Agency Information Collection Activities: Proposed Collection; Comment Request, 45429-45431 [2020-16341]

Download as PDF khammond on DSKJM1Z7X2PROD with NOTICES Federal Register / Vol. 85, No. 145 / Tuesday, July 28, 2020 / Notices ‘‘Business Opportunity Rule Paperwork Comment, FTC File No. P114408’’ on your comment. Postal mail addressed to the Commission is subject to delay due to heightened security screening. As a result, we encourage you to submit your comments online. To make sure that the Commission considers your online comment, you must file it through the https://www.regulations.gov website by following the instructions on the webbased form provided. Your comment, including your name and your state— will be placed on the public record of this proceeding, including the https:// www.regulations.gov website. If you file your comment on paper, write ‘‘Business Opportunity Rule Paperwork Comment, FTC File No. P114408’’ on your comment and on the envelope, and mail your comment to the following address: Federal Trade Commission, Office of the Secretary, 600 Pennsylvania Avenue NW, Suite CC–5610 (Annex J), Washington, DC 20580, or deliver your comment to the following address: Federal Trade Commission, Office of the Secretary, Constitution Center, 400 7th Street SW, 5th Floor, Suite 5610, Washington, DC 20024. If possible, please submit your paper comment to the Commission by courier or overnight service. Because your comment will be placed on the public record, you are solely responsible for making sure that your comment does not include any sensitive or confidential information. In particular, your comment should not include any sensitive personal information, such as your or anyone else’s Social Security number; date of birth; driver’s license number or other state identification number, or foreign country equivalent; passport number; financial account number; or credit or debit card number. You are also solely responsible for making sure that your comment does not include any sensitive health information, such as medical records or other individually identifiable health information. In addition, your comment should not include any ‘‘trade secret or any commercial or financial information which . . . is privileged or confidential’’—as provided by Section 6(f) of the FTC Act, 15 U.S.C. 46(f), and FTC Rule 4.10(a)(2), 16 CFR 4.10(a)(2)— including in particular competitively sensitive information such as costs, sales statistics, inventories, formulas, patterns, devices, manufacturing processes, or customer names. Comments containing material for which confidential treatment is requested must be filed in paper form, must be clearly labeled ‘‘Confidential,’’ and must comply with FTC Rule 4.9(c). VerDate Sep<11>2014 16:43 Jul 27, 2020 Jkt 250001 In particular, the written request for confidential treatment that accompanies the comment must include the factual and legal basis for the request, and must identify the specific portions of the comment to be withheld from the public record. See FTC Rule 4.9(c). Your comment will be kept confidential only if the General Counsel grants your request in accordance with the law and the public interest. Once your comment has been posted on the https:// www.regulations.gov website—as legally required by FTC Rule 4.9(b)—we cannot redact or remove your comment, unless you submit a confidentiality request that meets the requirements for such treatment under FTC Rule 4.9(c), and the General Counsel grants that request. The FTC Act and other laws that the Commission administers permit the collection of public comments to consider and use in this proceeding as appropriate. The Commission will consider all timely and responsive public comments that it receives on or before September 28, 2020. For information on the Commission’s privacy policy, including routine uses permitted by the Privacy Act, see https://www.ftc.gov/site-information/ privacy-policy. Josephine Liu, Assistant General Counsel for Legal Counsel. [FR Doc. 2020–16301 Filed 7–27–20; 8:45 am] BILLING CODE 6750–01–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 ‘‘AHRQ Safety Program for Improving Surgical Care and Recovery.’’ DATES: Comments on this notice must be received by 60 days after date of publication of this Notice. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@AHRQ.hhs.gov. SUMMARY: PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 45429 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: Proposed Project AHRQ Safety Program for Improving Surgical Care and Recovery This is a quality improvement project that aims to provide technical assistance to hospitals to help them implement evidence-based practices to improve outcomes and prevent complications among patients who undergo surgery. Enhanced recovery pathways are a constellation of preoperative, intraoperative, and postoperative practices that decrease complications and accelerate recovery. A number of studies and meta-analyses have demonstrated successful results. In order to facilitate broader adoption of these evidence-based practices among U.S. hospitals, this AHRQ project will adapt the Comprehensive Unit-based Safety Program (CUSP), which has been demonstrated to be an effective approach to reducing other patient harms, to enhanced recovery of surgical patients. The approach uses a combination of clinical and cultural (i.e., technical and adaptive) intervention components. The adaptive elements include promoting leadership and frontline staff engagement, close teamwork among surgeons, anesthesia providers, and nurses, as well as enhancing patient communication and engagement. Interested hospitals will voluntarily participate. This project has the following goals: • Improve outcomes of surgical patients by disseminating and supporting implementation of evidence-based enhanced recovery practices within the CUSP framework • Develop a bundle of technical and adaptive interventions and associated tools and educational materials to support implementation • Provide technical assistance and training to hospitals for implementing enhanced