Agency Information Collection Activities: Proposed Collection; Comment Request

Published date19 March 2019
Citation84 FR 10077
Record Number2019-05140
SectionNotices
CourtAgency For Healthcare Research And Quality,Health And Human Services Department
Federal Register, Volume 84 Issue 53 (Tuesday, March 19, 2019)
[Federal Register Volume 84, Number 53 (Tuesday, March 19, 2019)]
                [Notices]
                [Pages 10077-10079]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2019-05140]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Agency for Healthcare Research and Quality
                Agency Information Collection Activities: Proposed Collection;
                Comment Request
                AGENCY: Agency for Healthcare Research and Quality, HHS.
                ACTION: Notice.
                -----------------------------------------------------------------------
                SUMMARY: 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 information collection
                project: ``Hospital Survey on Patient Safety Culture Comparative
                Database.''
                DATES: Comments on this notice must be received by May 20, 2019.
                ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
                Reports Clearance Officer, AHRQ, by email at
                [email protected].
                 Copies of the proposed collection plans, data collection
                instruments, and specific details on the estimated burden can be
                obtained from the AHRQ Reports Clearance Officer.
                FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
                Clearance Officer, (301) 427-1477, or by
                [[Page 10078]]
                emails at [email protected].
                SUPPLEMENTARY INFORMATION:
                Proposed Project
                ``Hospital Survey on Patient Safety Culture Comparative Database.''
                 In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
                3521, AHRQ invites the public to comment on this proposed information
                collection. The Hospital Survey on Patient Safety Culture (Hospital
                SOPS) is designed to enable hospitals to assess provider and staff
                perspectives about patient safety issues, medical error, and error
                reporting. The Hospital SOPS includes 42 items that measure 12
                composites of patient safety culture. AHRQ first made the Hospital SOPS
                publicly available, along with a Survey User's Guide and other toolkit
                materials, in November 2004 on the AHRQ website.
                 The Hospital Survey on Patient Safety Culture Comparative Database
                (Hospital SOPS Database) consists of data from the Hospital SOPS and
                may include reportable, non-required supplemental items. Hospitals in
                the U.S. can voluntarily submit data from the survey to AHRQ, through
                its contractor, Westat. The Hospital SOPS Database (OMB NO. 0935-0162,
                last approved on September 30, 2016) was developed by AHRQ in 2006 in
                response to requests from hospitals interested in tracking their own
                survey results. Those organizations submitting data receive a feedback
                report, as well as a report of the aggregated de-identified findings of
                the other hospitals submitting data. These reports are used to assist
                hospital staff in their efforts to improve patient safety culture in
                their organizations.
                Rationale for the Information Collection
                 The Hospital SOPS and the Hospital SOPS Database support AHRQ's
                goals of promoting improvements in the quality and safety of health
                care in hospital settings. The survey, toolkit materials, and database
                results are all made publicly available on AHRQ's website. Technical
                assistance is provided by AHRQ through its contractor at no charge to
                hospitals, to facilitate the use of these materials for hospital
                patient safety and quality improvement.
                 This database will:
                 1. Present results from hospitals that voluntarily submit their
                data,
                 2. provide data to hospitals to facilitate internal assessment and
                learning in the patient safety improvement process, and
                 3. provide supplemental information to help hospitals identify
                their strengths and areas with potential for improvement in patient
                safety culture.
                 This study is being conducted by AHRQ through its contractor,
                Westat, pursuant to AHRQ's statutory authority to conduct and support
                research on health care and on systems for the delivery of such care,
                including activities with respect to the quality, effectiveness,
                efficiency, appropriateness and value of health care services and with
                respect to surveys and database development. 42 U.S.C. 299a(a)(1) and
                (8)
                Method of Collection
                 To achieve the goal of this project the following activities and
                data collections will be implemented:
                 1. Eligibility and Registration Form--The hospital point-of-contact
                (POC) completes a number of data submission steps and forms, beginning
                with the completion of an online Eligibility and Registration Form. The
                purpose of this form is to collect basic demographic information about
                the hospital and initiate the registration process.
                 2. Data Use Agreement--The purpose of the data use agreement,
                completed by the hospital POC, is to state how data submitted by
                hospitals will be used and provide privacy assurances.
