Patient Safety Organizations: Voluntary Relinquishment for The Envision Healthcare Center for Quality and Patient Safety PSO, 68615-68616 [2023-22076]
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Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices
j. Public Relations Services. This is
the cost of a contract public relations
service to manage HISA’s website, issue
press releases, assist with the
production and distribution of
information to industry stakeholders,
and provide continuing education
information for industry stakeholders.
The public relations firm that HISA is
working with has many years of
expertise in P/R for thoroughbred racing
enterprises. The firm can perform the
aforementioned tasks more efficiently
and effectively than if HISA were to hire
staff to perform these tasks in-house.
k. Legal. This includes the cost of
outside legal counsel for the creation,
management, and updating of Racetrack
Safety and ADMC rules as well as the
cost of outside counsel that is working
on the various lawsuits in which HISA
is a party. Doing all of these tasks
requires a decentralized group of
lawyers with varied skill sets. At
present, it is much more efficient and
effective to utilize outside counsel than
for HISA to hire a large in-house legal
team to handle these issues.
l. Insurance. This includes the
following insurance policies for HISA:
i. Directors & Officers insurance.
ii. Workers’ Compensation insurance.
iii. Liability insurance.
All these policies were competitively
shopped by a broker to get the lowest
rate possible.
m. Payroll Services. This includes all
costs of HISA’s relationship with
Resource Management, Inc. (RMI), a
Professional Employer Organization
(PEO). RMI provides Human Resources
administration (handbook and policy
management resources, new employee
onboarding, labor law assistance, etc.),
benefits management, compliance
services (workers’ compensation claims
management and annual reporting,
unemployment claims management,
etc.) and payroll administration (payroll
processing, W2 management, vacation
tracking, etc.). The relationship with
RMI allows these functions to be
performed in a more cost-effective
manner than if HISA hired employees to
perform those functions.
n. Professional Services. This account
consists of:
i. Search fees to help HISA fill open
positions with the most qualified
candidates.
ii. Consulting fees to assist HISA with
board and executive functions.
iii. $300,000 contingency fund set
aside for unexpected expenses.
These items will ensure that HISA has
high quality employees who are welltrained to properly serve its
constituents. Please note that the 2023
HISA budget contemplated no
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20:21 Oct 03, 2023
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repayment of loans, nor did it assume
that any funding shortfall would be
incurred.
V. Information Concerning Rule
1.150(b)(5). Appendix 10 is a
comparison of the approved HISA 2022
Budget to actual revenues and
expenditures. A variance has been
calculated for each line item, and a
narrative explanation has been provided
for all variances >10% and at least
$100,000.
Conclusion
The budget furthers the purpose of the
Act in that it allocates the funding
necessary for the successful
implementation by HISA of the
requirements of the Act. The budget has
been carefully analyzed and is narrowly
tailored to the various regulatory
activities of HISA as contemplated by
the Act.
By direction of the Commission.
April J. Tabor,
Secretary.
[FR Doc. 2023–22058 Filed 10–3–23; 8:45 am]
BILLING CODE 6750–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Patient Safety Organizations:
Voluntary Relinquishment for The
Envision Healthcare Center for Quality
and Patient Safety PSO
Agency for Healthcare Research
and Quality (AHRQ), Department of
Health and Human Services (HHS).
ACTION: Notice of delisting.
AGENCY:
The Patient Safety and
Quality Improvement Final Rule
(Patient Safety Rule) authorizes AHRQ,
on behalf of the Secretary of HHS, to list
as a patient safety organization (PSO) an
entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ by
the Secretary if it is found to no longer
meet the requirements of the Patient
Safety and Quality Improvement Act of
2005 (Patient Safety Act) and Patient
Safety Rule, when a PSO chooses to
voluntarily relinquish its status as a
PSO for any reason, or when a PSO’s
listing expires. AHRQ accepted a
notification of proposed voluntary
relinquishment from The Envision
Healthcare Center for Quality and
Patient Safety PSO, PSO number P0197,
of its status as a PSO, and has delisted
the PSO accordingly.
SUMMARY:
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68615
The delisting was effective at
12:00 midnight ET (2400) on October 1,
2023.
ADDRESSES: The directories for both
listed and delisted PSOs are ongoing
and reviewed weekly by AHRQ. Both
directories can be accessed
electronically at the following HHS
website: https://www.pso.ahrq.gov/listed.
FOR FURTHER INFORMATION CONTACT:
Cathryn Bach, Center for Quality
Improvement and Patient Safety, AHRQ,
5600 Fishers Lane, MS 06N100B,
Rockville, MD 20857; Telephone (toll
free): (866) 403–3697; Telephone (local):
(301) 427–1111; TTY (toll free): (866)
438–7231; TTY (local): (301) 427–1130;
Email: pso@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
DATES:
Background
The Patient Safety Act, 42 U.S.C.
