Request for Information on Creating a National Healthcare System Action Alliance To Advance Patient Safety, 76046-76048 [2022-26897]
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Federal Register / Vol. 87, No. 237 / Monday, December 12, 2022 / Notices
to other factors (such as disability
status, income status, sexual identity
and orientation, income, geographic
location, language, etc.)? Which of these
factors have been most challenging to
address and why? Which factors are
relatively easy to address and
implement?
g. What concerns do you have about
the sustainability of healthcare systemlevel strategies/interventions intended
to address racial and ethnic disparities
in health and healthcare?
h. Gray literature: What are prominent
sources where you obtain information
on healthcare system-level strategies/
interventions? Who has conducted such
interventions? Can you give examples of
successful interventions that have been
identified from these sources?
i. What information and resources
does your organization or institution
need to be more effective in
incorporating healthcare system-level
interventions in reducing racial and
ethnic disparities in health and
healthcare?
j. What are current gaps in the
research and what future research is
needed most?
Questions for Patient Advocates,
Families, Caregivers
a. Data clearly shows that racial and
ethnic minority groups often have worse
health and care. Why do you think this
is the case?
b. Have you or your loved ones
experienced differences in care
received, are you aware of any
healthcare organizational efforts to
rectify these differences? What are the
efforts/programs?
c. Have you or your loved ones
participated in (or are you aware of)
such program(s)? Was there any effort to
consider your race and other social
factors (such as your disability status,
income status, sexual identity and
orientation, income, geographic
location, language e.t.c) in the
program(s)?
d. Are you aware of community
collaboration efforts (such as social
service agencies, churches e.t.c) of such
programs to rectify the differences in
your health and care? Should
community organizations be involved in
these efforts? How? What are some
barriers that community organizations
face in collaborating with healthcare
organizations?
e. What types of efforts do you think
a healthcare organization could do that
might reduce these differences in the
care received by racial and ethnic
minority groups? What would be
needed for them to work?
f. Are there sources where you obtain
information about these efforts?
PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, AND SETTINGS)
Element
Included
Population ..........
• Racial and ethnic minority groups ........................................
• Healthcare Systems providing healthcare for racial and
ethnic minority groups.
• Healthcare system strategies that are specifically targeted
to reduce racial and ethnic minority health and healthcare
disparities at population-level with relevant links to
healthcare system.
• Strategies specifically targeted to reduce racial and ethnic
minority health and healthcare disparities at heath care organization-level (e.g., structure of the organization).
• Strategies with community involvement with relevant links
to healthcare system.
• Standard care.
• Alternative strategy/intervention.
• Health-related outcome measures (e.g., disease specific
morbidity and mortality, BP control, Hba1c levels).
• Process of care measures.
• Care utilization outcome measures.
• Barriers to care measures.
• Financial/re-imbursement measures.
• Harms (e.g., unintended negative consequences).
• Stigma other related experience of discrimination.
Any.
Any.
Randomized controlled trial, non-randomized controlled trial,
nonrandomized study designs, mixed methods.
Interventions .......
Comparators ......
Outcomes ...........
Timing ................
Settings ..............
Study design ......
Dated: December 5, 2022.
Marquita Cullom,
Associate Director.
• Non-U.S populations.
• Exploratory sub-group analysis where the aims of the studies are not relevant to racial/ethnic health disparities.
• Public health/policy-based interventions without relevant
links to healthcare systems.
• Interventions aimed at medical school students, pharmacy
students, and other allied health students.
Stand-alone qualitative studies, systematic reviews, narrative
reviews, case reports, case series protocols, conference
abstracts.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2022–26931 Filed 12–9–22; 8:45 am]
BILLING CODE 4160–90–P
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Excluded
Agency for Healthcare Research and
Quality
Request for Information on Creating a
National Healthcare System Action
Alliance To Advance Patient Safety
Agency for Healthcare Research
and Quality, HHS.
AGENCY:
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Notice of request for
information.
