This section of the FEDERAL REGISTER

contains documents other than rules or

proposed rules that are applicable to the

public. Notices of hearings and investigations,

committee meetings, agency decisions and

rulings, delegations of authority, filing of

petitions and applications and agency

statements of organization and functions are

examples of documents appearing in this

section.

Notices Federal Register

11919 

Vol. 86, No. 38 

Monday, March 1, 2021 

CHEMICAL SAFETY AND HAZARD 

INVESTIGATION BOARD 

Sunshine Act Meeting 

TIME AND DATE: March 5, 2021, 2:00 p.m. 

EDT. 

PLACE: Public Meeting Hosted via Audio 

Conference. 

STATUS: Open to the public. 

MATTERS TO BE CONSIDERED: The 

Chemical Safety and Hazard 

Investigation Board (CSB) will convene 

a public meeting on Friday, March 5, 

2021, at 2:00 p.m. EDT. The Board will 

review the CSB’s progress in meeting its 

mission and highlight safety product 

newly released through investigations 

and safety recommendations. 

Additional Information 

This meeting will only be available 

via the following call-in number. If you 

require a translator or interpreter, please 

notify the individual listed below as the 

‘‘Contact Person for Further 

Information,’’ at least three business 

days prior to the meeting. 

Audience members should use the 

following information to access the 

meeting: 

Dial-In: 1 (800) 697–5978 Audience US 

Toll Free; 1 (630) 691–2750 Audience 

US Toll 

Passcode: 6470 316# 

Please dial the phone number five 

minutes prior to the start of the 

conference call and enter your passcode. 

The CSB is an independent federal 

agency charged with investigating 

incidents and hazards that result, or 

may result, in the catastrophic release of 

extremely hazardous substances. The 

agency’s Board Members are appointed 

by the President and confirmed by the 

Senate. CSB investigations look into all 

aspects of chemical accidents and 

hazards, including physical causes such 

as equipment failure as well as 

inadequacies in regulations, industry 

standards, and safety management 

systems. 

Contact Person for Further Information 

Hillary Cohen, Communications 

Manager, at public@csb.gov or (202) 

446–8094. Further information about 

this public meeting can be found on the 

CSB website at: www.csb.gov. 

Dated: February 24, 2021. 

Sabrina Morris, 

Board Affairs Specialist, Chemical Safety and 

Hazard Investigation Board. 

[FR Doc. 2021–04213 Filed 2–25–21; 11:15 am] 

BILLING CODE 6350–01–P 

DEPARTMENT OF COMMERCE 

Census Bureau 

Agency Information Collection 

Activities; Submission to the Office of 

Management and Budget (OMB) for 

Review and Approval; Comment 

Request; Management and 

Organizational Practices Survey— 

Hospitals 

The Department of Commerce will 

submit the following information 

collection request to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995, on or after the date of publication 

of this notice. We invite the general 

public and other Federal agencies to 

comment on proposed, and continuing 

information collections, which helps us 

assess the impact of our information 

collection requirements and minimize 

the public’s reporting burden. Public 

comments were previously requested 

via the Federal Register on November 

19, 2020 during a 60-day comment 

period. This notice allows for an 

additional 30 days for public comments. 

Agency: U.S. Census Bureau. 

Title: Management and Organizational 

Practices Survey-Hospitals. 

OMB Control Number: 0607–XXXX. 

Form Number(s): MOPS–HP. 

Type of Request: Regular submission, 

New Information Collection Request. 

Number of Respondents: 3,200. 

Average Hours per Response: 45 

minutes. 

Burden Hours: 2,400. 

