Federal Register / Vol. 75, No. 84 / Monday, May 3, 2010 / Notices 23269 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total Annualized cost 

Administration .................................................................................................................................................. $24,474 $8,158 

Research Plan ................................................................................................................................................. 591,788 197,263 

Dissemination Plan .......................................................................................................................................... 63,397 21,132 

Final Report ..................................................................................................................................................... 46,501 15,500 

Overhead ......................................................................................................................................................... 273,816 91,272 

Total .......................................................................................................................................................... 999,976 333,325 

Request for Comments 

In accordance with tile above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ healthcare research and 

healthcare information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: April 22, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–10197 Filed 4–30–10; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: 

‘‘Assessing the Impact of the National 

Implementation of TeamSTEPPS Master 

Training Program.’’ In accordance with 

the Paperwork Reduction Act, 44 U.S.C. 

3501–3520, AHRQ invites the public to 

comment on this proposed information 

collection. 

DATES: Comments on this notice must 

he received by July 2, 2010. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@AHRQ.hhs.gov. 

Copies of the proposed collection 

plans, data collection instruments, and 

specific details on the estimated burden 

can be obtained from the AHRQ Reports 

Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ Reports 

Clearance Officer, (301) 427–1477, or by 

e-mail at 

doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Assessing the Impact of the National 

Implementation of TeamSTEPPS Master 

Training Program 

As part of their effort to fulfill their 

mission goals, AHRQ, in collaboration 

with the Department of Defense’s (DoD) 

Tricare Management Activity (TMA), 

developed TeamSTEPPS® (aka Team 

Strategies and Tools for Enhancing 

Performance and Patient Safety) to 

provide an evidence-based suite of tools 

and strategies for training teamworkbased patient safety to health care 

professionals. In 2007, AHRQ and DoD 

coordinated the national 

implementation of the TeamSTEPPS 

program. The main objective of this 

program is to improve patient safety by 

training a select group of stakeholders 

such as Quality Improvement 

Organization (QIO) personnel, High 

Reliability Organization (HRO) staff and 

healthcare system staff in various 

teamwork, communication, and patient 

safety concepts, tools, and techniques 

and ultimately helping to build a 

national infrastructure for supporting 

teamwork-based patient safety efforts in 

healthcare organizations and at the state 

level. The implementation includes the 

training of Master Trainers in various 

health care systems capable of 

stimulating the utilization and adoption 

of TeamSTEPPS in their health care 

delivery systems, providing technical 

assistance and consultation on 

implementing TeamSTEPPS, and 

developing various channels of learning 

(e.g., user networks, various educational 

venues) for continuation support and 

improvement of teamwork in 

healthcare. During this effort, AHRQ has 

trained a corps of 2400 participants to 

serve as the Master Trainer 

infrastructure supporting national 

adoption of TeamSTEPPS. Participants 

in training become Master Trainers in 

TeamSTEPPS and are afforded the 

opportunity to observe the tools and 

strategies provided in the program in 

action. In addition to developing a corps 

of Master Trainers, AHRQ has also 

developed a series of support 

mechanisms for this effort including a 

data collection Web tool, a 

TeamSTEPPS call support center, and a 

monthly consortium to address any 

challenges encountered by 

implementers of TeamSTEPPS. 

To understand the extent to which 

this infrastructure of patient safety 

knowledge and skills has been created, 

AHRQ will conduct an evaluation of the 

National Implementation of 

TeamSTEPPS Master Training program. 

The goals of this evaluation are to 

examine the extent to which training 

participants have been able to: 

(1) Implement the TeamSTEPPS 

products, concepts, tools, and 

techniques in their home organizations 

and, 

(2) the extent to which participants 

have spread that training, knowledge, 

and skills to their organizations, local 

areas, regions, and states. 

This study is being conducted by 

AHRQ through its contractor, American 

Institutes for Research (AIR), pursuant 

to AHRQ’s statutory authority to 

conduct and support research on 

healthcare and on systems for the 

delivery of such care, including 

activities with respect to the quality, 


erowe on DSK5CLS3C1PROD with NOTICES
23270 Federal Register / Vol. 75, No. 84 / Monday, May 3, 2010 / Notices 

effectiveness, efficiency, 

appropriateness and value of healthcare 

services and with respect to quality 

measurement and improvement. 42 

U.S.C. 299a(a)(1) and (2). 

