Federal Register / Vol. 80, No. 55 / Monday, March 23, 2015 / Notices 15229 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Neurological 

Disorders and Stroke; Notice of Closed 

Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. App.), notice is 

hereby given of the following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

Neurological Disorders and Stroke Special 

Emphasis Panel; Biomarker. 

Date: April 16, 2015. 

Time: 10 a.m. to 2 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health; 

Neuroscience Center; 6001 Executive 

Boulevard; Rockville, MD 20852; (Telephone 

Conference Call). 

Contact Person: Joel A. Saydoff, Ph.D.; 

Scientific Review Officer; Scientific Review 

Branch; Division of Extramural Research; 

NINDS/NIH/DHHS/Neuroscience Center; 

6001 Executive Boulevard, Suite 3205, MSC 

9529; Bethesda, MD 20892–9529; 301–496– 

9223; joel.saydoff@nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.853, Clinical Research 

Related to Neurological Disorders; 93.854, 

Biological Basis Research in the 

Neurosciences, National Institutes of Health, 

HHS) 

Dated: March 17, 2015. 

Carolyn Baum, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2015–06475 Filed 3–20–15; 8:45 am] 

BILLING CODE 4140–01–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: ‘‘Nursing 

Home 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. 

DATES: Comments on this notice must be 

received by May 22, 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 

Nursing Home Survey on Patient Safety 

Culture Comparative Database 

Background on the Nursing Home 

Survey on Patient Safety Culture 

(Nursing Home 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 Nursing Home 

SOPS with OMB approval (OMB NO. 

0935–0132; Approved July 5, 2007). 

The survey is designed to enable 

nursing homes to assess provider and 

staff opinions about patient safety 

issues, medical error, and error 

reporting and includes 42 items that 

measure 12 dimensions of patient safety 

culture. AHRQ made the survey 

publicly available along with a Survey 

User’s Guide and other toolkit materials 

in November 2008 on the AHRQ Web 

site (located at http://www.ahrq.gov/

professionals/quality-patient-safety/

patientsafetyculture/nursing-home/

index.html). 

The AHRQ Nursing Home SOPS 

Comparative Database consists of data 

from the AHRQ Nursing Home SOPS. 

Nursing homes in the U.S. are asked to 

voluntarily submit data from the survey 

to AHRQ through its contractor, Westat. 

The Nursing Home SOPS database 

(OMB NO. 0935–0195, last approved on 

June 12, 2012) was developed by AHRQ 

in 2011 in response to requests from 

nursing homes interested in knowing 

how their patient safety culture survey 

results compare to those of other 

nursing homes in their efforts to 

improve patient safety. 

Rationale for the information 

collection. The Nursing Home SOPS and 

the Comparative Database support 

AHRQ’s goals of promoting 

improvements in the quality and safety 

of health care in nursing home settings. 

The survey, toolkit materials, and 

comparative database results are all 

made publicly available on AHRQ’s 

Web site. Technical assistance is 

provided by AHRQ through its 

contractor at no charge to nursing 

homes to facilitate the use of these 

materials for nursing home patient 

safety and quality improvement. 

The goal of this project is to renew the 

Nursing Home SOPS Comparative 

Database. This database will: 

(1) Allow nursing homes to compare 

their patient safety culture survey 

results with those of other nursing 

homes, 

(2) Provide data to nursing homes to 

facilitate internal assessment and 

learning in the patient safety 

improvement process, and 

(3) Provide supplemental information 

to help nursing homes identify their 

strengths and areas with potential for 

improvement in patient safety culture. 

This study is being conducted by 

AHRQ through its contractor, Westat, 

pursuant to AHRQ’s statutory authority 

to conduct and support research 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; quality measurement and 

improvement; and database 

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

and (8). 

Method of Collection 

To achieve the goal of this project the 

following activities and data collections 

will be implemented: 

(1) Eligibility and Registration Form— 

The nursing home (or parent 

organization) point of contact (POC) 

completes a number of data submission 

steps and forms, beginning with the 

completion of an online eligibility and 

registration form. The purpose of this 

form is to determine the eligibility 

status and initiate the registration 

process for nursing homes seeking to 

voluntarily submit their Nursing Home 

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15230 Federal Register / Vol. 80, No. 55 / Monday, March 23, 2015 / Notices 

SOPS data to the Nursing Home SOPS 

Comparative Database. 

(2) Data Use Agreement—The purpose 

of the data use agreement, completed by 

the nursing home POC, is to state how 

data submitted by nursing homes will 

be used and provides confidentiality 

assurances. 

