Agency Information Collection Activities: Proposed Collection; Comment Request, 60787-60790 [2020-21295]
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Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
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Yao-Chin Chao,
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[FR Doc. 2020–21372 Filed 9–25–20; 8:45 am]
BILLING CODE P
GENERAL SERVICES
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SUMMARY:
18:25 Sep 25, 2020
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Jkt 250001
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[FR Doc. 2020–21328 Filed 9–25–20; 8:45 am]
BILLING CODE 6820–14–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
AGENCY:
ACTION:
Notice.
This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project ‘‘AHRQ
Safety Program for Improving Surgical
Care and Recovery.’’ This proposed
information collection was previously
published in the Federal Register on
July 28th, 2020 and allowed 60 days for
public comment. AHRQ received no
substantive comments from members of
the public. The purpose of this notice is
to allow an additional 30 days for public
comment.
SUMMARY:
Comments on this notice must be
received 30 days after date of
publication.
DATES:
Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to 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.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
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Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
Proposed Project
Method of Collection
AHRQ Safety Program for Improving
Surgical Care and Recovery
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
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
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 evidencebased 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,
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).
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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
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Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
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
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
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.
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:’’
https://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
VerDate Sep<11>2014
18:25 Sep 25, 2020
Jkt 250001
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
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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.
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Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
Dated: September 21, 2020.
Marquita Cullom-Stott,
Associate Director.
for registration are found on the CDC
Import Permit Program website, https://
www.cdc.gov/cpr/ipp/index.htm.
Participants must register by
November 30, 2020. This is a webinaronly event and there will be no on-site
participation at the CDC broadcast
facility.
[FR Doc. 2020–21295 Filed 9–25–20; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Dated: September 23, 2020.
Sandra Cashman,
Executive Secretary, Centers for Disease
Control and Prevention.
Centers for Disease Control and
Prevention
Informational Meeting: The Importation
of Infectious Biological Agents,
Infectious Substances and Vectors;
Public Webinar
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice of public webinar.
AGENCY:
The Centers for Disease
Control and Prevention (CDC),
Department of Health and Human
Services (HHS) is hosting a public
webinar to address import permit
regulations for infectious biological
agents, infectious substances, and
vectors. Besides the CDC, presenters for
this webinar may include
representatives from the Department of
Transportation, Department of
Agriculture and Department of
Homeland Security.
DATES: The webinar will be held
December 3, 2020 from 11 a.m. to 4 p.m.
(EST). Registration instructions are
found on the HHS/CDC Import Permit
Program website, https://www.cdc.gov/
cpr/ipp/index.htm.
ADDRESSES: The webinar will be
broadcast from the Centers for Disease
Control and Prevention, 1600 Clifton
Road NE, Atlanta, Georgia 30329.
FOR FURTHER INFORMATION CONTACT:
Samuel S. Edwin, Director, Division of
Select Agents and Toxins, CDC, 1600
Clifton Road NE, Mailstop H–21–7,
Atlanta, Georgia 30329. Telephone:
(404) 718–2000.
SUPPLEMENTARY INFORMATION: This
webinar is an opportunity for all
interested parties (e.g., academic
institutions; biomedical centers;
commercial manufacturing facilities;
federal, state, and local laboratories,
including clinical and diagnostic
laboratories; research facilities;
exhibition facilities; and educational
facilities) to obtain specific guidance
and information regarding import
permit regulations and shipping
infectious biological materials. The
webinar will also provide assistance to
those interested in applying for an
import permit from federal agencies
within the United States. Instructions
SUMMARY:
VerDate Sep<11>2014
18:25 Sep 25, 2020
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[FR Doc. 2020–21335 Filed 9–25–20; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10320]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
November 27, 2020.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
SUMMARY:
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1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number: CMS–P–0015A, Room
C4–26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ website address at
https://www.cms.gov/Regulations-andGuidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
2. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
William N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10320 Health Care Reform
Insurance Web Portal
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
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]]>Agencies
[Federal Register Volume 85, Number 188 (Monday, September 28, 2020)]
[Notices]
[Pages 60787-60790]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21295]
=======================================================================
-----------------------------------------------------------------------
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.'' This proposed information collection was previously
published in the Federal Register on July 28th, 2020 and allowed 60
days for public comment. AHRQ received no substantive comments from
members of the public. The purpose of this notice is to allow an
additional 30 days for public comment.
DATES: Comments on this notice must be received 30 days after date of
publication.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to 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.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by email at
[email protected].
SUPPLEMENTARY INFORMATION:
[[Page 60788]]
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, 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
[[Page 60789]]
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
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 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.
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
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Form name respondents hours wage 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:'' https://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.
[[Page 60790]]
Dated: September 21, 2020.
Marquita Cullom-Stott,
Associate Director.
[FR Doc. 2020-21295 Filed 9-25-20; 8:45 am]
BILLING CODE 4160-90-P
