Agency Information Collection Activities; Submission to the Office of Management and Budget (OMB) for Review and Approval; Comment Request; Management and Organizational Practices Survey-Hospitals, 40200-40202 [2020-14414]
Download as PDF
khammond on DSKJM1Z7X2PROD with NOTICES
40200
Federal Register / Vol. 85, No. 129 / Monday, July 6, 2020 / Notices
NAICS, is drawn from the Business
Register (BR). The BR is the Census
Bureau’s master business list and
contains basic economic information for
more than 160,000 multi-establishment
companies representing 1.8 million
affiliated establishments, 5 million
single establishment companies, and
nearly 21 million non-employer
businesses. The BR obtains information
through direct data collections and
administrative record information from
other federal agencies. The ARTS
sample is updated quarterly to reflect
employer business ‘‘births’’ and
‘‘deaths’’, adding new employer
businesses identified in the Business
and Professional Classification Survey
and deleting firms and subunits of firms
identified by their Employer
Identification Numbers (EINs) when it is
determined they are no longer active.
The sample is also updated to reflect
mergers, acquisitions, divestitures,
splits, and other changes to the business
universe.
The data items requested in the ARTS
include annual sales, annual ecommerce sales, year-end inventories,
sales taxes, total operating expenses,
detailed operating expenses in reference
years ending in 2 and 7, purchases,
accounts receivables, and, for selected
industries, sales by merchandise line.
These data are used to satisfy a variety
of public and business needs such as
economic market analysis, company
performance, and forecasting future
demands.
Data are collected electronically using
the Census Bureau’s secure online
reporting instrument (Centurion). This
electronic system of reporting is
designed to allow respondents easier
access, convenience and flexibility. Data
are automatically stored and results are
available immediately. In rare cases
where the company has no access to the
internet, the Census Bureau can arrange
for the company to provide data to an
analyst via telephone.
From survey year 2016 through
survey year 2019, there were eight
electronic form types (SA–44, SA–44A,
SA–44C, SA–44D, SA–44E, SA–44N
SA–44S and SA–44T). Starting with
survey year 2020 (which will be
collected in 2021), there will only be
four electronic form types (SA–44C,
SA–44D, SA44–S and SA44–T). Forms
SA–44A, SA–44E and SA–44N are being
removed to streamline data collection
operations.
Government agencies, private
businesses, and researchers often use
the estimates generated from the ARTS.
For example, the ARTS serves as a
benchmark for the estimates produced
from the Census Bureau’s Monthly
VerDate Sep<11>2014
04:41 Jul 03, 2020
Jkt 250001
Retail Trade Survey (MRTS). The BEA
utilizes the data when developing its
gross domestic product (GDP) estimates
and the national accounts’ input-output
tables. The Bureau of Labor Statistics
(BLS) uses the data as an input to its
producer price indices and in
developing productivity measurements.
Furthermore, business and industry
groups utilize the data to forecast future
demand.
Estimates generated from the ARTS
are released to the public approximately
13 months after the reference year has
concluded. These national-level
estimates are published (for the various
items collected) by NAICS code and
type of operation. Currently, the data are
disseminated through the ARTS
website. In the future, however, the data
will be released via the Census Bureau’s
dissemination platform,
data.census.gov. The survey year 2020
data products are scheduled to be
released through the U.S. Census
Bureau enterprise dissemination
platform, data.census.gov.
II. Method of Collection
The Census Bureau primarily collects
this information via the internet. In the
rare situation where a respondent does
not have access to the internet, the data
are collected by telephone.
III. Data
OMB Control Number: 0607–0013.
Form Number(s): SA–44C, SA–44D,
SA44–S and SA44–T.
Type of Review: Regular submission,
Request for a Revision of a Currently
Approved Collection.
Affected Public: Business or other forprofit organizations.
Estimated Number of Respondents:
17,297.
