Defense Health Agency Patient Safety Culture Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0720-0034_SSB_8.27.2024.docx	Supporting Statement B	Uploaded 2024-10-03	Repair queued
0720-0034_SSA_9.24.2024.docx	Supporting Statement A	Uploaded 2024-09-24	Repair queued
Promo Flyer General_2024_04 18 24.docx	Supplementary Document	Uploaded 2024-08-28	Repair queued
PSCS Reminder Email_2024_07 11 24.docx	Supplementary Document	Uploaded 2024-08-28	Repair queued
MTF PSCS Announcement 2024_07 11 24.docx	Supplementary Document	Uploaded 2024-08-28	Repair queued
Live PSCS Announcement w Link_2024_04 18 24.docx	Supplementary Document	Uploaded 2024-08-28	Repair queued
Leadership Fact Sheet_2024_04 18 24.docx	Supplementary Document	Uploaded 2024-08-28	Repair queued
DoDI 6025.13 Medical Quality Assurance and Clinical Quality Management in the MHS.pdf	Supplementary Document	Uploaded 2024-08-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248028	Defense Health Agency Patient Safety Culture Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0720-0034	ICR Reference No: 202408-0720-001
Status: Received in OIRA	Previous ICR Reference No: 202106-0720-002
Agency/Subagency: DOD/DODOASHA	Agency Tracking No:
Title: Defense Health Agency Patient Safety Culture Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/04/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2025
Responses	30,965	7,820
Time Burden (Hours)	5,161	1,251
Cost Burden (Dollars)	193,944	56,148

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Abstract: The 2001 National Defense Authorization Act (NDAA) contains specific sections addressing patient safety in military and veterans’ health care systems. This legislation states that the Secretary of Defense shall establish a patient care error reporting and management system to study occurrences of errors in patient care and that one purpose of the system should be to “identify systemic factors that are associated with such occurrences” and “to provide for action to be taken to correct the identified systemic factors” (Sec. 754, items b2 and b3). In addition, the legislation states that the Secretary shall “continue research and development investments to improve communication, coordination, and teamwork in the provision of health care” (Sec. 754, item d4). As an ongoing response to this legislation, DHA Headquarters has implemented a web-based patient safety culture survey to obtain DHA staff opinions on patient safety issues. Participation in the DHA Patient Safety Culture Survey also fulfills The Joint Commission (TJC) accreditation requirements related to assessing patient safety culture and using the results to improve. As part of its Leadership Standards, TJC requires facility leaders regularly evaluate the culture of safety and quality using valid and reliable tools and prioritize and implement changes identified by the evaluation. Additionally, DHA inpatient military treatment facilities (MTFs) recently began participating in The Leapfrog Hospital Safety Grade, an initiative that provides a letter grade rating of a hospital’s patient safety measures through more than 30 national performance indicators. Participation in the DHA Patient Safety Culture Survey provides MTFs with data and information assessed by The Leapfrog Group as part of the Hospital Safety Grade calculation.

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Authorizing Statute(s): PL: Pub.L. 106 - 398 754 Name of Law: 2001 National Defense Authorization Act (NDAA)
  

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:
	89 FR 51873	06/20/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 77501	09/23/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Defense Health Agency Patient Safety Culture Survey

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	30,965	7,820	0	23,145	0	0
Annual Time Burden (Hours)	5,161	1,251	0	3,910	0	0
Annual Cost Burden (Dollars)	193,944	56,148	0	137,796	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: The respondent burden has not changed in reality, but this request is now capturing the burden on active duty and civilian personnel in addition to the contractor personnel who have been accounted for in previous iterations of this OMB Control Number.

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Annual Cost to Federal Government: $660,337

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.     No

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? No

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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: 10/04/2024

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