(3) Nursing Home Site Information 

Form—The purpose of the site 

information form is to obtain basic 

information about the characteristics of 

the nursing homes submitting their 

Nursing Home SOPS data to the Nursing 

Home SOPS Comparative Database (e.g., 

bed size, urbanicity, ownership, and 

geographic region). The nursing home 

POC completes the form. 

(4) Data Files Submission—The 

number of submissions to the database 

is likely to vary each year because 

nursing homes do not administer the 

survey and submit data every year. Data 

submission is typically handled by one 

POC who is either a corporate level 

health care manager for a Quality 

Improvement Organization (QIO), a 

survey vendor who contracts with a 

nursing home to collect their data, or a 

nursing home Director of Nursing or 

nurse manager. POCs submit data on 

behalf of 5 nursing homes, on average, 

because many nursing homes are part of 

a QIO or larger nursing home or health 

system that includes many nursing 

home sites, or the POC is a vendor that 

is submitting data for multiple nursing 

homes. POCs upload their data file(s), 

using the nursing home data file 

specifications, to ensure that users 

submit standardized and consistent data 

in the way variables are named, coded, 

and formatted. 

Survey data from the AHRQ Nursing 

Home SOPS are used to produce three 

types of products: (1) A Nursing Home 

SOPS Comparative Database Report that 

is produced periodically and made 

publicly available on the AHRQ Web 

site (see http://www.ahrq.gov/

professionals/quality-patient-safety/

patientsafetyculture/nursing-home/

2014/nhsurv14-ptI.pdf for the 2014 

report); (2) Individual Nursing Home 

Survey Feedback Reports that are 

confidential, customized reports 

produced for each nursing home that 

submits data to the database (the 

number of reports produced is based on 

the number of nursing homes 

submitting in any given calendar year); 

and (3) Research data sets of individuallevel and nursing home-level deidentified data to enable researchers to 

conduct analyses. 

Nursing homes are asked to 

voluntarily submit their Nursing Home 

SOPS survey data to the Comparative 

Database. The data are then cleaned and 

aggregated and used to produce a 

Comparative Database Report that 

displays averages, standard deviations, 

and percentile scores on the survey’s 42 

items and 12 patient safety culture 

dimensions, as well as displaying these 

results by nursing home characteristics 

(bed size, urbanicity, ownership, and 

Census Bureau Region, etc.) and 

respondent characteristics (work area/

unit, staff position, and interaction with 

patients). 

Data submitted by nursing homes are 

also used to give each nursing home its 

own customized survey feedback report 

that presents the nursing home’s results 

compared to the latest comparative 

database results. If a nursing home 

submits data more than once, its survey 

feedback report also presents trend data, 

comparing its previous and most recent 

data. 

Nursing homes use the Nursing Home 

SOPS, Comparative Database Reports 

and Individual Nursing Home Survey 

Feedback Reports for a number of 

purposes, to: 

• Raise staff awareness about patient 

safety. 

• Diagnose and assess the current 

status of patient safety culture in their 

nursing home. 

• Identify strengths and areas for 

patient safety culture improvement. 

• Examine trends in patient safety 

culture change over time. 

• Evaluate the cultural impact of 

patient safety initiatives and 

interventions. 

• Compare patient safety culture 

survey results with other nursing homes 

in their efforts to improve patient safety 

and health care quality. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in the 

database. An estimated 300 POCs, each 

representing an average of 5 individual 

nursing homes each, will complete the 

database submission steps and forms 

annually. Completing the eligibility and 

registration form will take about 3 

minutes. Each POC will complete a data 

use agreement which takes about 3 

minutes to complete. The Nursing Home 

Site Information Form is completed by 

all POCs for each of their nursing homes 

(300 x 5 = 1,500 forms in total) and is 

estimated to take 5 minutes to complete. 

The POC will submit data for all of the 

nursing homes he/she represents, which 

will take 1 hour on average. The total 

annual burden hours are estimated to be 

455. 

The 300 respondents/POCs shown in 

Exhibit 1 are based on an estimate of 

nursing homes submitting data in the 

coming years, with the following 

assumptions: 

• 105 POCs for QIOs submitting on 

behalf of 10 nursing homes each 

• 18 POCs for vendors outside of 

QIOs submitting on behalf of 10 nursing 

homes each 

• 177 independent nursing homes 

submitting on their own behalf 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to submit their data. 

