Federal Register / Vol. 79, No. 98 / Wednesday, May 21, 2014 / Notices 29191 

information. The total annual burden hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden 

per response 

(in hours) 

Total burden 

hours 

Federalwide assurance (FWA) ........................................................................ 11,050 2 30/60 11,050 

Total .......................................................................................................... ........................ ........................ ........................ 11,050 

Darius Taylor, 

Information Collection Clearance Officer. 

[FR Doc. 2014–11659 Filed 5–20–14; 8:45 am] 

BILLING CODE 4150–28–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: 

‘‘Evaluation of the Implementation of 

TeamSTEPPS in Primary Care Settings 

(ITS–PC).’’ In accordance with the 

Paperwork Reduction Act of 1995, 

Public Law 104–13 (44 U.S.C. 

3506(c)(2)(A)), AHRQ invites the public 

to comment on this proposed 

information collection. 

DATES: Comments on this notice must be 

received by July 21, 2014. 

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 

Evaluation of the Implementation of 

TeamSTEPPS in Primary Care Settings 

(ITS–PC) 

As part of its effort to fulfill its 

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. TeamSTEPPS includes 

multiple toolkits which are all tied to or 

are variants of the core curriculum. In 

addition to the core curriculum, 

TeamSTEPPS resources have been 

developed for primary care, rapid 

response systems, long-term care, and 

patients with limited English 

proficiency. 

The main objective of the 

TeamSTEPPS program is to improve 

patient safety by training health care 

staff in various teamwork, 

communication, and patient safety 

concepts, tools, and techniques and 

ultimately helping to build national 

capacity for supporting teamwork-based 

patient safety efforts in health care 

organizations. Since 2007, AHRQ’s 

National Implementation Program has 

produced (and continues to produce) 

Master Trainers who have stimulated 

the use and adoption of TeamSTEPPS in 

health care delivery systems. These 

individuals were trained using the 

TeamSTEPPS core curriculum at 

regional training centers across the U.S. 

AHRQ has also provided technical 

assistance and consultation on 

implementing TeamSTEPPS and has 

developed various channels of learning 

(e.g., user networks, various educational 

venues) for continued support and the 

improvement of teamwork in health 

care. Since the inception of the National 

Implementation Program, AHRQ has 

trained more than 5,000 participants to 

serve as TeamSTEPPS Master Trainers. 

Given the success of the National 

Implementation Program, AHRQ 

launched an effort to provide 

TeamSTEPPS training to primary care 

health professionals using the 

TeamSTEPPS in Primary Care version 

of the curriculum. Most of the 

participants in the current National 

Implementation Program’s training 

come from hospital settings, because the 

TeamSTEPPS core curriculum is most 

aligned with that context. Under this 

new initiative, primary care practice 

facilitators will be trained through a 

combination of in-person and online 

training. Upon completion of the course, 

these individuals will be Master 

Trainers who will (a) train the staff at 

primary care practices, and (b) 

implement or support the 

implementation of TeamSTEPPS tools 

and strategies in primary care practices. 

As part of this initiative, AHRQ seeks 

to conduct an evaluation of the 

TeamSTEPPS in Primary Care training 

program. This evaluation seeks to 

understand the effectiveness of the 

TeamSTEPPS in Primary Care training 

and how trained practice facilitators 

implement TeamSTEPPS in primary 

care practices. 

This research has the following goals: 

(1) Conduct a formative assessment of 

the TeamSTEPPS for Primary Care 

training program to determine what 

revisions and improvement should be 

made to the training and how it is 

delivered, and 

(2) Identify how trained participants 

use and implement the TeamSTEPPS 

tools and resources in primary care 

settings. 

This study is being conducted by 

AHRQ through its contractor, the Health 

Research and Education Trust (HRET) 

and HRET’s subcontractor, IMPAQ 

International, 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). 

mstockstill on DSK4VPTVN1PROD with NOTICES

29192 Federal Register / Vol. 79, No. 98 / Wednesday, May 21, 2014 / Notices 

Method of Collection 

To achieve the goals of this project, 

AHRQ will train primary care practice 

facilitators using the TeamSTEPPS in 

Primary Care training curriculum. 

Primary care practice facilitators may 

voluntarily sign up for this free, AHRQ 

sponsored training. Training will be 

delivered through a combination of 

online and in-person instruction. Online 

training will cover the core 

TeamSTEPPS tools and strategies that 

can be implemented in primary care. Inperson instruction will cover coaching, 

organizational change, and 

implementation science. Practice 

facilitators, who complete the training, 

will be surveyed six months posttraining. 

The TeamSTEPPS Primary Care PostTraining Survey is an online instrument 

that will be administered to all primary 

care practice facilitators who complete 

the TeamSTEPPS in Primary Care 

training. The survey will be 

administered six months after 

participants complete training. 

This is a new data collection effort for 

the purpose of conducting an evaluation 

of TeamSTEPPS in Primary Care 

Training. The evaluation is formative in 

nature as AHRQ seeks information to 

improve the content and delivery of the 

training. Training will be provided 

through a combination of online and inperson instruction. 

To conduct the evaluation, the 

TeamSTEPPS in Primary Care PostTraining Survey will be administered to 

all individuals who complete the 

TeamSTEPPS in Primary Care training 

six months after training. The survey 

assesses the degree to which 

participants felt prepared by the training 

and what they did to implement 

TeamSTEPPS in primary care practices. 

Specifically, participants will be asked 

about their reasons for participating in 

the program; the degree to which they 

feel the training prepared them to train 

others in and use TeamSTEPPS in the 

primary care setting; what tools they 

have implemented in primary care 

practices; and resulting changes they 

have observed in the delivery of care. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondent’s time to participate in the 

study. The TeamSTEPPS in Primary 

Care Post-Training Survey will be 

completed by approximately 150 

individuals. We estimate that each 

respondent will answer 20 items (i.e., 

number of responses per respondent) 

and responding to these 20 questions 

will require 20 minutes. The total 

annualized burden is estimated to be 50 

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 $4,348. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total 

burden hours 

TeamSTEPPS in Primary Care Post-Training Survey .................................... 150 1 20/60 50 

Total .......................................................................................................... 150 NA NA 50 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total 

burden hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

TeamSTEPPS Primary Care Post-training Survey ......................................... 150 50 a $86.95 $4,348 

Total .......................................................................................................... 150 50 86.95 4,348 

* National Compensation Survey: Occupational wages in the United States May 2012, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ aBased on the mean wages for Family and General Practitioners 29–1062. 

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: May 13, 2014. 

Richard Kronick, 

AHRQ Director. 

[FR Doc. 2014–11727 Filed 5–20–14; 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: ‘‘Guide 

to Nursing Home Antimicrobial 

mstockstill on DSK4VPTVN1PROD with NOTICES