Federal Register: December 31, 2008 (Volume 73, Number 251)

DOCID: fr31de08-57 FR Doc E8-30762

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality

NOTICE: NOTICES

DOCID: fr31de08-57

DOCUMENT ACTION: Notice.

SUBJECT CATEGORY:

Agency Information Collection Activities: Proposed Collection; Comment Request

DATES: Comments on this notice must be received by January 30, 2009.

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) approve the proposed information collection project: ``The AHRQ Data Inventory.'' In accordance with the Paperwork Reduction Act of 1995, 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 October 24th, 2008 and allowed 60 days for public comment. One comment was received. The purpose of this notice is to allow an additional 30 days for public comment.

SUMMARY:

Agency Information Collection Activities; Proposals, Submissions, and Approvals,

SUPPLEMENTAL INFORMATION

Proposed Project: ``The AHRQ Data Inventory''

The Agency for Healthcare Research and Quality (AHRQ) is interested in determining the availability of regularly collected administrative and other data collection initiatives about outpatient health service utilization. AHRQ seeks to better understand issues in developing data collection initiatives, redundancies in these initiatives, uses of available data, gaps in available information, similarities across data projects, and areas for possible collaboration and coordination. AHRQ's initial focus is on those data sets that would inform healthcare providers, policymakers, and consumers about outpatient health service utilization and episodes of care.

The primary purpose of this information collection is to comprehensively document outpatient health care data collection initiatives in the 50 states, the District of Columbia, and other geographic units. Information being collected about the data sets is not readily available to the public. Indepth information about the data sets will provide guidance to AHRQ on the potential synergy across such initiatives and suggest how the information can inform Federal, State, and local health care policymakers, clinicians, and consumers. Information collected during the interviews will comprehensively document outpatient health care data collection initiatives.

This project is important for several reasons. First, many data collection initiatives exist or are in the planning
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stages, but there is limited collaboration and synthesis among initiatives. With limited resources and common goals, it is imperative to understand the issues in developing data collection initiatives, redundancies in such initiatives, and gaps in available information. Second, with the increasing costs of health care, it has become more important than ever to use health services efficiently, yet care and information about care is often collected and delivered in isolation without coordination across sites or providers of care. The results of this project will provide AHRQ and other policymakers with the information they need to serve as a catalyst to promote coordinated standardization, reduce redundancies, identify gaps in information, and assist in further development of needed data efforts.

This project is being conducted pursuant to AHRQ's statutory mandates to (1) promote health care quality improvement by conducting and supporting research that develops and presents scientific evidence regarding all aspects of health care, including the costs and utilization of, and access to, health care and the ways in which health care services are organized, delivered, and financed (42 U.S.C. 299(b)(l)(D) and (E)); (2) conduct and support research on health care and on systems for the delivery of such care (42 U.S.C. 299a(a)); and (3) conduct and support research to advance the creation of effective linkages between various sources of health information (42 U.S.C. 299b 3(a)(3)).

Method of Collection

The survey will be initiated with an email message from AHRQ to managers/administrators of each data set selected for inclusion in the Inventory. Data sets listed in the inventory were identified from a search of Webbased information about outpatient and ambulatory patient care data sets. The initial contact will be followed by an email distribution of a cover letter and the questionnaire. The cover letter will include information about the purpose of the study, reason respondents are being contacted, information about the nondisclosure of their responses, and a request to have respondents review information captured from the Internet about their data sets. In addition, respondents will be informed that they have the option to complete and return the questionnaire electronically or participate in a telephone interview. Respondents who do not return their questionnaires by the requested time will get an email reminder. The email reminder will be followed by a telephone reminder.

Estimated Annual Respondent Burden

Exhibit 1 shows the estimated annual burden hours for the respondent's time to participate in this project. A maximum of 80 respondents will complete the survey questionnaire which will require about 45 minutes to complete. The total estimated burden hours for this information collection is 60 hours.

Exhibit 2 show the estimated cost burden based on the respondent's time to participate in this project. The total cost burden is approximately $2,993.
Exhibit 1Estimated Annualized Burden Hours Number of Form name Number of responses per Hours per Total burden respondents respondent response hours Inventory Survey................................ 80 1 45/60 60

Total....................................... 80 1 na 60 Exhibit 2Estimated Annualized Cost Burden Number of Total burden Average hourly Total costs Form name respondents hours wage rate * burden Inventory Survey................................ 80 60 $49.89 $2,993

Total....................................... 80 60 na 2,993 * Based upon the mean of general and operations managers (11102 1), National Compensation Survey: Occupational Wages in the United States 2007, U.S. Department of Labor, Bureau of Labor Statistics. Estimated Annual Costs to the Federal Government

This oneyear project is estimated to cost the government $136,000. Exhibit 3 details the costs associated with this project, which include $11,000 for project development, $72,500 for data collection and analysis, $12,000 for preparing reports, $20,000 for project management and $21,000 for overhead.
Exhibit 3Project Costs
Cost component Total cost Project Development..................................... $11,000.00 Data Collection and Analysis............................ 72,500.00 Preparation of Reports.................................. 12,000.00 Project Management...................................... 20,000.00 Overhead................................................ 21,000.00

Total............................................... 136,500.00 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
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request for OMB approval of the proposed information collection. All comments will become a matter of public record.

Dated: December 17, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. E830762 Filed 123008; 8:45 am]
BILLING CODE 416090M

FOR FURTHER INFORMATION CONTACT

Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 4271477, or by email at
doris.lefkowitz@ahrq.hhs.gov.