Cover Letter

SUBMISSION OF INFORMATION COLLECTION UNDER THE

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

DATE OF REQUEST: 05/07/2021

SUB AGENCY (I/C): HHS/AHRQ

TITLE: Building Diagnostic Safety Capacity - Diagnostic Calibration Resource Evaluation Plan

GENERIC CLEARANCE UNDER OMB#: 0925-0179 EXP. DATE: 11/30/2023

ABSTRACT:

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 5A of the contract is to develop, implement, pilot test and promote measurement approaches at the individual clinician level to improve diagnostic safety capacity. To execute this task, the contractor has assembled an interprofessional team to develop a tool that provides clinicians with guidance for evaluating and calibrating their own diagnostic performance for the purposes of learning and improvement and to prevent gaps in care leading to diagnostic failures.

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

This information collection has the following goal:

1. To pilot test the diagnostic safety calibration resource (the Resource) in order to prepare the Resource for further evaluation and eventual implementation. The testing process will qualitatively examine:

   1. Ease of use of the Resource with limited or no technical assistance;

   2. Receptivity of clinicians to the Resource;

   3. Feedback on areas to improve the Resource and feasibility of its implementation within various settings (e.g., hospital, outpatient practices, rural/urban, academic/non-academic).

TOTAL ANNUAL BURDEN APPROVED: 3,383 Hours Per year

BURDEN USED TO DATE: 1687 hours.

BURDEN THIS REQUEST: 50 hours.

FEDERAL COST: The estimated annual cost to the Federal government is $202,738

IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ______ NO _x____ 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: _Margie Shofer______________________________

TELEPHONE NUMBER: 301.427.1696________________

EMAIL ADDRESS: _ [email protected] ________________