Public Comment Period Extended for Strategies To Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine, 14752-14753 [2021-05605]

Download as PDF 14752 Federal Register / Vol. 86, No. 51 / Thursday, March 18, 2021 / Notices by a system of records, FCC/WTB–1, ‘‘Wireless Services Licensing Records’’, and these and all other records may be disclosed pursuant to the Routine Uses as stated in the SORN. Needs and Uses: The information collected is necessary to require owners of marine VHF radios with Digital Selective Calling (DSC) capability to register information such as the name, address, type of vessel with a private entity issuing marine mobile service identities (MMSI). The information would be used by search and rescue personnel to identify vessels in distress and to select the proper rescue units and search methods. The requirement to collect this information is contained in international agreements with the U.S. Coast Guard and private sector entities that issue MMSI’s. The information is used by private entities to maintain a database used to provide information about the vessel owner in distress using marine VHF radios with DSC capability. If the data were not collected, the U.S. Coast Guard would not have access to this information which would increase the time and effort needed to complete a search and rescue operation. Federal Communications Commission. Cecilia Sigmund, Federal Register Liaison Officer. [FR Doc. 2021–05563 Filed 3–17–21; 8:45 am] BILLING CODE 6712–01–P FEDERAL ELECTION COMMISSION Sunshine Act Meeting Tuesday, March 23, 2021 at 10:00 a.m. and its continuation at the conclusion of the open meeting on March 25, 2021. TIME AND DATE: 1050 First Street NE, Washington, DC. (This meeting will be a virtual meeting). PLACE: This meeting will be closed to the public. STATUS: jbell on DSKJLSW7X2PROD with NOTICES MATTERS TO BE CONSIDERED: Compliance matters pursuant to 52 U.S.C. 30109. Information the premature disclosure of which would be likely to have a considerable adverse effect on the implementation of a proposed Commission action. Matters concerning participation in civil actions or proceedings or arbitration. * * * * * VerDate Sep<11>2014 16:49 Mar 17, 2021 Jkt 253001 CONTACT PERSON FOR MORE INFORMATION: Judith Ingram, Press Officer, Telephone: (202) 694–1220. Vicktoria J. Allen, Acting Deputy Secretary of the Commission. [FR Doc. 2021–05816 Filed 3–16–21; 4:15 pm] BILLING CODE 6715–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Public Comment Period Extended for Strategies To Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine Agency for Healthcare Research and Quality (AHRQ), Department of Health and Human Services (HHS). AGENCY: ACTION: Notice of extension in comment period. As required by the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act), the Secretary of HHS (the Secretary) is making this draft report on effective strategies for reducing medical errors and increasing patient safety available to the public for review and comment. Through this notice the comment period is extended. The subject matter content remains unchanged from the original notice which was published on December 16, 2020 (https://www.federalregister.gov/ documents/2020/12/16/2020-27589/ notice-of-opportunity-to-comment-onstrategies-to-improve-patient-safetydraft-report-to-congress). SUMMARY: Submit comments on or before April 5, 2021. DATES: The draft report, Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine, can be accessed electronically at the following HHS website: https:// pso.ahrq.gov/legislation/act. Comments on the draft report must be submitted by email to PSQIA.RC@ahrq.hhs.gov. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Paula DiStabile, Patient Safety Organization Division, Center for Quality Improvement and Patient Safety, AHRQ; telephone (toll free): (866) 403–3697; telephone (local): (301) 427–1111; TTY (toll free): (866) 438– 7231; TTY (local): (301) 427–1130; email: PSQIA.RC@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 Background The Secretary, in consultation with the Director of AHRQ, has prepared a draft report on effective strategies for reducing medical errors and increasing patient safety as required by the Patient Safety Act. The report includes measures determined appropriate by the Secretary to encourage the appropriate use of such strategies, including use in any federally funded programs. The draft report is now available for public comment and has been submitted to the National Academy of Medicine for review. The final report is required to be submitted to Congress no later than December 21, 2021. The specific provision describing these requirements can be found at 42 U.S.C. 299b–22(j). The Patient Safety Act created a framework for the development of a voluntary patient safety event reporting system to advance patient safety and quality of care across the Nation. Without limiting patients’ rights to their medical information, the law created Federal legal privilege and confidentiality protections for patient safety work product; that is, information exchanged between healthcare providers and organizations listed by the Secretary that specialize in patient safety and quality improvement, called patient safety organizations (PSOs). The law charged PSOs with analyzing and using this information to provide feedback and assistance to help providers minimize patient risk and improve the safety and quality of their care. More information about the Patient Safety Act, its implementing regulation, and PSOs can be found at https:// pso.ahrq.gov/. In addition to creating a protected legal environment where healthcare providers can share information and learning