Published 60 Day FRN

Appendix B 60day FRN.pdf

Workplace Violence Prevention Programs In New Jersey Healthcare Facilities

Published 60 Day FRN

OMB: 0920-0914

Document [pdf]
Download: pdf | pdf
45617

Federal Register / Vol. 77, No. 148 / Wednesday, August 1, 2012 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Form name

CBOs only funded under PS11–1113 ...........
Dually funded CBOs (funded under both
PS11–1113 and PS10–1003).

CBO/CBA Needs Assessment ......................
CBO/CBA Needs Assessment ......................

Dated: July 25, 2012.
Kimberly S. Lane,
Deputy Director, Office of Science Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–18746 Filed 7–31–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day 12–0914]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

tkelley on DSK3SPTVN1PROD with NOTICES

Number of
respondents

Type of respondents

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 and
send comments to Kimberly S. Lane, at
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to
[email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection 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
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.

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Proposed Project
Workplace Violence Prevention
Programs in NJ Healthcare Facilities
(0920–0914, Expiration 1/31/2015)—
Revision—National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The long-term goal of the proposed
project is to reduce violence against
healthcare workers. The objective of the
proposed study is two-fold: (1) To
examine healthcare facility compliance
with the New Jersey Violence
Prevention in Health Care Facilities Act,
and (2) to evaluate the effectiveness of
the regulations in this Act in reducing
assault injuries to workers. Our central
hypothesis is that facilities with high
compliance with the regulations will
have lower rates of employee violencerelated injury. NIOSH received OMB
approval (0920–0914) to evaluate the
legislation at hospitals and to conduct a
nurse survey. Data collection is ongoing
at the hospitals and for the nurse
survey. We are revising our existing ICR
to include 2 new respondents which are
nursing homes and home healthcare
aides.
First, we will conduct face-to-face
interviews with the Chairs of the
Violence Prevention Committees in 20
nursing homes who are in charge of
overseeing compliance efforts. The
purpose of the interviews is to measure
compliance to the state regulations
(violence prevention policies, reporting
systems for violent events, violence
prevention committee, written violence
prevention plan, violence risk
assessments, post incident response and
violence prevention training). The
details of their Workplace Violence
Prevention Program are in their existing
policies and procedures. Second, we
will also collect assault injury data from
nursing home’s violent event reports 3
years pre-regulation (2009–2011) and 3
years post-regulation (2012–2014).This
data is captured in existing OSHA logs
and is publicly available. The purpose
of collecting these data is to evaluate
changes in assault injury rates before
and after enactment of the regulations.

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16
18

Number of
responses per
respondent
1
1

Average
burden per
response
(in hours)
3
1.5

A contractor will conduct the
interviews, collect the nursing home’s
policies and procedures, and collect the
assault injury data. Third, we will also
conduct a home healthcare aide survey
(4000 respondents or 1333 annually).
This survey will describe the workplace
violence prevention training home
healthcare aides receive. Healthcare
workers are nearly five times more
likely to be victims of violence than
workers in all industries combined.
While healthcare workers are not at
particularly high risk for job-related
homicide, nearly 60% of all nonfatal
assaults occurring in private industry
are experienced in healthcare. Six states
have enacted laws to reduce violence
against healthcare workers by requiring
workplace violence prevention
programs. However, little is understood
about how effective these laws are in
reducing violence against healthcare
workers. We will test our central
hypothesis by accomplishing the
following specific aims:
1. Compare the comprehensiveness of
nursing home workplace violence
prevention programs before and after
enactment of the New Jersey regulations
in nursing homes; Working hypothesis:
Based on our preliminary research, we
hypothesize that enactment of the
regulations will improve the
comprehensiveness of nursing home
workplace violence prevention program
policies, procedures and training.
2. Describe the workplace violence
prevention training home healthcare
aides receive following enactment of the
New Jersey regulations; Working
hypothesis: Based on our preliminary
research, we hypothesize that home
healthcare aides receive at least 80% of
the workplace violence prevention
training components mandated in the
New Jersey regulations.
3. Examine patterns of assault injuries
to nursing home workers before and
after enactment of the regulations;
Working hypothesis: Based on our
preliminary research, we hypothesize
that rates of assault injuries to nursing
home workers will decrease following
enactment of the regulations.
Healthcare facilities falling under the
regulations are eligible for study

