Notice2021-20418
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
September 21, 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 "Nursing Home Survey on Patient Safety Culture Database." This proposed information collection was previously published in the Federal Register on June 23rd, 2021 and allowed 60 days for public comment. AHRQ did not receive substantive comments from members of the public. The purpose of this notice is to allow an additional 30 days for public comment.
Full Text
<html>
<head>
<title>Federal Register, Volume 86 Issue 180 (Tuesday, September 21, 2021)</title>
</head>
<body><pre>
[Federal Register Volume 86, Number 180 (Tuesday, September 21, 2021)]
[Notices]
[Pages 52471-52473]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-20418]
=======================================================================
-----------------------------------------------------------------------
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 (AHRQ), 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 renewal of the information
collection project ``Nursing Home Survey on Patient Safety Culture
Database.'' This proposed information collection was previously
published in the Federal Register on June 23rd, 2021 and allowed 60
days for public comment. AHRQ did not receive 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 October 21, 2021.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by email at
<a href="/cdn-cgi/l/email-protection#395d564b504a17555c5f52564e504d437978716b681751514a175e564f"><span class="__cf_email__" data-cfemail="187c776a716b36747d7e73776f716c625859504a493670706b367f776e">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Proposed Project
Nursing Home 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
Nursing Home Survey on Patient Safety Culture with OMB approval (OMB
NO. 0935-0132; Approved July 5, 2007).
The survey is designed to enable nursing homes to assess provider
and staff perspectives about patient safety issues, medical error, and
error reporting and includes 42 items that measure 12 composites of
patient safety culture. AHRQ made the survey publicly available along
with a Survey User's Guide and other toolkit materials in November 2008
on the AHRQ website.
The AHRQ Nursing Home SOPS Database consists of data from the AHRQ
Nursing Home Survey on Patient Safety Culture. Nursing homes in the
U.S. can voluntarily submit data from the survey to AHRQ through its
contractor, Westat. The Nursing Home SOPS Database (OMB NO. 0935-0195,
last approved on November 5, 2018) was developed by AHRQ in 2011 in
response to requests from nursing
[[Page 52472]]
homes interested in viewing their organizations' patient safety culture
survey results. Those organizations submitting data receive a feedback
report, as well as a report on the aggregated de-identified findings of
the other nursing homes submitting data. These reports are used to
assist nursing home staff in their efforts to improve patient safety
culture in their organizations.
Rationale for the information collection. The Nursing Home SOPS and
Nursing Home SOPS Database support AHRQ's goals of promoting
improvements in the quality and safety of health care in nursing home
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 nursing homes,
to facilitate the use of these materials for nursing home patient
safety and quality improvement.
This database:
(1) Presents results from nursing homes that voluntarily submit
their data,
(2) Provides data to nursing homes to facilitate internal
assessment and learning in the patient safety improvement process, and
(3) Provides supplemental information to help nursing homes
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 healthcare 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 nursing home (or parent
organization) 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 nursing home and
initiate the registration process.
(2) Data Use Agreement--The purpose of the data use agreement,
completed by the nursing home POC, is to state how data submitted by
nursing homes will be used and provides privacy assurances.
(3) Nursing Home Site Information Form--The purpose of the site
information form, completed by the nursing home POC, is to collect
background characteristics of the nursing home. This information will
be used to analyze data collected with the Nursing Home SOPS survey.
(4) Data File(s) Submission--POCs upload their data file(s) using
the 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 nursing homes do not administer the survey and submit
data every year. Data submission is typically handled by one POC who is
either a corporate level health care manager for a Quality Improvement
Organization (QIO), a survey vendor who contracts with a nursing home
to collect their data, or a nursing home Director of Nursing or nurse
manager. POCs submit data on behalf of 3 nursing homes, on average,
because many nursing homes are part of a QIO or larger nursing home or
health system that includes many nursing home sites, or the POC is a
vendor that is submitting data for multiple nursing homes.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondents' time to participate in the database. An estimated 40 POCs,
each representing an average of 3 individual nursing homes 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> Nursing Home Site Information Form (completion is
estimated to take about 5 minutes).
<bullet> Survey data submission will take an average of one hour.
The total annual burden hours are estimated to be 54 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 $2,509 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................... 40 1 3/60 2
Data Use Agreement.............................. 40 1 3/60 2
Nursing Home Site Information Form.............. 40 3 5/60 10
Data Files Submission........................... 40 1 1 40
---------------------------------------------------------------
Total....................................... NA NA NA 54
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of
Form name respondents/ Total burden Average hourly Total cost
POCs hours wage rate * burden
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Forms.................. 40 2 $46.45 $93
Data Use Agreement.............................. 40 2 46.45 93
Nursing Home Site Information Form.............. 40 10 46.45 465
Data Files Submission........................... 40 40 46.45 1,858
---------------------------------------------------------------
[[Page 52473]]
Total....................................... NA 54 NA 2,509
----------------------------------------------------------------------------------------------------------------
* The wage rate in Exhibit 2 is based on May 2019 National Industry-Specific Occupational Employment and Wage
Estimates, Bureau of Labor Statistics, U.S. Dept. of Labor. Mean hourly wages for nursing home POCs are
located at <a href="https://www.bls.gov/oes/current/naics3_623000.htm">https://www.bls.gov/oes/current/naics3_623000.htm</a>. The hourly wage of $46.45 is the weighted mean
of $47.32 (General and Operations Managers 11-1021; N=26) and $44.82 (Medical and Health Services Managers 11-
9111; N=14).
Request for Comments
In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3520, 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: September 16, 2021.
Marquita Cullom,
Associate Director.
[FR Doc. 2021-20418 Filed 9-20-21; 8:45 am]
BILLING CODE 4160-90-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on September 21, 2021.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.