Improving Patient Flow and Reducing Emergency Department Crowding

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #2 Telephone interviews	Form and Instruction	New	Available
Form Form #1 In-person interviews	Form and Instruction	New	Available
Appendix D - Informed Consent 6-04-09.doc	Supplementary Document	Uploaded 2009-07-06	Available
Attachment D -- Telephone Interview Guide revised 06 04 09.doc	Supplementary Document	Uploaded 2009-07-06	Available
Attachment C -- In-person Interview Guide 06 04 09.doc	Supplementary Document	Uploaded 2009-07-06	Available
Supporting Statement Part B -- Improving Patient Flow and Reducing ED Crowding 6-03-09.doc	Supporting Statement B	Uploaded 2009-07-06	Available
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document	Uploaded 2009-03-17	Available
Attachment B -- Federal Register Notice.pdf	Supplementary Document	Uploaded 2009-03-17	Available
Attachment F -- Informed Consent.doc	Supplementary Document	Uploaded 2009-03-19	Available
Attachment E -- Recruitment Letter.doc	Supplementary Document	Uploaded 2009-03-19	Available
Supporting Statement Part A -- Improving Patient Flow and Reducing ED Crowding 6-04-09.doc	Supporting Statement A	Uploaded 2009-07-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
188542	Telephone interviews	Form and Instruction	New
188541	In-person interviews	Form and Instruction	New

ICR Details

OMB Control No: 0935-0151	ICR Reference No: 200903-0935-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Improving Patient Flow and Reducing Emergency Department Crowding
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/14/2009
	Date Received in OIRA: 03/26/2009
Terms of Clearance: This ICR is approved consistent with the revised supporting statements and revised instruments. AHRQ also agrees to ensure that the information provided to participants with regard to the confidentiality of their responses will be consistent with what is stated in the revised supporting statement.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	18 Months From Approved
Responses	144	0	0
Time Burden (Hours)	126	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This project consists of six case studies which will document the experiences of six diverse hospital emergency room departments (ED) as they identify and implement patient flow improvement strategies. This study poses a common outcome goal across all six sites of improving patient flow/reducing ED crowding, but allows each hospital to adopt practices that fit its own needs and context. This approach rests on innovation research showing that organizational innovations are more successful when they are aligned with features of the adopting hospital. The six case study sites were selected to reflect diversity of size, ownership, teaching status, safety net status, and types of challenges with ED crowding. Participating hospitals will select interventions from the previously developed Uugent Matters Toolkit that they believe will work best to address the particular problems they face.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 2596	01/15/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 11109	03/16/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
In-person interviews	Form #1	In-person interview Guide
Telephone interviews	Form #2	Telephone interview guide

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	144	0	0	144	0	0
Annual Time Burden (Hours)	126	0	0	126	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new proposed information collection

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Annual Cost to Federal Government: $399,961

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/26/2009

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