Agency Information Collection Activities: Proposed Collection; Comment Request, 16943-16945 [2020-06208]
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Federal Register / Vol. 85, No. 58 / Wednesday, March 25, 2020 / Notices
interpretation of the proposed Order or
to modify its terms in any way.
By direction of the Commission.
April J. Tabor,
Acting Secretary.
[FR Doc. 2020–06212 Filed 3–24–20; 8:45 am]
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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 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 ‘‘PatientCentered Outcomes Research Clinical
Decision Support: Current State and
Future Directions.’’
DATES: Comments on this notice must be
received by 60 days after date of
publication of this notice in the Federal
Register.
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
emails at doris.lefkowitz@
AHRQ.hhs.gov.
SUMMARY:
SUPPLEMENTARY INFORMATION:
Proposed Project
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‘‘Patient-Centered Outcomes Research
Clinical Decision Support: Current State
and Future Directions’’
Research has shown that health care
quality in the U.S. varies significantly
and only half of adults receive evidencebased, recommended care. Individuals
with multiple chronic conditions (42%
of adults) and older adults are at
particular risk for negative health
outcomes. Current evidence shows that
clinical decision support (CDS) systems
improve adherence to evidence-based
practices by analyzing patient data and
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making appropriate information
available to the physician at the time
they need it. CDS systems are usually
electronic health record (EHR)-based,
encompassing tools like alerts, clinical
guidelines, patient reports and
dashboards, diagnostic support, and
workflow tools. These tools help reduce
clinical errors and allow for
customization to patient needs,
improving quality of care and patient
outcomes.
The AHRQ Patient-Centered (PC) CDS
Learning Network (PC CDS LN) defines
PC CDS as: ‘‘CDS that supports
individual patients and their approved
care givers and/or care teams in healthrelated decisions and actions by
leveraging information from PCOR
findings and/or patient-specific
information (e.g., patient-generated
health data).’’ Through PC CDS, AHRQ
seeks to accelerate the movement of
patient-centered outcomes research
(PCOR) evidence into practice and to
make CDS more shareable, standardsbased, and publicly available.
Traditionally, CDS initiatives have
focused on provider-directed guidelines
and increasing the shareability of CDS
artifacts; however, PC CDS targets both
patients (and/or caregivers) and
providers.
AHRQ’s effort to support PC CDS has
included efforts such as the PC CDS LN,
CDS Connect, and other related grants
and contracts. In this project, AHRQ
seeks to conduct a comprehensive
evaluation to assess the impact of
AHRQ’s PCOR CDS Initiative (the
Initiative) on understanding of the
current state of PC CDS and to identify
gaps to guide AHRQ’s future research.
This research has the following goal:
To assess the accomplishments and
opportunities for the Initiative as a
whole, and each of its four individual
components: The PC CDS Learning
Network, CDS Connect, Quantifying
Efficiencies, and the U18 CDS Resource
Grants.
This study is being conducted by
AHRQ through its contractor, NORC at
the University of Chicago, pursuant to
AHRQ’s statutory authority to
disseminate government-funded
research relevant to comparative clinical
effectiveness research. 42 U.S.C. 299b–
37(a)–(c).
Method of Collection
To achieve these goals, the evaluation
team will use key informant interviews
and a web-based survey to gather
information about the programs from
stakeholders, contributors, and users of
the CDS Initiative programs.
Key Informant Interviews: The
evaluation team will conduct semi-
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16943
structured interviews with people
involved in the Initiative’s components,
including representatives from
academia, industry, health systems, and
government. Key informants will
include the following groups:
Leaders: Includes AHRQ project
officers, contractor’s senior staff, and
senior consultants to Initiative
components. Leaders are expected to
have set the direction of the components
or activities and to be familiar with the
activities, the processes of
implementation, and their outputs in
their entirety.
Contributors: Includes lead authors or
content developers for a product or
output of a component, and may overlap
with leaders. Examples of contributors
from the PC CDS LN include lead
authors of the Trust Framework, Opioid
Action Plan, or Patient Blogs; examples
from the CDS Connect include
individuals who contributed CDS
artifacts to the repository.
Participants: Includes individuals
who participated in workgroups of
either the PC CDS LN or CDS Connect,
or participated in the development of
one of the products.
