Notice2022-12828
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
June 15, 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 "Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events."
Full Text
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<title>Federal Register, Volume 87 Issue 115 (Wednesday, June 15, 2022)</title>
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[Federal Register Volume 87, Number 115 (Wednesday, June 15, 2022)]
[Notices]
[Pages 36128-36129]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-12828]
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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 ``Measure Dx: A Resource to Identify, Analyze, and Learn from
Diagnostic Safety Events.''
DATES: Comments on this notice must be received by August 15, 2022.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at
<a href="/cdn-cgi/l/email-protection#e3878c918a90cd8f8685888c948a9799a3a2abb1b2cd8b8b90cd848c95"><span class="__cf_email__" data-cfemail="bbdfd4c9d2c895d7deddd0d4ccd2cfc1fbfaf3e9ea95d3d3c895dcd4cd">[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#1f7b706d766c31737a79747068766b655f5e574d4e3177776c31787069"><span class="__cf_email__" data-cfemail="cbafa4b9a2b8e5a7aeada0a4bca2bfb18b8a83999ae5a3a3b8e5aca4bd">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Proposed Project
Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic
Safety Events
The Measure Dx resource (the Resource) is a modular toolkit that
provides clinicians, quality and safety personnel, and healthcare
organization leaders with guidance for implementing diagnostic safety
measurement strategies for the purposes of learning and improvement.
The Resource was developed and pilot tested (Fast Track OMB control
number: 0935-0179) during the base year of an AHRQ contract awarded to
the MedStar Health Research Institute and provides pragmatic
recommendations for implementing measurement strategies that were
identified in the AHRQ Issue Brief titled Operational Measurement of
Diagnostic Safety: State of the Science. In particular, the Resource
focuses on four broad measurement strategies that were assessed to be
approaching readiness for implementation in operational settings.
AHRQ is requesting full OMB approval to conduct a formal evaluation
of the Resource. AHRQ would like to further develop this resource,
expanding on the initial pilot test which qualitatively examined
feasibility of implementing the resource, general receptivity, and
feedback for improvement.
This information collection has the following goal:
1. To evaluate the Resource in order to stimulate measurement
activities for learning and improvement and quantitatively and
qualitatively examine:
a. Feasibility of implementing the Resource with limited to no
technical assistance;
b. User experience and satisfaction with the Resource;
c. Impact of the Resource on diagnostic safety policies or
activities;
d. Yield of newly detected diagnostic safety events and associated
learning resulting from use of the Resource;
e. Intent to sustain use of the Resource and continue with the
diagnostic safety process following evaluation efforts.
This information collection is being conducted by AHRQ through its
contractor, MedStar Health Research Institute, 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 and with respect to quality measurement
and improvement. 42 U.S.C. 299a(a)(1) and (2).
Method of Collection
To achieve the goals of this project the following information
collection instruments will be completed:
(1) Organizational Characteristics Survey--designed to
qualitatively describe the characteristics of the organizations engaged
in evaluation (e.g., patient characteristics, practice size, and
staffing).
(2) Organizational Self-Assessment Survey--designed to
qualitatively assess the organization's readiness (e.g., leadership
support, resources, and safety culture/infrastructure) for implementing
the Resource.
(3) The Safer Dx Checklist--A synthesis of foundational practices
that health care organizations can use to advance diagnostic
excellence. The checklist provides a framework for organizations to
conduct a self-assessment to understand the current state of diagnostic
practices, identify areas to improve, and track progress toward
diagnostic excellence over time.
(4) Pre-test Evaluation Interview Protocol--designed to
qualitatively assess the organization's current policies and structures
related to diagnostic safety, plans for implementing the Resource, and
initial feedback on resource materials.
(5) Post-test Evaluation Interview Protocol--designed to
qualitatively assess the organization's experience with implementing
the Resource, the impact of the Resource on diagnostic safety policies
or activities in their organization, contextual information about
whether and how the Resource facilitated case detection, and intent to
sustain use of the Resource following evaluation efforts.
(6) Team Questionnaire--adapted to help organizations self-assess
diagnostic teamwork in their organization & their diagnostic team's
commitment to implementing the Resource.
(7) Case Review Summary Form--designed to quantitatively and
qualitatively summarize the diagnostic safety intelligence that
participants have detected, analyzed, and/or learned from while
implementing one Measure Dx strategy.
(8) ECHO Calls Protocol--The purpose of virtual ECHO calls is to
[[Page 36129]]
foster bi-directional learning among the participating organizations,
to check site progress during the implementation period and to
understand ``real-time'' challenges, successes, and lessons learned.
Standard questions for each ECHO session will be asked to foster shared
learning and discussion. AHRQ will use the information collected to
assess and enhance the feasibility of organizations in adopting the
Resource to stimulate diagnostic safety measurement activities for
learning and improvement. AHRQ's ability to publicly share a diagnostic
measurement resource that has been scientifically validated is expected
to be of great interest to the health care community and important in
helping organizations measure diagnostic safety for patient safety and
quality 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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Organizational Characteristics Survey........... 10 1 1 10
Organizational Self-Assessment (from Measure Dx) 10 1 .5 5
Safer Dx Checklist.............................. 10 2 0.25 5
Pre-Test Interview Protocol..................... 20 1 1 20
Post-test Evaluation Interview Protocol......... 20 1 1 20
Team Questionnaire.............................. 10 2 0.25 5
Case Review Summary Form........................ 10 2 .75 15
ECHO Call Protocol.............................. 10 6 1 60
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Total....................................... 100 NA NA 140
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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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Organizational Characteristics Survey........... 10 10 \a\ $57.61 $576.1
Organizational Self-Assessment (from Measure Dx) 10 5 \a\ 57.61 288.05
Safer Dx Checklist.............................. 10 5 \a\ 57.61 288.05
Pre-Test Interview Protocol..................... 20 20 \b\ 136.37 2,727.40
Post-test Evaluation Interview Protocol......... 20 20 \b\ 136.37 2,727.40
Team Questionnaire.............................. 10 5 \a\ 57.61 288.05
Case Review Summary Form........................ 10 15 \b\ 136.37 2,045.60
ECHO Call Protocol.............................. 10 60 \a\ 57.61 3,456.60
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Total....................................... 100 140 NA 12,397.25
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* National Compensation Survey: Occupational wages in the United States May 2021 ``U.S. Department of Labor,
Bureau of Labor Statistics.'' (<a href="https://www.bls.gov/oes/current/oes_nat.htm#29-0000">https://www.bls.gov/oes/current/oes_nat.htm#29-0000</a>).
\a\ Based on the mean wages for Medical and Health Services Managers (Code 11-9111).
\b\ Based on the mean wages for Physicians (broad) (Code 29-1210).
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: June 9, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022-12828 Filed 6-14-22; 8:45 am]
BILLING CODE 4160-90-P
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