Supplemental Evidence and Data Request on Mental Health and Occupational Stress in the Emergency Medical Service and 911 Workforce, 68616-68619 [2023-21915]
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68616
Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices
Patient Safety PSO, P0197, was delisted
effective at 12:00 Midnight ET (2400) on
October 1, 2023.
More information on PSOs can be
obtained through AHRQ’s PSO website
at https://www.pso.ahrq.gov.
Dated: September 29, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023–22076 Filed 10–3–23; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Supplemental Evidence and Data
Request on Mental Health and
Occupational Stress in the Emergency
Medical Service and 911 Workforce
Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Request for supplemental
evidence and data submissions.
AGENCY:
The Agency for Healthcare
Research and Quality (AHRQ) is seeking
scientific information submissions from
the public. Scientific information is
being solicited to inform our review on
Mental Health and Occupational Stress
in the Emergency Medical Service and
911 Workforce, which is currently being
conducted by the AHRQ’s Evidencebased Practice Centers (EPC) Program.
Access to published and unpublished
pertinent scientific information will
improve the quality of this review.
DATES: Submission Deadline on or
before November 3, 2023.
ADDRESSES:
Email submissions: epc@
ahrq.hhs.gov.
Print submissions:
Mailing Address: Center for Evidence
and Practice Improvement, Agency for
Healthcare Research and Quality,
ATTN: EPC SEADs Coordinator, 5600
Fishers Lane, Mail Stop 06E53A,
Rockville, MD 20857
Shipping Address (FedEx, UPS, etc.):
Center for Evidence and Practice
Improvement, Agency for Healthcare
Research and Quality, ATTN: EPC
SEADs Coordinator, 5600 Fishers
Lane, Mail Stop 06E77D, Rockville,
MD 20857
FOR FURTHER INFORMATION CONTACT:
Kelly Carper, Telephone: 301–427–1656
or Email: epc@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION: The
Agency for Healthcare Research and
Quality has commissioned the
Evidence-based Practice Centers (EPC)
lotter on DSK11XQN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
20:21 Oct 03, 2023
Jkt 262001
Program to complete a review of the
evidence for Mental Health and
Occupational Stress in the Emergency
Medical Service and 911 Workforce.
AHRQ is conducting this review
pursuant to Section 902 of the Public
Health Service Act, 42 U.S.C. 299a.
The EPC Program is dedicated to
identifying as many studies as possible
that are relevant to the questions for
each of its reviews. In order to do so, we
are supplementing the usual manual
and electronic database searches of the
literature by requesting information
from the public (e.g., details of studies
conducted). We are looking for studies
that report on Mental Health and
Occupational Stress in the Emergency
Medical Service and 911 Workforce. The
entire research protocol is available
online at: https://effectivehealthcare.
ahrq.gov/products/ems-911-workforcemental-health/protocol.
This is to notify the public that the
EPC Program would find the following
information on Mental Health and
Occupational Stress in the Emergency
Medical Service and 911 Workforce
helpful:
D A list of completed studies that
your organization has sponsored for this
topic. In the list, please indicate
whether results are available on
ClinicalTrials.gov along with the
ClinicalTrials.gov trial number.
D For completed studies that do not
have results on ClinicalTrials.gov, a
summary, including the following
elements, if relevant: study number,
study period, design, methodology,
indication and diagnosis, proper use
instructions, inclusion and exclusion
criteria, primary and secondary
outcomes, baseline characteristics,
number of patients screened/eligible/
enrolled/lost to follow-up/withdrawn/
analyzed, effectiveness/efficacy, and
safety results.
D A list of ongoing studies that your
organization has sponsored for this
topic. In the list, please provide the
ClinicalTrials.gov trial number or, if the
trial is not registered, the protocol for
the study including, if relevant, a study
number, the study period, design,
methodology, indication and diagnosis,
proper use instructions, inclusion and
exclusion criteria, and primary and
secondary outcomes.
D Description of whether the above
studies constitute ALL Phase II and
above clinical trials sponsored by your
organization for this topic and an index
outlining the relevant information in
each submitted file.
Your contribution is very beneficial to
the Program. Materials submitted must
be publicly available or able to be made
public. Materials that are considered
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
confidential; marketing materials; study
types not included in the review; or
information on topics not included in
the review cannot be used by the EPC
Program. This is a voluntary request for
information, and all costs for complying
with this request must be borne by the
submitter.
The draft of this review will be posted
on AHRQ’s EPC Program website and
available for public comment for a
period of 4 weeks. If you would like to
be notified when the draft is posted,
please sign up for the email list at:
https://www.effectivehealthcare.
ahrq.gov/email-updates.
The review will answer the following
questions. This information is provided
as background. AHRQ is not requesting
that the public provide answers to these
questions.
