[Federal Register Volume 86, Number 101 (Thursday, May 27, 2021)]
[Notices]
[Pages 28600-28601]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-11195]


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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 (AHRQ), 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 proposed updates to the approved 
information collection project ``Safety Program in Perinatal Care 
(SPPC)-II Demonstration Project.'' This proposed information collection 
was previously published in the Federal Register on March 5, 2021 and 
allowed 60 days for public comment. The purpose of this notice is to 
allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by June 28, 2021.

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

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

    The SPPC-II Demonstration Project has the following goals:
    (1) To implement the integrated Alliance for Innovation on Maternal 
Health (AIM)-SPPC II program in birthing hospitals in Oklahoma and 
Texas in coordination with 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.
    This study is being conducted by AHRQ through its contractor, Johns 
Hopkins University (JHU) and the AIM program, JHU's subcontractor, 
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).
    Due to continued pandemic-related impacts on the SPPC-II study 
population, we propose to update the SPPC-II data collection by (1) 
restructuring and adding questions to the approved qualitative 
interview guides to be used with AIM program Team Leads and now 
frontline health providers in the summer/fall of 2021 to include 
questions to better understand the perceived implementation context; 
and (2) adding focus group discussions in the summer/fall of 2022 to 
assess perceptions of implementation and sustainability of the SPPC-II 
Toolkit at the hospital level. The total burden hours resulting from 
these proposed updates to the SPPC-II data collection is 64 hours. The 
total estimated annual burden hours for SPPC-II are 54,693.

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 and 
frontline staff will be conducted by phone or via zoom in the summer/
fall of 2021 to assess the perceived utility of the training and the 
perceived implementation context (including barriers, facilitators, and 
strategies) in the context of a reduced scope for SPCC-II. In 8 
hospitals, one-hour interviews with AIM Team Leads (1 per hospital) and 
30-minute interviews with frontline staff (4 per hospital) will be 
conducted. 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. The 
interview guide will be supported by the SPPC-II tier level training 
specific handouts.
    (b) Focus group discussions with AIM Team Leads and frontline staff 
will be conducted by phone or via zoom in the summer/fall of 2022 to 
assess perceptions of implementation and sustainability of the SPPC-II 
Toolkit at the hospital level. We will conduct one 1-hour focus groups 
with AIM Team Leads and frontline staff in each of the 8 hospitals. An 
interview guide

[[Page 28601]]

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 8 
AIM Team Leads and 30-minute qualitative interviews with 32 frontline 
staff in 8 hospitals. We will also conduct 8 one-hour focus group 
discussions with a total of 40 AIM Team Leads and frontline staff in 
the same hospitals.
    The total burden hours resulting from the proposed updates to the 
SPPC-II data collection is 64 hours. The total annual burden hours are 
estimated to be 54,693 hours.

                                  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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Qualitative semi-structured interviews with AIM                8               1            1.00               8
 Team Leads.....................................
Qualitative semi-structured interviews with                   32               1            0.50              16
 frontline staff................................
Focus group discussions with AIM Team Leads and               40               1               1              40
 frontline staff................................
                                                 ---------------------------------------------------------------
    Total.......................................              80              NA              NA              64
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    Exhibit 2 shows only the hours and cost of updates to the 
collection. The total cost burden of the updated collection is 
estimated to be $1,421,576.68 annually.

                                   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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Qualitative semi-structured interviews with AIM                8               8          $49.83         $398.64
 Team Leads.....................................
Qualitative semi-structured interviews with                   32              16           49.83          797.28
 frontline staff................................
Focus group discussions with AIM Team Leads and               40              40           49.83        1,993.20
 frontline staff................................
                                                 ---------------------------------------------------------------
    Total.......................................              80              64  ..............        3,189.12
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* National Compensation Survey: Occupational wages in the United States May 2017 ``U.S. Department of Labor,
  Bureau of Labor Statistics.'' 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: May 21, 2021.
Marquita Cullom,
Associate Director.
[FR Doc. 2021-11195 Filed 5-26-21; 8:45 am]
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