Agency Information Collection Activities: Proposed Collection; Comment Request, 6193-6194 [2020-02116]

Download as PDF Federal Register / Vol. 85, No. 23 / Tuesday, February 4, 2020 / Notices Request for Comments In accordance with the Paperwork Reduction Act, comments on AHRQ’s information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and healthcare information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ’s estimate of burden (including hours and costs) of the proposed collection(s) of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information upon the respondents, including the use of automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and included in the Agency’s subsequent request for OMB approval of the proposed information collection. All comments will become a matter of public record. Dated: January 29, 2020. Virginia L. Mackay-Smith, Associate Director. [FR Doc. 2020–02112 Filed 2–3–20; 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 ‘‘Evaluation of the SHARE Approach Model.’’ 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 specific details on the estimated burden khammond on DSKJM1Z7X2PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:48 Feb 03, 2020 Jkt 250001 can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by emails at doris.lefkowitz@ AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Evaluation of the SHARE Approach Model Shared decision making (SDM) occurs when a health care provider and a patient work together to make a health care decision that is best for the patient. Implementing SDM involves effective communication between providers and patients to take into account evidencebased information about available options, the provider’s knowledge and experience, and the patient’s values and preferences in reaching the best health care decision for a patient. To facilitate SDM in all care delivery settings, AHRQ developed the five-step SHARE Approach, which includes exploring and comparing the benefits, harms, and risks of each option through meaningful dialogue about what matters most to the patient. Using the SHARE Approach also builds a trusting and lasting relationship between health care professionals and patients. SDM is increasingly included in clinical care guidelines, and in some cases is even mandated. While there is considerable interest in improving SDM across broad health care settings, less is known about how to effectively implement SDM. There is evidence that SDM is often not conducted effectively in practice, and identifying ways to improve SDM has therefore become an imperative. Lack of clinician support and education have been identified as important barriers to SDM. The SHARE Approach was released in 2015 by AHRQ as a clinician-facing toolkit that teaches clinicians skills to facilitate SDM across a broad range of clinical contexts. While several implementation success stories have been shared with AHRQ, to date there has been no formal evaluation of the effectiveness of the SHARE Approach materials for improving SDM in primary and specialty care settings for which it was designed. As a result, challenges that may be faced by practices who wish to implement the SHARE Approach are currently unknown. Without research to identify and address these issues, practices and organization may be unable to effectively implement the SHARE Approach and may be unwilling to do so absent evidence of its PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 6193 effectiveness at improving SDM outcomes. The Evaluation of the SHARE Approach Model project aims to revise the SHARE Approach toolkit to remove outdated references and increase applicability for SDM in contexts involving problem solving, evaluate the implementation of the SHARE Approach model in eight primary care and four cardiology clinics, and evaluate the effectiveness of the SHARE Approach model at improving SDM. Method of Collection The purpose of this clearance request is to collect the information needed to evaluate the implementation and effectiveness of the modified SHARE Approach materials. Specifically, the data collection activities requested in this clearance are: 1. Brief surveys of physicians, advanced practice providers, other clinicians, nurses and other staff in 12 clinics immediately following the SHARE Approach training in each clinic. 2. A brief survey of physicians, advanced practice providers, other clinicians, nurses and other staff in 12 clinics one month following the SHARE Approach training in each clinic. 3. A short card survey completed by patients in the 12 clinics immediately following a clinic visit with a physician or advanced practice provider. 4. A short card survey completed by physicians or advanced practice providers in the 12 clinics immediately following a clinic visit with a patient. 5. Audio recordings of patientprovider (physician or advanced practice provider) encounters in clinic examination rooms in the 12 clinics. This study is being conducted by AHRQ through its contractor, the University of Colorado, 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 clinical practice, including primary care and practice-oriented research. 42 U.S.C 299a(a)(4). Estimated Annual Respondent Burden Exhibit 1 shows the estimated burden hours over the full 3 years of this clearance for the respondents’ time to participate in the research activities that will be conducted under this clearance. Brief card surveys will be completed by both patients and clinicians. The physician/advanced practice provider card survey will require a maximum of 60 seconds. The patient card survey will take a maximum of 2 minutes. Number of observations will include a maximum E:\FR\FM\04FEN1.SGM 04FEN1 6194 Federal Register / Vol. 85, No. 23 / Tuesday, February 4, 2020 / Notices of 6,000 patient and 6,000 clinician surveys. Audio recordings of up to 260 clinical encounters will be obtained, with burden not to exceed 10 minutes to obtain patient informed consent. Two clinician surveys will be conducted, one immediately following SHARE training and one following the second observation period, one month following SHARE training. These will be conducted with no more than 100 clinicians and will require no more than 10 minutes to complete. Exhibit 2 shows the estimated cost burden over 3 years, based on the respondents’ time to participate in these research activities. The total cost burden is estimated to be $19,688. EXHIBIT 1—ESTIMATED BURDEN HOURS OVER 3 YEARS Number of respondents Type of information collection Number of responses per respondent Hours per response Total burden hours Card survey (patient) ....................................................................................... Card survey (clinician) ..................................................................................... Audio recorded encounters ............................................................................. Clinician survey immediately following training ............................................... Clinician survey one month following training ................................................. 6,000 6,000 260 100 100 1 1 1 1 1 2/60 1/60 10/60 10/60 10/60 200 100 44 17 17 Totals ........................................................................................................ 12,460 na na 378 * May include telephone non-response follow-up in which case the burden will not change EXHIBIT 2—ESTIMATED COST BURDEN OVER 3 YEARS Number of respondents Type of information collection Total burden hours Average hourly wage rate * Total cost burden Card survey (patient) ....................................................................................... Card survey (clinician) ..................................................................................... Audio recorded encounters ............................................................................. Clinician survey immediately following training ............................................... Clinician survey one month following training ................................................. 6,000 6,000 260 100 100 200 100 44 17 17 $24.98 101.43 24.98 101.43 101.43 $4,996 10,143 1,100 1,725 1,725 Totals ........................................................................................................ 12,460 378 na 19,689 * Based upon the average wages for 29–1060 Physicians and Surgeons (broad) and 00–0000 All Occupations, ‘‘National Compensation Survey: Occupational Wages in the United States, May 2018,’’ U.S. Department of Labor, Bureau of Labor Statistics https://www.bls.gov/oes/current/ oes_nat.htm#29-0000. khammond on DSKJM1Z7X2PROD with NOTICES Request for Comments In accordance with the Paperwork Reduction Act, comments on AHRQ’s information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ’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. VerDate Sep<11>2014 17:48 Feb 03, 2020 Jkt 250001 Dated: January 29, 2020. Virginia L. Mackay-Smith, Associate Director. [FR Doc. 2020–02116 Filed 2–3–20; 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 ‘‘Evaluating the Implementation of Products by Learning Health Systems to Inform and Encourage Use of AHRQ Evidence Reports.’’ SUMMARY: PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 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 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: DATES: Proposed Project Evaluating the Implementation of Products by Learning Health Systems To Inform and Encourage Use of AHRQ Evidence Reports AHRQ’s Evidence-based Practice Center (EPC) Program has 20 years of experience in synthesizing research to inform evidence-based health care practice, delivery, policies, and research. The AHRQ EPC program is committed to partnering with E:\FR\FM\04FEN1.SGM 04FEN1