Consumers: Includes individuals who
have used a product developed by the
Initiative, including artifacts found on
the CDS Connect repository and the
CDS Connect Authoring Tool in
particular. Individuals will be identified
from interviews with leaders,
contributors, and participants, and
through literature review for authors
making references to Initiative products
(i.e., reports or artifacts).
AHRQ and the evaluation contractor
will create a list of eligible key
informants that reflect the appropriate
mix of roles and depth of experience to
ensure comprehensive evaluation. Key
informants will receive invitational
emails that explain the scope and allow
candidates to ask questions before
declining or accepting the invitation.
We will include clinical staff in our
sample of participants in the
Quantifying Efficiencies grant program,
the U18 grants and the two opioidrelated CDS projects. Involving staff at
clinical sites will also be critical to
understanding the value of PC CDS in
the context of provider workflows and
burdens.
Web Survey: The purpose of the web
survey is to understand more about who
the users of CDS Connect resources are,
their reasons for using the resources,
how they use these resources, and their
perceptions about their value. The CDS
Connect resources of interest include
the CDS Authoring Tool, artifacts in the
CDS Connect Repository and opensource CDS Connect resources available
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Federal Register / Vol. 85, No. 58 / Wednesday, March 25, 2020 / Notices
on Github, a platform for developing
and sharing software. Respondents will
be identified through a chain-referral
methodology. The first set of survey
invitations will be sent to a list of email
addresses of known contributors or
users of CDS Connect as well as a group
of potential users of CDS Connect. At
the end of the survey, each respondent
will be asked to provide names and
email addresses for up to four other
users of CDS Connect resources. After
the list of names from all referrals is
deduplicated, a survey invitation will be
sent to these referrals.
The survey instrument includes
multiple choice questions that capture
important data points about use of CDS
Connect resources, specifically the CDS
Authoring tool, GitHub resources, and
artifacts from the CDS Repository.
Respondents will only be presented
with more detailed questions about CDS
Connect resource usage based on their
responses to initial screening questions.
The survey will take ten minutes on
average to complete based on in-house
testing.
This mixed methods evaluation seeks
to answer the following research
questions about the Initiative as a
whole:
1. To what extent has the Initiative
promoted the dissemination and
implementation of PCOR findings
through sharable, standards-based, and
publicly available CDS and how?
2. What activities carried out through
each component (e.g., webinars,
workgroups, in-person meetings,
repositories, CDS artifacts and
development tools, final reports or
plans) were found to be most successful
in furthering the various goals of the
Initiative?
3. What do stakeholders perceive to
be the impacts of the Initiative to date,
including reflection on their own
involvement in it, and current or
potential achievements, such as the
development of a common definition of
PC CDS and growth of interest in and
capacity for developing these types of
CDS among stakeholders?
4. How does the Initiative address
federal policies for the dissemination
and implementation of evidence-based
research funded by the PCOR Trust
Fund, and how do they interact with
other federal policy initiatives designed
to promote widespread use,
interoperability and patient access to
information from EHRs with advanced
CDS.
5. What can AHRQ learn from the
Initiative that is relevant to other
initiatives aimed at disseminating and
implementing clinical evidence and
evidence-based practices? How can the
lessons learned here inform future
research, implementation, and
dissemination initiatives?
Information collected by the study
will inform strategies to promote the
adoption of PCOR evidence into
practice through CDS developed by
AHRQ and other Department of Health
and Human Services agencies, including
the Centers for Medicare & Medicaid
Services (CMS) and the Office of the
National Coordinator for Health IT, as
well as state and local governments and
private health care organizations.
Findings from the evaluation can help
identify and shape strategies to promote
more effective implementation of PCOR
CDS in order to accelerate the
movement of evidence into clinical
practice and support patient-centered
decision making by clinicians with their
patients.
Estimated Annual Respondent Burden
Key Informant Interviews. Key
informant interviews will be conducted
with up to 147 key informants across a
variety of organizations involved in
each component of the Initiative. NORC
will use one of 14 interview protocols
based on the component the key
informant is involved in and their role
in that component. As shown in Exhibit
1, the interview form names include the
type of role of the key informant in the
project. All interviews are expected to
last one hour. Some key informants may
serve multiple roles or work on multiple
projects. In these cases, the relevant
protocols will be combined and
streamlined so that the informant only
completes one interview. Some of the
key informant interviews for the sites or
Opioid-related grants may be conducted
during the course of site visits at the
implementation sites, either with
individuals or small groups of
respondents.