for improvement purposes beyond organizational and State boundaries, Congress also envisioned and created the potential for aggregating and analyzing patient safety data on a national scale. This part of the Patient Safety Act, the network of patient safety databases (NPSD), is a mechanism that can leverage data contributed by individual healthcare providers and PSOs across the United States into a valuable national resource for improving patient safety. Congress required the draft report that is the subject of this Notice to be made available for public comment and submitted to the Institute of Medicine (now the National Academy of Medicine) no later than 18 months after the NPSD became operational. The NPSD became operational on June 21, 2019. More information about the NPSD E:\FR\FM\18MRN1.SGM 18MRN1 Federal Register / Vol. 86, No. 51 / Thursday, March 18, 2021 / Notices jbell on DSKJLSW7X2PROD with NOTICES can be found at https://www.ahrq.gov/ npsd/index.html. Overview of the Draft Report The draft report contains three chapters. It begins with an overview of the impetus for and objectives of the Patient Safety Act, its key provisions, and some milestones in its implementation. Chapter 2 reviews some of the principles and concepts underlying effective patient safety improvement, provides an overview of research and measurement in patient safety, and presents the strategies and practices for reducing medical errors and increasing patient safety reviewed in AHRQ’s Making Healthcare Safer reports, published in 2001, 2013, and 2020. Together, these reports reviewed the existing evidence for the effectiveness of more than 100 patient safety strategies and practices used in hospitals, primary care practices, longterm care facilities, and other healthcare settings. They include cross-cutting strategies and topics such as patient and family engagement and teamwork training; safety topics specific to particular clinical interventions, such as medications and surgery; a variety of tools and processes, such as rapid response teams and antimicrobial stewardship; and practices that target prevention of specific harms, such as healthcare-associated infections and pressure injuries. Hyperlinks in the draft report lead to the full text of the evidence review and to later updates regarding the assessment of evidence for the effectiveness for each strategy and practice. The final chapter in the draft report begins with an overview of learning health systems and concepts underlying effective implementation of patient safety strategies. It provides examples of resources Federal agencies make available to encourage healthcare providers to use effective patient safety strategies and describes ‘‘Safer Together: A National Action Plan to Advance Patient Safety,’’ recently released by the National Steering Committee for Patient Safety that was convened by the Institute for Healthcare Improvement. The draft report concludes by describing an approach that has a track record of success in encouraging providers to use effective practices to improve patient safety and outlines measures that could accelerate progress in improving patient safety and encouraging the use of effective patient safety improvement strategies. Where To View the Draft Report and How To Submit Comments The draft report is posted on the AHRQ PSO Program website at https:// VerDate Sep<11>2014 16:49 Mar 17, 2021 Jkt 253001 pso.ahrq.gov/legislation/act. The website contains a link to the email address for submitting comments on the draft report, which is PSQIA.RC@ ahrq.hhs.gov. Dated: March 15, 2021. Marquita Cullom, Associate Director. [FR Doc. 2021–05605 Filed 3–17–21; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10198] Agency Information Collection Activities: Submission for OMB Review; 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 (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 a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate 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. SUMMARY: Comments on the collection(s) of information must be received by the OMB desk officer by April 19, 2021. 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 DATES: PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 14753 for Public Comments’’ or by using the search function. 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. FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786–4669. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (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 (44 U.S.C. 3506(c)(2)(A)) requires federal agencies to publish a 30-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 that summarizes the following proposed collection(s) of information for public comment: 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Creditable Coverage Disclosure to CMS On-Line Form and Instructions; Use: Section 1860D–13 of the Social Security Act, as established by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and implementing regulations at 42 CFR 423.56(e), require that entities that offer prescription drug benefits under any of the types of coverage described in 42 CFR 423.56(b) provide a disclosure of creditable coverage to CMS. There are other disclosure and notification requirements to Part D eligible individuals in § 423.56(c), (d), and (f); this PRA covers the requirement in subsection (e). Entities required to make this disclosure state whether their prescription drug coverage meets the actuarial requirements defined in § 423.56(a). Most entities that currently provide prescription drug benefits to any Medicare Part D eligible individual must disclose whether their prescription E:\FR\FM\18MRN1.SGM 18MRN1

