46338 Federal Register / Vol. 78, No. 147 / Wednesday, July 31, 2013 / Notices 

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: July 23, 2013. 

Carolyn M. Clancy, 

AHRQ Director. 

[FR Doc. 2013–18378 Filed 7–30–13; 8:45 am] 

BILLING CODE 4160–90–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: 

‘‘Collection of Information for Agency 

for Healthcare Research and Quality’s 

(AHRQ) Hospital Survey on Patient 

Safety Culture Comparative Database.’’ 

In accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3521, 

AHRQ invites the public to comment on 

this proposed information collection. 

This proposed information collection 

was previously published in the Federal 

Register on May 16th, 2013 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 30, 2013. 

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 

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

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Collection of Information for Agency for 

Healthcare Research and Quality’s 

(AHRQ) Hospital Survey on Patient 

Safety Culture Comparative Database 

Request for information collection 

approval. The Agency for Healthcare 

Research and Quality (AHRQ) requests 

that the Office of Management and 

Budget (OMB) reapprove, under the 

Paperwork Reduction Act of 1995, 

AHRQ’s collection of information for 

the AHRQ Hospital Survey on Patient 

Safety Culture (Hospital SOPS) 

Comparative Database; OMB NO. 0935– 

0162, last approved on May 5th, 2010. 

The Hospital SOPS Comparative 

Database consists of data from the 

AHRQ Hospital Survey on Patient 

Safety Culture. Hospitals in the U.S. are 

asked to voluntarily submit data from 

the survey to AHRQ. The database was 

developed by AHRQ in 2006 in 

response to requests from hospitals 

interested in knowing how their patient 

safety culture survey results compare to 

those of other hospitals in their efforts 

to improve patient safety. 

Background on the Hospital SOPS. In 

1999, the Institute of Medicine called 

for health care organizations to develop 

a ‘‘culture of safety’’ such that their 

workforce and processes focus on 

improving the reliability and safety of 

care for patients (IOM, 1999; To Err is 

Human: Building a Safer Health 

System). To respond to the need for 

tools to assess patient safety culture in 

health care, AHRQ developed and pilot 

tested the Hospital Survey on Patient 

Safety Culture with OMB approval 

(OMB NO. 0935–0115; Approved 2/4/ 

2003). The survey was designed to 

enable hospitals to assess staff opinions 

about patient safety issues, medical 

error, and error reporting and includes 

42 items that measure 12 dimensions of 

patient safety culture. AHRQ released 

the survey to the public along with a 

Survey User’s Guide and other toolkit 

materials in November 2004 on the 

AHRQ Web site. Since its release, the 

survey has been voluntarily used by 

hundreds of hospitals in the U.S. 

Rationale for the information 

collection. The Hospital SOPS survey 

and the Hospital SOPS Comparative 

Database are supported by AHRQ to 

meet its goals of promoting 

improvements in the quality and safety 

of health care in hospital settings. The 

surveys, toolkit materials, and 

comparative database results are all 

made publicly available along with 

technical assistance, provided by AHRQ 

through its contractor at no charge to 

hospitals, to facilitate the use of these 

materials for hospital patient safety and 

quality improvement. 

This study is being conducted by 

AHRQ through its contractor, Westat, 

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; quality measurement and 

improvement; and database 

development. 42 U.S.C. 299a(a)(1), (2), 

and (a)(8). 

Method of Collection 

All information collection for the 

Hospital SOPS Comparative Database is 

done electronically, except the Data Use 

Agreement (DUA) that hospitals sign in 

hard copy and fax or mail back. 

Registration, submission of hospital 

information, and data upload is handled 

online through a secure Web site. 

Delivery of confidential hospital survey 

feedback reports is also done 

electronically by having submitters 

enter a username and password and 

downloading their reports from a secure 

Web site. 

