Agency Information Collection Activities: Proposed Collection; Comment Request
| Published date | 01 October 2019 |
| Citation | 84 FR 52108 |
| Record Number | 2019-21239 |
| Section | Notices |
| Court | Agency For Healthcare Research And Quality,Health And Human Services Department |
Federal Register, Volume 84 Issue 190 (Tuesday, October 1, 2019)
[Federal Register Volume 84, Number 190 (Tuesday, October 1, 2019)]
[Notices]
[Pages 52108-52110]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-21239]
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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.
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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: ``Embedded Research in Care Delivery Systems.'' In accordance
with the Paperwork Reduction Act of 1995, AHRQ invites the public to
comment on this proposed information collection. This proposed
information collection was previously published in the Federal Register
on July 29, 2019 and allowed 60 days for public comment. AHRQ received
no substantive comments. The purpose of this notice is to allow an
additional 30 days for public comment.
DATES: Comments on this notice must be received by 30 days after date
of publication.
ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
[[Page 52109]]
email at [email protected] (attention: AHRQ's desk officer).
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by email at
[email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
``Embedded Research in Care Delivery Systems''
Embedded researchers contribute to learning health systems by
collaborating with delivery system stakeholders to produce innovations
and evidence that can be rapidly implemented to improve the outcomes of
individual and populations and health system performance.
Research is defined in this proposed project as embedded when it is
conducted by an investigator who is employed or closely affiliated with
the care delivery system and when the research project at least
partially addresses operational concerns of the system (e.g. ways to
improve care quality, value, or other aspects of system performance
(e.g., patient and staff satisfaction).
AHRQ is developing tools and findings to support learning health
systems and embedded research and is funding training of researchers to
conduct embedded research. The proposed project has the following
goals:
Select health care delivery systems that currently apply
diverse and distinctive strategies for embedded research.
Conduct and report on qualitative case studies documenting
how embedded research is prioritized, funded, managed, conducted, and
used in these systems.
Specify several promising strategies for organizing and
conducting embedded research.
Provide summaries of study findings that will stimulate
consideration of current and future strategies for embedded research
among funders, trainers, and delivery system leaders.
The proposed project does not intend to create a comprehensive
inventory of current practice in embedded research or to provide a
representative sample of embedded research activities. Instead, the
illustrative case studies will stimulate discussion at AHRQ and
elsewhere about how to prepare researchers to conduct embedded
research. Additionally, the case studies may provide insights to health
research funding agencies about ways that funding criteria can
influence the conduct of embedded research. The case studies may also
provide health care leaders with illustrations of some of the potential
benefits of supporting embedded research and some of the challenges of
alternative approaches to incorporating such research into care
delivery systems.
Method of Collection
Based on an environmental scan, six to eight care delivery systems
will be selected that employ people engaged in embedded research; have
engaged in this type of research for at least two fiscal years; and
take a distinctive approach to it or are recognized as a leader in this
field. At least one system will be selected that has a mission and a
commitment to serving AHRQ's priority populations. The investigators
will conduct phone interviews with up to eight people in each of the
selected systems. The interview subjects in each delivery system will
include at least one occupant of each of the following roles:
Executive-level manager; person exercising oversight over embedded
research activities; person from a service line or care sector in which
several embedded research projects have been carried out; lead
investigator on one or more embedded research projects. Interviews will
be coded and case study summaries created for each system. The reports
will describe promising embedded research strategies, potential
benefits and challenges of this type of research, and lessons learned
about addressing challenges. The findings will be shared with AHRQ
leadership, other health system leaders and funder, and with the health
services research community.
Estimated Annual Respondent Burden
Exhibit 1 is based on the following assumptions: No more than 8
subjects will participate in the main round of interviews in each
system (site). There will be a maximum of 8 sites. If supplementary
information is needed on selected projects, no more than 3
supplementary interviews will be conducted. Each supplementary
interview will include 3-4 participants, with a total of no more than
10 participants in the whole set of supplementary interviews.
Exhibit 1--Estimated Annualized Burden Hours
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Number of
Collection activity--interviews Number of responses per Hours per Total burden
respondents respondent response hours
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Interviews with executive-level subjects........ 10 1 1 10
Interviews with physicians...................... 22 1 1 22
Interviews with researchers and other operations 42 1 1 42
staff..........................................
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Total....................................... .............. .............. .............. 74
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Exhibit 2--Estimated Annualized Cost Burden
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Average
Interview participants Number of Total burden hourly wage Total cost
respondents hours rate * burden
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Executive level (code 11-1011).................. 10 10 $96.22 $962.20
Physicians (code 29-1060)....................... 22 22 101.43 2,231.46
Researchers and other operations staff (based on 42 42 42.48 1,784.16
Operations Research Analysts code 15-2031).....
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Total....................................... .............. .............. .............. 4,977.82
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* National Compensation Survey: Occupational wages in the United States May 2018 ``U.S. Department of Labor,
Bureau of Labor Statistics.''
[[Page 52110]]
Request for Comments
In accordance with the above-cited Paperwork Reduction Act
legislation, 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 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.
Dated: September 25, 2019.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019-21239 Filed 9-30-19; 8:45 am]
BILLING CODE 4160-90-P