Web Survey. For the web survey, it is
estimated that 453 CDS Connect users
will respond to the 10-minute survey.
The total annual burden hours for the
key informant interviews and surveys is
estimated to be 224 hours as shown in
Exhibit 1.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
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Form name
Hours per
response
Total burden
hours
PC CDS Learning Network—Leader ...........................................................................................
PC CDS Learning Network—Governance/Non-Executive Steering Committee .........................
PC CDS Learning Network—Contributor ....................................................................................
CDS Connect—Leader ................................................................................................................
CDS Connect—Contributor .........................................................................................................
CDS Connect—Consumer/Patient ..............................................................................................
CDS Connect—Participant ..........................................................................................................
Quantifying Efficiencies—Leader .................................................................................................
Quantifying Efficiencies—Informaticist ........................................................................................
Quantifying Efficiencies—Clinician ..............................................................................................
PC CDS Projects –Site Leader ...................................................................................................
PC CDS Projects—Informaticist ..................................................................................................
PC CDS Projects—Clinician ........................................................................................................
PC CDS Projects—Patient ..........................................................................................................
Web Survey of CDS Connect Users ...........................................................................................
7
3
8
5
20
25
10
5
4
8
18
10
20
4
453
1
1
1
1
1
1
1
1
1
1
1
1
1
1
.17
7
3
8
5
20
25
10
5
4
8
18
10
20
4
77
Total ......................................................................................................................................
600
........................
224
Exhibit 2 shows the estimated annual
cost burden associated with the
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respondents’ time to participate in this
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information collection, which comes to
$14,371.85.
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Federal Register / Vol. 85, No. 58 / Wednesday, March 25, 2020 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
interviews *
Form name
Average
hourly wage
rate **
Total burden
hours
Total cost
burden
PC CDS Learning Network—Leader ...............................................................
PC CDS Learning Network—Governance/Non-Executive Steering Committee ............................................................................................................
PC CDS Learning Network—Contributor ........................................................
CDS Connect—Leader ....................................................................................
CDS Connect—Contributor .............................................................................
CDS Connect—Consumer ...............................................................................
CDS Connect—Participant ..............................................................................
Quantifying Efficiencies—Leader .....................................................................
Quantifying Efficiencies—Informaticist .............................................................
Quantifying Efficiencies—Clinician ..................................................................
PC CDS Projects –Site Leader .......................................................................
PC CDS Projects—Informaticist ......................................................................
PC CDS Projects—Clinician ............................................................................
PC CDS Projects—Patient ..............................................................................
Web Survey of CDS Connect Users ...............................................................
7
7
1 $59.54
$416.78
3
8
5
20
25
10
5
4
8
18
10
20
4
453
3
8
5
20
25
10
5
4
8
18
10
20
4
77
1 59.54
2 59.54
178.62
476.33
297.71
1,190.82
1,488.53
595.41
297.71
238.16
811.46
1,071.74
595.40
2,028.60
99.93
4,584.66
Total ..........................................................................................................
600
224
........................
14,371.85
1 59.54
1 59.54
1 59.54
1 59.54
1 59.54
1 59.54
1 59.54
1 101.43
1 59.54
1 59.54
2 101.43
1 24.98
** Wage rates were calculated using the mean hourly wage from the U.S. Department of Labor, Bureau of Labor Statistics, May 2018 National
Occupational Employment and Wage Estimates for the United States, https://www.bls.gov/oes/current/oes_nat.htm.
1 Average rate for Computer Information and Research Scientists.
2 Average rate for Physicians and Surgeons.
3 Average rate for All Occupations.
Request for Comments
khammond on DSKJM1Z7X2PROD with NOTICES
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: March 19, 2020.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2020–06208 Filed 3–24–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Clinical Laboratory Improvement
Advisory Committee (CLIAC);
Cancellation of Meeting
Notice is hereby given of a change in
the meeting of the Clinical Laboratory
Improvement Advisory Committee
(CLIAC); April 16, 2020, 8:30 a.m. to
5:00 p.m., EDT and April 17, 2020, 8:30
a.m. to 11:30 a.m., EDT, in the original
FRN. Food and Drug Administration
(FDA), White Oak Campus, 10903 New
Hampshire Avenue, Building 31, Great
Room, Silver Spring, Maryland 20993
and via webcast at www.cdc.gov/cliac
which was published in the Federal
Register on February 28, 2020, Volume
85, Number 40, page 11993.
