Agency Information Collection Activities: Proposed Collection; Comment Request
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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 extension of the currently approved information collection project: Medical Office Survey on Patient Safety Culture Database. This proposed information collection was previously published in the Federal Register on July 31, 2024 and allowed 60 days for public comment. AHRQ received no substantive comments from members of the public. The purpose of this notice is to allow an additional 30 days for public comment.
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<title>Federal Register, Volume 89 Issue 191 (Wednesday, October 2, 2024)</title>
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[Federal Register Volume 89, Number 191 (Wednesday, October 2, 2024)]
[Notices]
[Pages 80247-80249]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-22578]
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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 extension of the currently approved
information collection project: Medical Office Survey on Patient Safety
Culture Database. This proposed information collection was previously
published in the Federal Register on July 31, 2024 and allowed 60 days
for public comment. AHRQ received no 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 November 1, 2024.
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. 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
<a href="/cdn-cgi/l/email-protection#d785928798858384949b929685969994929891919e94928597b6bfa5a6f9bfbfa4f9b0b8a1"><span class="__cf_email__" data-cfemail="297b6c79667b7d7a6a656c687b68676a6c666f6f606a6c7b6948415b580741415a074e465f">[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
Surveys on Patient Safety Culture[supreg] (SOPS[supreg]) Medical Office
Survey 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 of 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 January 2009, on the AHRQ website.
The AHRQ SOPS Medical Office 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 SOPS Medical Office Database (OMB NO. 0935-
0196, last approved on September 24, 2021) was developed by AHRQ in
2011 in response to requests
[[Page 80248]]
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.
The goal of the Medical Office Survey on Patient Safety Culture
Database is to promote improvements in the quality and safety of
healthcare 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.
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.
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 several 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) 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 SOPS Medical
Office Survey.
(3) 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.
(4) Data File(s) Submission--POCs upload their data file(s), using
the medical office data file specifications, to ensure that users
submit their data in a standardized way (e.g., variable names, order,
coding, formatting). The number of submissions to the database is
likely to vary from submission period to submission period 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 30 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.
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
All information collection for the SOPS Medical Office Database is
done electronically, except the Data Use Agreement (DUA) that medical
offices print, sign and return (either via fax, by scanning and
emailing or uploading to a secure website, or by mailing back).
Registration, submission of medical office information, and data upload
is handled online through a secure website. Customized feedback reports
are delivered electronically (the person submitting the data will enter
a username and password for access to a secure website from which to
download their reports).
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 30 individual medical offices each,
will complete the database submission steps and forms. Each POC will
submit the following:
1. Eligibility and Registration Form--Estimated to take 3 minutes
to complete.
2. Medical Office Site Information Form--Estimated to take 5
minutes to complete.
3. Data Use Agreement--Estimated to take 3 minutes to complete.
4. Survey Data File(s) Submission--Estimated to take 1 hour to
complete.
The total burden is estimated to be 308 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 $19,891 annually.
Exhibit 1--Estimated Annualized Burden Hours
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Number of
Form name Number of responses per Hours per Total burden
respondents POC response hours
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1. Eligibility/Registration Form................ 85 1 3/60 5
2. Medical Office Site Information Form......... 85 30 5/60 213
3. Data Use Agreement........................... 85 1 3/60 5
4. Data File(s) Submission...................... 85 1 1 85
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Total....................................... NA NA NA 308
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Exhibit 2--Estimated Annualized Cost Burden
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Total burden Average hourly Total cost
Form name hours wage rate * burden
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1. Eligibility/Registration Form.............................. 5 $64.58 $323
2. Medical Office Site Information Form....................... 213 64.58 13,756
3. Data Use Agreement......................................... 5 64.58 323
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4. Data File(s) Submission.................................... 85 64.58 5,489
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Total..................................................... 308 NA 19,891
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* Mean hourly wage rate of $64.58 for Medical and Health Services Managers (SOC code 11-9111) was obtained from
the May 2023 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, 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 26, 2024.
Marquita Cullom,
Associate Director.
[FR Doc. 2024-22578 Filed 10-1-24; 8:45 am]
BILLING CODE 4160-90-P
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