Federal Register: December 12, 2006 (Volume 71, Number 238)
DOCID: FR Doc 06-9642
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
NOTICE: NOTICES
DOCUMENT ACTION: Notice.
SUBJECT CATEGORY:
Agency Information Collection Activities: Proposed Collection; Comment Request
DATES: Comments on this notice must be received by February 12, 2007.
DOCUMENT 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) allow the proposed information collection project: ``Pilot Study of Proposed Nursing Home Survey on Resident Safety''. In accordance with the Paperwork Reduction Act of 1995, Public Law 10413 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection.
SUMMARY:
A. Regulatory Flexibility Act Section 610 ; Review Index 74333-74334; B. Regulatory Flexibility Analysis ; Index 74335-74344; C. Small Entities Index ; (Regulatory Flexibility Analysis ; Not Required) 74345-74354; D. Government Levels Index 74355-74387; E. Federalism Index 74389-74390; F. Subject Index 74391-74449; Reader Aids; ; Agency information collection activities; proposals, submissions, and approvals,
SUPPLEMENTAL INFORMATION
Proposed Project
``Pilot Study of Proposed Nursing Home Survey on Resident Safety''
This activity is an expansion and refinement of AHRQ's Hospital Survey on Patient Safety Culture (HSOPSC) which was developed and released to the public for use in November 2004. This proposed new tool is based on the HSOPSC but also contains new and revised items as well as dimensions that more accurately apply to the nursing home setting. The instrument will be pilot tested with staff in 40 nursing homes. The data collected will be analyzed to determine the psychometric properties of the survey's items and dimensions and provide information for the revision and shortening of the final survey based on an assessment of its reliability and construct validity. The final survey will be made publicly available to enable nursing homes to assess their resident safety culture.
Methods of Collection
A purposive sample of 40 nursing homes will be recruited and selected. These nursing homes will represent a distrubition of bed size, nature of ownership (nonprofit/forprofit), urbanity (urban/ rural), and geographic region of the United States. Recruited nursing homes will be allocated to each category in numbers roughly proportionate to the national distribution of homes in each category.
All employees, contractors and agency staff in all job classes in nursing homes with up to 200 employees will be asked to respond to the survey. In nursing homes with more than 200 employees, a random sample of 200 employees will be selected. Since not all nursing homes staff have access to or are familiar with email or the internet, paper surveys will be administered. Standard nonresponse followup techniques such as reminder postcards and distrubiton of a second survey will be used. Individuals and organizations contacted will be assured of the confidentiality of their replies under Section 924(c) of the Healthcare Research and Quality Act of 1999.
Estimated Annual Respondent Burden
The survey will be distributed to approximately 5,500 nursing home
employees, with a target response rate of 70%, or 3,850 returned
surveys. Respondents should take approximately 15 minutes to complete
the survey. Therefore, we estimate that the respondent burden for
completing the survey will be 963 hours (3,850 completes multiplied by 0.25 hours per completed survey).
Number of Estimated Time Estimated Total
Type of Respondent Number of Responses per per Respondent Respondent
Respondents Respondent (hours) Burden Hours
Nursing home staff member................... 3,850 1 0.25 963 [[Page 74537]]
Estimated Annual Costs to the Federal Government
The total cost to the Government for developing this survey is approximately $319,000, and is being funded solely by AHRQ. This estimate includes the costs of a background literature review, survey development, cognitive testing, pilot data collection, data analysis, and preparation of final deliverables and reports.
Request for Comments
In accordance with the abovecited Paperwork Reduction Act legislation, 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: December 1, 2006.
Carolyn M. Clancy,
Director.
FOR FURTHER INFORMATION CONTACT
Doris Lefkowitz, AHRQ, Reports Clearance Officer, (301) 4271477.