[Federal Register Volume 85, Number 186 (Thursday, September 24, 2020)]
[Notices]
[Pages 60166-60167]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21053]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

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 proposed updates to the approved 
information collection project ``Safety Program in Perinatal Care 
(SPPC)-II Demonstration Project.''

DATES: Comments on this notice must be received by November 23, 2020.
    This proposed information collection was previously published in 
the Federal Register on July 16th, 2020 and allowed 60 days for public 
comment. AHRQ received no substantive comments from members of the 
public. The purpose of this notice is to allow an additional 30 days 
for public comment.

DATES: Comments on this notice must be received 30 days after date of 
publication.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by email at 
[email protected].

SUPPLEMENTARY INFORMATION:

Proposed Project

``Safety Program in Perinatal Care (SPPC)-II Demonstration Project''

    The SPPC-II Demonstration Project has the following goals:
    (1) To implement the integrated AIM-SPPC II program in birthing 
hospitals in OK and TX in coordination with the Alliance for Innovation 
on Maternal Health program (AIM) and the respective state PQC 
(Perinatal Quality Collaborative);
    (2) To assess the implementation of the integrated AIM-SPPC II 
program in these hospitals; and
    (3) To ascertain the short- and medium-term impact of the 
integrated AIM-SPPC II program on hospital (i.e., perinatal unit) 
teamwork and communication, patient safety, and key maternal health 
outcomes.
    The information collected for this Demonstration Project will be 
used to evaluate the implementation and impact of the SPPC-II program 
overlaid with AIM patient safety bundles in birthing hospitals in OK 
and TX. More specifically, the project will:
    (a) Provide information on whether the proposed integration of AIM 
and SPPC-II programs can be implemented as intended, i.e., through the 
use of a two-tier approach for training all clinical staff in all 
hospitals, coordination by the AIM Team Lead of the rollout of training 
clinical staff using e-modules on teamwork and communication, 
facilitation by AIM Team Leads of in-person sessions to practice 
teamwork and communication tools and strategies; or, what changes are 
needed to better facilitate program implementation;
    (b) provide information regarding the impact of the integrated AIM-
SPPC II program on use of teamwork and communication tools and 
strategies, teamwork and communication metrics, patient safety culture 
changes, AIM bundle implementation, and key maternal health outcomes; 
and
    (c) provide information regarding the sustainability of the 
integrated AIM-SPPC II program 18 months after implementation.
    Due to pandemic-related impacts on the SPPC-II study population, we 
propose updating the SPPC-II data collection by (1) adding questions to 
the approved qualitative interview guide at 3-4 months to include 
pandemic-related questions to better understand the implementation 
context, (2) adding an additional qualitative interview

[[Page 60167]]

collection at 15-16 months with a new interview guide to better 
understand the implementation context, and (3) increasing the total 
number of qualitative interview participants from 25 to 30 participants 
to account for the two qualitative interview collections at 3-4 months 
and 15-16 months. The total estimated annual burden hours for SPPC-II 
will increase from 54,654 hours in the previous clearance to 54,659 
hours in this clearance request, an increase of 5 hours.
    This study is being conducted by AHRQ through its contractor, Johns 
Hopkins University (JHU), and through JHU's subcontractor, AIM, 
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 the following updates to the 
data collections will be implemented:
    (a) Qualitative, semi-structured interviews with AIM Team Leads 
will be conducted by phone about 3-4 months and 15-16 months after the 
SPPC-II implementation start date to assess the perceived utility of 
the training and assistance needed with the rollout of training to all 
frontline clinical staff using the e-modules and facilitation sessions 
to consolidate the information, and to better understand the 
implementation context (including barriers, facilitators, and 
strategies). An interview guide developed based on the Consolidated 
Framework for Implementation Research framework will be used to conduct 
the interviews, together with a corresponding consent form.

Estimated Annual Respondent Burden

    Exhibit 1 shows only the estimated annualized burden hours for the 
respondents' time to participate in updates to the information 
collection of the SPPC-II Demonstration Project.
    One-hour qualitative interviews will be conducted with a total of 
30 AIM Team Leads in the 2 states about 3-4 months and 15-16 months 
after the SPPC-II implementation start date.
    The total annual burden hours are estimated to be 54,659 hours, an 
increase of 5 hours from the previous clearance request.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Qualitative semi-structured interviews with AIM               30               1            1.00              30
 Team Leads at 3-4 months and 15-16 months......
                                                 ---------------------------------------------------------------
    Total.......................................              30              NA              NA              30
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows only the hours and cost of updates to the 
collection. The cost burden of the updated collection is estimated to 
be $1,494.90 annually.

                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                    Form name                        Number of     Total burden     hourly wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Qualitative semi-structured interviews with AIM               30              30          $49.83       $1,494.90
 Team Leads at 3-4 months and 15-16 months......
                                                 ---------------------------------------------------------------
    Total.......................................              30              30  ..............        1,494.90
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2017 ``U.S. Department of Labor,
  Bureau of Labor Statistics.''
\a\ Hourly wage for nurse-midwives ($48.36; occupation code 29-1161).
\b\ Weighted mean hourly wage for obstetrician-gynecologists ($113.10; occupation code 29-1064; 30%); nurse-
  midwives ($49.83; occupation code 29-1161; 30%); registered nurses ($35.36; occupation code 29-1161; 20%); and
  nurse practitioners ($51.86; occupation code 29-1171; 20%).

Request for Comments

    In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3520, 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's 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: September 18, 2020.
Marquita Cullom-Stott,
Associate Director.
[FR Doc. 2020-21053 Filed 9-23-20; 8:45 am]
BILLING CODE 4160-90-P