Notice2024-23429
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
October 10, 2024
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 extension without change of the previously approved information collection project "Nursing Home Survey on Patient Safety Culture Database," OMB No. 0935-0195. This information collection was previously published in the Federal Register on August 9th, 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.
Full Text
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<title>Federal Register, Volume 89 Issue 197 (Thursday, October 10, 2024)</title>
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[Federal Register Volume 89, Number 197 (Thursday, October 10, 2024)]
[Notices]
[Pages 82243-82245]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-23429]
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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 extension without change of the
previously approved information collection project ``Nursing Home
Survey on Patient Safety Culture Database,'' OMB No. 0935-0195. This
information collection was previously published in the Federal Register
on August 9th, 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 12, 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/">www.reginfo.gov/public/do/</a> PRAMain. 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#8bd9cedbc4d9dfd8c8c7cecad9cac5c8cec4cdcdc2c8ced9cbeae3f9faa5e3e3f8a5ece4fd"><span class="__cf_email__" data-cfemail="114354415e434542525d545043505f52545e57575852544351707963603f7979623f767e67">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Proposed Project
Nursing Home Survey on Patient Safety Culture Database
In 1999, the Institute of Medicine called for healthcare
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 healthcare, AHRQ developed and pilot tested the
Surveys on Patient Safety Culture[supreg] (SOPS[supreg]) Nursing Home
Survey with OMB approval (OMB No. 0935-0132). 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 SOPS Nursing Home Database consists of data from the AHRQ
Nursing Home Survey on Patient Safety Culture and may include
[[Page 82244]]
reportable, non-required supplemental items. Nursing homes in the U.S.
can voluntarily submit data from the survey to AHRQ through its
contractor, Westat. The SOPS Nursing Home Database was developed by
AHRQ in 2011 in response to requests from nursing homes interested in
viewing their organizations' patient safety culture survey results.
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.
The SOPS Nursing Home Survey and the SOPS Nursing Home Database
support AHRQ's goals of promoting improvements in the quality and
safety of healthcare 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.
The nursing home survey and database have the following goals:
<bullet> Promote improvements in the quality and safety of
healthcare in nursing home settings,
<bullet> Present results from nursing homes that voluntarily submit
their data,
<bullet> Provide data to nursing homes to facilitate internal
assessment and learning in the patient safety improvement process, and
<bullet> Provide 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; 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 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) Nursing Home Site Information--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 SOPS Nursing Home Survey.
(3) 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 confidentiality assurances.
(4) Data File(s) Submission--POCs upload their data file(s) using
the 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 nursing homes do not
administer the survey and submit data every database year. Data
submission is typically handled by one POC who is either a corporate
level healthcare 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 1 nursing home, 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 50 POCs,
each representing an average of 1 individual nursing home each, will
complete the database submission steps and forms. Each POC will submit
the following:
1. Eligibility and registration form (completion is estimated to
take about 3 minutes).
2. Data Use Agreement (completion is estimated to take about 3
minutes).
3. Nursing Home Site Information Form (completion is estimated to
take about 5 minutes).
4. Survey data submission will take an average of one hour.
The total annual burden hours are estimated to be 60 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 $2,903 annually.
Exhibit 1--Estimated Annualized Burden Hours
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Number of
Form name Number of responses Hours per Total burden
respondents/POCs per POC response hours
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1. Eligibility/Registration Form................. 50 1 3/60 3
2. Data Use Agreement............................ 50 1 3/60 3
3. Nursing Home Site Information Form............ 50 1 5/60 4
4. Data Files Submission......................... 50 1 1 50
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Total........................................ NA NA NA 60
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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 Forms............................... 3 $48.43 $146
2. Data Use Agreement........................................... 3 48.43 146
3. Nursing Home Site Information Form........................... 4 48.43 194
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4. Data Files Submission........................................ 50 48.43 2,422
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Total....................................................... 61 NA 2,907
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* Mean hourly wage rate of $48.43 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 623000--Nursing and
Residential Care Facilities located at <a href="https://www.bls.gov/oes/current/naics3_623000.htm">https://www.bls.gov/oes/current/naics3_623000.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: October 3, 2024.
Marquita Cullom,
Associate Director.
[FR Doc. 2024-23429 Filed 10-9-24; 8:45 am]
BILLING CODE 4160-90-P
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