 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: http://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