Needs and Uses: The Census Bureau 

proposes conducting the Management 

and Organizational Practices SurveyHospitals (MOPS–HP) in order to 

provide critical information on the 

health sector to our many stakeholders 

in support of our mission to serve as 

‘‘the leading source of quality data about 

the nation’s people and economy.’’ The 

MOPS–HP will collect information on 

the use of structured management 

practices from Chief Nursing Officers 

(CNOs) at approximately 3,200 hospitals 

with the goal of producing four publicly 

available indices that measure key 

characteristics of these structured 

management practices. The proposed 

MOPS–HP will be collected for 

reference years 2020 and 2019. Content 

includes performance monitoring, goals, 

staff management, the use of 

standardized clinical protocols, and 

medical record documentation. Some 

questions are adapted from the 

Management and Organizational 

Practices Survey (MOPS) (OMB 

Approval Number 0607–0963), 

conducted in the manufacturing sector, 

allowing for inter-sectoral comparisons. 

The MOPS–HP will provide a deeper 

understanding of the business processes 

which impact an increasingly important 

sector of the economy; total national 

health expenditures represented almost 

18 percent of U.S. gross domestic 

product in 2017 (National Center for 

Health Statistics). The MOPS–HP will 

provide a nationally representative 

sample, enabling stakeholders to 

understand the role of structured 

management practices in financial and 

clinical outcomes in U.S. hospitals. This 

understanding is of increasing 

importance with the COVID–19 

pandemic, where the overwhelming 

number of hospitalizations at varying 

points has stretched staff and resources 

to capacity. In much the same way that 

the MOPS allowed for the measurement 

of the importance of these structured 

management practices for productivity 

and growth in the manufacturing sector, 

the MOPS–HP will inform our 

understanding of hospitals. Questions 

developed and tested for the MOPS–HP 

instrument are adapted from the 2015 

MOPS and the 2009 World Management 

Survey’s (WMS) healthcare instrument. 

The Census Bureau conducted the 

MOPS in 2010 and 2015 with 

approximately 35,000 manufacturing 

plants to measure management 

practices. These data show that 

management practices are strongly 

correlated with plant profitability and 

productivity. The WMS has collected 

11920 Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices 

data on 20 basic management practices 

for approximately 2,000 hospitals in 

nine countries, including 307 in the 

U.S. Interviewers ask open-ended 

questions and rate responses to indicate 

whether the management practices are 

more or less structured. Data from the 

WMS show large variations in these 

practices and their systematic 

relationship with clinical outcomes 

such as mortality rates from heart 

attacks. 

The COVID–19 pandemic highlights 

the relevance of hospital management 

practices, especially as they relate to 

hospitals’ ability to respond to shocks to 

their organization and the health care 

system. In light of this, the Census 

Bureau has modified the survey 

proposal to collect data for reference 

years 2020 and 2019. This change seeks 

to directly measure management 

practices and protocols before and 

during the pandemic to gain a better 

understanding of how hospitals have 

had to adjust and pivot operations 

during this public health emergency. 

The Census Bureau has also included 

two questions in the MOPS–HP content 

to help improve measurement of 

hospital preparedness. These questions 

will provide information on two 

elements of responsiveness, hospitals’ 

coordinated deployment of frontline 

clinical workers and hospitals’ ability to 

quickly respond to needed changes in 

standardized clinical protocols. In an 

effort to limit respondent burden while 

adding this content, adjustments were 

made to keep the total number of 

questions and estimated burden per 

response unchanged. 

The MOPS–HP will be a supplement 

to the Service Annual Survey (SAS) and 

will utilize a subset of its mail-out 

sample. Its sample will consist of 

hospital locations for enterprises 

classified under General Medical and 

Surgical Hospitals (NAICS 6221) and 

sampled in the SAS. The survey will be 

mailed separately from the SAS and 

collected electronically through the 

Census Bureau’s Centurion online 

reporting system. Respondents will be 

sent an initial letter with instructions 

detailing how to log into the instrument 

and report their information. These 

letters will be addressed to the 

location’s Chief Nursing Officer (CNO). 

Collection is scheduled to begin in April 

2021 and end in October 2021. Due to 

the nature of the respondents, this 

schedule may be impacted by the effects 

of COVID–19. The Census Bureau is 

monitoring the ongoing situation and 

will adjust dates as necessary as the 

collection start date approaches as we 

do not want to add burden to an overly 

burdened sector of the economy. 