Estimated Time per Response: 39
minutes (2020 and 2021 survey years);
201 minutes (2022 survey year—
additional items collected).
Estimated Total Annual Burden
Hours: 11,243 hours (2020 and 2021
survey years);
57,945 hours (2022 survey year—
additional items collected).
Estimated Total Annual Cost to
Public: $0 (This is not the cost of
respondents’ time, but the indirect costs
respondents may incur for such things
as purchases of specialized software or
hardware needed to report, or
expenditures for accounting or records
maintenance services required
specifically by the collection.)
Respondent’s Obligation: Mandatory.
Legal Authority: Title 13 U.S.C.
Sections 131 and 182.
PO 00000
Frm 00017
Fmt 4703
Sfmt 4703
IV. Request for Comments
We are soliciting public comments to
permit the Department/Bureau to: (a)
Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department,
including whether the information will
have practical utility; (b) Evaluate the
accuracy of our estimate of the time and
cost burden for this proposed collection,
including the validity of the
methodology and assumptions used; (c)
Evaluate ways to enhance the quality,
utility, and clarity of the information to
be collected; and (d) Minimize the
reporting burden on those who are to
respond, including the use of automated
collection techniques or other forms of
information technology.
Comments that you submit in
response to this notice are a matter of
public record. We will include, or
summarize, each comment in our
request to OMB to approve this ICR.
Before including your address, phone
number, email address, or other
personal identifying information in your
comment, you should be aware that
your entire comment—including your
personal identifying information—may
be made publicly available at any time.
While you may ask us in your comment
to withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
Sheleen Dumas,
Department PRA Clearance Officer, Office of
the Chief Information Officer, Commerce
Department.
[FR Doc. 2020–14415 Filed 7–2–20; 8:45 am]
BILLING CODE 3510–07–P
DEPARTMENT OF COMMERCE
Census Bureau
Agency Information Collection
Activities; Submission to the Office of
Management and Budget (OMB) for
Review and Approval; Comment
Request; Management and
Organizational Practices SurveyHospitals
The Department of Commerce will
submit the following information
collection request to the Office of
Management and Budget (OMB) for
review and clearance in accordance
with the Paperwork Reduction Act of
1995, on or after the date of publication
of this notice. We invite the general
public and other Federal agencies to
comment on proposed, and continuing
information collections, which helps us
assess the impact of our information
collection requirements and minimize
E:\FR\FM\06JYN1.SGM
06JYN1
khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 85, No. 129 / Monday, July 6, 2020 / Notices
the public’s reporting burden. Public
comments were previously requested
via the Federal Register on January 27,
2020 during a 60-day comment period.
This notice allows for an additional 30
days for public comments.
Agency: U.S. Census Bureau.
Title: Management and Organizational
Practices Survey-Hospitals.
OMB Control Number: 0607–XXXX.
Form Number(s): MP–2000.
Type of Request: Regular submission,
New Information Collection Request.
Number of Respondents: 4,500
Average Hours Per Response: 45
minutes.
Burden Hours: 3,375.
Needs and Uses: The Census Bureau
proposes conducting the Management
and Organizational Practices SurveyHospitals (MOPS–HP) in order to
provide critical information on the
health sector to our many stakeholders
in support of our mission to serve as
‘‘the leading source of quality data about
the nation’s people and economy.’’ The
MOPS–HP will collect information on
the use of structured management
practices from Chief Nursing Officers
(CNOs) at approximately 4,500 hospitals
with the goal of producing four
publicly-available indices that measure
key characteristics of these structured
management practices. The proposed
MOPS–HP will ask about performance
monitoring, goals, staff management, the
use of standardized clinical protocols,
and medical record documentation.
Some questions are adapted from the
Management and Organizational
Practices Survey (MOPS) (OMB
Approval Number 0607–0963),
conducted in the manufacturing sector,
allowing for inter-sectoral comparisons.