Key Questions (KQ)
KQ 1: What are the incidence,
prevalence, and severity of mental
health issues (depression, anxiety,
PTSD, suicidality, and substance use
disorders) and occupational stress
issues (burnout, stress, and moral
injury) among the EMS and the 911
workforce?
a. Are the incidence, prevalence, and
severity modified by:
i. Agency composition including
workflow, regulations, financing?
ii. Characteristics of EMS and 911
personnel (e.g., education/training,
proficiency, experience, trauma
exposure)?
iii. Physical and mental health
resources?
KQ 2: What are the effectiveness and
comparative effectiveness, including
benefits and harms, of interventions
addressing mental health issues
(depression, anxiety, PTSD, suicidality,
and substance use disorders) and
occupational stress issues (burnout,
stress, and moral injury) among the EMS
and 911 workforce?
a. Are the effectiveness of the
interventions modified by:
i. Intervention type?
ii. Characteristics of EMS and 911
personnel (e.g., education/training,
proficiency, experience)?
iii. EMS/911 agency characteristics
including workflow, regulations,
financing?
iv. Physical and mental health
resources?
KQ 3: What are the context and
implementation factors of studies with
effective EMS/911 workforce practices
to prevent, recognize and treat mental
health issues (depression, anxiety,
PTSD, suicidality, and substance use
disorders) and occupational stress
issues (burnout, stress, and moral
E:\FR\FM\04OCN1.SGM
04OCN1
Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices
injury)? This description might include
distinguishing factors such as workforce
training, surveillance, resilience
training, occupational health services,
peer-to-peer support, preparedness for
trauma exposure, and program funding.
KQ 4: What future research is needed
to close existing evidence gaps
regarding preventing, recognizing, and
treating mental health issues
(depression, anxiety, PTSD, suicidality,
and substance use disorders) and
68617
occupational stress issues (burnout,
stress, and moral injury) in the EMS/911
workforce?
BILLING CODE 4160–90–P
PICOTS (Populations, Interventions, Comparators, Outcomes, Timing, and
Settin
7
1
r=====i~t\11,,,,_,~11~i .l,~:,,:,:-t~1s7JJ~~=1,,-;;:,1f"""""~
Interventions
lotter on DSK11XQN23PROD with NOTICES1
Comparators
VerDate Sep<11>2014
20:21 Oct 03, 2023
EMS/911 workforce
o Field responders (either ground or air personnel, either civilian or
military personnel, based either in the field [e.g., street comers] or
non-field (e.g., station, hospital)
■
Paramedics, including firefighter paramedics, flight medics,
critical care paramedics
■
Firefighters, including firefighter-non-transport
■
Emergency medical technicians (EMTs), including advanced
EMTs (AEMTs) and firefighter-EMTs, flight EMTs
■
Emergency medical responders (EMRs)
■
Field response physicians
■
Field response nurses
■
Field response advance practice providers (APPs)
■
EMS medical directors
o Public safe telecommunicators 911 call takers and dis atchers
Not applicable
• Interventions intended to address mental health
issues (depression, anxiety, PTSD, suicidality,
and substance use disorders) and occupational
stress issues (burnout, stress, and moral injury)
in the EMS/911 workforce
• Interventions must target promotion of at least
one of the following
o Resistance
o Resilience
• Interventions can be any of the following:
o Individual-level, organizational, systemwide (local/state/national), or combined
o Critical incident stress management
(CISM), subacute coping/stress
management, or long-term stress
mana ement interventions
Not applicable
• Other interventions
• Less intensive version of the same intervention
• Standard of care (as defined in individual
studies)
• No intervention
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EN04OC23.000</GPH>
Population
Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices
Outcomes
•
•
•
Study
Designs
•
•
Incidence of
behavioral
health issue
or
occupational
stress
Prevalence of
behavioral
health issue
or
occupational
stress
Severity of
behavioral
health issue
or
occupational
stress
•
Crosssectional
studies
Cohort
studies
•
lotter on DSK11XQN23PROD with NOTICES1
•
VerDate Sep<11>2014
20:21 Oct 03, 2023
Jkt 262001
PO 00000
Social connection or support
Coping mechanisms
0
Help-seeking behaviors: Use of mental
0
health counselors, Employee Assistance
Program (EAP), or peer support
Hospitalizations
0
Complaints from patients
0
Burnout
0
Sleep deprivation
0
Overtime or excessive hours worked
0
Resistance
0
Resilience
0
Relationship or family issues
0
Anxiety
0
Depression
0
PTSD
0
Substance use
0
Suicidality
0
Withdrawal from EMS/911 workforce
0
(e.g., job/job location changes)
Unintended harms of intervention
0
Randomized
RCTs
controlled trials
Non-randomized
(RCTs)
comparative studies
Non-randomized
Non0
comparative studies
randomized
Noncontrolled trials
0
randomized
Observational
0
controlled trials
cohort studies
Observational
with a
0
cohort studies
comparison
with a
group
Pre-post studies
comparison
0
group
Implementation
studies without a
Pre-post studies
comparison group
0
Frm 00060
Fmt 4703
