[Federal Register Volume 79, Number 149 (Monday, August 4, 2014)]
[Notices]
[Pages 45190-45192]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-18299]


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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: ``Evaluation of the Implementation of TeamSTEPPS in Primary 
Care Settings (ITS-PC).'' In accordance with the Paperwork Reduction 
Act of 1995,

[[Page 45191]]

Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to 
comment on this proposed information collection.
    This proposed information collection was previously published in 
the Federal Register on May 21st, 2014 and allowed 60 days for public 
comment. No 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 September 3, 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

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[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 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).

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. In-person instruction will cover 
coaching, organizational change, and implementation science. Practice 
facilitators, who complete the training, will be surveyed six months 
post-training.
    The TeamSTEPPS Primary Care Post-Training 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 in-person instruction.
    To conduct the evaluation, the TeamSTEPPS in Primary Care Post-
Training 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

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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
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                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total  burden
                                                    respondents     respondent       response          hours
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TeamSTEPPS in Primary Care Post-Training Survey.             150               1           20/60              50
                                                 ---------------------------------------------------------------
    Total.......................................             150              NA              NA              50
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                                   Exhibit 2--Estimated Annualized Cost Burden
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                                                                                      Average
                    Form name                        Number of     Total  burden   hourly  wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
TeamSTEPPS Primary Care Post-Training Survey....             150              50      \a\ $86.95          $4,348
                                                 ---------------------------------------------------------------
    Total.......................................             150              50           86.95           4,348
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* National Compensation Survey: Occupational wages in the United States May 2012, ``U.S. Department of Labor,
  Bureau of Labor Statistics.''
\a\ Based 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: July 25, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014-18299 Filed 8-1-14; 8:45 am]
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