ACTION:
The Agency for Healthcare
Research and Quality (AHRQ), on behalf
of the Department of Health and Human
Services (HHS), seeks public comment
about advancing patient and healthcare
workforce safety through the
development of a National Healthcare
System Action Alliance to Advance
Patient Safety (Action Alliance) in
partnership with healthcare systems,
patients, families and caregivers, HHS
SUMMARY:
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12DEN1
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Federal Register / Vol. 87, No. 237 / Monday, December 12, 2022 / Notices
and other Federal agencies, and other
stakeholders to support sustained
improvements in patient safety.
Specifically, the RFI seeks input on how
the Action Alliance can be most
effective. In addition, the RFI seeks
comments about innovative models of
care, approaches, promising strategies,
and solutions for overcoming some of
the common impediments to safety
being experienced in healthcare today.
This request for information will inform
HHS’s work and more specifically the
work of the Action Alliance.
DATES: Comments on this notice must be
received by January 26, 2023. AHRQ
will not respond individually to
responders but will consider all
comments submitted by the deadline.
ADDRESSES: Please submit all responses
to the following email address:
PSActionAlliance@AHRQ.hhs.gov.
FOR FURTHER INFORMATION CONTACT:
Milli O’Brien, AHRQ Executive
Secretary via email at Milli.Obrien@
ahrq.hhs.gov or call 301–427–1919.
SUPPLEMENTARY INFORMATION: AHRQ, on
behalf of HHS, is seeking public
comment about the development of a
National Healthcare System Patient
Safety Action Alliance (Action Alliance)
as a vehicle to advance patient and
workforce safety. The Action Alliance is
intended to support improvements
across healthcare delivery settings (e.g.,
hospitals, skilled nursing facilities,
ambulatory care settings, home care)
and between settings of care. The Action
Alliance will welcome all types of
healthcare systems, including public,
not-for-profit, and for-profit health
systems; rural, suburban, and urban
systems; and systems focused on caring
for diverse populations. While focused
on the delivery of care, the Action
Alliance will bring together multiple
stakeholders including healthcare
systems, clinicians, patients, families,
caregivers, professional societies,
organizations focused on patient and
workforce safety, the digital healthcare
sector, healthcare services researchers,
industry, employers, payors, and
anyone committed to advancing patient
and workforce safety. Recognizing that
healthcare is not safe until it is safe for
all, the Alliance will consider issues of
equity as it strives to advance patient
and workforce safety.
As HHS renews its commitment to
advancing patient and workforce safety,
it recognizes that the nation’s healthcare
systems and professionals have long
been committed to patient and
workforce safety. The pandemic
uncovered weaknesses and inequities in
the healthcare delivery system that have
negatively affected patient outcomes
VerDate Sep<11>2014
18:08 Dec 09, 2022
Jkt 259001
and our workforce. HHS also recognizes
that as the U.S. healthcare delivery
systems recover, emerge, and transform
from the COVID–19 pandemic there are
many priorities, including, but not
limited to improving equity, addressing
staffing shortages, caring for people with
Long COVID, harnessing the potential of
telehealth and data sciences, responding
to climate change, expanding access to
behavioral healthcare, and supporting
the well-being of workers. Patient and
workforce safety, however, are integral
to all of these priorities. Patient and
workforce safety are not separate
priorities they are central to everything
healthcare systems do.
In order to make the Action Alliance
as effective as possible, HHS seeks
information on the following questions:
1. What can HHS bring to the Action
Alliance in terms of coordination,
alignment, tools, training, and other
non-financial resources to support the
effectiveness of the Action Alliance in
assisting healthcare delivery systems
and others in advancing patient and
healthcare worker safety?
2. How can the voluntary Action
Alliance most effectively support
healthcare delivery systems and other
stakeholders in advancing patient and
workforce safety? Are there specific
priorities for different types of systems
or setting of care? What stakeholders
should be part of the Action Alliance to
make it most effective?
3. What are other national patient and
workforce safety initiatives that the
Action Alliance should be aware of and
how can the Action Alliance best
collaborate, coordinate, and avoid
duplication with them?
4. How can the Action Alliance best
support healthcare systems in
advancing healthcare equity within
their patient and workforce safety
efforts, including through redesign of
care delivery?
