Attachment D -- Federal Register Notice

46338

Federal Register / Vol. 78, No. 147 / Wednesday, July 31, 2013 / Notices

Request for Comments
In accordance with the Paperwork
Reduction Act, 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 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: July 23, 2013.
Carolyn M. Clancy,
AHRQ Director.
[FR Doc. 2013–18378 Filed 7–30–13; 8:45 am]
BILLING CODE 4160–90–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

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 proposed
information collection project:
‘‘Collection of Information for Agency
for Healthcare Research and Quality’s
(AHRQ) Hospital Survey on Patient
Safety Culture Comparative Database.’’
In accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501–3521,
AHRQ invites the public to comment on
this proposed information collection.
This proposed information collection
was previously published in the Federal
Register on May 16th, 2013 and allowed
60 days for public comment. No
comments were received. The purpose

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of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by August 30, 2013.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by
email at
[email protected]
(attention: AHRQ’s desk officer).
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 at [email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
Collection of Information for Agency for
Healthcare Research and Quality’s
(AHRQ) Hospital Survey on Patient
Safety Culture Comparative Database
Request for information collection
approval. The Agency for Healthcare
Research and Quality (AHRQ) requests
that the Office of Management and
Budget (OMB) reapprove, under the
Paperwork Reduction Act of 1995,
AHRQ’s collection of information for
the AHRQ Hospital Survey on Patient
Safety Culture (Hospital SOPS)
Comparative Database; OMB NO. 0935–
0162, last approved on May 5th, 2010.
The Hospital SOPS Comparative
Database consists of data from the
AHRQ Hospital Survey on Patient
Safety Culture. Hospitals in the U.S. are
asked to voluntarily submit data from
the survey to AHRQ. The database was
developed by AHRQ in 2006 in
response to requests from hospitals
interested in knowing how their patient
safety culture survey results compare to
those of other hospitals in their efforts
to improve patient safety.
Background on the Hospital SOPS. 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 Hospital Survey on Patient
Safety Culture with OMB approval
(OMB NO. 0935–0115; Approved 2/4/
2003). The survey was designed to
enable hospitals to assess staff opinions
about patient safety issues, medical

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error, and error reporting and includes
42 items that measure 12 dimensions of
patient safety culture. AHRQ released
the survey to the public along with a
Survey User’s Guide and other toolkit
materials in November 2004 on the
AHRQ Web site. Since its release, the
survey has been voluntarily used by
hundreds of hospitals in the U.S.
Rationale for the information
collection. The Hospital SOPS survey
and the Hospital SOPS Comparative
Database are supported by AHRQ to
meet its goals of promoting
improvements in the quality and safety
of health care in hospital settings. The
surveys, toolkit materials, and
comparative database results are all
made publicly available along with
technical assistance, provided by AHRQ
through its contractor at no charge to
hospitals, to facilitate the use of these
materials for hospital patient safety and
quality improvement.
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 (a)(8).
Method of Collection
All information collection for the
Hospital SOPS Comparative Database is
done electronically, except the Data Use
Agreement (DUA) that hospitals sign in
hard copy and fax or mail back.
Registration, submission of hospital
information, and data upload is handled
online through a secure Web site.
Delivery of confidential hospital survey
feedback reports is also done
electronically by having submitters
enter a username and password and
downloading their reports from a secure
Web site.
Survey data from the AHRQ Hospital
Survey on Patient Safety Culture is used
to produce three types of products: (1)
An annual Hospital SOPS Comparative
Database Report that is made publicly
available in the public domain; (2)
Individual Hospital Survey Feedback
Reports that are confidential,
customized reports produced for each
hospital that submits data to the
database; and (3) Research data sets of
individual-level and hospital-level deidentified data to enable researchers to
conduct analyses.

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46339

Federal Register / Vol. 78, No. 147 / Wednesday, July 31, 2013 / Notices
Estimated Annual Respondent Burden
Hospitals administer the AHRQ
Hospital Survey on Patient Safety
Culture every 20 months on average.
Therefore, the number of hospital
submissions to the database varies
because hospitals do not submit data
every year. Data submission is typically
handled by one point-of-contact (POC)
who is either a hospital patient safety
manager or a survey vendor. The POC

completes a number of data submission
steps and forms, beginning with
completion of an online Eligibility and
Registration Form. The POCs typically
submit data on behalf of 3 hospitals, on
average, because many hospitals are part
of a multi-hospital system that is
submitting data, or the POC is a vendor
that is submitting data for multiple
hospitals. Exhibits 1 and 2 are based on
an estimated 304 individual POCs who
will complete the database submission

steps and forms in the coming years, not
based on the number of ‘‘hospitals.’’ The
Hospital Information Form is completed
by all POCs for each of their hospitals.
The total annual burden hours are
estimated to be 1,793.
Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to submit their data.
The cost burden is estimated to be
$91,297 annually.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents/
POCs

Form name

Number of
responses
per POC

Hours per
response

Total burden
hours

Eligibility/Registration Form and Data Submission * ........................................
Data Use Agreement .......................................................................................
Hospital Information Form ...............................................................................

304
304
304

1
1
3

5.6
3/60
5/60

1,702
15
76

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

912

NA

NA

1,793

* The Eligibility and Registration Form requires 3 minutes to complete; however about 5.5 hours is required to prepare/plan for the data submission. This includes the amount of time POCs and other hospital staff (CEO, lawyer, database administrator) typically spend deciding whether
to participate in the database and preparing their materials and data set for submission to the database, and performing the submission.

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs

Form name

Total burden
hours

Average
hourly wage
rate*

Total cost
burden

Eligibility/Registration Form and Data Submission ..........................................
Data Use Agreement .......................................................................................
Hospital Information Form ...............................................................................

304
304
304

1,702
15
76

50.95
50.33
50.33

86,717
755
3,825

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

912

1,793

NA

91,297

* Wage rates were calculated using the mean hourly wage based on occupational employment and wage estimates from the Dept of Labor,
Bureau of Labor Statistics’ May 2012 National Industry-Specific Occupational Employment and Wage Estimates NAICS 622000—Hospitals, located at http://www.bls.gov/oes/current/naics3_622000.htm. Wage rate of $50.33 is based on the mean hourly wages for Medical and Health
Services Managers (11–9111). Wage rate of $50.95 is the weighted mean hourly wage for: Medical and Health Services Managers (11–
9111;$50.33 × 2.6 hours = $130.86), Lawyers (23–1011; $72.71 × 0.5 hours = $36.36), Chief Executives (11–1011($95.36 × 0.5 hours = $47.68),
and Database Administrators (15–1141; $35.20 × 2 hours = $70.40) [Weighted mean = ($130.86 + 36.36 + 47.68 + 70.40)/5.6 hours = $285.30/
5.6 hours = $50.95/hour].

mstockstill on DSK4VPTVN1PROD with NOTICES

Request for Comments
In accordance with the Paperwork
Reduction Act, 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 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.

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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.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Dated: July 23, 2013.
Carolyn M. Clancy,
AHRQ Director.

Medicare, Medicaid, and Children’s
Health Insurance Programs:
Announcement of Temporary
Moratoria on Enrollment of
Ambulances Suppliers and Providers
and Home Health Agencies in
Designated Geographic Areas

[FR Doc. 2013–18366 Filed 7–30–13; 8:45 am]
BILLING CODE 4160–90–P

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Centers for Medicare & Medicaid
Services
[CMS–6048–N]

Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:

This notice announces the
imposition of a temporary moratorium
on the enrollment of home health
agencies in Miami-Dade and Cook
counties as well as selected surrounding

SUMMARY:

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