recovery practices • Assess the adoption and evaluate the effectiveness of the intervention among the participating hospitals This project is being conducted by AHRQ through its contractor, Johns Hopkins Armstrong Institute for Patient Safety and Quality (JHU), with subcontractors, University of California, E:\FR\FM\28JYN1.SGM 28JYN1 45430 Federal Register / Vol. 85, No. 145 / Tuesday, July 28, 2020 / Notices khammond on DSKJM1Z7X2PROD with NOTICES San Francisco, American College of Surgeons (ACS) and Westat, pursuant to AHRQ’s statutory authority to conduct and support research on healthcare and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of healthcare services and with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). Method of Collection To achieve the goals of this project the following data collections will be implemented: Safety culture survey. The project team will assess changes in perioperative safety culture in hospitals since the inception of the program by requesting that hospitals ask their staff to complete the safety culture survey at the beginning of the program. Hospitals receive their survey results and then debrief their staff on their safety culture and identify opportunities for further improvement. JHU will provide technical assistance for this effort. Participating hospitals will promote awareness of the survey among their staff, coordinate implementation of the survey, encourage staff to complete the survey and provide staff time to do so, and organize their local debrief of the reports of their hospital’s results. JHU will assist this effort by providing an electronic portal for hospital staff to anonymously submit the survey, and by analyzing the data and sending a report to the hospital. Data will also be analyzed in aggregate across all participating hospitals to evaluate the impact of the overall quality improvement effort on measured safety culture. Patient experience survey. Hospitals will also assess the impact of participation in the project on the patient’s experience with care. AHRQ intends to assist hospitals in assessing patient experience by adapting the CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Outpatient and Ambulatory Surgery Survey for use in a hospital setting and adding in selected questions adapted from other surveys, including Hospital CAHPS, the CAHPS Surgical Survey, and PROMIS (Patient Reported Outcomes Measurement Information System). The approach minimizes burden on the hospitals but will yield important information that will then be used to further drive improvements in the patient’s experience with the healthcare system. A pre-implementation assessment of patient experience will be done with patients before the project is VerDate Sep<11>2014 16:43 Jul 27, 2020 Jkt 250001 implemented at the hospital. A postimplementation assessment of patient experience will be done after the project is implemented, surveying patients that were treated on the enhanced recovery pathway at participating hospitals. The survey will be administered by Westat. Hospitals will provide patient contact information to the project team after execution of a data use agreement. This information will be provided to Westat to send the survey to patients on behalf of the hospital. Westat will provide a summative report to each hospital with the hospital’s results to promote additional local quality improvement work. While the primary purpose of both surveys is the hospital’s quality improvement purpose, the data will also be analyzed in aggregate across all participating hospitals to evaluate the impact of the overall quality improvement effort. Readiness and Implementation Assessments: Semi-structured qualitative interviews. Semi-structured qualitative interviews will be conducted with key stakeholders at participating hospitals (e.g., project leads, physician project champions, etc.). These include a readiness assessment conducted after a hospital’s enrollment in the project and an implementation assessment conducted after a period of implementation. The readiness assessment will help identify which, if any, technical components of the enhanced surgical care and recovery intervention already exist at the hospital, project management and resources, clinician engagement, leadership engagement and potential barriers and facilitators to implementation. The implementation assessment will evaluate what elements of the enhanced recovery practices have been adopted, resources invested, team participation, major barriers (e.g., medications, equipment, trained personnel), and leadership participation. These assessments will help identify training needs of hospitals and inform the JHU team’s approach. In addition, the results will inform the JHU team’s understanding of local adaptations of the intervention and the degree to which intervention fidelity impacts changes in outcomes. Site visits. Semi-structured site visits will be conducted at a subset of participating hospitals. Sites will be selected using the following criteria: (1) Active participation (2) geographic location; and (3) willingness to host the research team. Findings will help inform the JHU’s project implementation strategy. Information from these visits will be critical in PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 understanding if and how team and/or leadership issues may affect implementation of enhanced recovery practices, including how this may differ across surgical service lines. Interviews will help uncover misalignments in role clarity, needed time and resources, best practices, and potential enablers of and barriers to enhanced surgical care and recovery implementation. Site visits will be conducted at approximately 4 hospitals per year, and each will be 1 day long. The types of hospital personnel anticipated to be involved in part or all of the site visit include senior leadership, perioperative leadership, and patient safety and quality staff. Participating hospitals will receive a structured debriefing and brief summary report at the end of the one-day visit. