54402 Federal Register / Vol. 73, No. 183 / Friday, September 19, 2008 / Notices 

increasing fuel efficiency for the Federal 

motor vehicle fleets. 

B. Procedures 

Bulletins regarding motor vehicle 

management are located on the Internet 

at www.gsa.gov/fmrbulletin as Federal 

Management Regulation (FMR) 

bulletins. 

Dated: August 29, 2008. 

Becky Rhodes, 

Deputy Associate Administrator. 

[FR Doc. E8–21921 Filed 9–18–08; 8:45 am] 

BILLING CODE 6820–14–S 

GOVERNMENT PRINTING OFFICE 

Depository Library Council to the 

Public Printer; Notice of Meeting 

The Depository Library Council to the 

Public Printer (DLC) will meet on 

Monday, October 20, 2008, through 

Wednesday, October 22, 2008, at 

Doubletree Hotel Crystal City, located at 

Arlington, Virginia. The sessions will 

take place from 8 a.m. to 5 p.m. on 

Monday through Wednesday. The 

meeting will be held at the Doubletree 

Hotel Crystal City, 300 Army Navy 

Drive, Arlington, Virginia. The purpose 

of this meeting is to discuss the Federal 

Depository Library Program. All 

sessions are open to the public. The 

sleeping rooms available at the 

Doubletree Hotel Crystal City will be at 

the Government rate of $233.00 (plus 

applicable state and local taxes, 

currently 10.25%) a night for a single or 

double. The Doubletree Hotel Crystal 

City is in compliance with the 

requirements of Title III of the 

Americans With Disabilities Act and 

meets all Fire Safety Act regulations. 

Robert C. Tapella, 

Public Printer of the United States. 

[FR Doc. E8–21608 Filed 9–18–08; 8:45 am] 

BILLING CODE 1520–01–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, Department of Health and 

Human Services. 

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) allow the proposed 

information collection project: 

‘‘Establishing Benchmarks for the 

Medical Office Survey on Patient 

Safety.’’ 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 November 18, 2008. 

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 

e-mail at doris.lefkowitz@ahrq.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

‘‘Establishing Benchmarks for the 

Medical Office Survey on Patient 

Safety’’. 

The ambulatory Medical Office 

Survey on Patient Safety (SOPS), an 

adapted version of AHRQ’s Hospital 

Survey on Patient Safety Culture 

(HSOPSC), was developed in 2005 to 

measure specific components of patient 

safety culture in the ambulatory setting. 

A pilot study (OMB #0935–0131) 

assessed and refined the psychometric 

properties of specific survey items, and 

a final version of SOPS is now ready for 

public dissemination. However, in order 

for the survey to be most useful to 

ambulatory medical offices in 

identifying areas of relative strength and 

weakness in patient safety culture, 

reliable benchmarks to which a 

practice’s responses can be compared 

need to be established. 

AHRQ has determined, through 

discussions with potential end-users of 

SOPS, including leaders of physician 

and other provider groups, that an 

ambulatory practice is unlikely to have 

confidence in SOPS benchmarks unless 

the benchmarking data are based on 

responses derived from offices with 

similar characteristics. Office 

characteristics thought to have a 

potential effect on SOPS responses 

include practice size, location, provider 

specialty, and use of electronic 

information technology. A separate 

survey to collect information about 

these practice characteristics has been 

developed and was tested and refined as 

part of the pilot study. 

In order to establish SOPS 

benchmarks that can be tailored with 

respect to specific practice-related 

characteristics, survey responses from a 

large sample of practices stratified by 

these characteristics are required. AHRQ 

therefore intends to recruit and 

administer SOPS to ambulatory medical 

offices that have been selected on the 

basis of practice characteristics. In 

addition, AHRQ intends to collect from 

these practices evaluative information 

about administrative barriers and 

facilitators to survey participation as 

well as a description of how the office 

used (or plans to use) the survey results 

to enhance patient safety culture. These 

data will inform future efforts by AHRQ 

to maximize the use of SOPS and the 

utility/value of survey results to 

ambulatory practices across the country. 

This project is being conducted 

pursuant to AHRQ’s statutory mandates 

to (1) promote health care quality 

improvement by conducting and 

supporting research that develops and 

presents scientific evidence regarding 

all aspects of health care, including 

methods for measuring quality and 

strategies for improving quality (42 

U.S.C. 299(b)(1)(F)) and (2) conduct and 

support research on health care and on 

systems for the delivery of such care, 

including activities with respect to 

quality measurement and improvement 

(42 U.S.C. 299a(a)(2)). 

Methods of Collection 

A purposive sample of 350 outpatient 

medical offices will be identified and 

recruited. The goal is for the sample to 

be proportionately distributed with 

regard to six practice characteristics: 

geographical location of offices; office 

size (number of physicians and 

employed staff); provider specialty; type 

of practice ownership; extent to which 

electronic information tools are used; 

and demographics of patients being 

served. All physicians and employed 

staff in the practices will be asked to 

complete the SOPS. Additionally, one 

office manager for the practice will be 

asked to complete the Office 

Characteristics Survey. Since higher 

response rates have been demonstrated 

when paperbased (compared to 

electronic) surveys are administered to 

busy ambulatory clinicians, SOPS will 

be administered in paper form. Standard 

non-response follow-up techniques such 

as reminder postcards and distribution 

of a second survey will be used. 

Additionally, all respondents will 

subsequently be asked to complete a 

web-based evaluation assessing barriers 

and facilitators to survey completion, 


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