Spreading Techniques to Radically Reduce Antibiotic Resistant Bacteria (Methicillin Resistant Staphylococcus aureus, or MRSA)

Forms and Documents

Document Name	Status
Form Form #6 Patient Healthcare Use Questionnaire Form and Instruction	New
Form Form #5 Implementation Assessment Interviews Form and Instruction	New
Form Form #4 Culture Questionnaire Form and Instruction	New
Form Form #3 Social Network Analysis Questionnaire Form and Instruction	New
Form Form #2 Observational Data Collection Form and Instruction	New
Attachment G -- Patient Health Care Use Questionnaire.doc Supplementary Document	2010-09-20
Attachment D -- Social Network Analysis Questionnaire.doc Supplementary Document	2010-09-20
Supporting Statement Part B -- Spreading Techniques to Radically Reduce MRSA 9-15-2010.docx Supporting Statement B	2010-09-20
Attachment H -- 30 Day FRN.pdf Supplementary Document	2010-06-14
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document	2010-06-10
Supporting Statement Part A -- Spreading Techniques to Radically Reduce MRSA 9-15-2010-1.doc Supporting Statement A	2010-09-20

IC Document Collections

IC ID	Document Title	Status
193538	Patient Healthcare Use Questionnaire Form and Instruction	New
193537	Implementation Assessment Interviews Form and Instruction	New
193536	Culture Questionnaire Form and Instruction	New
193535	Social Network Analysis Questionnaire Form and Instruction	New
193534	Observational Data Collection Form and Instruction	New
193533	Electronic Medical Record Data Collection Other-List of variables extracted	New

ICR Details

OMB Control No: 0935-0168	ICR Reference No: 201007-0935-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Spreading Techniques to Radically Reduce Antibiotic Resistant Bacteria (Methicillin Resistant Staphylococcus aureus, or MRSA)
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: 09/29/2010
	Date Received in OIRA: 07/01/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2012	24 Months From Approved
Responses	5,324	0	0
Time Burden (Hours)	2,458	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Healthcare Acquired Infections (HAIs) caused almost 100,000 deaths among the 2.1 million people who acquired infections while hospitalized in 2000, and HAI rates have risen relentlessly since then. Alarmingly, 70% of HAIs are due to bacteria that are resistant to commonly used antibiotics, with Methicillin Resistant Staphylococcus aureus (MRSA) being the most rapidly growing, and among the most virulent, pathogens. Resistance is increasing rapidly in all types of hospitals (Huang 2007). Despite evidence that routinely applied, simple interventions do work, most hospitals have failed to make notable progress in reducing MRSA infections. Hospitals in some European countries and select US hospitals, however, have succeeded with impressive results. Sites that have already achieved dramatic decreases in their MRSA infection rates have done so by implementing precautions to prevent transmission, using system redesign approaches. Further, many hospitals have successfully instituted isolation procedures for patients suspected to be MRSA carriers. In doing so, these hospitals have followed the broadly disseminated guidelines for hand hygiene and contact isolation precautions. This study is a follow up to a recent study implemented in 6 hospital systems in the Indianapolis metropolitan area that used a "MRSA intervention bundle" composed of active surveillance screening, contact isolation precautions, and increased hand hygiene.

---

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

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 61690	11/25/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 32783	06/09/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Electronic Medical Record Data Collection
Observational Data Collection	Form #2	Observational Data Collection
Social Network Analysis Questionnaire	Form #3	Social Network Analysis Questionnaire
Culture Questionnaire	Form #4	Culture Questionnaire
Implementation Assessment Interviews	Form #5	Implementation Assessment Questionnaire
Patient Healthcare Use Questionnaire	Form #6	Patient Healthcare Use Questionnaire

---

ICR Summary 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	5,324	0	0	5,324	0	0
Annual Time Burden (Hours)	2,458	0	0	2,458	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 Information Collection Request is for a new data collection.

---

Annual Cost to Federal Government: $900,000

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]? No

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

---

Common Form ICR:  No

---

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: 07/01/2010

---