The MOPS–HP will provide a deeper
understanding of the business processes
which impact an increasingly important
sector of the economy; total national
health expenditures represented almost
18 percent of U.S. gross domestic
product in 2017 (National Center for
Health Statistics). The MOPS–HP will
provide a nationally representative
sample, enabling stakeholders to
understand the role of structured
management practices in financial and
clinical outcomes in U.S. hospitals. In
much the same way that the MOPS
allowed for the measurement of the
importance of these structured
management practices for productivity
and growth in the manufacturing
sector,1 the MOPS–HP will inform our
understanding of hospitals. Questions
1 Bloom, N., E. Brynjolfsson, L. Foster, R. Jarmin,
M. Patnaik, I. Saporta Eksten and J. Van Reenen.
2019. ‘‘What Drives Differences in Management
Practices?’’ American Economic Review.
VerDate Sep<11>2014
04:41 Jul 03, 2020
Jkt 250001
developed and tested for the MOPS–HP
instrument are adapted from the 2015
MOPS and the 2009 World Management
Survey’s (WMS) healthcare
instrument.2 3 The Census Bureau
conducted the MOPS in 2010 and 2015
with approximately 35,000
manufacturing plants to measure
management practices.4 5 These data
show that management practices are
strongly correlated with plant
profitability and productivity.6 The
WMS has collected data on 20 basic
management practices for
approximately 2,000 hospitals in nine
countries, including 307 in the U.S.7
Interviewers ask open-ended questions
and rate responses to indicate whether
the management practices are more or
less structured.8 9 Data from the WMS
show large variations in these practices
and their systematic relationship with
clinical outcomes such as mortality
rates from heart attacks.10
The current pandemic highlights the
relevance of hospital management
practices, especially as they relate to
hospitals’ ability to respond to shocks to
their organization and the health care
system. The Census Bureau has
included two questions in the MOPS–
HP content to help improve
measurement of hospital preparedness.
These questions will provide
information on two elements of
responsiveness, hospitals’ coordinated
2 2015 MOPS’ Questionnaire https://
www.census.gov/programs-surveys/mops/technicaldocumentation/questionnaires.html and an
overview https://www.census.gov/programssurveys/mops.html.
3 WMS’ 2009 instrument for healthcare https://
worldmanagementsurvey.org/survey-data/
methodology/ and academic research papers
https://worldmanagementsurvey.org/academicresearch/healthcare/.
4 Throughout this document, any reference to the
‘‘MOPS’’ refers to the surveys conducted for the
manufacturing sector, while the hospital survey
will always be denoted as the ‘‘MOPS–HP.’’
5 Buffington, C., L. Foster, R. Jarmin, and S.
Ohlmacher. 2017. ‘‘The Management and
Organizational Practices Survey (MOPS): An
Overview.’’ Journal of Economic and Social
Measurement, 42(1), 1–26.
6 Bloom, N., E. Brynjolfsson, L. Foster, R. Jarmin,
M. Patnaik, I. Saporta Eksten and J. Van Reenen.
2019. ‘‘What Drives Differences in Management
Practices?’’ American Economic Review.
7 Bloom, N., R. Lemos, R. Sadun and J. Van
Reenen. 2019. ‘‘Healthy Business? Managerial
Education and Management in Healthcare.’’ Review
of Economics and Statistics, forthcoming.
8 Bloom, N. and J. Van Reenen. 2007. ‘‘Measuring
and Explaining Management Practices Across Firms
and Countries.’’ The Quarterly Journal of
Economics 122(4): 1351–1408.
9 Bloom, N., R. Lemos, R. Sadun, D. Scur and J.
Van Reenen. 2014. ‘‘The New Empirical Economics
of Management.’’ Journal of the European
Economics Association.
10 Bloom, N., R. Lemos, R. Sadun and J. Van
Reenen. 2019. ‘‘Healthy Business? Managerial
Education and Management in Healthcare.’’ Review
of Economics and Statistics, forthcoming.