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in this project. Safety Culture Survey A pre-implementation safety culture survey will be administered as a webbased survey to nurses, physicians and other clinical staff participating in the project. Based on the experience with response rates from the base period of the project and Cohort 1, and the approximately 200 new hospitals that will join the project in Cohort 4, we anticipate approximately 50 responses each from 20 hospitals, or 1,000 total responses from hospital staff. Based on earlier experience we expect that approximately 50 percent of responses will be from physicians and surgeons, and 50 percent will be from nurses. Patient Experience Survey During this period, a postimplementation patient experience survey will be administered by mail to patients discharged from the hospital in the surgical specialties included in the project. Assuming an average of 86 patients being surveyed per hospital, about 3,268 patients would be surveyed. With a 30% response rate, the patient experience survey will be completed by about 980 patients. This survey requires about 22 minutes to complete. Readiness and Implementation Assessments A pre-and post-assessment will be administered as a semi-structured interview with the hospital project leads (e.g. one physician, one nurse). Assuming an average of 2 staff being part of each pre- and post- interview per hospital, about 760 staff would be surveyed during this period. With a E:\FR\FM\28JYN1.SGM 28JYN1 45431 Federal Register / Vol. 85, No. 145 / Tuesday, July 28, 2020 / Notices 90% response rate, the readiness and implementation assessment will be completed by about 684 staff. This survey requires 60 minutes to complete. Site visits Six site visits will be conducted during this period. Assuming an average of 3 staff being a part of each site visit, about 18 staff would take part in the site visits that will take 4 hours to complete. Exhibit 1 shows estimated annualized burden hours, and Exhibit 2 shows the estimated annualized cost burden associated with the respondents’ time to participate in this project. The total cost burden is estimated to be $96,530 annually. Estimated Annual Respondent Burden EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Number of responses per respondent Hours per response Total burden hours Safety culture survey ....................................................................................... Patient experience survey ............................................................................... Readiness and Implementation assessment ................................................... Site visits .......................................................................................................... 1,000 980 684 18 1 1 1 1 .25 0.37 1 4 250 363 684 72 Total .......................................................................................................... 2,681 N/A N/A 1,368 EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Form name Total burden hours Average hourly wage rate * Total cost burden Safety culture survey ....................................................................................... Safety culture survey ....................................................................................... Patient experience survey ............................................................................... Readiness and Implementation assessment ................................................... Readiness and Implementation assessment ................................................... Site visits .......................................................................................................... Site Visits ......................................................................................................... 500 500 980 342 342 9 9 125 125 363 342 342 36 36 a $121.17 c 55.37 $15,146 4,655 9,997 41,440 18,937 4,362 1,993 Total .......................................................................................................... 2,682 1,368 N/A 96,530 b 37.24 d 27.54 a 121.17 c 55.37 a 121.17 National Compensation Survey: Occupational wages in the United States May 2019 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’ http://www.bls.gov/oes/current/oes_stru.htm. a Based on the mean wages for 29–1240 Physicians and Surgeons. b Based on the mean wages for 29–1141 Registered Nurse. c Based on the mean wages for 11–9111 Medical and Health Services Managers. d Based on the mean wages for 00–0000 All Occupations. khammond on DSKJM1Z7X2PROD with NOTICES Request for Comments In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3520, 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 VerDate Sep<11>2014 16:43 Jul 27, 2020 Jkt 250001 request for OMB approval of the proposed information collection. All comments will become a matter of public record. Dated: July 23, 2020. Virginia L. Mackay-Smith, Associate Director. BILLING CODE 4160–90–P Centers for Disease Control and Prevention [CDC–2018–0055, Docket Number NIOSH– 156–D] IDLH Value Profile for Bromine Trifluoride, Chlorine Trifluoride, and Ethylene Dibromide National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), AGENCY: Fmt 4703 Notice of availability. NIOSH announces the availability of IDLH Value Profiles for Bromine Trifluoride, Chlorine Trifluoride, and Ethylene Dibromide. The final documents were published on July 21, 2020 on the CDC website. DATES: DEPARTMENT OF HEALTH AND HUMAN SERVICES Frm 00063 ACTION: SUMMARY: [FR Doc. 2020–16341 Filed 7–27–20; 8:45 am] PO 00000 Department of Health and Human Services (HHS). Sfmt 4703 The documents may be obtained at the following links: Bromine Trifluoride: https://www.cdc.gov/niosh/ docs/2020-123/default.html; Chlorine Trifluoride: https://www.cdc.gov/niosh/ docs/2020-124/default.html; Ethylene Dibromide: https://www.cdc.gov/niosh/ docs/2020-125/default.html. ADDRESSES: R. Todd Niemeier (mail to: RNiemeier1@ cdc.gov), National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1090 Tusculum Ave, MS C–15, FOR FURTHER INFORMATION CONTACT: E:\FR\FM\28JYN1.SGM 28JYN1

