[Federal Register Volume 80, Number 130 (Wednesday, July 8, 2015)]
[Notices]
[Pages 39119-39121]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-16646]
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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.
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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 comment
on this proposed information collection.
This proposed information collection was previously published in
the Federal Register on April 10th, 2015 and allowed 60 days for public
comment. No substantive 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 7, 2015.
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 [email protected] (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
[email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
Assessing the Impact of the National Implementation of TeamSTEPPS
Master Training Program
AHRQ, in collaboration with the Department of Defense's (DoD)
Tricare Management Activity (TMA), developed TeamSTEPPS[supreg] (``Team
Strategies and Tools to Enhance Performance and Patient Safety'') to
provide an evidence-based suite of tools and strategies for teaching
teamwork-based 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 health care system staff in various teamwork,
communication, and patient safety concepts, tools, and techniques.
Ultimately, TeamSTEPPS will help to build a national and state-level
infrastructure for supporting teamwork-based patient safety efforts in
health care organizations.
The National Implementation of TeamSTEPPS Master Training Program
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 continuing support and improvement of teamwork in health
care. AHRQ has already trained a corps of over 5,000 participants to
serve as the Master Trainer infrastructure supporting national adoption
of TeamSTEPPS. An anticipated 2,400 participants, who are undergoing
training now, will be studied in this assessment. After training, these
participants will become Master Trainers in TeamSTEPPS and will have
the opportunity to observe the program's tools and strategies 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 implementing
TeamSTEPPS.
Participants applied to the program as teams representing their
organizations and were accepted as training participants after having
completed an organizational readiness assessment. Due to the
differences among the types of organizations participating in the
program, participants will apply the tools and concepts differently
within and/or beyond their home organizations. For example:
Health care system staff (or implementers) from hospitals,
home health agencies, nursing homes, large physician practices, and
other direct care organizations are more likely than other participants
to implement the TeamSTEPPS materials on a daily basis and will be more
likely to affect specific work processes being conducted within an
organization. As a result, health care system participants are likely
to have a focused and specific impact that is limited to their
organization.
QIO\HRO\Hospital Association\State Health Department
participants (or facilitators) will be more likely to have both an in-
depth and broad impact if they use the TeamSTEPPS materials to assist a
particular organization in its patient safety activities, as well as to
provide general patient safety guidance to a large number of
organizations.
To clarify the differences among the participants, a logic model
has been developed that highlights the roles of the different types of
participants, the types of activities in which they are likely to
engage after training, and the potential outcomes that may stem from
these activities. The logic model served as a guide for developing
questions for a web-based questionnaire and qualitative interviews to
ensure that participant and leadership feedback is captured as
thoroughly and accurately as possible.
AHRQ is conducting an ongoing 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) spread that training, knowledge, and skills to their
organizations, local areas, regions, and states.
The National Implementation of TeamSTEPPS program is led by AHRQ
through its contractor, the Health Research and Educational Trust
(HRET). This study is being conducted by HRET's subcontractor, IMPAQ
International. The work is being
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conducted pursuant to AHRQ's statutory authority to conduct and support
research, evaluations, and training 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
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) Training participant questionnaires 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, and will cover post-training activities, implementation
experiences, facilitators and barriers to implementation encountered,
and perceived outcomes as a result of these activities. Advance notice,
invitations to participate, reminder emails, and thank you letters to
respondents are included in the participant questionnaire.
(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 TeamSTEPPS post-
training. The organizations will vary in terms of type of organization
(e.g., QIO or hospital associations versus health care systems) and
region (i.e., Northeast, Midwest, Southwest, Southeast, Mid-Atlantic,
West Coast). In addition, we will strive to ensure 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. There is also an informed consent form that each
participant will be required to sign prior to beginning the interview.
The final product for this evaluation will be a report that
documents the background, methodology, results (including any patterns
or themes emerging from the data), limitations of the study, and
recommendations for future training programs and tool development. The
results of this evaluation will help AHRQ understand the extent to
which participants and participating organizations have been able to
employ various TeamSTEPPS tools and concepts and the barriers and
facilitators they encountered. This information will help guide AHRQ in
developing and refining other patient safety tools and future training
programs for patient safety.
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 nine individuals from
each of nine 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 $39,240.
Exhibit 1--Estimated Annualized Burden Hours
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Number of
Form name Number of responses per Hours per Total burden
respondents respondent response hours
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Semi-structured interview....................... 9 9 60/60 81
Training participant questionnaire.............. 240 10 20/60 800
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Total....................................... 249 NA NA 881
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Exhibit 2--Estimated Annualized Cost Burden
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Number of Total burden Average hourly Total cost
Form name respondents hours wage rate * burden
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Semi-structured interview....................... 9 81 $45.31 $3,670
Training participant questionnaire.............. 240 800 45.31 36,248
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Total....................................... 249 881 NA 39,918
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* 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 2014, U.S.
Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm.
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
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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.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2015-16646 Filed 7-7-15; 8:45 am]
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