This meeting is being canceled in its
entirety.
FOR FURTHER INFORMATION CONTACT:
Nancy Anderson, MMSc, MT(ASCP),
Senior Advisor for Clinical Laboratories,
Division of Laboratory Systems, Center
for Surveillance, Epidemiology and
Laboratory Services, Office of Public
Health Scientific Services, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, Mailstop V24–3,
Atlanta, Georgia 30329–4027, telephone
(404) 498–2741; NAnderson@cdc.gov.
The Director, Strategic Business
Initiatives Unit, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
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delegated the authority to sign Federal
Register notices pertaining to
announcements of meetings and other
committee management activities, for
both the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Kalwant Smagh,
Director, Strategic Business Initiatives Unit,
Office of the Chief Operating Officer, Centers
for Disease Control and Prevention.
[FR Doc. 2020–06249 Filed 3–24–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Board of Scientific Counselors,
National Center for Injury Prevention
and Control, (BSC, NCIPC); Correction
Notice is hereby given of a change in
the meeting of the Board of Scientific
Counselors, National Center for Injury
Prevention and Control, (BSC, NCIPC);
April 30, 2020, 12:30 p.m. to 3:50 p.m.,
EDT which was published in the
Federal Register on February 24, 2020,
Volume 85, Number 36, pages 10441–
10442.
The SUMMARY should read as follows:
SUMMARY: In accordance with the
Federal Advisory Committee Act, the
CDC announces the following meeting
for the Board of Scientific Counselors,
National Center for Injury Prevention
and Control, (BSC, NCIPC). This
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]]>Agencies
[Federal Register Volume 85, Number 58 (Wednesday, March 25, 2020)]
[Notices]
[Pages 16943-16945]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-06208]
=======================================================================
-----------------------------------------------------------------------
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 ``Patient-Centered Outcomes Research Clinical Decision Support:
Current State and Future Directions.''
DATES: Comments on this notice must be received by 60 days after date
of publication of this notice in the Federal Register.
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
``Patient-Centered Outcomes Research Clinical Decision Support: Current
State and Future Directions''
Research has shown that health care quality in the U.S. varies
significantly and only half of adults receive evidence-based,
recommended care. Individuals with multiple chronic conditions (42% of
adults) and older adults are at particular risk for negative health
outcomes. Current evidence shows that clinical decision support (CDS)
systems improve adherence to evidence-based practices by analyzing
patient data and making appropriate information available to the
physician at the time they need it. CDS systems are usually electronic
health record (EHR)-based, encompassing tools like alerts, clinical
guidelines, patient reports and dashboards, diagnostic support, and
workflow tools. These tools help reduce clinical errors and allow for
customization to patient needs, improving quality of care and patient
outcomes.
The AHRQ Patient-Centered (PC) CDS Learning Network (PC CDS LN)
defines PC CDS as: ``CDS that supports individual patients and their
approved care givers and/or care teams in health-related decisions and
actions by leveraging information from PCOR findings and/or patient-
specific information (e.g., patient-generated health data).'' Through
PC CDS, AHRQ seeks to accelerate the movement of patient-centered
outcomes research (PCOR) evidence into practice and to make CDS more
shareable, standards-based, and publicly available.
Traditionally, CDS initiatives have focused on provider-directed
guidelines and increasing the shareability of CDS artifacts; however,
PC CDS targets both patients (and/or caregivers) and providers.
AHRQ's effort to support PC CDS has included efforts such as the PC
CDS LN, CDS Connect, and other related grants and contracts. In this
project, AHRQ seeks to conduct a comprehensive evaluation to assess the
impact of AHRQ's PCOR CDS Initiative (the Initiative) on understanding
of the current state of PC CDS and to identify gaps to guide AHRQ's
future research.
This research has the following goal:
To assess the accomplishments and opportunities for the Initiative
as a whole, and each of its four individual components: The PC CDS
Learning Network, CDS Connect, Quantifying Efficiencies, and the U18
CDS Resource Grants.
This study is being conducted by AHRQ through its contractor, NORC
at the University of Chicago, pursuant to AHRQ's statutory authority to
disseminate government-funded research relevant to comparative clinical
effectiveness research. 42 U.S.C. 299b-37(a)-(c).
Method of Collection
To achieve these goals, the evaluation team will use key informant
interviews and a web-based survey to gather information about the
programs from stakeholders, contributors, and users of the CDS
Initiative programs.