Method of Collection 

To achieve the goals of this 

assessment the following two data 

collections will be implemented: 

(1) Web-based questionnaire to 

examine post-training activities and 

teamwork outcomes as a result of 

training from multiple perspectives. The 

questionnaire is directed to all master 

training participants. Items will cover 

post-training activities, implementation 

experiences, facilitators and barriers to 

implementation encountered, and 

perceived outcomes as a result of these 

activities. 

(2) Semi-structured interviews will he 

conducted with members from 

organizations who participated in the 

TeamSTEPPS Master Training program. 

Information gathered from these 

interviews will be analyzed and used to 

draft a ‘‘lessons learned’’ document that 

will capture additional detail on the 

issues related to participants’ and 

organizations’ abilities to implement 

and disseminate the TeamSTEPPS posttraining. The organizations will vary in 

terms of type of organization (e.g., QIO 

or hospital associations versus 

healthcare systems) and region (i.e., 

Northeast, Midwest, Southwest, 

Southeast, Mid-Atlantic, West Coast). In 

addition, we will strive to ensure 

representativeness of the site visits by 

ensuring that the distribution of 

organizations mirrors the distribution of 

organizations in the master training 

population. For example, if the 

distribution of organizations is such that 

only one out of every five organizations 

is a QIO, we will ensure that a 

maximum of two organizations in the 

site visit sample are QIOs. The 

interviews will more accurately reveal 

the degree of training spread for the 

organizations included. Interviewees 

will be drawn from qualified 

individuals serving in one of two roles 

(i.e., implementers or facilitators). The 

interview protocol will be adapted for 

each role based on the respondent group 

and to some degree, for each individual, 

based on their training and patient 

safety experience. 

Estimated Annual Respondent Burden 

Exhibit I shows the estimated 

annualized burden hours for the 

respondent’s time to participate in the 

study. Semi-structured interviews will 

be conducted with a maximum of 9 

individuals from each of 9 participating 

organizations and will last about one 

hour each. The training participant 

questionnaire will be completed by 

approximately 10 individuals from each 

of about 240 organizations and is 

estimated to require 20 minutes to 

complete. The total annualized burden 

is estimated to be 881 hours. 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to participate in the 

study. The total cost burden is estimated 

to be $28,594. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Semi-structured interview ................................................................................ 9 9 60/60 81 

Training participant questionnaire ................................................................... 240 10 20/60 800 

Total .......................................................................................................... 249 NA NA 881 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Semi-structured interview ................................................................................ 9 81 $32.64 $2,644 

Training participant questionnaire ................................................................... 240 800 32.64 26,112 

Total .......................................................................................................... 249 881 NA 28,756 

*Based upon the mean of the average wages for all health professionals (29–0000) for the training participant questionnaire and for executives, administrators, and managers for the organizational leader questionnaire presented in the National Compensation Survey: Occupational 

Wages in the United States, May, 2008, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm#b29- 

0000. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the total cost for this 

one year project; since the project is for 

only one year these are also the 

annualized costs. The total cost to the 

government for this activity is estimated 

to be $181,521 to conduct the one-time 

questionnaire and conduct nine site 

visits, as well as to analyze and present 

all results. This amount includes costs 

for developing the data collection tools 

($24,889); collecting the data ($10,667); 

and analyzing the data ($35,061) and 

reporting the findings ($12,903). 

EXHIBIT 3—ESTIMATED TOTAL AND

ANNUALIZED COST

Cost component Total cost 

Project Development ................ $24,889 

Data Collection Activities .......... 108,667 

Data Processing and Analysis 35,061 

Publication of Results ............... 12,903 

Total ...................................... 181,521 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ healthcare research and 

healthcare information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 


erowe on DSK5CLS3C1PROD with NOTICES
Federal Register / Vol. 75, No. 84 / Monday, May 3, 2010 / Notices 23271 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: April 22, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–10199 Filed 4–30–10; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: ‘‘National 

Hospital Adverse Event Reporting 

System: Questionnaire Redesign and 

Testing.’’ In accordance with the 

Paperwork Reduction Act, 44 U.S.C. 

3501–3520. AHRQ invites the public to 

comment on this proposed information 

collection. 

DATES: Comments on this notice must 

he received by July 2, 2010. 

ADDRESSES: Written comments should 

he submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@AHRQ.hhs.gov. 

