Cover Letter

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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Cover Letter

OMB: 0935-0179

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SUBMISSION OF INFORMATION COLLECTION UNDER THE

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery


DATE OF REQUEST:


SUB AGENCY (I/C): HHS/AHRQ


TITLE: : Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation Plan


GENERIC CLEARANCE UNDER OMB#: 0925-0179 EXP. DATE: 11/30/2020


ABSTRACT:

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The MedStar Health Research Institute was awarded a contract with AHRQ to provide program support and expertise related to improving diagnostic safety and quality across five distinct contract tasks. Task 3 of the contract is to develop, pilot test and promote TeamSTEPPS® Course to improve communication among providers related to diagnosis. To execute this task, the contractor has assembled an interprofessional team to develop a training course using the TeamSTEPPS® Framework to educate providers and staff on team-based approaches to close prevalent gaps in care leading to diagnostic failures.

A qualitative approach to data collection (e.g., individual interviews and/or focus groups) and analysis will be used to pilot test the course and provide useful insights on stakeholders’ perceptions and opinions, identify barriers and facilitators to course adoption, receptivity to the course by stakeholders, as well as to explore general stakeholder feedback to enhance the usability of the course materials. The approach will not consist of statistical surveys that yield quantitative results that can be generalized to the population. Pilot testing will occur at up to 20 information collection settings and the feasibility of implementation will be assessed at the stakeholder and setting levels. The information collected from stakeholders will be used to revise the course in order to promote widespread adoption.







Organizations that download MONAHRQ and generate reports to help improve health care are referred to as “Host Users.” The Future of MONAHRQ Survey 2014 will be accessible to current and prospective Host Users. Examples of Host Users include: state agencies, public health departments, hospital associations, hospital systems, and individual hospitals, multi-stakeholder alliances and coalitions, Quality Improvement Organizations (QIOs), and health plans.






















TOTAL ANNUAL BURDEN APPROVED: 3,383 Hours Per year

BURDEN USED TO DATE: 1,696 hours.

BURDEN THIS REQUEST: 389 hours.


FEDERAL COST: The estimated annual cost to the Federal government is $18,616_____.


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ____x__ NO _____ N/A


OBLIGATION TO RESPOND:

___x___ VOLUNTARY

______ REQUIRED TO OBTAIN OR RETAIN BENEFITS

______ MANDATORY


HOW WILL THIS SURVEY BE OFFERED?

_____ WEB SITE

___x_ _ TELEPHONE INTERVIEW

_____ MAIL RESPONSE

_____x IN PERSON INTERVIEW

_____ OTHER: ___________________________________


CONTACT INFORMATION:

NAME: _Erwin Brown______________________________

TELEPHONE NUMBER: 301.427.1652________________

EMAIL ADDRESS: [email protected]________________

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Form - 04/28/2008
SubjectGeneric Clearance Form - 04/28/2008
AuthorOD/USER
File Modified0000-00-00
File Created2021-01-13

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