Federal Register / Vol. 75, No. 126 / Thursday, July 1, 2010 / Notices 38107 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

nursing homes 

Total burden 

hours 

Average 

hourly wage 

rate* 

Total cost 

burden 

Pre-implementation semi-structured interviews ............................................... 6 18 **51.68 $930 

Administrator Interviews .................................................................................. 12 3 ***46.59 140 

Train-the-trainer training .................................................................................. 6 48 31.31 1,503 

Train-the-nurses training .................................................................................. 6 156 77.64 12,112 

Train-the-physicians training ............................................................................ 6 18 31.31 564 

Final Semi-Structured Interview ....................................................................... 6 24 77.64 1,863 

Nurse survey .................................................................................................... 12 144 ***46.59 6,709 

Physician survey .............................................................................................. 12 30 46.10 1,383

Total .......................................................................................................... 66 441 n/a 25,204 

* Based upon the mean of the average wages, National Occupational Employment and Wage Estimates, U.S. Department of Labor, Bureau of 

Labor Statistics. May 2008. 

** Average wages for one registered nurse ($31.31), one physician ($77.64), and one Administrator ($46.10). 

*** Average wages for two registered nurse ($31.31), one physician ($77.64), and one Administrator ($46.10). 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the total and 

annualized cost for conducting this 

research. The total budget for this three 

year study is $999,976. The 

administration task includes costs 

associated with the initial kick-off 

conference call with AHRQ and 

monthly progress reports and ongoing 

conference calls. The research plan task 

includes costs to finalize the research 

plan; conduct the literature search; 

prepare and submit the IRB applications 

and OMB package; recruit facilities; 

collect baseline and monthly data from 

medical record reviews and conduct 

pre- and post-intervention provider 

interviews; implement the intervention; 

and write the final report on the 

explanatory model. The dissemination 

costs include the writing of a 

dissemination plan and two 

manuscripts for publication as well as 

presentations at two national 

conferences. The final report costs 

include the writing of a draft and final 

report. 

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 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) 

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: June 22, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–15796 Filed 6–30–10; 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 


jlentini on DSKJ8SOYB1PROD with NOTICES
38108 Federal Register / Vol. 75, No. 126 / Thursday, July 1, 2010 / Notices 

comment on this proposed information 

collection. 

This proposed information collection 

was previously published in the Federal 

Register on May 3rd, 2010 and allowed 

60 days for public comment. No 

comments were received. The purpose 

of this notice is to allow an additional 

30 days for public comment. 

DATES: Comments on this notice must be 

received by August 2, 2010. 

ADDRESSES: Written comments should 

be submitted to: AHRQ’s OMB Desk 

Officer by fax at (202) 395–6974 

(attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.eop.gov 

(attention: AHRQ’s desk officer). 

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 health 

care. 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, 

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 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 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 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 $28,594. 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 126 / Thursday, July 1, 2010 / Notices 38109 

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 ($108,667); 

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) 

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: June 22, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–15795 Filed 6–30–10; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Notice of Availability of Draft Policy 

Document for Comment 

AGENCY: Health Resources and Services 

Administration (HRSA), HHS. 

ACTION: The Federal Tort Claims Act 

(FTCA) Policy Manual was developed to 

serve as the primary policy source for 

information on FTCA for Health Center 

Program grantees funded under section 

330 of the Public Health Service (PHS) 

Act (‘‘section 330’’). The Policy Manual 

is currently posted on the Internet at 

http://bphc.hrsa.gov/draftsforcomment/

ftcamanual/. 

DATES: Comments must be received by 

August 6, 2010. 

ADDRESSES: Comments should be 

submitted to OPPDGeneral@hrsa.gov by 

close of business on August 6, 2010. 

SUMMARY: HRSA believes that 

community input is valuable to the 

development of policies and policy 

documents related to the 

implementation of HRSA programs, 

including the Health Center Program. 

Therefore, we are requesting comments 

on the FTCA Policy Manual referenced 

above. Comments will be reviewed and 

analyzed, and a summary and general 

response to comments will be published 

as soon as possible after the comment 

submission deadline. 

BACKGROUND: HRSA administers the 

Health Center Program, which supports 

more than 1,100 organizations operating 

almost 8,000 health care delivery sites, 

including community health centers, 

migrant health centers, health care for 

the homeless centers, and public 

housing primary care centers. Health 

centers serve medically underserved 

communities delivering preventive and 

primary care services to patients 

regardless of their ability to pay. 

Health Center Program grantees 

funded under section 330 of the PHS 

Act, including Community Health 

Centers, Migrant Health Centers, Health 

Care for the Homeless Health Centers, 

and Public Housing Primary Care Health 

Centers, have access to medical 

malpractice coverage under the Federal 

Tort Claims Act (FTCA). FTCA, enacted 

in 1946, is the legal mechanism for 

compensating people who have suffered 

personal injury due to the negligent or 

wrongful action of employees of the 


jlentini on DSKJ8SOYB1PROD with NOTICES