PO 00000
Frm 00018
Fmt 4703
Sfmt 4703
40201
deployment of frontline clinical workers
and hospitals’ ability to quickly respond
to needed changes in standardized
clinical protocols. In an effort to limit
respondent burden while adding this
content, adjustments were made to keep
the total number of questions and
estimated burden per response
unchanged. Because the content
changes were developed in response to
the current pandemic, they were made
after the pre-submission notice for the
MOPS–HP was published in the Federal
Register.
The MOPS–HP will be a supplement
to the Service Annual Survey (SAS) and
will utilize a subset of its mail-out
sample. Its sample will consist of
hospital locations for enterprises
classified under General Medical and
Surgical Hospitals (NAICS 6221) and
sampled in the SAS. The survey will be
mailed separately from the 2019 SAS
and collected electronically through the
Census Bureau’s Centurion online
reporting system. Respondents will be
sent an initial letter with instructions
detailing how to log into the instrument
and report their information. These
letters will be addressed to the
location’s Chief Nursing Officer (CNO).
Collection is scheduled to begin in
November 2020 and end in June 2021.
Due to the nature of the respondents,
this schedule may be impacted by the
effects of the Coronavirus (COVID–19).
The Census Bureau is monitoring the
ongoing situation and will adjust dates
as necessary as the collection start date
approaches as we do not want to add
burden to an overly burdened sector of
the economy.
The Census Bureau will produce a
publicly-available press release to
describe the survey and discuss the
results. The Census Bureau will also
write at least one research paper
describing the MOPS–HP collection,
processing, and data findings.
Conditional on quality, the Census
Bureau will construct and publish in a
research paper indices of management
practices, which can be used in
tabulations and empirical analyses for
potential use by the public, clinicians,
hospitals, and researchers. These
indices as well as microdata will be
available to approved Federal Statistical
Research Data Centers (FSRDC) users
and will provide benefits to other
Federal agencies and the public.
Examining factors that impact clinical
and financial outcomes is essential to
understanding the health care industry,
which makes up a large portion of the
U.S. economy. The MOPS–HP will
provide unique national-level estimates
on management and organizational
practices in hospitals that could
E:\FR\FM\06JYN1.SGM
06JYN1
40202
Federal Register / Vol. 85, No. 129 / Monday, July 6, 2020 / Notices
khammond on DSKJM1Z7X2PROD with NOTICES
improve our understanding of the
hospital industry:
• The Centers for Medicare and
Medicaid Services’ Hospital Compare
data or the Hospital Consumer
Assessment of Healthcare Providers and
Systems (HCAHPS) survey could be
used in conjunction with the MOPS–HP
to determine whether hospitals with
more structured management practices
have higher overall patient ratings and
are more likely to be recommended.11
• The National Hospital Care Survey
from the National Center for Health
Statistics could be used in combination
with the MOPS–HP’s index to evaluate
how management practices relate to
hospital utilization and patient care.
• Data from the Surveys on Patient
Safety Culture-Hospital Survey from the
Agency for Healthcare Research and
Quality could be used to study whether
hospitals with more structured
management practices have fewer
patient safety events.
• Policymakers could use the data to
understand how management and
organizational practices are evolving in
hospitals, which can help understand
changes in the industry.12 The Census
Bureau plans to use the data collected
from the MOPS–HP’s questions on
medical record documentation to
construct an index measuring the
management of multiple objectives—
clinical and financial—that would
inform policymakers concerned with
both aspects of hospital performance. By
examining any links between the
survey’s measures of management
practices and clinical outcomes, the
survey may help to inform policymakers
and to encourage practices that are
beneficial to patients and our
population as a whole.
