Ambulatory Surgery Center Survey on Patient Safety Culture Database

ICR 201807-0935-001

OMB: 0935-0242

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Supplementary Document
2018-07-06
Supplementary Document
2018-07-06
Supporting Statement A
2018-07-09
Supporting Statement B
2018-07-06
ICR Details
0935-0242 201807-0935-001
Active
HHS/AHRQ
Ambulatory Surgery Center Survey on Patient Safety Culture Database
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/10/2018
Retrieve Notice of Action (NOA) 07/09/2018
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved
400 0 0
121 0 0
0 0 0

Ambulatory surgery centers (ASCs) are a fast-growing health care setting, demonstrating tremendous growth both in the volume and complexity of procedures being performed. ASCs provide surgical services to patients who are not expected to need an inpatient stay following surgery. The Centers for Medicare and Medicaid Services (CMS) defines ASCs as distinct entities that operate exclusively to provide surgical services to patients who do not require hospitalization and are not expected to need to stay in a surgical facility longer than 24 hours. AHRQ sponsored the development of the ASC SOPS as a new survey in the suite of AHRQ Surveys on Patient Safety Culture. The database will support AHRQ’s goals of promoting improvements in the quality and safety of health care in ASC settings. Like the survey and other toolkit materials, the database results will be made publicly available on AHRQ’s website. Technical assistance is provided by AHRQ through its contractor at no charge to ASCs to facilitate the use of these materials for ASC patient safety and quality improvement. Technical assistance will also be provided to support ASC data submission.

US Code: 42 USC 299 Name of Law: Healthcare Research Quality Act of 1999
  
None

Not associated with rulemaking

  83 FR 11203 03/14/2018
83 FR 27778 06/14/2018
Yes

  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 400 0 0 400 0 0
Annual Time Burden (Hours) 121 0 0 121 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$200,000
No
    Yes
    No
No
No
No
Uncollected
Erwin Brown 301 427-1652 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/09/2018


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