Copies of the proposed collection 

plans, data collection instruments, and 

specific details on the estimated burden 

can be obtained from the AHRQ Reports 

Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ Reports 

Clearance Officer, (301) 427–1477, or by 

e-mail at 

doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

National Hospital Adverse Event 

Reporting System: Questionnaire 

Redesign and Testing 

As provider of operational support to 

the chair of the Quality Interagency 

Task Force (QuIC), AHRQ coordinated 

the Federal response to the Institute of 

Medicine’s (IOM) 1999 report on 

medical errors and outlined specific 

initiatives the QuIC agencies will take. 

The Errors Workgroup within the QuIC 

identified the need for measures to 

evaluate the use of adverse medical 

event reporting for managing and 

improving patient safety within 

healthcare institutions. In response, 

AHRQ created the Hospital Adverse 

Event Reporting Survey to Provide 

national estimates. This survey has been 

fielded twice, first in 2005 and again in 

2008. 

Revisions to the questionnaire and 

sample selection are now necessary in 

response to the Patient Safety and 

Quality Improvement Rule (Patient 

Safety Rule), 42 CFR Part 3, issued by 

the United States Department of Health 

and Human Services, which implements 

the Patient Safety and Quality 

Improvement Act of 2005 (Patient Safety 

Act), 42 U.S.C. 299b–21 through 299b– 

26. The Patient Safety Rule and Patient 

Safety Act authorize the creation of 

Patient Safety Organizations (PSO) to 

enhance quality and safety by collecting 

patient safety reports of adverse events. 

AHRQ started listing PSOs in late 2008 

pursuant to the Patient Safety Act. 

These organizations have begun 

working with hospitals and other 

providers to monitor patient safety 

events according to common reporting 

formats, and to improve patient safety. 

This revised survey will be used for the 

third round of data collection in 2011, 

under a separate OMB clearance, to 

assess the impact of the PSOs and the 

Patient Safety Act on the use of adverse 

event reporting systems and will 

incorporate questions about reporting 

using the AHRQ Common Formats, and 

reporting information to a Patient Safety 

Organization. 

This project is being conducted by 

AHRQ’s contractor, Westat, pursuant to 

AHRQ’s statutory mandates to (I) 

promote health care quality 

improvement by conducting and 

supporting research that develops and 

presents scientific evidence regarding 

all aspects of health care, including 

methods for measuring quality and 

strategies for improving quality (42 

U.S.C. 299(b)(1)(F)) and (2) conduct and 

support research on health care and on 

systems for the delivery of such care, 

including activities with respect to 

quality measurement and improvement 

(42 U.S.C. 299a(a)(2). 

Method of Collection 

This project will include the 

following data collections: 

(1) Semi-structured interviews will be 

conducted with one risk manager or 

other representative responsible for 

adverse event reporting from 7 

participating hospitals and with one 

person from the two participating PSOs. 

These interviews will be conducted to 

learn more about the current hospital 

adverse event reporting environment 

and to understand how adverse event 

reporting may have changed in response 

to the Patient Safety Act. Survey 

developers will use the information 

from these interviews to develop 

questions for the revised questionnaire. 

(2) Cognitive interviews will be 

conducted with one risk manager or 

other representative responsible for 

adverse event reporting in 30 

participating hospitals. The purpose of 

these cognitive interviews is to test and 

refine the revised questionnaire. The 

questionnaire will be tested among 

respondents in hospitals with no 

reporting affiliation with a PSO, with 

reporting affiliations with one PSO, and 

with reporting affiliations with more 

than one PSO. 

Results from these interviews will 

help inform actions by AHRQ to 

encourage effective adverse event 

reporting by hospitals, as part of its 

patient safety initiative, including 

standardization of reporting so that 

consistent concepts, information, and 

terminology are used in the patient 

safety arena. The survey can also serve 

as a baseline for changes about hospitalbased adverse event reporting to Patient 

Safety Organizations and how the 

Patient Safety Act might have affected 

reporting structures and processes. 

Estimated Annual Respondent Burden 

Exhibit I shows the estimated 

annualized burden hours for the 

respondents time to participate in this 

project. Semi-structured interviews will 

be conducted with 9 persons 

representing 7 hospitals and 2 PSOs and 

will last for about an hour. Cognitive 

interviews will be conducted with one 

person in each of 30 participating 

hospitals and are expected to take one 

hour to complete. The total annual 

burden hours are estimated to be 39 

hours. 

Exhibit 2 shows the estimated annual 

cost burden associated with the 

respondents’ time to participate in the 

research. The total annual cost burden 

is estimated to be $1,664. 


erowe on DSK5CLS3C1PROD with NOTICES