5. Are there specific practices or
innovations that healthcare delivery
systems or others have implemented
during or post-pandemic, including
practices focused on populations that
experience health disparities and
individuals living in rural communities,
that others could benefit from learning
about? Please share any specific details
and sharable outcomes data regarding
innovations if applicable.
6. What are the main challenges
healthcare delivery systems and others
are facing in meeting their commitments
to advancing patient and healthcare
worker safety as they emerge from the
pandemic? Are there challenges that are
specific to different types of systems,
settings of care, or populations of
people?
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76047
HHS is interested in answers to all of
the questions listed above, but
respondents are welcome to address as
many or as few as they choose and may
provide additional information about
how to make the Action Alliance most
effective. When responding, please
identify the question to which a
particular answer corresponds.
Who should respond?
Anyone may respond. For example,
HHS seeks information from:
• Healthcare system leaders (e.g.,
CEOs, CMOs, Boards of Directors).
• Healthcare delivery organizations.
• Clinicians and other healthcare
personnel who work to provide safe,
effective care to patients.
• Healthcare quality leaders whose
work supports refining clinical practice
and providing data for the purpose of
improvement.
• People, their families, and
caregivers who have experienced a harm
or a ‘‘close call’’ event as part of their
interaction with the healthcare delivery
system.
• Researchers and implementers
developing interventions to improve
patient and workforce safety.
• Clinical decision support
developers who have insights into
interventions that would support
clinicians in making care safer for both
patients and healthcare workers.
• Patient advocacy groups and
organizations focused on safety and
health equity.
• Clinical professional societies.
• Payers.
• Health IT vendors who implement
and manage health IT and other systems
that may support patient and workforce
safety.
• Organizations that facilitate health
information exchange (i.e., regional, or
local health information exchanges,
vendor-driven networks, and others)
who may support sharing of healthcare
quality and safety data across systems.
• Representatives from human service
agencies and/or community
organizations, or people with
experience in addressing social
determinants of health and reducing
healthcare disparities for patients and
communities.
• Higher education institutions that
train clinicians and healthcare
personnel.
This RFI is for planning purposes
only and should not be construed as a
policy, solicitation for applications, or
as an obligation on the part of the
Government to provide support for any
ideas in response to it. HHS will use the
information submitted in response to
this RFI at its discretion and will not
E:\FR\FM\12DEN1.SGM
12DEN1
76048
Federal Register / Vol. 87, No. 237 / Monday, December 12, 2022 / Notices
provide comments to any respondent’s
submission. However, responses to this
RFI may be reflected in future
initiatives, solicitation(s), or policies.
The information provided will be
analyzed and may appear in reports.
Respondents will not be identified in
any published reports. Respondents are
advised that the Government is under
no obligation to acknowledge receipt of
the information received or provide
feedback to respondents with respect to
any information submitted. No
proprietary, classified, confidential or
sensitive information should be
included in your response. The contents
of all submissions may be made
available to the public in the future.
Submitted materials should therefore be
publicly available or be able to be made
public.
Dated: December 7, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022–26897 Filed 12–9–22; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–23–23BI; Docket No. CDC–2022–
0138]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies the opportunity to comment on
a proposed information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled Research Data
Center Data Security Forms for Access
to Confidential Data. CDC National
Center for Health Statistics (NCHS)
plans to collect information from the
public for the purpose of evidence
building using security forms, along
with the corresponding security
protocols, that allow NCHS to maintain
careful controls on confidentiality and
privacy, as required by law.
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SUMMARY:
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18:08 Dec 09, 2022
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Written comments must be
received on or before February 10, 2023.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2022–
0138 by either of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) or by U.S. mail to
the address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Jeffrey M. Zirger,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS
H21–8, Atlanta, Georgia 30329;
Telephone: 404–639–7570; Email: omb@
cdc.gov.
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. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected;
DATES:
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4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses; and
5. Assess information collection costs.
Proposed Project
Research Data Center (RDC) Data
Security Forms for Access to
Confidential Data—Existing Collection
in use without an OMB Control
Number—National Center for Health
Statistics (NCHS), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Section 306(b)(4) of the Public Health
Service (PHS) Act (42 U.S.C. 242k(b)(4)),
as amended, authorizes the Secretary of
Health and Human Services (HHS),
acting through the National Center for
Health Statistics (NCHS), to receive
requests for furnishing statistics to the
public. NCHS receives requests for
statistics from the public through the
Standard Application Process (SAP).