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[Federal Register Volume 86, Number 51 (Thursday, March 18, 2021)]
[Notices]
[Pages 14752-14753]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-05605]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Public Comment Period Extended for Strategies To Improve Patient 
Safety: Draft Report to Congress for Public Comment and Review by the 
National Academy of Medicine

AGENCY: Agency for Healthcare Research and Quality (AHRQ), Department 
of Health and Human Services (HHS).

ACTION: Notice of extension in comment period.

-----------------------------------------------------------------------

SUMMARY: As required by the Patient Safety and Quality Improvement Act 
of 2005 (Patient Safety Act), the Secretary of HHS (the Secretary) is 
making this draft report on effective strategies for reducing medical 
errors and increasing patient safety available to the public for review 
and comment. Through this notice the comment period is extended. The 
subject matter content remains unchanged from the original notice which 
was published on December 16, 2020 (https://www.federalregister.gov/documents/2020/12/16/2020-27589/notice-of-opportunity-to-comment-on-strategies-to-improve-patient-safety-draft-report-to-congress).

DATES: Submit comments on or before April 5, 2021.

ADDRESSES: The draft report, Strategies to Improve Patient Safety: 
Draft Report to Congress for Public Comment and Review by the National 
Academy of Medicine, can be accessed electronically at the following 
HHS website: https://pso.ahrq.gov/legislation/act. Comments on the 
draft report must be submitted by email to [email protected].

FOR FURTHER INFORMATION CONTACT: Paula DiStabile, Patient Safety 
Organization Division, Center for Quality Improvement and Patient 
Safety, AHRQ; telephone (toll free): (866) 403-3697; telephone (local): 
(301) 427-1111; TTY (toll free): (866) 438-7231; TTY (local): (301) 
427-1130; email: [email protected].

SUPPLEMENTARY INFORMATION:

Background

    The Secretary, in consultation with the Director of AHRQ, has 
prepared a draft report on effective strategies for reducing medical 
errors and increasing patient safety as required by the Patient Safety 
Act. The report includes measures determined appropriate by the 
Secretary to encourage the appropriate use of such strategies, 
including use in any federally funded programs. The draft report is now 
available for public comment and has been submitted to the National 
Academy of Medicine for review. The final report is required to be 
submitted to Congress no later than December 21, 2021. The specific 
provision describing these requirements can be found at 42 U.S.C. 299b-
22(j).
    The Patient Safety Act created a framework for the development of a 
voluntary patient safety event reporting system to advance patient 
safety and quality of care across the Nation. Without limiting 
patients' rights to their medical information, the law created Federal 
legal privilege and confidentiality protections for patient safety work 
product; that is, information exchanged between healthcare providers 
and organizations listed by the Secretary that specialize in patient 
safety and quality improvement, called patient safety organizations 
(PSOs). The law charged PSOs with analyzing and using this information 
to provide feedback and assistance to help providers minimize patient 
risk and improve the safety and quality of their care. More information 
about the Patient Safety Act, its implementing regulation, and PSOs can 
be found at https://pso.ahrq.gov/.
    In addition to creating a protected legal environment where 
healthcare providers can share information and learning for improvement 
purposes beyond organizational and State boundaries, Congress also 
envisioned and created the potential for aggregating and analyzing 
patient safety data on a national scale. This part of the Patient 
Safety Act, the network of patient safety databases (NPSD), is a 
mechanism that can leverage data contributed by individual healthcare 
providers and PSOs across the United States into a valuable national 
resource for improving patient safety. Congress required the draft 
report that is the subject of this Notice to be made available for 
public comment and submitted to the Institute of Medicine (now the 
National Academy of Medicine) no later than 18 months after the NPSD 
became operational. The NPSD became operational on June 21, 2019. More 
information about the NPSD

[[Page 14753]]

can be found at https://www.ahrq.gov/npsd/index.html.

Overview of the Draft Report

    The draft report contains three chapters. It begins with an 
overview of the impetus for and objectives of the Patient Safety Act, 
its key provisions, and some milestones in its implementation. Chapter 
2 reviews some of the principles and concepts underlying effective 
patient safety improvement, provides an overview of research and 
measurement in patient safety, and presents the strategies and 
practices for reducing medical errors and increasing patient safety 
reviewed in AHRQ's Making Healthcare Safer reports, published in 2001, 
2013, and 2020. Together, these reports reviewed the existing evidence 
for the effectiveness of more than 100 patient safety strategies and 
practices used in hospitals, primary care practices, long-term care 
facilities, and other healthcare settings. They include cross-cutting 
strategies and topics such as patient and family engagement and 
teamwork training; safety topics specific to particular clinical 
interventions, such as medications and surgery; a variety of tools and 
processes, such as rapid response teams and antimicrobial stewardship; 
and practices that target prevention of specific harms, such as 
healthcare-associated infections and pressure injuries. Hyperlinks in 
the draft report lead to the full text of the evidence review and to 
later updates regarding the assessment of evidence for the 
effectiveness for each strategy and practice. The final chapter in the 
draft report begins with an overview of learning health systems and 
concepts underlying effective implementation of patient safety 
strategies. It provides examples of resources Federal agencies make 
available to encourage healthcare providers to use effective patient 
safety strategies and describes ``Safer Together: A National Action 
Plan to Advance Patient Safety,'' recently released by the National 
Steering Committee for Patient Safety that was convened by the 
Institute for Healthcare Improvement. The draft report concludes by 
describing an approach that has a track record of success in 
encouraging providers to use effective practices to improve patient 
safety and outlines measures that could accelerate progress in 
improving patient safety and encouraging the use of effective patient 
safety improvement strategies.

Where To View the Draft Report and How To Submit Comments

    The draft report is posted on the AHRQ PSO Program website at 
https://pso.ahrq.gov/legislation/act. The website contains a link to 
the email address for submitting comments on the draft report, which is 
[email protected].

    Dated: March 15, 2021.
Marquita Cullom,
Associate Director.
[FR Doc. 2021-05605 Filed 3-17-21; 8:45 am]
BILLING CODE 4160-90-P