•
•
Sfmt 4725
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04OCN1
EN04OC23.001</GPH>
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Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices
•
•
•
Timing
Setting
•
•
•
•
•
Individual-level factors
Demographics (e.g., age, sex, race, ethnicity)
0
Workforce type (EMS vs. 911)
0
Education/training, proficiency, experience/career stage,
0
trauma exposure
People with self-identified burnout, occupational stress, moral
0
injury, or who may be at increased risk for mental or
behavioral health issues
Agency factors
Agency size
0
Agency location (urban vs. suburban vs. rural)
0
Shift characteristics (e.g., duration, frequency, timing,
0
predictability)
Workflow (e.g., role conflict, role ambiguity, warnings before
0
psychological exposures)
Regulations
0
Financing
0
Availability of mental health resources
0
Intervention factors
Intervention level (individual, organizational, system-wide
0
[local/state/national], or combined)
Intervention target (CISM, subacute coping/stress
0
management, or long-term stress management)
2001 to current
Prehospital
Public Safety Answering Point (PSAP) or Emergency
Communication Center (ECC)
Emergency department
Any high-income country (according to World Bank Criteria)
Dated: September 28, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023–21915 Filed 10–3–23; 8:45 am]
BILLING CODE 4160–90–C
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
lotter on DSK11XQN23PROD with NOTICES1
AGENCY:
This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
SUMMARY:
VerDate Sep<11>2014
20:21 Oct 03, 2023
Jkt 262001
information collection project
‘‘TeamSTEPPS 3.0 Training
Assessment.’’ In accordance with the
Paperwork Reduction Act of 1995,
AHRQ invites the public to comment on
this proposed information collection.
DATES: Comments on this notice must be
received by December 4, 2023.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by
email at doris.lefkowitz@AHRQ.hhs.gov.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
TeamSTEPPS 3.0 Training Assessment
In 2006 the Agency for Healthcare
Research and Quality (AHRQ) and the
Department of Defense developed
Strategies & Tools to Enhance
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
Performance and Patient Safety, or
TeamSTEPPS®, an evidence-based
patient safety program. The main
objective of the TeamSTEPPS program
is to improve patient safety by training
health care staff in various teamwork,
communication, and patient safety
concepts, tools, and techniques and
ultimately helping to build national
capacity for supporting teamwork-based
patient safety efforts in health care
organizations. Given the advancements
in health information technology,
changes in how care is delivered and a
recent emphasis on engaging patients
and families as members of the
healthcare team, the TeamSTEPPS
curriculum was significantly refreshed
in 2023 and made into a singular
comprehensive program to better
support teams in improving their
communication skills and collaboration.
The updated TeamSTEPPS training
will now be implemented in different
settings of various large and small
E:\FR\FM\04OCN1.SGM
04OCN1
EN04OC23.002</GPH>
Contextual
Factors
68619
]]>Agencies
[Federal Register Volume 88, Number 191 (Wednesday, October 4, 2023)]
[Notices]
[Pages 68616-68619]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-21915]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Supplemental Evidence and Data Request on Mental Health and
Occupational Stress in the Emergency Medical Service and 911 Workforce
AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.
ACTION: Request for supplemental evidence and data submissions.
-----------------------------------------------------------------------
SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is
seeking scientific information submissions from the public. Scientific
information is being solicited to inform our review on Mental Health
and Occupational Stress in the Emergency Medical Service and 911
Workforce, which is currently being conducted by the AHRQ's Evidence-
based Practice Centers (EPC) Program. Access to published and
unpublished pertinent scientific information will improve the quality
of this review.
DATES: Submission Deadline on or before November 3, 2023.
ADDRESSES:
Email submissions: [email protected].
Print submissions:
Mailing Address: Center for Evidence and Practice Improvement, Agency
for Healthcare Research and Quality, ATTN: EPC SEADs Coordinator, 5600
Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857
Shipping Address (FedEx, UPS, etc.): Center for Evidence and Practice
Improvement, Agency for Healthcare Research and Quality, ATTN: EPC
SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E77D, Rockville, MD
20857
FOR FURTHER INFORMATION CONTACT: Kelly Carper, Telephone: 301-427-1656
or Email: [email protected].
SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and
Quality has commissioned the Evidence-based Practice Centers (EPC)
Program to complete a review of the evidence for Mental Health and
Occupational Stress in the Emergency Medical Service and 911 Workforce.