299b-21 to 299b-26, and the related
Patient Safety Rule, 42 CFR part 3,
published in the Federal Register on
November 21, 2008 (73 FR 70732–
70814), establish a framework by which
individuals and entities that meet the
definition of provider in the Patient
Safety Rule may voluntarily report
information to PSOs listed by AHRQ, on
a privileged and confidential basis, for
the aggregation and analysis of patient
safety work product.
The Patient Safety Act authorizes the
listing of PSOs, which are entities or
component organizations whose
mission and primary activity are to
conduct activities to improve patient
safety and the quality of health care
delivery.
HHS issued the Patient Safety Rule to
implement the Patient Safety Act.
AHRQ administers the provisions of the
Patient Safety Act and Patient Safety
Rule relating to the listing and operation
of PSOs. The Patient Safety Rule
authorizes AHRQ to list as a PSO an
entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ if
it is found to no longer meet the
requirements of the Patient Safety Act
and Patient Safety Rule, when a PSO
chooses to voluntarily relinquish its
status as a PSO for any reason, or when
a PSO’s listing expires. Section 3.108(d)
of the Patient Safety Rule requires
AHRQ to provide public notice when it
removes an organization from the list of
PSOs.
AHRQ has accepted a notification of
proposed voluntary relinquishment
from The Envision Healthcare Center for
Quality and Patient Safety PSO to
voluntarily relinquish its status as a
PSO. Accordingly, The Envision
Healthcare Center for Quality and
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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)
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SUMMARY:
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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
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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
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Agencies
[Federal Register Volume 88, Number 191 (Wednesday, October 4, 2023)]
[Notices]
[Pages 68615-68616]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-22076]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Patient Safety Organizations: Voluntary Relinquishment for The
Envision Healthcare Center for Quality and Patient Safety PSO
AGENCY: Agency for Healthcare Research and Quality (AHRQ), Department
of Health and Human Services (HHS).
ACTION: Notice of delisting.
-----------------------------------------------------------------------
SUMMARY: The Patient Safety and Quality Improvement Final Rule (Patient
Safety Rule) authorizes AHRQ, on behalf of the Secretary of HHS, to
list as a patient safety organization (PSO) an entity that attests that
it meets the statutory and regulatory requirements for listing. A PSO
can be ``delisted'' by the Secretary if it is found to no longer meet
the requirements of the Patient Safety and Quality Improvement Act of
2005 (Patient Safety Act) and Patient Safety Rule, when a PSO chooses
to voluntarily relinquish its status as a PSO for any reason, or when a
PSO's listing expires. AHRQ accepted a notification of proposed
voluntary relinquishment from The Envision Healthcare Center for
Quality and Patient Safety PSO, PSO number P0197, of its status as a
PSO, and has delisted the PSO accordingly.
DATES: The delisting was effective at 12:00 midnight ET (2400) on
October 1, 2023.
ADDRESSES: The directories for both listed and delisted PSOs are
ongoing and reviewed weekly by AHRQ. Both directories can be accessed
electronically at the following HHS website: https://www.pso.ahrq.gov/listed.
FOR FURTHER INFORMATION CONTACT: Cathryn Bach, Center for Quality
Improvement and Patient Safety, AHRQ, 5600 Fishers Lane, MS 06N100B,
Rockville, MD 20857; 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 Patient Safety Act, 42 U.S.C. 299b-21 to 299b-26, and the
related Patient Safety Rule, 42 CFR part 3, published in the Federal
Register on November 21, 2008 (73 FR 70732-70814), establish a
framework by which individuals and entities that meet the definition of
provider in the Patient Safety Rule may voluntarily report information
to PSOs listed by AHRQ, on a privileged and confidential basis, for the
aggregation and analysis of patient safety work product.
The Patient Safety Act authorizes the listing of PSOs, which are
entities or component organizations whose mission and primary activity
are to conduct activities to improve patient safety and the quality of
health care delivery.
HHS issued the Patient Safety Rule to implement the Patient Safety
Act. AHRQ administers the provisions of the Patient Safety Act and
Patient Safety Rule relating to the listing and operation of PSOs. The
Patient Safety Rule authorizes AHRQ to list as a PSO an entity that
attests that it meets the statutory and regulatory requirements for
listing. A PSO can be ``delisted'' if it is found to no longer meet the
requirements of the Patient Safety Act and Patient Safety Rule, when a
PSO chooses to voluntarily relinquish its status as a PSO for any
reason, or when a PSO's listing expires. Section 3.108(d) of the
Patient Safety Rule requires AHRQ to provide public notice when it
removes an organization from the list of PSOs.
AHRQ has accepted a notification of proposed voluntary
relinquishment from The Envision Healthcare Center for Quality and
Patient Safety PSO to voluntarily relinquish its status as a PSO.
Accordingly, The Envision Healthcare Center for Quality and
[[Page 68616]]
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