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]
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Federal Register / Vol. 86, No. 51 / Thursday, March 18, 2021 / Notices
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[FR Doc. 2021–05816 Filed 3–16–21; 4:15 pm]
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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 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
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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/.
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]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
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[Document Identifier: CMS–10198]
Agency Information Collection
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Review; Comment Request
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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
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1. Access CMS’ website address at:
https://www.cms.gov/Regulations-andGuidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
FOR FURTHER INFORMATION CONTACT:
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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
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collection of information they conduct
or sponsor. The term ‘‘collection of
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3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
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information to a third party. Section
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3506(c)(2)(A)) requires federal agencies
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Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
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publishing this notice that summarizes
the following proposed collection(s) of
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Request: Extension of a currently
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and (f); this PRA covers the requirement
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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
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]]>Agencies
[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/.
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