The Census Bureau will produce a 

publicly available press release to 

describe the survey and discuss the 

results. The Census Bureau will also 

write at least one research paper 

describing the MOPS–HP collection, 

processing, and data findings. 

Conditional on quality, the Census 

Bureau will construct and publish in a 

research paper indices of management 

practices, which can be used in 

tabulations and empirical analyses for 

potential use by the public, clinicians, 

hospitals, and researchers. These 

indices as well as microdata will be 

available to approved Federal Statistical 

Research Data Centers (FSRDC) users 

and will provide benefits to other 

Federal agencies and the public. 

Examining factors that impact clinical 

and financial outcomes is essential to 

understanding the health care industry, 

which makes up a large portion of the 

U.S. economy. The MOPS–HP will 

provide unique national-level estimates 

on management and organizational 

practices in hospitals that could 

improve our understanding of the 

hospital industry: 

• The Centers for Medicare and 

Medicaid Services’ Hospital Compare 

data or the Hospital Consumer 

Assessment of Healthcare Providers and 

Systems (HCAHPS) survey could be 

used in conjunction with the MOPS–HP 

to determine whether hospitals with 

more structured management practices 

have higher overall patient ratings and 

are more likely to be recommended. 

• The National Hospital Care Survey 

from the National Center for Health 

Statistics could be used in combination 

with the MOPS–HP’s index to evaluate 

how management practices relate to 

hospital utilization and patient care. 

• Data from the Surveys on Patient 

Safety Culture-Hospital Survey from the 

Agency for Healthcare Research and 

Quality could be used to study whether 

hospitals with more structured 

management practices have fewer 

patient safety events. 

• Policymakers could use the data to 

understand how management and 

organizational practices are evolving in 

hospitals, which can help understand 

changes in the industry. The Census 

Bureau plans to use the data collected 

from the MOPS–HP’s questions on 

medical record documentation to 

construct an index measuring the 

management of multiple objectives— 

clinical and financial—that would 

inform policymakers concerned with 

both aspects of hospital performance. By 

examining any links between the 

survey’s measures of management 

practices and clinical outcomes, the 

survey may help to inform policymakers 

and to encourage practices that are 

beneficial to patients and our 

population as a whole. 

• Hospital administrators could 

utilize planned public indices to 

benchmark their own practices, and 

subsequently make decisions or set 

policies to improve their financial and 

clinical outcomes. 

• The MOPS–HP data could be used 

in combination with the Census 

Bureau’s collected data on hospital 

finances, including revenues and 

expenses, to improve our understanding 

on how management practices may 

impact financial performance. 

• In a letter of support, the Bureau of 

Economic Analysis (BEA) expressed 

their interest in the MOPS–HP and 

noted that it will help aid their mission 

to promote ‘‘ ‘. . . a better 

understanding of the U.S. economy 

. . .’ ’’ The letter states that the MOPS– 

HP will ‘‘fill a critical gap in our current 

understanding of how management 

systems affect patient health outcomes 

and healthcare expenditures.’’ 

Affected Public: Business or other forprofit organizations; Not-for-profit 

institutions. 

Frequency: One time. 

Respondent’s Obligation: Mandatory. 

Legal Authority: The Census Bureau 

will conduct the MOPS–HP on a 

mandatory basis under authority of Title 

13, United States Code, Sections 131, 

182, 224, and 225. 

This information collection request 

may be viewed at www.reginfo.gov. 

Follow the instructions to view the 

Department of Commerce collections 

currently under review by OMB. 

Written comments and 

recommendations for the proposed 

information collection should be 

submitted within 30 days of the 

publication of this notice on the 

following website www.reginfo.gov/ 

public/do/PRAMain. Find this 

particular information collection by 

selecting ‘‘Currently under 30-day 

Review—Open for Public Comments’’ or 

by using the search function and 

entering the title of the collection. 

Sheleen Dumas, 

Department PRA Clearance Officer, Office of 

the Chief Information Officer, Commerce 

Department. 

[FR Doc. 2021–04190 Filed 2–26–21; 8:45 am] 

BILLING CODE 3510–07–P