Agencies

[Federal Register Volume 85, Number 145 (Tuesday, July 28, 2020)]
[Notices]
[Pages 45429-45431]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-16341]


=======================================================================
-----------------------------------------------------------------------

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 ``AHRQ Safety Program for Improving Surgical Care and 
Recovery.''

DATES: Comments on this notice must be received by 60 days after date 
of publication of this Notice.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by email at 
[email protected].
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from the AHRQ Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by email at 
[email protected].

SUPPLEMENTARY INFORMATION:

Proposed Project

AHRQ Safety Program for Improving Surgical Care and Recovery

    This is a quality improvement project that aims to provide 
technical assistance to hospitals to help them implement evidence-based 
practices to improve outcomes and prevent complications among patients 
who undergo surgery. Enhanced recovery pathways are a constellation of 
preoperative, intraoperative, and postoperative practices that decrease 
complications and accelerate recovery. A number of studies and meta-
analyses have demonstrated successful results. In order to facilitate 
broader adoption of these evidence-based practices among U.S. 
hospitals, this AHRQ project will adapt the Comprehensive Unit-based 
Safety Program (CUSP), which has been demonstrated to be an effective 
approach to reducing other patient harms, to enhanced recovery of 
surgical patients. The approach uses a combination of clinical and 
cultural (i.e., technical and adaptive) intervention components. The 
adaptive elements include promoting leadership and frontline staff 
engagement, close teamwork among surgeons, anesthesia providers, and 
nurses, as well as enhancing patient communication and engagement. 
Interested hospitals will voluntarily participate.
    This project has the following goals:

 Improve outcomes of surgical patients by disseminating and 
supporting implementation of evidence-based enhanced recovery practices 
within the CUSP framework
 Develop a bundle of technical and adaptive interventions and 
associated tools and educational materials to support implementation
 Provide technical assistance and training to hospitals for 
implementing enhanced recovery practices
 Assess the adoption and evaluate the effectiveness of the 
intervention among the participating hospitals

    This project is being conducted by AHRQ through its contractor, 
Johns Hopkins Armstrong Institute for Patient Safety and Quality (JHU), 
with subcontractors, University of California,

[[Page 45430]]

San Francisco, American College of Surgeons (ACS) and Westat, pursuant 
to AHRQ's statutory authority to conduct and support research on 
healthcare and on systems for the delivery of such care, including 
activities with respect to the quality, effectiveness, efficiency, 
appropriateness and value of healthcare services and with respect to 
quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2).

