Notice2022-09026
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
April 28, 2022
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 proposed information collection project: "TeamSTEPPS[supreg] Stakeholder Surveys for AHRQ's ACTION III Diagnostic Safety Capacity Building Contract Task." This proposed information collection was previously published in the Federal Register on February 9th, 2022 and 60 days for public comment. AHRQ did not receive substantive comments from members of the public during this period. 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 87 Issue 82 (Thursday, April 28, 2022)</title>
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[Federal Register Volume 87, Number 82 (Thursday, April 28, 2022)]
[Notices]
[Pages 25271-25273]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-09026]
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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: ``TeamSTEPPS[supreg] Stakeholder Surveys for AHRQ's ACTION III
Diagnostic Safety Capacity Building Contract Task.'' This proposed
information collection was previously published in the Federal Register
on February 9th, 2022 and 60 days for public comment. AHRQ did not
receive substantive comments from members of the public during this
period. The purpose of this notice is to allow an additional 30 days
for public comment.
DATES: Comments on this notice must be received by May 31, 2022.
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#563239243f25783a33303d39213f222c16171e0407783e3e2578313920"><span class="__cf_email__" data-cfemail="a4c0cbd6cdd78ac8c1c2cfcbd3cdd0dee4e5ecf6f58accccd78ac3cbd2">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Proposed Project
TeamSTEPPS[supreg] Stakeholder Surveys for AHRQ's ACTION III Diagnostic
Safety Capacity Building Contract Task 3
AHRQ awarded a contract to the MedStar Health Research Institute
(MHRI) in 2019 and received OMB fast track clearance (OMB control
number 0935-0179, expiration date of 11/30/23), to provide program
support and expertise related to improving diagnostic safety and
quality across five distinct contract tasks. Task 3 of the contract is
to develop, pilot test and promote a TeamSTEPPS[supreg] Course to
improve communication among providers related to diagnosis.
TeamSTEPPS[supreg] to Improve Diagnosis provides communication
strategies, including methods to improve intra-professional
communication and communication during the referral process and to
practice mutual support and situation monitoring during the diagnostic
process. TeamSTEPPS[supreg] to Improve Diagnosis includes an
educational module for leaders on strategies to facilitate improved
communication with and among providers related to diagnosis. This
module also includes a Team Assessment Tool for Improving Diagnosis
(the ``Team Assessment Tool'').
The Team Assessment Tool is an instrument developed as a method of
self-assessment, with the goal of helping teams reflect on their
current diagnostic and teamwork practices. In addition, it orients them
to the repertoire of tools available within the TeamSTEPPS for
Improving Diagnosis course that are available to support improvement
efforts. The Team Assessment Tool asks participants to complete self-
assessment ratings as a mechanism to identify strengths and
opportunities for improvement in unit-based teamwork. The unit level
aggregate results of the assessments help unit leaders identify
priorities for training via use of course modules and specific
interventions with their diagnostic improvement teams.
AHRQ would like to further develop this Team Assessment Tool into a
measurement instrument, expanding on its intended use as an educational
activity and formative assessment. The opportunity to provide evidence
(via publication in peer reviewed journals) that the tool is both valid
and reliable will strengthen its acceptance in the care delivery
community and provide a scientifically sound method for teams to assess
changes in performance overtime. The Team Assessment Tool requires
psychometric testing in order to ensure validity and reliability.
Psychometrics is the construction and validation of measurement
instruments and assessing if these instruments are reliable (have
consistency in measurement) and valid (have accuracy in measurement).
Reliability and validity indicate how well a method,
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technique, test, or instrument is truly measuring what it intends to
measure.
The contractor has conducted precursor psychometric testing on the
Team Assessment Tool, which included the following: (1) Item wording
and scale refinement, (2) Project Team Subject Matter Expert content
review, (3) Non-Project Team Subject Matter Expert review, (4) End-user
feedback, and (5) Instrument refinement. This work puts the reliability
and validity of the indicators of the instrument at an optimal starting
point for full psychometric testing.
Full psychometric testing of this instrument means the scaling must
be evaluated extensively, which will require a sample of at least 359
individual care team members (physicians, nurses, ancillary staff,
etc.,) from diverse clinical settings to participate in a 15-minute,
anonymous, online survey distributed via a shared electronic survey
link. Individual care team members will be recruited from across 9
health systems or care settings. The survey will ask participants to
read through and complete the questions; participants will not be privy
to the results of the survey.