The public may apply to access
confidential data assets held by a
Federal statistical agency or unit
through the SAP for the purposes of
generating statistics and developing
evidence. Once an application for
confidential data is approved through
the SAP, NCHS will collect information
to meet its data security requirements
through its Data Security Forms. This
information collection through the Data
Security Forms will occur outside of the
SAP. This is a request for approval from
OMB to collect information via the
Researcher Data Center (RDC) Data
Security Forms over the next three
years.
As part of a comprehensive data
dissemination program, the RDC/NCHS/
CDC requires prospective researchers
who need access to confidential data to
complete a research proposal.
Researchers self-select whether they
need access to confidential data to
answer their research questions. The
RDC requires the researcher to complete
a research proposal, so NCHS
understands the research proposed. The
completed proposal is sent to NCHS
through the SAP portal for review and
adjudication. If the research proposal is
approved by NCHS, then the researcher
must fill out two of three data security
forms. If the researcher will access the
data at a RDC, then the ‘‘Data Access
Form’’ and the ‘‘Designated Agent
Form’’ would need to be completed and
returned to NCHS. If the researcher will
E:\FR\FM\12DEN1.SGM
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]]>Agencies
[Federal Register Volume 87, Number 237 (Monday, December 12, 2022)]
[Notices]
[Pages 76046-76048]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-26897]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Request for Information on Creating a National Healthcare System
Action Alliance To Advance Patient Safety
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice of request for information.
-----------------------------------------------------------------------
SUMMARY: The Agency for Healthcare Research and Quality (AHRQ), on
behalf of the Department of Health and Human Services (HHS), seeks
public comment about advancing patient and healthcare workforce safety
through the development of a National Healthcare System Action Alliance
to Advance Patient Safety (Action Alliance) in partnership with
healthcare systems, patients, families and caregivers, HHS
[[Page 76047]]
and other Federal agencies, and other stakeholders to support sustained
improvements in patient safety. Specifically, the RFI seeks input on
how the Action Alliance can be most effective. In addition, the RFI
seeks comments about innovative models of care, approaches, promising
strategies, and solutions for overcoming some of the common impediments
to safety being experienced in healthcare today. This request for
information will inform HHS's work and more specifically the work of
the Action Alliance.
DATES: Comments on this notice must be received by January 26, 2023.
AHRQ will not respond individually to responders but will consider all
comments submitted by the deadline.
ADDRESSES: Please submit all responses to the following email address:
[email protected].
FOR FURTHER INFORMATION CONTACT: Milli O'Brien, AHRQ Executive
Secretary via email at [email protected] or call 301-427-1919.
SUPPLEMENTARY INFORMATION: AHRQ, on behalf of HHS, is seeking public
comment about the development of a National Healthcare System Patient
Safety Action Alliance (Action Alliance) as a vehicle to advance
patient and workforce safety. The Action Alliance is intended to
support improvements across healthcare delivery settings (e.g.,
hospitals, skilled nursing facilities, ambulatory care settings, home
care) and between settings of care. The Action Alliance will welcome
all types of healthcare systems, including public, not-for-profit, and
for-profit health systems; rural, suburban, and urban systems; and
systems focused on caring for diverse populations. While focused on the
delivery of care, the Action Alliance will bring together multiple
stakeholders including healthcare systems, clinicians, patients,
families, caregivers, professional societies, organizations focused on
patient and workforce safety, the digital healthcare sector, healthcare
services researchers, industry, employers, payors, and anyone committed
to advancing patient and workforce safety. Recognizing that healthcare
is not safe until it is safe for all, the Alliance will consider issues
of equity as it strives to advance patient and workforce safety.
As HHS renews its commitment to advancing patient and workforce
safety, it recognizes that the nation's healthcare systems and
professionals have long been committed to patient and workforce safety.