Agencies

[Federal Register Volume 85, Number 23 (Tuesday, February 4, 2020)]
[Notices]
[Pages 6193-6194]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-02116]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: 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 ``Evaluation of the SHARE Approach Model.''

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 emails at 
[email protected].

SUPPLEMENTARY INFORMATION: 

Proposed Project

Evaluation of the SHARE Approach Model

    Shared decision making (SDM) occurs when a health care provider and 
a patient work together to make a health care decision that is best for 
the patient. Implementing SDM involves effective communication between 
providers and patients to take into account evidence-based information 
about available options, the provider's knowledge and experience, and 
the patient's values and preferences in reaching the best health care 
decision for a patient. To facilitate SDM in all care delivery 
settings, AHRQ developed the five-step SHARE Approach, which includes 
exploring and comparing the benefits, harms, and risks of each option 
through meaningful dialogue about what matters most to the patient. 
Using the SHARE Approach also builds a trusting and lasting 
relationship between health care professionals and patients.
    SDM is increasingly included in clinical care guidelines, and in 
some cases is even mandated. While there is considerable interest in 
improving SDM across broad health care settings, less is known about 
how to effectively implement SDM. There is evidence that SDM is often 
not conducted effectively in practice, and identifying ways to improve 
SDM has therefore become an imperative. Lack of clinician support and 
education have been identified as important barriers to SDM.
    The SHARE Approach was released in 2015 by AHRQ as a clinician-
facing toolkit that teaches clinicians skills to facilitate SDM across 
a broad range of clinical contexts. While several implementation 
success stories have been shared with AHRQ, to date there has been no 
formal evaluation of the effectiveness of the SHARE Approach materials 
for improving SDM in primary and specialty care settings for which it 
was designed. As a result, challenges that may be faced by practices 
who wish to implement the SHARE Approach are currently unknown. Without 
research to identify and address these issues, practices and 
organization may be unable to effectively implement the SHARE Approach 
and may be unwilling to do so absent evidence of its effectiveness at 
improving SDM outcomes.
    The Evaluation of the SHARE Approach Model project aims to revise 
the SHARE Approach toolkit to remove outdated references and increase 
applicability for SDM in contexts involving problem solving, evaluate 
the implementation of the SHARE Approach model in eight primary care 
and four cardiology clinics, and evaluate the effectiveness of the 
SHARE Approach model at improving SDM.