The cost burden is estimated to be 

$20,839 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 ............................................................................. 300 1 3/60 15 

Data Use Agreement ....................................................................................... 300 1 3/60 15 

Nursing Home Site Information Form .............................................................. 300 5 5/60 125 

Data Files Submission ..................................................................................... 300 1 1 300 

Total .......................................................................................................... 1,200 NA NA 455 

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Federal Register / Vol. 80, No. 55 / Monday, March 23, 2015 / Notices 15231 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name 

Number of 

respondents/

POCs 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Eligibility/Registration Forms ........................................................................... 300 15 $45.80 $687 

Data Use Agreement ....................................................................................... 300 15 45.80 687 

Nursing Home Site Information Form .............................................................. 300 125 45.80 5,725 

Data Files Submission ..................................................................................... 300 300 45.80 13,740 

Total .......................................................................................................... 1,200 455 NA 20,839 

* The wage rate in Exhibit 2 is based on May 2013 National Industry-Specific Occupational Employment and Wage Estimates, Bureau of Labor 

Statistics, U.S. Dept. of Labor. Mean hourly wages for nursing home POCs are located at http://www.bls.gov/oes/current/naics4_623100.htm and 

http://data.bls.gov/cgi-bin/print.pl/oes/current/naics2_62.htm. The hourly wage of $45.80 is the weighted mean of $47.97 (General and Operations 

Managers; N = 88), $40.07 (Medical and Health Services Managers; N = 89), $47.10 (General and Operations Managers; N =105) and $55.94 

(Computer and Information Systems Managers; N = 18). 

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 17, 2015. 

Sharon B. Arnold, 

Deputy Director, AHRQ. 

[FR Doc. 2015–06451 Filed 3–20–15; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Proposed Healthy Marriage and 

Responsible Fatherhood Performance 

Measures and Additional Data 

Collection (Part of the Fatherhood and 

Marriage Local Evaluation and Crosssite [FaMLE Cross-site] Project). 

OMB No.: New Collection. 

Background: For decades various 

organizations and agencies have been 

developing and operating programs to 

strengthen families through healthy 

marriage and relationship education and 

responsible fatherhood programming. 

The Administration for Children and 

Families (ACF), Office of Family 

Assistance (OFA), has had 

administrative responsibility for federal 

funding of such programs since 2006 

through the Healthy Marriage (HM) and 

Responsible Fatherhood (RF) Grant 

Programs. The authorizing legislation 

for the programs may be found in 

section 403(a)(2) of the Social Security 

Act [1]. Responsible Fatherhood 

grantees provide a comprehensive set of 

services designed to promote 

responsible fatherhood including 

activities related to promoting economic 

stability, fostering responsible 

parenting, and promoting healthy 

marriage. Grantees receiving funding for 

Healthy Marriage offer a broad array of 

services designed to promote healthy 

marriage. 

The federal government currently 

collects a set of performance measures 

from HM and RF grantees. The purpose 

of this previously approved information 

collection is to allow OFA and ACF to 

carry out their responsibilities for 

program accountability. Descriptions of 

the information collection may be found 

at http://www.reginfo.gov/public/do/

PRAViewDocument?ref_nbr=201206- 

0970-005; all measures may be found at 

http://www.reginfo.gov/public/do/

PRAICList?ref_nbr=201206-0970-005. 

The Fatherhood and Marriage Local 

Evaluation (FaMLE) Cross-Site Project: 

The Offices of Family Assistance (OFA) 

and Planning, Research and Evaluation 

(OPRE) in the Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS) are proposing new data 

collection activities to replace existing 

performance measures as part of the 

Fatherhood and Marriage Local 

Evaluation and Cross-site (FaMLE Crosssite) Project. The purpose of the FaMLE 

Cross-site Project is to support high 

quality data collection, strengthen local 

evaluations, and conduct cross-site 

analysis for the Responsible Fatherhood 

and Healthy Marriage grantees. 

The FaMLE Cross-site project will 

answer three main research questions: 

(1) What strategies did grantees use to 

design well-conceived programs? (2) 

What strategies did grantees use to 

successfully implement well-conceived 

programs? (3) What were the reported 

outcomes for participants in the 

programs? In order to answer these 

questions, we are considering a new set 

of data collection activities. 

Current request: ACF is engaged in a 

learning agenda to increase our 

understanding of Healthy Marriage and 

Responsible Fatherhood programs. This 

means that we incorporate multiple 

opportunities and options for learning 

throughout a program’s implementation 

that provide a range of insights and 

perspectives. These opportunities help 

programming constantly develop and 

advance. For example, data provide the 

opportunity to feed information back to 

decision-makers and leaders—both 

those on the ground and those in 

management—to inform program 

design, operation, and oversight. 

On November 6, 2014, ACF published 

a Federal Register Notice (79 FR 65973) 

requesting public comment on the 

following: 

Performance measures. ACF is 

proposing a new set of performance 

measures to be collected by all grantees, 

beginning with the next round of HMRF 

grants. These measures will collect 

standardized information in the 

following areas: 

• Applicant characteristics; 

• Program operations (including 

program characteristics and service 

delivery); and 

• Participant outcomes (will be 

measured both at initiation of program 

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