                 3. Hospital Site Information Form--The purpose of the site
                information form, also completed by the hospital POC, is to collect
                background characteristics of the hospital. This information will be
                used to analyze data collected with the Hospital SOPS survey.
                 4. Data Files Submission--POCs upload their data file(s), using
                hospital data file specifications, to ensure that users submit
                standardized and consistent data in the way variables are named, coded,
                and formatted. The number of submissions to the database is likely to
                vary each year because hospitals do not administer the survey and
                submit data every year. Data submission is typically handled by one POC
                who is either a patient safety manager in the hospital or a survey
                vendor who contracts with a hospital to collect and submit their data.
                POCs submit data on behalf of 3 hospitals, on average, because many
                hospitals are part of a health system that includes many hospitals, or
                the POC is a vendor that is submitting data for multiple hospitals.
                Estimated Annual Respondent Burden
                 Exhibit 1 shows the estimated annualized burden hours for the
                respondents' time to participate in the database. An estimated 340
                POCs, each representing an average of 3 individual hospitals each, will
                complete the database submission steps and forms annually. Each POC
                will submit the following:
                 Eligibility and registration form (completion is estimated
                to take about 3 minutes).
                 Data Use Agreement (completion is estimated to take about
                3 minutes).
                 Hospital Information Form (completion is estimated to take
                about 5 minutes).
                 Survey data submission will take an average of one hour.
                 The total annual burden hours are estimated to be 459 hours.
                Exhibit 2 shows the estimated annualized cost burden based on the
                respondents' time to submit their data. The cost burden is estimated to
                be $26,572 annually.
                 Exhibit 1--Estimated Annualized Burden Hours
                ----------------------------------------------------------------------------------------------------------------
                 Number of Number of
                 Form name respondents/ responses per Hours per Total burden
                 POCs POC response hours
                ----------------------------------------------------------------------------------------------------------------
                Eligibility/Registration Form................... 340 1 3/60 17
                Data Use Agreement.............................. 340 1 3/60 17
                Hospital Information Form....................... 340 3 5/60 85
                Data Files Submission........................... 340 1 1 340
                 ---------------------------------------------------------------
                 Total....................................... N/A N/A N/A 459
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                [[Page 10079]]
                 Exhibit 2--Estimated Annualized Cost Burden
                ----------------------------------------------------------------------------------------------------------------
                 Number of
                 Form name respondents/ Total burden Average hourly Total cost
                 POCs hours wage rate * burden
                ----------------------------------------------------------------------------------------------------------------
                Eligibility/Registration Form................... 340 17 $57.89 $984
                Data Use Agreement.............................. 340 17 57.89 984
                Hospital Information Form....................... 340 85 57.89 4,921
                Data Files Submission........................... 340 340 57.89 19,683
                 ---------------------------------------------------------------
                 Total....................................... N/A N/A N/A 26,572
                ----------------------------------------------------------------------------------------------------------------
                * Mean hourly wage of $57.89 for Medical and Health Services Managers (SOC code 11-9111) was obtained from the
                 May 2017 National Industry-Specific Occupational Employment and Wage Estimates NAICS 622000--Hospitals,
                 located at http://www.bls.gov/oes/current/naics3_622000.htm.
                Request for Comments
                 In accordance with the Paperwork Reduction Act, comments on AHRQ's
                information collection are requested with regard to any of the
                following: (a) Whether the proposed collection of information is
                necessary for the proper performance of AHRQ's health care research and
                health care information dissemination functions, including whether the
                information will have practical utility; (b) the accuracy of AHRQ's
                estimate of burden (including hours and costs) of the proposed
                collection(s) of information; (c) ways to enhance the quality, utility
                and clarity of the information to be collected; and (d) ways to
                minimize the burden of the collection of information upon the
                respondents, including the use of automated collection techniques or
                other forms of information technology.
                 Comments submitted in response to this notice will be summarized
                and included in the Agency's subsequent request for OMB approval of the
                proposed information collection. All comments will become a matter of
                public record.
                Gopal Khanna,
                Director.
                [FR Doc. 2019-05140 Filed 3-18-19; 8:45 am]
                BILLING CODE 4160-90-P
                

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