Notice2021-18126
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 24, 2021
Issuing agencies
Health and Human Services DepartmentAgency for Healthcare Research and Quality
Abstract
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 renewal of the information collection project "Medical Office Survey on Patient Safety Culture Database." This proposed information collection was previously published in the Federal Register on May 3rd, 2021 and allowed 60 days for public comment. AHRQ did not receive any substantive comments from members of the public. The purpose of this notice is to allow an additional 30 days for public comment.
Full Text
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<title>Federal Register, Volume 86 Issue 161 (Tuesday, August 24, 2021)</title>
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[Federal Register Volume 86, Number 161 (Tuesday, August 24, 2021)]
[Notices]
[Pages 47312-47314]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-18126]
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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 renewal of the information
collection project ``Medical Office Survey on Patient Safety Culture
Database.'' This proposed information collection was previously
published in the Federal Register on May 3rd, 2021 and allowed 60 days
for public comment. AHRQ did not receive any substantive comments from
members of the public. The purpose of this notice is to allow an
additional 30 days for public comment.
DATES: Comments on this notice must be received by September 23, 2021.
[[Page 47313]]
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at
<a href="/cdn-cgi/l/email-protection#eb8f84998298c5878e8d80849c829f91abaaa3b9bac5838398c58c849d"><span class="__cf_email__" data-cfemail="dabeb5a8b3a9f4b6bfbcb1b5adb3aea09a9b92888bf4b2b2a9f4bdb5ac">[email protected]</span></a>.
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 email at
<a href="/cdn-cgi/l/email-protection#0b6f6479627825676e6d60647c627f714b4a43595a25636378256c647d"><span class="__cf_email__" data-cfemail="6b0f0419021845070e0d00041c021f112b2a23393a45030318450c041d">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Proposed Project
Medical Office Survey on Patient Safety Culture Database
In 1999, the Institute of Medicine called for health care
organizations to develop a ``culture of safety'' such that their
workforce and processes focus on improving the reliability and safety
of care for patients (IOM, 1999; To Err is Human: Building a Safer
Health System). To respond to the need for tools to assess patient
safety culture in health care, AHRQ developed and pilot tested the
Medical Office Survey on Patient Safety Culture with OMB approval (OMB
No. 0935-0131; Approved July 5, 2007).
The survey is designed to enable medical offices to assess provider
and staff perspectives about patient safety issues, medical error, and
error reporting. The survey includes 38 items that measure 10
composites of patient safety culture. In addition to the composite
items, 14 items measure staff perceptions how often medical offices
have problems exchanging information with other settings as well as
other patient safety and quality issues. AHRQ made the survey publicly
available along with a Survey User's Guide and other toolkit materials
in December 2008 on the AHRQ website.
The AHRQ Medical Office SOPS Database consists of data from the
AHRQ Medical Office Survey on Patient Safety Culture and may include
reportable, non-required supplemental items. Medical offices in the
U.S. can voluntarily submit data from the survey to AHRQ, through its
contractor, Westat. The Medical Office SOPS Database (OMB No. 0935-
0196, last approved on September 10, 2018) was developed by AHRQ in
2011 in response to requests from medical offices 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 medical offices submitting data. These
reports are used to assist medical office staff in their efforts to
improve patient safety culture in their organizations.
Rationale for the information collection. The Medical Office SOPS
and the Medical Office SOPS Database support AHRQ's goals of promoting
improvements in the quality and safety of health care in medical office
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 medical
offices, to facilitate the use of these materials for medical office
patient safety and quality improvement.
Request for information collection approval. AHRQ requests that OMB
reapprove, under the Paperwork Reduction Act, 44 U.S.C. 3501-3521,
AHRQ's collection of information for the AHRQ Medical Office SOPS
Database; OMB No. 0935-0196, last approved on September 10, 2018.
This database:
(1) Presents results from medical offices that voluntarily submit
their data,
(2) Provides data to medical offices to facilitate internal
assessment and learning in the patient safety improvement process, and
(3) Provides supplemental information to help medical offices
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 healthcare and on systems for the delivery of such care,
including activities with respect to: The quality, effectiveness,
efficiency, appropriateness and value of healthcare services; quality
measurement and improvement; and database development. 42 U.S.C.
299a(a)(1), (2), 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 medical office 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 medical office and initiate the registration
process.
(2) Data Use Agreement--The purpose of the data use agreement,
completed by the medical office POC, is to state how data submitted by
medical offices will be used and provides privacy assurances.
(3) Medical Office Site Information Form--The purpose of the site
information form also completed by the medical office POC, is to
collect background characteristics of the medical office. This
information will be used to analyze data collected with Medical Office
SOPS survey.
(4) Data Files Submission--POCs upload their data file(s), using
the medical office 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 medical offices do not administer the
survey and submit data every year. Data submission is typically handled
by one POC who is either an office manager or a survey vendor who
contracts with a medical office to collect their data. POCs submit data
on behalf of 20 medical offices, on average, because many medical
offices are part of a health system that includes many medical office
sites, or the POC is a vendor that is submitting data for multiple
medical offices.
Survey data from the AHRQ Medical Office Survey on Patient Safety
Culture are used to produce three types of products:
(1) A Medical Office SOPS Database Report that is made publicly
available on the AHRQ website; and
(2) Individual Medical Office Survey Feedback Reports that are
customized for each medical office that submits data to the database;
and
(3) Research data sets of individual-level and medical office-level
de-identified data to enable researchers to conduct analyses. All data
released in a data set are de-identified at the individual-level and
the medical office-level.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondents' time to participate in the database. An estimated 85 POCs,
each representing an average of 20 individual medical offices each,
will complete the database submission steps and forms. Each POC will
submit the following:
<bullet> Eligibility and registration form (completion is estimated
to take about 3 minutes).
<bullet> Data Use Agreement (completion is estimated to take about
3 minutes).
<bullet> Medical Office Information Form (completion is estimated
to take about 5 minutes).
<bullet> Survey data submission will take an average of one hour.
[[Page 47314]]
The total burden is estimated to be 235.5 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 $12,312 annually.
Exhibit 1--Estimated Annualized Burden Hours
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Number of Number of
Form name respondents/ responses per Hours per Total burden
POCs POC response hours
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Eligibility/Registration Form................... 85 1 3/60 4.25
Data Use Agreement.............................. 85 1 3/60 4.25
Medical Office Information Form................. 85 20 5/60 142
Data Files Submission........................... 85 1 1 85
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Total....................................... NA NA NA 235.5
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Exhibit 2--Estimated Annualized Cost Burden
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Number of
Form name respondents/ Total burden Average hourly Total cost
POCs hours wage rate * burden
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Registration Form............................... 85 4.25 $52.28 $222
Data Use Agreement.............................. 85 4.25 52.28 222
Medical Office Information Form................. 85 142 52.28 7,424
Data Files Submission........................... 85 85 52.28 4,444
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Total....................................... NA 235.5 NA 12,312
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* Mean hourly wage rate of $52.28 for Medical and Health Services Managers (SOC code 11-9111) was obtained from
the May 2019 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100--Offices of
Physicians located at <a href="https://www.bls.gov/oes/current/naics4_621100.htm">https://www.bls.gov/oes/current/naics4_621100.htm</a>.
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.
Dated: August 18, 2021.
Marquita Cullom,
Associate Director.
[FR Doc. 2021-18126 Filed 8-23-21; 8:45 am]
BILLING CODE 4160-90-P
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