[Federal Register Volume 79, Number 93 (Wednesday, May 14, 2014)]
[Notices]
[Pages 27614-27615]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-10947]


=======================================================================
-----------------------------------------------------------------------

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: ``TeamSTEPPS 2.0 Online Master Trainer Course.'' 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 14, 2014.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by email at 
[email protected].
    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

TeamSTEPPS 2.0 Online Master Trainer Course

    As part of its effort to fulfill its mission goals, AHRQ, in 
collaboration with the U.S. Department of Defense's TRICARE Management 
Activity, developed TeamSTEPPS[supreg] (aka, Team Strategies and Tools 
for Enhancing Performance and Patient Safety) to provide an evidence-
based suite of tools and strategies for training teamwork-based patient 
safety to health care professionals. TeamSTEPPS includes multiple tool-
kits, which are all tied to or are variants of 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 during two-day in-person classes 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.
    Despite the success of the National Implementation program and the 
availability of training through this initiative, AHRQ has been unable 
to match the demand for TeamSTEPPS Master Training. Wait lists for 
training often exceed 500 individuals at any given time.
    To address this prevailing need, AHRQ has launched an effort to 
develop and provide TeamSTEPPS training online. This program, known as 
TeamSTEPPS 2.0 Online Master Trainer course, will mirror the TeamSTEPPS 
2.0 core curriculum and provide equivalent training to the in-person 
classes offered through the National Implementation Program.
    As part of this initiative, AHRQ seeks to conduct an evaluation of 
the TeamSTEPPS 2.0 Online Master Trainer program. This evaluation seeks 
to understand the effectiveness of TeamSTEPPS 2.0 Online Master 
Training and what revisions might be required to improve the training 
program.
    This research has the following goals:
    (1) Conduct a formative assessment of the TeamSTEPPS 2.0 Online 
Master Trainer program to determine what improvements 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.
    This study is being conducted by AHRQ through its contractor, 
Reingold, Inc., 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 and with 
respect to quality measurement and improvement, 42 U.S.C. 299a(a)(1) 
and (2).

Method of Collection

    To achieve this project's goals, AHRQ will train participants using 
the TeamSTEPPS 2.0 Online Master Trainer program and then survey these 
participants six months post-training. Each activity is briefly 
described below.
    1. TeamSTEPPS 2.0 Online Master Trainer Course. This training 
program, which includes 13 accredited hours of training, is based on 
the TeamSTEPPS 2.0 instructional materials and will be delivered online 
to 3,000 participants. The training will cover the core TeamSTEPPS 
tools and strategies, coaching, organizational change, and 
implementation science.
    2. TeamSTEPPS 2.0 Online Post-Training Survey. This online 
instrument will be administered to all participants who completed 
TeamSTEPPS 2.0 Online Master Training. The survey will be administered 
six months after participants complete the training.
    This is a new data collection for the purpose of conducting an 
evaluation of TeamSTEPPS 2.0 Online Master Trainer program. The 
evaluation will be primarily formative in nature as AHRQ seeks 
information to improve the delivery of the training.
    To conduct the evaluation, the TeamSTEPPS 2.0 Online Post-Training 
Survey will be administered to all individuals who completed the 
TeamSTEPPS 2.0 Online Master Trainer program six months after training. 
The purpose of the survey is to assess the degree to which participants 
felt prepared by the training and what they did to implement 
TeamSTEPPS. 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; what 
tools they have implemented in their organizations; and resulting 
changes they have observed in the delivery of care.

[[Page 27615]]

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondent's time to participate in the study. The TeamSTEPPS 2.0 
Online Post-Training Survey will be completed by approximately 3,000 
individuals. We estimate that each respondent will answer 10 items 
(i.e., number of responses per respondent) and responding to these 10 
questions will require 20 minutes. The total annualized burden is 
estimated to be 10,000 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 $35,930.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Training participant questionnaire..............           3,000               1           20/60           1,000
                                                 ---------------------------------------------------------------
    Total.......................................           3,000             N/A             N/A           1,000
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate*        burden
----------------------------------------------------------------------------------------------------------------
Training participant questionnaire..............           3,000           1,000          $35.93         $35,930
                                                 ---------------------------------------------------------------
    Total.......................................           3,000           1,000             N/A          35,930
----------------------------------------------------------------------------------------------------------------
* Based on 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 2012, U.S.
  Department of Labor, Bureau of Labor Statistics. www.bls.gov/oes/current/oes_nat.htm#37-0000.

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 6, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014-10947 Filed 5-13-14; 8:45 am]
BILLING CODE 4160-90-P