Method of Collection

    To achieve the goals of this project the following data collections 
will be implemented:
    Safety culture survey. The project team will assess changes in 
perioperative safety culture in hospitals since the inception of the 
program by requesting that hospitals ask their staff to complete the 
safety culture survey at the beginning of the program. Hospitals 
receive their survey results and then debrief their staff on their 
safety culture and identify opportunities for further improvement. JHU 
will provide technical assistance for this effort. Participating 
hospitals will promote awareness of the survey among their staff, 
coordinate implementation of the survey, encourage staff to complete 
the survey and provide staff time to do so, and organize their local 
debrief of the reports of their hospital's results. JHU will assist 
this effort by providing an electronic portal for hospital staff to 
anonymously submit the survey, and by analyzing the data and sending a 
report to the hospital. Data will also be analyzed in aggregate across 
all participating hospitals to evaluate the impact of the overall 
quality improvement effort on measured safety culture.
    Patient experience survey. Hospitals will also assess the impact of 
participation in the project on the patient's experience with care. 
AHRQ intends to assist hospitals in assessing patient experience by 
adapting the CAHPS[supreg] (Consumer Assessment of Healthcare Providers 
and Systems) Outpatient and Ambulatory Surgery Survey for use in a 
hospital setting and adding in selected questions adapted from other 
surveys, including Hospital CAHPS, the CAHPS Surgical Survey, and 
PROMIS (Patient Reported Outcomes Measurement Information System). The 
approach minimizes burden on the hospitals but will yield important 
information that will then be used to further drive improvements in the 
patient's experience with the healthcare system.
    A pre-implementation assessment of patient experience will be done 
with patients before the project is implemented at the hospital. A 
post-implementation assessment of patient experience will be done after 
the project is implemented, surveying patients that were treated on the 
enhanced recovery pathway at participating hospitals.
    The survey will be administered by Westat. Hospitals will provide 
patient contact information to the project team after execution of a 
data use agreement. This information will be provided to Westat to send 
the survey to patients on behalf of the hospital. Westat will provide a 
summative report to each hospital with the hospital's results to 
promote additional local quality improvement work.
    While the primary purpose of both surveys is the hospital's quality 
improvement purpose, the data will also be analyzed in aggregate across 
all participating hospitals to evaluate the impact of the overall 
quality improvement effort.
    Readiness and Implementation Assessments: Semi-structured 
qualitative interviews. Semi-structured qualitative interviews will be 
conducted with key stakeholders at participating hospitals (e.g., 
project leads, physician project champions, etc.). These include a 
readiness assessment conducted after a hospital's enrollment in the 
project and an implementation assessment conducted after a period of 
implementation. The readiness assessment will help identify which, if 
any, technical components of the enhanced surgical care and recovery 
intervention already exist at the hospital, project management and 
resources, clinician engagement, leadership engagement and potential 
barriers and facilitators to implementation. The implementation 
assessment will evaluate what elements of the enhanced recovery 
practices have been adopted, resources invested, team participation, 
major barriers (e.g., medications, equipment, trained personnel), and 
leadership participation. These assessments will help identify training 
needs of hospitals and inform the JHU team's approach. In addition, the 
results will inform the JHU team's understanding of local adaptations 
of the intervention and the degree to which intervention fidelity 
impacts changes in outcomes.
    Site visits. Semi-structured site visits will be conducted at a 
subset of participating hospitals. Sites will be selected using the 
following criteria: (1) Active participation (2) geographic location; 
and (3) willingness to host the research team. Findings will help 
inform the JHU's project implementation strategy. Information from 
these visits will be critical in understanding if and how team and/or 
leadership issues may affect implementation of enhanced recovery 
practices, including how this may differ across surgical service lines. 
Interviews will help uncover misalignments in role clarity, needed time 
and resources, best practices, and potential enablers of and barriers 
to enhanced surgical care and recovery implementation. Site visits will 
be conducted at approximately 4 hospitals per year, and each will be 1 
day long. The types of hospital personnel anticipated to be involved in 
part or all of the site visit include senior leadership, perioperative 
leadership, and patient safety and quality staff. Participating 
hospitals will receive a structured debriefing and brief summary report 
at the end of the one-day visit.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in this project.