The pandemic uncovered weaknesses and inequities in the healthcare
delivery system that have negatively affected patient outcomes and our
workforce. HHS also recognizes that as the U.S. healthcare delivery
systems recover, emerge, and transform from the COVID-19 pandemic there
are many priorities, including, but not limited to improving equity,
addressing staffing shortages, caring for people with Long COVID,
harnessing the potential of telehealth and data sciences, responding to
climate change, expanding access to behavioral healthcare, and
supporting the well-being of workers. Patient and workforce safety,
however, are integral to all of these priorities. Patient and workforce
safety are not separate priorities they are central to everything
healthcare systems do.
In order to make the Action Alliance as effective as possible, HHS
seeks information on the following questions:
1. What can HHS bring to the Action Alliance in terms of
coordination, alignment, tools, training, and other non-financial
resources to support the effectiveness of the Action Alliance in
assisting healthcare delivery systems and others in advancing patient
and healthcare worker safety?
2. How can the voluntary Action Alliance most effectively support
healthcare delivery systems and other stakeholders in advancing patient
and workforce safety? Are there specific priorities for different types
of systems or setting of care? What stakeholders should be part of the
Action Alliance to make it most effective?
3. What are other national patient and workforce safety initiatives
that the Action Alliance should be aware of and how can the Action
Alliance best collaborate, coordinate, and avoid duplication with them?
4. How can the Action Alliance best support healthcare systems in
advancing healthcare equity within their patient and workforce safety
efforts, including through redesign of care delivery?
5. Are there specific practices or innovations that healthcare
delivery systems or others have implemented during or post-pandemic,
including practices focused on populations that experience health
disparities and individuals living in rural communities, that others
could benefit from learning about? Please share any specific details
and sharable outcomes data regarding innovations if applicable.
6. What are the main challenges healthcare delivery systems and
others are facing in meeting their commitments to advancing patient and
healthcare worker safety as they emerge from the pandemic? Are there
challenges that are specific to different types of systems, settings of
care, or populations of people?
HHS is interested in answers to all of the questions listed above,
but respondents are welcome to address as many or as few as they choose
and may provide additional information about how to make the Action
Alliance most effective. When responding, please identify the question
to which a particular answer corresponds.
Who should respond?
Anyone may respond. For example, HHS seeks information from:
Healthcare system leaders (e.g., CEOs, CMOs, Boards of
Directors).
Healthcare delivery organizations.
Clinicians and other healthcare personnel who work to
provide safe, effective care to patients.
Healthcare quality leaders whose work supports refining
clinical practice and providing data for the purpose of improvement.
People, their families, and caregivers who have
experienced a harm or a ``close call'' event as part of their
interaction with the healthcare delivery system.
Researchers and implementers developing interventions to
improve patient and workforce safety.
Clinical decision support developers who have insights
into interventions that would support clinicians in making care safer
for both patients and healthcare workers.
Patient advocacy groups and organizations focused on
safety and health equity.
Clinical professional societies.
Payers.
Health IT vendors who implement and manage health IT and
other systems that may support patient and workforce safety.
Organizations that facilitate health information exchange
(i.e., regional, or local health information exchanges, vendor-driven
networks, and others) who may support sharing of healthcare quality and
safety data across systems.
Representatives from human service agencies and/or
community organizations, or people with experience in addressing social
determinants of health and reducing healthcare disparities for patients
and communities.
Higher education institutions that train clinicians and
healthcare personnel.
This RFI is for planning purposes only and should not be construed
as a policy, solicitation for applications, or as an obligation on the
part of the Government to provide support for any ideas in response to
it. HHS will use the information submitted in response to this RFI at
its discretion and will not
[[Page 76048]]
provide comments to any respondent's submission. However, responses to
this RFI may be reflected in future initiatives, solicitation(s), or
policies. The information provided will be analyzed and may appear in
reports. Respondents will not be identified in any published reports.
Respondents are advised that the Government is under no obligation to
acknowledge receipt of the information received or provide feedback to
respondents with respect to any information submitted. No proprietary,
classified, confidential or sensitive information should be included in
your response. The contents of all submissions may be made available to
the public in the future. Submitted materials should therefore be
publicly available or be able to be made public.
Dated: December 7, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022-26897 Filed 12-9-22; 8:45 am]
BILLING CODE 4160-90-P