Survey data from the AHRQ Hospital 

Survey on Patient Safety Culture is used 

to produce three types of products: (1) 

An annual Hospital SOPS Comparative 

Database Report that is made publicly 

available in the public domain; (2) 

Individual Hospital Survey Feedback 

Reports that are confidential, 

customized reports produced for each 

hospital that submits data to the 

database; and (3) Research data sets of 

individual-level and hospital-level deidentified data to enable researchers to 

conduct analyses. 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 78, No. 147 / Wednesday, July 31, 2013 / Notices 46339 

Estimated Annual Respondent Burden 

Hospitals administer the AHRQ 

Hospital Survey on Patient Safety 

Culture every 20 months on average. 

Therefore, the number of hospital 

submissions to the database varies 

because hospitals do not submit data 

every year. Data submission is typically 

handled by one point-of-contact (POC) 

who is either a hospital patient safety 

manager or a survey vendor. The POC 

completes a number of data submission 

steps and forms, beginning with 

completion of an online Eligibility and 

Registration Form. The POCs typically 

submit data on behalf of 3 hospitals, on 

average, because many hospitals are part 

of a multi-hospital system that is 

submitting data, or the POC is a vendor 

that is submitting data for multiple 

hospitals. Exhibits 1 and 2 are based on 

an estimated 304 individual POCs who 

will complete the database submission 

steps and forms in the coming years, not 

based on the number of ‘‘hospitals.’’ The 

Hospital Information Form is completed 

by all POCs for each of their hospitals. 

The total annual burden hours are 

estimated to be 1,793. 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to submit their data. 

The cost burden is estimated to be 

$91,297 annually. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

respondents/ 

POCs 

Number of 

responses 

per POC 

Hours per 

response 

Total burden 

hours 

Eligibility/Registration Form and Data Submission * ........................................ 304 1 5.6 1,702 

Data Use Agreement ....................................................................................... 304 1 3/60 15 

Hospital Information Form ............................................................................... 304 3 5/60 76 

Total .......................................................................................................... 912 NA NA 1,793 

* The Eligibility and Registration Form requires 3 minutes to complete; however about 5.5 hours is required to prepare/plan for the data submission. This includes the amount of time POCs and other hospital staff (CEO, lawyer, database administrator) typically spend deciding whether 

to participate in the database and preparing their materials and data set for submission to the database, and performing the submission. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name 

Number of 

respondents/ 

POCs 

Total burden 

hours 

Average 

hourly wage 

rate* 

Total cost 

burden 

Eligibility/Registration Form and Data Submission .......................................... 304 1,702 50.95 86,717 

Data Use Agreement ....................................................................................... 304 15 50.33 755 

Hospital Information Form ............................................................................... 304 76 50.33 3,825 

Total .......................................................................................................... 912 1,793 NA 91,297 

* Wage rates were calculated using the mean hourly wage based on occupational employment and wage estimates from the Dept of Labor, 

Bureau of Labor Statistics’ May 2012 National Industry-Specific Occupational Employment and Wage Estimates NAICS 622000—Hospitals, located at http://www.bls.gov/oes/current/naics3_622000.htm. Wage rate of $50.33 is based on the mean hourly wages for Medical and Health 

Services Managers (11–9111). Wage rate of $50.95 is the weighted mean hourly wage for: Medical and Health Services Managers (11– 

9111;$50.33 × 2.6 hours = $130.86), Lawyers (23–1011; $72.71 × 0.5 hours = $36.36), Chief Executives (11–1011($95.36 × 0.5 hours = $47.68), 

and Database Administrators (15–1141; $35.20 × 2 hours = $70.40) [Weighted mean = ($130.86 + 36.36 + 47.68 + 70.40)/5.6 hours = $285.30/ 

5.6 hours = $50.95/hour]. 

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: July 23, 2013. 

Carolyn M. Clancy, 

AHRQ Director. 

[FR Doc. 2013–18366 Filed 7–30–13; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–6048–N] 

Medicare, Medicaid, and Children’s 

Health Insurance Programs: 

Announcement of Temporary 

Moratoria on Enrollment of 

Ambulances Suppliers and Providers 

and Home Health Agencies in 

Designated Geographic Areas 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

imposition of a temporary moratorium 

on the enrollment of home health 

agencies in Miami-Dade and Cook 

counties as well as selected surrounding 

mstockstill on DSK4VPTVN1PROD with NOTICES