Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program

Forms and Documents

Document Name	Status
Form 1 Training participant questionnaire Form and Instruction	Modified
Form 2 Semi-structured interview Form and Instruction	Modified
Supporting Statement Part B_v3_2015-09-10 Comment.docx Supporting Statement B	2015-09-17
Attachment G - 30 Day FRN.pdf Supplementary Document	2015-07-15
ATTACHMENT B--Logic Model of Post-TeamSTEPPS Master Training Patient Safety Activities and Outcomes by Participant Role-v2.docx Supplementary Document	2014-03-20
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document	2014-03-20
ATTACHMENT F -- AHRQ NITS Informed Consent Form.docx Supplementary Document	2010-07-09
ATTACHMENT D -- Advance notice invitation reminder notices and thank you letters for training participant questionnaire-v2.docx Supplementary Document	2014-03-20
ATTACHMENT F -- AHRQ NITS Informed Consent Form-v2.docx Supplementary Document	2014-03-20
Supporting Statement Part A 2015-09-10 Comments.docx Supporting Statement A	2015-09-17

IC Document Collections

IC ID	Document Title	Status
193967	Training participant questionnaire Form and Instruction	Modified
193966	Semi-structured interview Form and Instruction	Modified

ICR Details

OMB Control No: 0935-0170	ICR Reference No: 201507-0935-002
Status: Historical Active	Previous ICR Reference No: 201403-0935-002
Agency/Subagency: HHS/AHRQ	Agency Tracking No: 21620
Title: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2015
	Date Received in OIRA: 07/16/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	12/31/2015
Responses	2,481	0	2,481
Time Burden (Hours)	881	0	881
Cost Burden (Dollars)	0	0	0

---

Abstract: AHRQ, in collaboration with the Department of Defense's (DoD) Tricare Management Activity (TMA), developed TeamSTEPPS® ("Team Strategies and Tools to Enhance Performance and Patient Safety") to provide an evidence-based suite of tools and strategies for teaching teamwork-based patient safety to health care professionals. In 2007, AHRQ and DoD coordinated the national implementation of the TeamSTEPPS Program. The main objective of this program is to improve patient safety by training a select group of stakeholders such as Quality Improvement Organization (QIO) personnel, High Reliability Organization (HRO) staff, and healthcare system staff in various teamwork, communication, and patient safety concepts, tools, and techniques. Ultimately, TeamSTEPPS will help to build a national and state-level infrastructure for supporting teamwork-based patient safety efforts in healthcare organizations l. The National Implementation of TeamSTEPPS Master Training Program includes the training of "Master Trainers" in various health care systems capable of stimulating the utilization and adoption of TeamSTEPPS in their health care delivery systems, providing technical assistance and consultation on implementing TeamSTEPPS, and developing various channels of learning (e.g., user networks, various educational venues) for continuing support and improvement of teamwork in health care. AHRQ has already trained a corps of over 5000 participants to serve as the Master Trainer infrastructure supporting national adoption of TeamSTEPPS. An anticipated 2400 participants who are registering for the program will be studied in this assessment. Participants in training become Master Trainers in TeamSTEPPS and are afforded the opportunity to observe the program's tools and strategies in action. In addition to developing a corps of Master Trainers, AHRQ has also developed a series of support mechanisms for this effort including a data collection Web tool, a TeamSTEPPS call support center, and a monthly consortium to address any challenges encountered implementing TeamSTEPPS. Participants applied to the program as teams representing their organizations and were accepted as training participants after having completed an organizational readiness assessment. Due to the differences among the types of organizations participating in the program, each participant has a different potential to apply tools and concepts within and/or beyond their home organizations.

---

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:
	80 FR 1932	04/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 39119	07/08/2015
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Training participant questionnaire	1	Training participant questionnaire
Semi-structured interview	2	Semi-structured interview guide

---

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	2,481	2,481	0	0	0	0
Annual Time Burden (Hours)	881	881	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $157,391

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]? No

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: 07/16/2015

---