The contractor will examine this sample of results via analyses to
determine the stability of the instrument and its indicators, ensuring
parallel measurements, homogeneity among indicators, concurrent,
convergent, and discriminant validity, latent constructs of the tool,
the extent to which measures of the same concept correlate and diverge,
and the degree of that correlation in evaluating the instrument's
ability to discriminate between different groups with various levels
and familiarity with safety culture. It is important to note the
responses on the surveys are not being evaluated, but rather the
consistency with which the questions are answered is being evaluated
(i.e., determining whether the questions are being interpreted the same
by all the users), despite diverse healthcare settings and varying
levels of experience and familiarity with TeamSTEPPS. The combination
of these psychometric methods will allow for internal and external
validity and reliability to be assessed, to create a psychometrically
sound instrument vetted for potential widespread adoption.
The Team Assessment Tool instrument will undergo remote usability
testing of a survey to refine questions. To execute this task, the
contractor has assembled an interprofessional team to execute any or
all of the following methods for generating reliability and validity
evidence that would be applicable to this specific tool: (1) Parallel
forms reliability, (2) internal consistency reliability, (3) inter-
rater reliability, (4) content validity, and (5) construct validity,
using a multitrait-multimethod matrix and/or known groups testing.
This information collection has the following goal:
1. To determine the stability of the Team Assessment Tool
instrument and its indicators in improving communication to reduce
diagnostic errors, by quantitatively examining the correlation among
responses of each indicator.
This study is being conducted by AHRQ through its contractor,
MedStar Health Research Institute, 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 quality measurement and
improvement. 42 U.S.C 299a(a)(1) and (2).
Method of Collection
To achieve the goal of this project the following information
collection instruments will be completed using individual surveys:
(1) Setting Demographics Survey: Prior to testing of the
instrument, each health system will take a brief survey to describe the
characteristics of the sites engaged in pilot testing (e.g., size,
diagnostic team member role diversity, and familiarity with patient
safety and quality improvement activities).
(2) TeamSTEPPS[supreg] Team Assessment Tool for Improving
Diagnosis: This is collected from individual survey respondents, who
are diverse staff members in a diagnostic team. The consistency with
which the questions are interpreted and answered among respondents will
be evaluated to determine the stability among indicators on the
instrument.
AHRQ will use the information collected through this Information
Collection Request to assess and enhance the feasibility of adopting a
course to improve communication among providers related to diagnosis.
AHRQs' ability to publicly share a Team Assessment Tool that has been
scientifically validated is expected to be of great interest to the
health care community and important in helping organizations prioritize
improvement efforts.
Estimated Annual Respondent Burden
Exhibit 1--Estimated Annualized Burden Hours
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Number of
Form name Number of responses per Hours per Total burden
respondents respondent response hours
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Setting Demographics Survey..................... 9 1 0.25 2.25
TeamSTEPPS[supreg] Team Assessment Tool for 350 1 0.25 87.5
Improving Diagnosis............................
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Total....................................... 359 .............. .............. 89.75
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Exhibit 2--Estimated Annualized Cost Burden
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Average
Form name Number of Total burden hourly wage Total cost
respondents hours rate burden
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Setting Demographics Survey..................... 9 2.25 \a\ $57.12 $128.52
TeamSTEPPS[supreg] Team Assessment Tool for 265 66.25 \b\ 103.06 $6,827.73
Improving Diagnosis............................
TeamSTEPPS[supreg] Team Assessment Tool for 85 21.25 \c\ 15.50 $329.38
Improving Diagnosis............................
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Total....................................... 359 89.75 .............. 7,285.63
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\a\ Based on the mean wages for Medical and Health Services Managers (Code 11-9111).
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\b\ Based on the mean wages for Family Medicine Physicians (Code 29-1215).
\c\ Based on the mean wages for HC Support Occupations (Code 31-0000).
Occupational Employment Statistics, May 2020 National Occupational Employment and Wage Estimates United States,
U.S. Department of Labor, Bureau of Labor Statistics. <a href="https://www.bls.gov/oes/current/oes_nat.htm#b29-0000">https://www.bls.gov/oes/current/oes_nat.htm#b29-0000</a>.
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: April 22, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022-09026 Filed 4-27-22; 8:45 am]
BILLING CODE 4160-90-P
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