Key Informant Interviews: The evaluation team will conduct semi-
structured interviews with people involved in the Initiative's
components, including representatives from academia, industry, health
systems, and government. Key informants will include the following
groups:
Leaders: Includes AHRQ project officers, contractor's senior staff,
and senior consultants to Initiative components. Leaders are expected
to have set the direction of the components or activities and to be
familiar with the activities, the processes of implementation, and
their outputs in their entirety.
Contributors: Includes lead authors or content developers for a
product or output of a component, and may overlap with leaders.
Examples of contributors from the PC CDS LN include lead authors of the
Trust Framework, Opioid Action Plan, or Patient Blogs; examples from
the CDS Connect include individuals who contributed CDS artifacts to
the repository.
Participants: Includes individuals who participated in workgroups
of either the PC CDS LN or CDS Connect, or participated in the
development of one of the products.
Consumers: Includes individuals who have used a product developed
by the Initiative, including artifacts found on the CDS Connect
repository and the CDS Connect Authoring Tool in particular.
Individuals will be identified from interviews with leaders,
contributors, and participants, and through literature review for
authors making references to Initiative products (i.e., reports or
artifacts).
AHRQ and the evaluation contractor will create a list of eligible
key informants that reflect the appropriate mix of roles and depth of
experience to ensure comprehensive evaluation. Key informants will
receive invitational emails that explain the scope and allow candidates
to ask questions before declining or accepting the invitation. We will
include clinical staff in our sample of participants in the Quantifying
Efficiencies grant program, the U18 grants and the two opioid-related
CDS projects. Involving staff at clinical sites will also be critical
to understanding the value of PC CDS in the context of provider
workflows and burdens.
Web Survey: The purpose of the web survey is to understand more
about who the users of CDS Connect resources are, their reasons for
using the resources, how they use these resources, and their
perceptions about their value. The CDS Connect resources of interest
include the CDS Authoring Tool, artifacts in the CDS Connect Repository
and open-source CDS Connect resources available
[[Page 16944]]
on Github, a platform for developing and sharing software. Respondents
will be identified through a chain-referral methodology. The first set
of survey invitations will be sent to a list of email addresses of
known contributors or users of CDS Connect as well as a group of
potential users of CDS Connect. At the end of the survey, each
respondent will be asked to provide names and email addresses for up to
four other users of CDS Connect resources. After the list of names from
all referrals is deduplicated, a survey invitation will be sent to
these referrals.
The survey instrument includes multiple choice questions that
capture important data points about use of CDS Connect resources,
specifically the CDS Authoring tool, GitHub resources, and artifacts
from the CDS Repository. Respondents will only be presented with more
detailed questions about CDS Connect resource usage based on their
responses to initial screening questions. The survey will take ten
minutes on average to complete based on in-house testing.
This mixed methods evaluation seeks to answer the following
research questions about the Initiative as a whole:
1. To what extent has the Initiative promoted the dissemination and
implementation of PCOR findings through sharable, standards-based, and
publicly available CDS and how?
2. What activities carried out through each component (e.g.,
webinars, workgroups, in-person meetings, repositories, CDS artifacts
and development tools, final reports or plans) were found to be most
successful in furthering the various goals of the Initiative?
3. What do stakeholders perceive to be the impacts of the
Initiative to date, including reflection on their own involvement in
it, and current or potential achievements, such as the development of a
common definition of PC CDS and growth of interest in and capacity for
developing these types of CDS among stakeholders?
4. How does the Initiative address federal policies for the
dissemination and implementation of evidence-based research funded by
the PCOR Trust Fund, and how do they interact with other federal policy
initiatives designed to promote widespread use, interoperability and
patient access to information from EHRs with advanced CDS.
5. What can AHRQ learn from the Initiative that is relevant to
other initiatives aimed at disseminating and implementing clinical
evidence and evidence-based practices? How can the lessons learned here
inform future research, implementation, and dissemination initiatives?
Information collected by the study will inform strategies to
promote the adoption of PCOR evidence into practice through CDS
developed by AHRQ and other Department of Health and Human Services
agencies, including the Centers for Medicare & Medicaid Services (CMS)
and the Office of the National Coordinator for Health IT, as well as
state and local governments and private health care organizations.
