Federal Register / Vol. 80, No. 69 / Friday, April 10, 2015 / Notices 19321 

shares of Trinity Capital Corporation, 

and thereby indirectly retain voting 

shares of Los Alamos National Bank, 

both in Los Alamos, New Mexico. 

Board of Governors of the Federal Reserve 

System, April 7, 2015. 

Michael J. Lewandowski, 

Associate Secretary of the Board. 

[FR Doc. 2015–08283 Filed 4–9–15; 8:45 am] 

BILLING CODE 6210–01–P 

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 be 

received by June 9, 2015. 

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 

email at doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Assessing the Impact of the National 

Implementation of TeamSTEPPS Master 

Training Program 

AHRQ, in collaboration with the 

Department of Defense’s (DoD) Tricare 

Management Activity (TMA), developed 

TeamSTEPPS® (‘‘Team Strategies and 

Tools to Enhance Performance and 

Patient Safety’’) to provide an evidencebased suite of tools and strategies for 

teaching teamwork-based 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 health care system staff 

in various teamwork, communication, 

and patient safety concepts, tools, and 

techniques. Ultimately TeamSTEPPS 

will help to build a national and statelevel infrastructure for supporting 

teamwork-based patient safety efforts in 

health care organizations. 

The National Implementation of 

TeamSTEPPS Master Training Program 

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 continuing support and 

improvement of teamwork in health 

care. AHRQ has already trained a corps 

of over 5,000 participants to serve as the 

Master Trainer infrastructure supporting 

national adoption of TeamSTEPPS. An 

anticipated 2,400 participants who are 

registering for the program will be 

studied in this assessment. Participants 

in training become Master Trainers in 

TeamSTEPPS and are afforded the 

opportunity to observe the program’s 

tools and strategies 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 

implementing TeamSTEPPS. 

Participants applied to the program as 

teams representing their organizations 

and were accepted as training 

participants after having completed an 

organizational readiness assessment. 

Due to the differences among the types 

of organizations participating in the 

program, each participant has a different 

potential to apply tools and concepts 

within and/or beyond their home 

organizations. For example: 

• Health care system staff (or 

implementers) from hospitals, home 

health agencies, nursing homes, large 

physician practices, and other direct 

care organizations are more likely than 

other participants to implement the 

TeamSTEPPS materials on a daily basis 

and will be more likely to affect specific 

work processes being conducted within 

an organization. As a result, health care 

system participants are likely to have a 

focused and specific impact that is 

limited to their organization. 

• QIO\HRO\Hospital 

Association\State Health Department 

participants (or facilitators) will be more 

likely to have both an in-depth and 

broad impact if they use the 

TeamSTEPPS materials to assist a 

particular organization inits patient 

safety activities, as well as to provide 

general patient safety guidance to a large 

number of organizations. 

To clarify the differences among the 

participants, a logic model has been 

developed that highlights the roles of 

the different types of participants, the 

types of activities in which they are 

likely to engage post-training, and the 

potential outcomes that may stem from 

these activities. The logic model served 

as a guide for developing questions for 

a web-based questionnaire and 

qualitative interviews to ensure that 

participant and leadership feedback is 

captured as thoroughly and accurately 

as possible. 

AHRQ is conducting an ongoing 

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. 

The National Implementation of 

TeamSTEPPS program is led by AHRQ 

through its contractor, the Health 

Research and Educational Trust (HRET). 

This study is being conducted by 

HRET’s subcontractor, IMPAQ 

International. The work is being 

conducted pursuant to AHRQ’s 

statutory authority to conduct and 

support research, evaluations, and 

training on health care and on systems 

for the delivery of such care, including 

activities with respect to the quality, 

effectiveness, efficiency, 

appropriateness and value of health care 

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) Training participant 

questionnaires to examine post-training 

activities and teamwork outcomes as a 

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19322 Federal Register / Vol. 80, No. 69 / Friday, April 10, 2015 / Notices 

result of training from multiple 

perspectives. The questionnaire is 

directed to all Master Training 

participants, and will cover posttraining activities, implementation 

experiences, facilitators and barriers to 

implementation encountered, and 

perceived outcomes as a result of these 

activities. Advance notice, invitations to 

participate, reminder emails, and thank 

you letters to respondents are included 

in the participant questionnaire. 

(2) Semi-structured interviews will be 

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 TeamSTEPPS posttraining. The organizations will vary in 

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

or hospital associations versus health 

care systems) and region (i.e., Northeast, 

Midwest, Southwest, Southeast, MidAtlantic, West Coast). In addition, we 

will strive to ensure 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. There is also an 

informed consent form that each 

participant will be required to sign prior 

to beginning the interview. 

The final product for this evaluation 

will be a report that documents the 

background, methodology, results 

(including any patterns or themes 

emerging from the data), limitations of 

the study, and recommendations for 

future training programs and tool 

development. The results of this 

evaluation will help AHRQ understand 

the extent to which participants and 

participating organizations have been 

able to employ various TeamSTEPPS 

tools and concepts and the barriers and 

facilitators they encountered. This 

information will help guide AHRQ in 

developing and refining other patient 

safety tools and future training programs 

for patient safety. 

Estimated Annual Respondent Burden 

Exhibit 1 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 $39,240. 

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 $44.54 $3,608 

Training participant questionnaire ................................................................... 240 800 44.54 35,632 

Total .......................................................................................................... 249 881 NA 39,240 

* 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 2013, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm 35.93 

53.15. 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, 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 health care 

research and health care 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: March 31, 2015. 

Sharon B. Arnold, 

Deputy Director. 

[FR Doc. 2015–07700 Filed 4–09–15; 8:45 am] 

BILLING CODE 4160–90–P 

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