The Census Bureau plans to use the
data collected from the MOPS–HP’s
questions on medical record
documentation to consruct an index
measuring the management of multiple
objectives—clinical and financial—that
would perform policymakers concerned
with both aspects of hospital
performance. By examining any links
between the survey’s measures of
management practices and clinical
outcomes, the survey may help to
inform policymakers and to encourage
11 More structured management practices are
associated with more rather than less frequent
reviews of performance, communication with all
levels of staff and not just senior staff, and
promotions based on performance and ability and
not just tenure. See Question 2.c. in the Supporting
Statement B for more details on measuring whether
management practices are more or less structured.
12 By collecting data for both 2019 and 2014, the
MOPS–HP will help measure the evolution of
management practices in hospitals over this fiveyear period.
VerDate Sep<11>2014
04:41 Jul 03, 2020
Jkt 250001
practices that are beneficial to patients
and our population as a whole.
• Hospital administrators could
utilize planned public indices to
benchmark their own practices, and
subsequently make decisions or set
policies to improve their financial and
clinical outcomes.
• The MOPS–HP data could be used
in combination with the Census
Bureau’s collected data on hospital
finances, including revenues and
expenses, to improve our understanding
on how management practices may
impact financial performance.
• In a letter of support, the Bureau of
Economic Analysis expressed their
interest in the MOPS–HP and noted that
it will help aid their mission to promote
‘‘ ‘. . . a better understanding of the U.S.
economy . . .’ ’’ The letter states that
the MOPS–HP will ‘‘fill a critical gap in
our current understanding of how
management systems affect patient
health outcomes and healthcare
expenditures.’’
Affected Public: Business or other forprofit; State, local or Tribal government.
Frequency: One time.
Respondent’s Obligation: Mandatory.
Legal Authority: Title 13, United
States Code, Sections 131 and 182.
This information collection request
may be viewed at www.reginfo.gov.
Follow the instructions to view
Department of Commerce collections
currently under review by OMB.
Written comments and
recommendations for the proposed
information collection should be
submitted within 30 days of the
publication of this notice on the
following website www.reginfo.gov/
public/do/PRAMain. Find this
particular information collection by
selecting ‘‘Currently under 30-day
Review—Open for Public Comments’’ or
by using the search function and
entering the title of the collection.
Sheleen Dumas,
Department PRA Clearance Officer,Office of
the Chief Information Officer,Commerce
Department.
[FR Doc. 2020–14414 Filed 7–2–20; 8:45 am]
BILLING CODE 3510–07–P
PO 00000
DEPARTMENT OF COMMERCE
Bureau of Industry and Security
RIN 0694–XC059
Publication of a Report on the Effect of
Imports of Steel on the National
Security: An Investigation Conducted
Under Section 232 of the Trade
Expansion Act of 1962, as Amended
Bureau of Industry and
Security, Commerce.
AGENCY:
ACTION:
Publication of a report.
The Bureau of Industry and
Security (BIS) in this notice is
publishing a report that summarizes the
findings of an investigation conducted
by the U.S. Department of Commerce
(the ‘‘Department’’) pursuant to Section
232 of the Trade Expansion Act of 1962,
as amended (‘‘Section 232’’), into the
effect of imports of steel mill products
(‘‘steel’’) on the national security of the
United States. This report was
completed on January 11, 2018 and
posted on the BIS website on February
16, 2018. BIS has not published the
appendices to the report in this
notification of report findings, but they
are available online at the BIS website,
along with the rest of the report (see the
ADDRESSES section).
SUMMARY:
The report was completed on
January 11, 2018. The report was posted
on the BIS website on February 16,
2018.
DATES:
The full report, including
the appendices to the report, are
available online athttps://
www.commerce.gov/news/pressreleases/2018/02/secretary-rossreleases-steel-and-aluminum-232reports-coordination.
ADDRESSES:
For
further information about this report
contact Erika Maynard, Special Projects
Manager, (202) 482–5572; and David
Boylan-Kolchin, Trade and Industry
Analyst, (202) 482–7816. For more
information about the Office of
Technology Evaluation and the Section
232 Investigations, please visit: https://
www.bis.doc.gov/232.