Method of Collection

    The purpose of this clearance request is to collect the information 
needed to evaluate the implementation and effectiveness of the modified 
SHARE Approach materials. Specifically, the data collection activities 
requested in this clearance are:
    1. Brief surveys of physicians, advanced practice providers, other 
clinicians, nurses and other staff in 12 clinics immediately following 
the SHARE Approach training in each clinic.
    2. A brief survey of physicians, advanced practice providers, other 
clinicians, nurses and other staff in 12 clinics one month following 
the SHARE Approach training in each clinic.
    3. A short card survey completed by patients in the 12 clinics 
immediately following a clinic visit with a physician or advanced 
practice provider.
    4. A short card survey completed by physicians or advanced practice 
providers in the 12 clinics immediately following a clinic visit with a 
patient.
    5. Audio recordings of patient-provider (physician or advanced 
practice provider) encounters in clinic examination rooms in the 12 
clinics.
    This study is being conducted by AHRQ through its contractor, the 
University of Colorado, 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 clinical 
practice, including primary care and practice-oriented research. 42 
U.S.C 299a(a)(4).

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated burden hours over the full 3 years of 
this clearance for the respondents' time to participate in the research 
activities that will be conducted under this clearance. Brief card 
surveys will be completed by both patients and clinicians. The 
physician/advanced practice provider card survey will require a maximum 
of 60 seconds. The patient card survey will take a maximum of 2 
minutes. Number of observations will include a maximum

[[Page 6194]]

of 6,000 patient and 6,000 clinician surveys. Audio recordings of up to 
260 clinical encounters will be obtained, with burden not to exceed 10 
minutes to obtain patient informed consent. Two clinician surveys will 
be conducted, one immediately following SHARE training and one 
following the second observation period, one month following SHARE 
training. These will be conducted with no more than 100 clinicians and 
will require no more than 10 minutes to complete.
    Exhibit 2 shows the estimated cost burden over 3 years, based on 
the respondents' time to participate in these research activities. The 
total cost burden is estimated to be $19,688.

                                 Exhibit 1--Estimated Burden Hours Over 3 Years
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
         Type of information collection              Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Card survey (patient)...........................           6,000               1            2/60             200
Card survey (clinician).........................           6,000               1            1/60             100
Audio recorded encounters.......................             260               1           10/60              44
Clinician survey immediately following training.             100               1           10/60              17
Clinician survey one month following training...             100               1           10/60              17
                                                 ---------------------------------------------------------------
    Totals......................................          12,460              na              na             378
----------------------------------------------------------------------------------------------------------------
* May include telephone non-response follow-up in which case the burden will not change


                                  Exhibit 2--Estimated Cost Burden Over 3 Years
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
         Type of information collection             respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Card survey (patient)...........................           6,000             200          $24.98          $4,996
Card survey (clinician).........................           6,000             100          101.43          10,143
Audio recorded encounters.......................             260              44           24.98           1,100
Clinician survey immediately following training.             100              17          101.43           1,725
Clinician survey one month following training...             100              17          101.43           1,725
                                                 ---------------------------------------------------------------
    Totals......................................          12,460             378              na          19,689
----------------------------------------------------------------------------------------------------------------
* Based upon the average wages for 29-1060 Physicians and Surgeons (broad) and 00-0000 All Occupations,
  ``National Compensation Survey: Occupational Wages in the United States, May 2018,'' U.S. Department of Labor,
  Bureau of Labor Statistics https://www.bls.gov/oes/current/oes_nat.htm#29-0000.

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.

    Dated: January 29, 2020.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2020-02116 Filed 2-3-20; 8:45 am]
 BILLING CODE 4160-90-P