AHRQ is conducting this review pursuant to Section 902 of the Public
Health Service Act, 42 U.S.C. 299a.
The EPC Program is dedicated to identifying as many studies as
possible that are relevant to the questions for each of its reviews. In
order to do so, we are supplementing the usual manual and electronic
database searches of the literature by requesting information from the
public (e.g., details of studies conducted). We are looking for studies
that report on Mental Health and Occupational Stress in the Emergency
Medical Service and 911 Workforce. The entire research protocol is
available online at: https://effectivehealthcare.ahrq.gov/products/ems-911-workforce-mental-health/protocol.
This is to notify the public that the EPC Program would find the
following information on Mental Health and Occupational Stress in the
Emergency Medical Service and 911 Workforce helpful:
[ssquf] A list of completed studies that your organization has
sponsored for this topic. In the list, please indicate whether results
are available on ClinicalTrials.gov along with the ClinicalTrials.gov
trial number.
[ssquf] For completed studies that do not have results on
ClinicalTrials.gov, a summary, including the following elements, if
relevant: study number, study period, design, methodology, indication
and diagnosis, proper use instructions, inclusion and exclusion
criteria, primary and secondary outcomes, baseline characteristics,
number of patients screened/eligible/enrolled/lost to follow-up/
withdrawn/analyzed, effectiveness/efficacy, and safety results.
[ssquf] A list of ongoing studies that your organization has
sponsored for this topic. In the list, please provide the
ClinicalTrials.gov trial number or, if the trial is not registered, the
protocol for the study including, if relevant, a study number, the
study period, design, methodology, indication and diagnosis, proper use
instructions, inclusion and exclusion criteria, and primary and
secondary outcomes.
[ssquf] Description of whether the above studies constitute ALL
Phase II and above clinical trials sponsored by your organization for
this topic and an index outlining the relevant information in each
submitted file.
Your contribution is very beneficial to the Program. Materials
submitted must be publicly available or able to be made public.
Materials that are considered confidential; marketing materials; study
types not included in the review; or information on topics not included
in the review cannot be used by the EPC Program. This is a voluntary
request for information, and all costs for complying with this request
must be borne by the submitter.
The draft of this review will be posted on AHRQ's EPC Program
website and available for public comment for a period of 4 weeks. If
you would like to be notified when the draft is posted, please sign up
for the email list at: https://www.effectivehealthcare.ahrq.gov/email-updates.
The review will answer the following questions. This information is
provided as background. AHRQ is not requesting that the public provide
answers to these questions.
Key Questions (KQ)
KQ 1: What are the incidence, prevalence, and severity of mental
health issues (depression, anxiety, PTSD, suicidality, and substance
use disorders) and occupational stress issues (burnout, stress, and
moral injury) among the EMS and the 911 workforce?
a. Are the incidence, prevalence, and severity modified by:
i. Agency composition including workflow, regulations, financing?
ii. Characteristics of EMS and 911 personnel (e.g., education/
training, proficiency, experience, trauma exposure)?
iii. Physical and mental health resources?
KQ 2: What are the effectiveness and comparative effectiveness,
including benefits and harms, of interventions addressing mental health
issues (depression, anxiety, PTSD, suicidality, and substance use
disorders) and occupational stress issues (burnout, stress, and moral
injury) among the EMS and 911 workforce?
a. Are the effectiveness of the interventions modified by:
i. Intervention type?
ii. Characteristics of EMS and 911 personnel (e.g., education/
training, proficiency, experience)?
iii. EMS/911 agency characteristics including workflow,
regulations, financing?
iv. Physical and mental health resources?
KQ 3: What are the context and implementation factors of studies
with effective EMS/911 workforce practices to prevent, recognize and
treat mental health issues (depression, anxiety, PTSD, suicidality, and
substance use disorders) and occupational stress issues (burnout,
stress, and moral
[[Page 68617]]
injury)? This description might include distinguishing factors such as
workforce training, surveillance, resilience training, occupational
health services, peer-to-peer support, preparedness for trauma
exposure, and program funding.
KQ 4: What future research is needed to close existing evidence
gaps regarding preventing, recognizing, and treating mental health
issues (depression, anxiety, PTSD, suicidality, and substance use
disorders) and occupational stress issues (burnout, stress, and moral
injury) in the EMS/911 workforce?
BILLING CODE 4160-90-P
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[[Page 68618]]
[GRAPHIC] [TIFF OMITTED] TN04OC23.001
[[Page 68619]]
[GRAPHIC] [TIFF OMITTED] TN04OC23.002
Dated: September 28, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023-21915 Filed 10-3-23; 8:45 am]
BILLING CODE 4160-90-C