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION:
Frm 00019
Fmt 4703
Sfmt 4703
E:\FR\FM\06JYN1.SGM
06JYN1
Agencies
[Federal Register Volume 85, Number 129 (Monday, July 6, 2020)]
[Notices]
[Pages 40200-40202]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14414]
-----------------------------------------------------------------------
DEPARTMENT OF COMMERCE
Census Bureau
Agency Information Collection Activities; Submission to the
Office of Management and Budget (OMB) for Review and Approval; Comment
Request; Management and Organizational Practices Survey-Hospitals
The Department of Commerce will submit the following information
collection request to the Office of Management and Budget (OMB) for
review and clearance in accordance with the Paperwork Reduction Act of
1995, on or after the date of publication of this notice. We invite the
general public and other Federal agencies to comment on proposed, and
continuing information collections, which helps us assess the impact of
our information collection requirements and minimize
[[Page 40201]]
the public's reporting burden. Public comments were previously
requested via the Federal Register on January 27, 2020 during a 60-day
comment period. This notice allows for an additional 30 days for public
comments.
Agency: U.S. Census Bureau.
Title: Management and Organizational Practices Survey-Hospitals.
OMB Control Number: 0607-XXXX.
Form Number(s): MP-2000.
Type of Request: Regular submission, New Information Collection
Request.
Number of Respondents: 4,500
Average Hours Per Response: 45 minutes.
Burden Hours: 3,375.
Needs and Uses: The Census Bureau proposes conducting the
Management and Organizational Practices Survey-Hospitals (MOPS-HP) in
order to provide critical information on the health sector to our many
stakeholders in support of our mission to serve as ``the leading source
of quality data about the nation's people and economy.'' The MOPS-HP
will collect information on the use of structured management practices
from Chief Nursing Officers (CNOs) at approximately 4,500 hospitals
with the goal of producing four publicly-available indices that measure
key characteristics of these structured management practices. The
proposed MOPS-HP will ask about performance monitoring, goals, staff
management, the use of standardized clinical protocols, and medical
record documentation. Some questions are adapted from the Management
and Organizational Practices Survey (MOPS) (OMB Approval Number 0607-
0963), conducted in the manufacturing sector, allowing for inter-
sectoral comparisons.
The MOPS-HP will provide a deeper understanding of the business
processes which impact an increasingly important sector of the economy;
total national health expenditures represented almost 18 percent of
U.S. gross domestic product in 2017 (National Center for Health
Statistics). The MOPS-HP will provide a nationally representative
sample, enabling stakeholders to understand the role of structured
management practices in financial and clinical outcomes in U.S.
hospitals. In much the same way that the MOPS allowed for the
measurement of the importance of these structured management practices
for productivity and growth in the manufacturing sector,\1\ the MOPS-HP
will inform our understanding of hospitals. Questions developed and
tested for the MOPS-HP instrument are adapted from the 2015 MOPS and
the 2009 World Management Survey's (WMS) healthcare instrument.\2\ \3\
The Census Bureau conducted the MOPS in 2010 and 2015 with
approximately 35,000 manufacturing plants to measure management
practices.\4\ \5\ These data show that management practices are
strongly correlated with plant profitability and productivity.\6\ The
WMS has collected data on 20 basic management practices for
approximately 2,000 hospitals in nine countries, including 307 in the
U.S.\7\ Interviewers ask open-ended questions and rate responses to
indicate whether the management practices are more or less
structured.\8\ \9\ Data from the WMS show large variations in these
practices and their systematic relationship with clinical outcomes such
as mortality rates from heart attacks.\10\
---------------------------------------------------------------------------
\1\ Bloom, N., E. Brynjolfsson, L. Foster, R. Jarmin, M.
Patnaik, I. Saporta Eksten and J. Van Reenen. 2019. ``What Drives
Differences in Management Practices?'' American Economic Review.
