[Federal Register Volume 88, Number 191 (Wednesday, October 4, 2023)]
[Notices]
[Pages 68619-68621]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-22089]


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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 ``TeamSTEPPS 3.0 Training Assessment.'' In accordance with the 
Paperwork Reduction Act of 1995, AHRQ invites the public to comment on 
this proposed information collection.

DATES: Comments on this notice must be received by December 4, 2023.

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

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

SUPPLEMENTARY INFORMATION:

Proposed Project

TeamSTEPPS 3.0 Training Assessment

    In 2006 the Agency for Healthcare Research and Quality (AHRQ) and 
the Department of Defense developed Strategies & Tools to Enhance 
Performance and Patient Safety, or TeamSTEPPS[supreg], an evidence-
based patient safety program. 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. Given the advancements in health information technology, 
changes in how care is delivered and a recent emphasis on engaging 
patients and families as members of the healthcare team, the TeamSTEPPS 
curriculum was significantly refreshed in 2023 and made into a singular 
comprehensive program to better support teams in improving their 
communication skills and collaboration.
    The updated TeamSTEPPS training will now be implemented in 
different settings of various large and small

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healthcare and healthcare-related organization and institutions around 
the country. Following implementation of the updated training, an 
assessment for change in individuals and teams is necessary to examine 
the degree to which the updated TeamSTEPPS program enhances users 
experience, improves the teams' effectiveness, streamlines team 
communication and overall increases healthcare professionals' 
commitment to interdisciplinary teamwork.
    This project has the following goals:
    (1) Assess the overarching short-term (immediately after the 
training) impact of the TeamSTEPPS program to determine what 
improvements should be made to the training and how it is delivered, 
and
    (2) Assess the long-term (3-9 months after the training) impact of 
the TeamSTEPPS program to determine how trained participants use and 
implement the TeamSTEPPS tools and resources.
    This project is being conducted by AHRQ through its contractor, 
Chatham Communications, 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 
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 data collections 
will be implemented:
    Online surveys: Data will be collected from up to 30 trainees at 
each of 115 sites (i.e., up to 3,450 respondents) via online surveys. 
All trainees will be invited to complete the following online surveys:
    (1) Baseline Survey (administered prior to training)

a. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ)
b. Knowledge assessment
c. Self-reported event rates

    (2) Post-training Survey (administered immediately after training 
completion)

a. Participant Training Reactions and Experiences
b. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ)
c. Knowledge assessment

    (3) Follow-up Survey (administered 3-9 months after training 
completion)

a. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TAP)
b. Self-reported behavior/implementation activities
c. Facilitators and barriers to use of TeamSTEPPS concepts, tools, or 
strategies
d. Self-reported changes in awareness, policies, or processes
e. Self-reported event rates

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for trainees' 
time to participate in this data collection. All trainees will 
complete:
    (1) Pre-training Survey--estimated to take 20 minutes per response.
    (2) Post-training Survey--estimated to take 20 minutes per 
response.
    (3) Follow-up Survey--estimated to take 20 minutes per response.
    The total annual burden hours are estimated to be 3,415.5 hours.
    Exhibit 2 shows the estimated annualized cost burden associated 
with the respondents' time to participate in this data collection. The 
cost burden is estimated to be $155,889.06.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Pre-training Survey.............................           3,450               1             .33         1,138.5
Post-training Survey............................           3,450               1             .33         1,138.5
Follow-up Survey................................           3,450               1             .33         1,138.5
                                                 ---------------------------------------------------------------
    Total.......................................          10,350             N/A             N/A         3,415.5
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Pre-training Survey.............................           3,450         1,138.5          $46.52      $52,963.02
Post-training Survey............................           3,450         1,138.5           46.52       52,963.02
Follow-up Survey................................           3,450         1,138.5           46.52       52,963.02
                                                 ---------------------------------------------------------------
    Total.......................................          10,350         3,415.5             N/A      158,889.06
----------------------------------------------------------------------------------------------------------------
* Based on the mean of the average wages for all health professionals (29-0000): Occupational Wages in the
  United States, May 2022, U.S. Department of Labor, Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm).

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

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comments will become a matter of public record.

    Dated: September 29, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023-22089 Filed 10-3-23; 8:45 am]
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