Evaluating and Implementing the Six Building Blocks Team Approach to Improve Opioid Management in Primary Care

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 Attachment C -- Staff Interview Guide – Additional Staff	Form and Instruction	New	Available
Form 2 Attachment B -- Staff Interview Guide – QI Lead	Form and Instruction	New	Available
Form 1 Attachment A -- Clinical Staff Survey	Form and Instruction	New	Available
6BBs Supporting Statement Part B_REVISED 02 22 19.docx	Supporting Statement B	Uploaded 2019-07-30	Available
Supporting Statement Part A_REVISED 01.08.20_Clean.docx	Supporting Statement A	Uploaded 2020-01-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237174	Secondary data	Other-Secondary data	New
237173	QI Measures	Instruction	New
237172	Quarterly Check-In Calls	Other-agenda	New
237170	Virtual Launch Meeting	Other-slides	New
237128	Attachment C -- Staff Interview Guide – Additional Staff	Form and Instruction	New
237127	Attachment B -- Staff Interview Guide – QI Lead	Form and Instruction	New
237126	Attachment A -- Clinical Staff Survey	Form and Instruction	New

ICR Details

OMB Control No: 0935-0248	ICR Reference No: 201907-0935-003
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Evaluating and Implementing the Six Building Blocks Team Approach to Improve Opioid Management in Primary Care
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: 01/13/2020
	Date Received in OIRA: 07/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved
Responses	2,280	0	0
Time Burden (Hours)	2,250	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The project “Evaluating and Implementing the Six Building Blocks Team Approach to Improve Opioid Management in Primary Care” fully supports AHRQ’s mission. The ultimate aim of this project is to further validate and expand the Six Building Blocks to Safer Opioid Management (6BBs) intervention and its associated resources and guidance to support primary care providers in safer opioid prescribing. Opioid overdose deaths have increased dramatically since 1999, and despite recent decreases in the national opioid prescribing rate, prescribing rates remain high in many U.S. counties. Primary care providers (PCPs) are responsible for about half of all dispensed opioid pain relievers. To address the emerging opioid epidemic, the Six Building Blocks to Safer Opioid Management (6BBs) Toolkit has been developed to support primary care providers in safer opioid prescribing, largely concordant with the Centers for Disease Control and Prevention’s Guideline for Prescribing Opioids for Chronic Pain. The 6BBs is a structured, systems-based approach for improving management of patients on long-term opioid therapy that targets six work areas a primary care practice needs to redesign in order to improve their clinic’s management of patients on long-term opioid therapy. Building upon previous work supported by AHRQ to address the opioid epidemic, this research has the following goals: 1. To improve the guidance for the 6BBs Toolkit, 2. To further implement the 6BBs in primary care practices, and 3. To understand the facilitators and barriers to implementing the Six Building Blocks to Safer Opioid Management.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 14946	04/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 36603	07/29/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
QI Measures
Attachment A -- Clinical Staff Survey	1	Attachment A -- Clinical Staff Survey
Attachment B -- Staff Interview Guide – QI Lead	2	Attachment B -- Staff Interview Guide – QI Lead
Attachment C -- Staff Interview Guide – Additional Staff	3	Staff Interview Guide
Virtual Launch Meeting
Secondary data
Quarterly Check-In Calls

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ICR Summary of Burden

table that charts list 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	2,280	0	0	2,280	0	0
Annual Time Burden (Hours)	2,250	0	0	2,250	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 is a new information collection.

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Annual Cost to Federal Government: $518,439

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

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Common Form ICR:  No

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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: 07/30/2019

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