\2\ 2015 MOPS' Questionnaire https://www.census.gov/programs-surveys/mops/technical-documentation/questionnaires.html and an
overview https://www.census.gov/programs-surveys/mops.html.
\3\ WMS' 2009 instrument for healthcare https://worldmanagementsurvey.org/survey-data/methodology/ and academic
research papers https://worldmanagementsurvey.org/academic-research/healthcare/.
\4\ Throughout this document, any reference to the ``MOPS''
refers to the surveys conducted for the manufacturing sector, while
the hospital survey will always be denoted as the ``MOPS-HP.''
\5\ Buffington, C., L. Foster, R. Jarmin, and S. Ohlmacher.
2017. ``The Management and Organizational Practices Survey (MOPS):
An Overview.'' Journal of Economic and Social Measurement, 42(1), 1-
26.
\6\ Bloom, N., E. Brynjolfsson, L. Foster, R. Jarmin, M.
Patnaik, I. Saporta Eksten and J. Van Reenen. 2019. ``What Drives
Differences in Management Practices?'' American Economic Review.
\7\ Bloom, N., R. Lemos, R. Sadun and J. Van Reenen. 2019.
``Healthy Business? Managerial Education and Management in
Healthcare.'' Review of Economics and Statistics, forthcoming.
\8\ Bloom, N. and J. Van Reenen. 2007. ``Measuring and
Explaining Management Practices Across Firms and Countries.'' The
Quarterly Journal of Economics 122(4): 1351-1408.
\9\ Bloom, N., R. Lemos, R. Sadun, D. Scur and J. Van Reenen.
2014. ``The New Empirical Economics of Management.'' Journal of the
European Economics Association.
\10\ Bloom, N., R. Lemos, R. Sadun and J. Van Reenen. 2019.
``Healthy Business? Managerial Education and Management in
Healthcare.'' Review of Economics and Statistics, forthcoming.
---------------------------------------------------------------------------
The current pandemic highlights the relevance of hospital
management practices, especially as they relate to hospitals' ability
to respond to shocks to their organization and the health care system.
The Census Bureau has included two questions in the MOPS-HP content to
help improve measurement of hospital preparedness. These questions will
provide information on two elements of responsiveness, hospitals'
coordinated deployment of frontline clinical workers and hospitals'
ability to quickly respond to needed changes in standardized clinical
protocols. In an effort to limit respondent burden while adding this
content, adjustments were made to keep the total number of questions
and estimated burden per response unchanged. Because the content
changes were developed in response to the current pandemic, they were
made after the pre-submission notice for the MOPS-HP was published in
the Federal Register.
The MOPS-HP will be a supplement to the Service Annual Survey (SAS)
and will utilize a subset of its mail-out sample. Its sample will
consist of hospital locations for enterprises classified under General
Medical and Surgical Hospitals (NAICS 6221) and sampled in the SAS. The
survey will be mailed separately from the 2019 SAS and collected
electronically through the Census Bureau's Centurion online reporting
system. Respondents will be sent an initial letter with instructions
detailing how to log into the instrument and report their information.
These letters will be addressed to the location's Chief Nursing Officer
(CNO). Collection is scheduled to begin in November 2020 and end in
June 2021. Due to the nature of the respondents, this schedule may be
impacted by the effects of the Coronavirus (COVID-19). The Census
Bureau is monitoring the ongoing situation and will adjust dates as
necessary as the collection start date approaches as we do not want to
add burden to an overly burdened sector of the economy.
The Census Bureau will produce a publicly-available press release
to describe the survey and discuss the results. The Census Bureau will
also write at least one research paper describing the MOPS-HP
collection, processing, and data findings. Conditional on quality, the
Census Bureau will construct and publish in a research paper indices of
management practices, which can be used in tabulations and empirical
analyses for potential use by the public, clinicians, hospitals, and
researchers. These indices as well as microdata will be available to
approved Federal Statistical Research Data Centers (FSRDC) users and
will provide benefits to other Federal agencies and the public.