Safety Culture Survey

    A pre-implementation safety culture survey will be administered as 
a web-based survey to nurses, physicians and other clinical staff 
participating in the project. Based on the experience with response 
rates from the base period of the project and Cohort 1, and the 
approximately 200 new hospitals that will join the project in Cohort 4, 
we anticipate approximately 50 responses each from 20 hospitals, or 
1,000 total responses from hospital staff. Based on earlier experience 
we expect that approximately 50 percent of responses will be from 
physicians and surgeons, and 50 percent will be from nurses.

Patient Experience Survey

    During this period, a post-implementation patient experience survey 
will be administered by mail to patients discharged from the hospital 
in the surgical specialties included in the project. Assuming an 
average of 86 patients being surveyed per hospital, about 3,268 
patients would be surveyed. With a 30% response rate, the patient 
experience survey will be completed by about 980 patients. This survey 
requires about 22 minutes to complete.

Readiness and Implementation Assessments

    A pre-and post-assessment will be administered as a semi-structured 
interview with the hospital project leads (e.g. one physician, one 
nurse). Assuming an average of 2 staff being part of each pre- and 
post- interview per hospital, about 760 staff would be surveyed during 
this period. With a

[[Page 45431]]

90% response rate, the readiness and implementation assessment will be 
completed by about 684 staff. This survey requires 60 minutes to 
complete.

Site visits

    Six site visits will be conducted during this period. Assuming an 
average of 3 staff being a part of each site visit, about 18 staff 
would take part in the site visits that will take 4 hours to complete.
    Exhibit 1 shows estimated annualized burden hours, and Exhibit 2 
shows the estimated annualized cost burden associated with the 
respondents' time to participate in this project. The total cost burden 
is estimated to be $96,530 annually.

Estimated Annual Respondent Burden

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Safety culture survey...........................           1,000               1             .25             250
Patient experience survey.......................             980               1            0.37             363
Readiness and Implementation assessment.........             684               1               1             684
Site visits.....................................              18               1               4              72
                                                 ---------------------------------------------------------------
    Total.......................................           2,681             N/A             N/A           1,368
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                    Form name                        Number of     Total burden     hourly wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Safety culture survey...........................             500             125     \a\ $121.17         $15,146
Safety culture survey...........................             500             125       \b\ 37.24           4,655
Patient experience survey.......................             980             363       \d\ 27.54           9,997
Readiness and Implementation assessment.........             342             342      \a\ 121.17          41,440
Readiness and Implementation assessment.........             342             342       \c\ 55.37          18,937
Site visits.....................................               9              36      \a\ 121.17           4,362
Site Visits.....................................               9              36       \c\ 55.37           1,993
                                                 ---------------------------------------------------------------
    Total.......................................           2,682           1,368             N/A          96,530
----------------------------------------------------------------------------------------------------------------
National Compensation Survey: Occupational wages in the United States May 2019 ``U.S. Department of Labor,
  Bureau of Labor Statistics:'' http://www.bls.gov/oes/current/oes_stru.htm.
\a\ Based on the mean wages for 29-1240 Physicians and Surgeons.
\b\ Based on the mean wages for 29-1141 Registered Nurse.
\c\ Based on the mean wages for 11-9111 Medical and Health Services Managers.
\d\ Based on the mean wages for 00-0000 All Occupations.

Request for Comments

    In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3520, 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: July 23, 2020.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2020-16341 Filed 7-27-20; 8:45 am]
BILLING CODE 4160-90-P