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