Examining factors that impact clinical and financial outcomes is
essential to understanding the health care industry, which makes up a
large portion of the U.S. economy. The MOPS-HP will provide unique
national-level estimates on management and organizational practices in
hospitals that could
[[Page 40202]]
improve our understanding of the hospital industry:
The Centers for Medicare and Medicaid Services' Hospital
Compare data or the Hospital Consumer Assessment of Healthcare
Providers and Systems (HCAHPS) survey could be used in conjunction with
the MOPS-HP to determine whether hospitals with more structured
management practices have higher overall patient ratings and are more
likely to be recommended.\11\
---------------------------------------------------------------------------
\11\ More structured management practices are associated with
more rather than less frequent reviews of performance, communication
with all levels of staff and not just senior staff, and promotions
based on performance and ability and not just tenure. See Question
2.c. in the Supporting Statement B for more details on measuring
whether management practices are more or less structured.
---------------------------------------------------------------------------
The National Hospital Care Survey from the National Center
for Health Statistics could be used in combination with the MOPS-HP's
index to evaluate how management practices relate to hospital
utilization and patient care.
Data from the Surveys on Patient Safety Culture-Hospital
Survey from the Agency for Healthcare Research and Quality could be
used to study whether hospitals with more structured management
practices have fewer patient safety events.
Policymakers could use the data to understand how
management and organizational practices are evolving in hospitals,
which can help understand changes in the industry.\12\ The Census
Bureau plans to use the data collected from the MOPS-HP's questions on
medical record documentation to construct an index measuring the
management of multiple objectives--clinical and financial--that would
inform policymakers concerned with both aspects of hospital
performance. By examining any links between the survey's measures of
management practices and clinical outcomes, the survey may help to
inform policymakers and to encourage practices that are beneficial to
patients and our population as a whole.
---------------------------------------------------------------------------
\12\ By collecting data for both 2019 and 2014, the MOPS-HP will
help measure the evolution of management practices in hospitals over
this five-year period.
---------------------------------------------------------------------------
The Census Bureau plans to use the data collected from the MOPS-
HP's questions on medical record documentation to consruct an index
measuring the management of multiple objectives--clinical and
financial--that would perform policymakers concerned with both aspects
of hospital performance. By examining any links between the survey's
measures of management practices and clinical outcomes, the survey may
help to inform policymakers and to encourage practices that are
beneficial to patients and our population as a whole.
Hospital administrators could utilize planned public
indices to benchmark their own practices, and subsequently make
decisions or set policies to improve their financial and clinical
outcomes.
The MOPS-HP data could be used in combination with the
Census Bureau's collected data on hospital finances, including revenues
and expenses, to improve our understanding on how management practices
may impact financial performance.
In a letter of support, the Bureau of Economic Analysis
expressed their interest in the MOPS-HP and noted that it will help aid
their mission to promote `` `. . . a better understanding of the U.S.
economy . . .' '' The letter states that the MOPS-HP will ``fill a
critical gap in our current understanding of how management systems
affect patient health outcomes and healthcare expenditures.''
Affected Public: Business or other for-profit; State, local or
Tribal government.
Frequency: One time.
Respondent's Obligation: Mandatory.
Legal Authority: Title 13, United States Code, Sections 131 and
182.
This information collection request may be viewed at
www.reginfo.gov. Follow the instructions to view Department of Commerce
collections currently under review by OMB.
Written comments and recommendations for the proposed information
collection should be submitted within 30 days of the publication of
this notice on the following website www.reginfo.gov/public/do/PRAMain.
Find this particular information collection by selecting ``Currently
under 30-day Review--Open for Public Comments'' or by using the search
function and entering the title of the collection.
Sheleen Dumas,
Department PRA Clearance Officer,Office of the Chief Information
Officer,Commerce Department.
[FR Doc. 2020-14414 Filed 7-2-20; 8:45 am]
BILLING CODE 3510-07-P