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45618

Federal Register / Vol. 77, No. 148 / Wednesday, August 1, 2012 / Notices

inclusion (i.e., nursing homes). A
contractor will conduct face-to-face
interviews with the chairs of the
Violence Prevention Committees at 20
nursing homes, who as stated in
regulations, are in charge of overseeing
compliance efforts. These individuals
will include nursing home
administrators. The purpose of the
interviews is to measure compliance to
the state regulations (Aim 1). The
interview form was pilot-tested by the
study team in the Fall 2010 and
includes the following components as
mandated in the regulations: violence
prevention policies, reporting systems
for violent events, violence prevention
committee, written violence prevention
plan, violence risk assessments, post
incident response and violence
prevention training. The nursing home’s
policy and procedures documents will
be obtained by the contractor to provide
details about their workplace violence
prevention program. Questions will also
be asked about barriers and facilitators
to developing the violence prevention
program. These data will be collected in
the post-regulation time period.

recruited from a mailing list of home
healthcare aides certified from the State
of New Jersey Division of Consumer
Affairs Board of Nursing. The mailing
list was selected as the population
source of workers due to the ability to
capture all home healthcare aides in
New Jersey. Therefore, a sampling frame
based on home healthcare aides will be
used to select workers to participate in
the study. A random sample of 4000
(1333 annually) home healthcare aides
will be recruited for study participation.
A third-party contractor will be
responsible for sending the survey to the
random sample of 4000 home healthcare
aides (1333 annually). The Health
Professionals and Allied Employees
union will promote the survey to their
members. To maintain the worker’s
anonymity, the home healthcare agency
in which he/she works will not be
identified. The survey will describe the
workplace violence prevention training
home healthcare aides receive following
enactment of the New Jersey regulations
(Aim 2). There are no costs to
respondents other than their time.

A contractor will also collect assault
injury data from nursing home violent
event reports 3 years pre-regulation
(2009–2011) and 3 years post-regulation
(2012–2014). This data will be collected
from existing OSHA logs. The purpose
of collecting these data is to evaluate
changes in assault injury rates before
and after enactment of the regulations
(Aim 3). The following information will
be abstracted from the OSHA logs: date,
time and location of the incident;
identity, job title and job task of the
victim; identity of the perpetrator;
description of the violent act, including
whether a weapon was used;
description of physical injuries; number
of employees in the vicinity when the
incident occurred, and their actions in
response to the incident;
recommendations of police advisors,
employees or consultants, and; actions
taken by the facility in response to the
incident. No employee or perpetrator
identifiable information will be
collected.
In addition to nursing homes, home
healthcare aides will also be recruited.
These home healthcare aides will be

ESTIMATED ANNUALIZED BURDEN HOURS
No. of
responses per
respondent

Average
burden per
response
(in hrs)

Total burden
(in hrs)

Form

Hospital Administrator .......................
Nursing Administrator .......................
Nurse Survey ....................................
Home Healthcare Aides ....................

Interview ...........................................
Interview ...........................................
Survey ..............................................
Survey ..............................................

17
7
1333
1333

1
1
1
1

1
1
20/60
20/60

17
7
445
445

Total ...........................................

...........................................................

........................

........................

........................

914

Kimberly S. Lane,
Deputy Director, Office of Science Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–18742 Filed 7–31–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
tkelley on DSK3SPTVN1PROD with NOTICES

No. of
respondents

Respondents

Title: Mother and Infant Home
Visiting Program Evaluation: Follow-up
data collection on family outcomes.
OMB No.: 0970–0402.
Description: In 2011, the
Administration for Children and
Families (ACF) and Health Resources
and Services Administration (HRSA)

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within the U.S. Department of Health
and Human Services (HHS) launched a
national evaluation called the Mother
and Infant Home Visiting Program
Evaluation (MIHOPE). This evaluation,
mandated by the Affordable Care Act,
will inform the federal government
about the effectiveness of the Maternal,
Infant, and Early Childhood Home
Visiting (MIECHV) program in its first
few years of operation, and provide
information to help states develop and
strengthen home visiting programs in
the future. MIHOPE has two phases.
Phase 1 includes baseline data
collection and implementation data;
Phase 2 includes follow up data
collection. OMB approved a data
collection package for Phase 1 in July
2012. The purpose of the current
document is to request approval of data
collection efforts for Phase 2.
Data collected during Phase 2 will
include the following: (1) A one-hour
interview with the parent, (2) 30-

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minutes of observed interactions
between the parent and child, (3) a
direct assessment of child development,
and (4) collection of saliva from the
parent or child for purposes of
measuring cotinine, an indicator of
smoking behavior and exposure to
second-hand smoke, and other health
and stress indicators. Saliva analysis
would not include assessment for illegal
drug use or DNA.
Data collected during Phase 2 will be
used to estimate the effects of MIECHVfunded programs on seven domains
specified for the evaluation in the ACA:
(1) Prenatal, maternal, and newborn
health; (2) child health and
development, including maltreatment,
injuries, and development; (3)
parenting; (4) school readiness and
academic achievement; (5) crime or
domestic violence; (6) family economic
self-sufficiency; and (7) coordination of
referrals for and provision of other
community resources. Data collected

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