Findings from the evaluation can help identify and shape strategies to
promote more effective implementation of PCOR CDS in order to
accelerate the movement of evidence into clinical practice and support
patient-centered decision making by clinicians with their patients.
Estimated Annual Respondent Burden
Key Informant Interviews. Key informant interviews will be
conducted with up to 147 key informants across a variety of
organizations involved in each component of the Initiative. NORC will
use one of 14 interview protocols based on the component the key
informant is involved in and their role in that component. As shown in
Exhibit 1, the interview form names include the type of role of the key
informant in the project. All interviews are expected to last one hour.
Some key informants may serve multiple roles or work on multiple
projects. In these cases, the relevant protocols will be combined and
streamlined so that the informant only completes one interview. Some of
the key informant interviews for the sites or Opioid-related grants may
be conducted during the course of site visits at the implementation
sites, either with individuals or small groups of respondents.
Web Survey. For the web survey, it is estimated that 453 CDS
Connect users will respond to the 10-minute survey. The total annual
burden hours for the key informant interviews and surveys is estimated
to be 224 hours as shown in Exhibit 1.
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Hours per Total burden
Form name respondents response hours
----------------------------------------------------------------------------------------------------------------
PC CDS Learning Network--Leader................................. 7 1 7
PC CDS Learning Network--Governance/Non-Executive Steering 3 1 3
Committee......................................................
PC CDS Learning Network--Contributor............................ 8 1 8
CDS Connect--Leader............................................. 5 1 5
CDS Connect--Contributor........................................ 20 1 20
CDS Connect--Consumer/Patient................................... 25 1 25
CDS Connect--Participant........................................ 10 1 10
Quantifying Efficiencies--Leader................................ 5 1 5
Quantifying Efficiencies--Informaticist......................... 4 1 4
Quantifying Efficiencies--Clinician............................. 8 1 8
PC CDS Projects -Site Leader.................................... 18 1 18
PC CDS Projects--Informaticist.................................. 10 1 10
PC CDS Projects--Clinician...................................... 20 1 20
PC CDS Projects--Patient........................................ 4 1 4
Web Survey of CDS Connect Users................................. 453 .17 77
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Total....................................................... 600 .............. 224
----------------------------------------------------------------------------------------------------------------
Exhibit 2 shows the estimated annual cost burden associated with
the respondents' time to participate in this information collection,
which comes to $14,371.85.
[[Page 16945]]
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Form name interviews * hours wage rate ** burden
----------------------------------------------------------------------------------------------------------------
PC CDS Learning Network--Leader................. 7 7 \1\ $59.54 $416.78
PC CDS Learning Network--Governance/Non- 3 3 \1\ 59.54 178.62
Executive Steering Committee...................
PC CDS Learning Network--Contributor............ 8 8 \1\ 59.54 476.33
CDS Connect--Leader............................. 5 5 \1\ 59.54 297.71
CDS Connect--Contributor........................ 20 20 \1\ 59.54 1,190.82
CDS Connect--Consumer........................... 25 25 \1\ 59.54 1,488.53
CDS Connect--Participant........................ 10 10 \1\ 59.54 595.41
Quantifying Efficiencies--Leader................ 5 5 \1\ 59.54 297.71
Quantifying Efficiencies--Informaticist......... 4 4 \1\ 59.54 238.16
Quantifying Efficiencies--Clinician............. 8 8 \1\ 101.43 811.46
PC CDS Projects -Site Leader.................... 18 18 \1\ 59.54 1,071.74
PC CDS Projects--Informaticist.................. 10 10 \1\ 59.54 595.40
PC CDS Projects--Clinician...................... 20 20 \2\ 101.43 2,028.60
PC CDS Projects--Patient........................ 4 4 \1\ 24.98 99.93
Web Survey of CDS Connect Users................. 453 77 \2\ 59.54 4,584.66
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Total....................................... 600 224 .............. 14,371.85
----------------------------------------------------------------------------------------------------------------
** Wage rates were calculated using the mean hourly wage from the U.S. Department of Labor, Bureau of Labor
Statistics, May 2018 National Occupational Employment and Wage Estimates for the United States, https://www.bls.gov/oes/current/oes_nat.htm.
\1\ Average rate for Computer Information and Research Scientists.
\2\ Average rate for Physicians and Surgeons.
\3\ Average rate for All Occupations.
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: March 19, 2020.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2020-06208 Filed 3-24-20; 8:45 am]
BILLING CODE 4160-90-P
