The AHRQ Safety Program for Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention

ICR 202209-0935-004

OMB: 0935-0260

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Modified
Supporting Statement A
2022-10-18
Supporting Statement B
2022-10-18
Supplementary Document
2021-07-23
Supplementary Document
2021-07-23
Supplementary Document
2021-07-23
Supplementary Document
2021-07-23
ICR Details
0935-0260 202209-0935-004
Received in OIRA 202107-0935-003
HHS/AHRQ
The AHRQ Safety Program for Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention
Revision of a currently approved collection   No
Regular 10/19/2022
  Requested Previously Approved
36 Months From Approved 08/31/2024
36,928 36,637
12,052 11,552
0 0

The Agency for Healthcare Research and Quality (AHRQ) requests to revise the currently approved AHRQ Safety Program for Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. The AHRQ Safety Program for MRSA Prevention’s purpose is to reduce the incidence and prevalence of infections caused by MRSA in a variety of settings. The revision for the AHRQ Safety Program for MRSA Prevention includes the following modifications: 1. ICU/Non-ICU cohort: The optional point prevalence data will be collected at baseline (pre-intervention) and every six months throughout the 18-month implementation period rather than only at baseline. 2. Surgical Services cohort: After a discussion with the program’s Technical Expert Panel (TEP), it was decided to collect surgical site infection (SSI) outcome data on a different subset of surgical procedures performed within the cardiac surgery, orthopedic surgery, and neurosurgery specialty areas. 3. Long-Term Care (LTC) cohort: The LTC cohort will now also submit the Minimum Data Set (MDS) 3.0 M Skin Conditions data elements.

US Code: 42 USC 299 Name of Law: Agency for Healthcare Research and Quality Act of 1999
  
None

Not associated with rulemaking

  87 FR 43521 07/21/2022
87 FR 61323 10/09/2022
No

15
IC Title Form No. Form Name
Attachment H: Survey of Patient Safety Culture – HSOPS 1 Attachment H: Survey of Patient Safety Culture – HSOPS
Attachment I: Survey of Patient Safety Culture – NHSOPS 2 2,500
Attachment J - Subsequent data pull for 10% of units 9.5 Attachment J - Subsequent data pull for 10% of units
Attachment J: Clinical Outcomes Data for ICU/Non-ICU 9 Attachment J: Clinical Outcomes Data for ICU/Non-ICU
Attachment J: Clinical Outcomes Data for ICU/Non-ICU 9 Attachment J: Clinical Outcomes Data for ICU/Non-ICU
Attachment J: Clinical Outcomes Data for ICU/Non-ICU 9 Attachment J: Clinical Outcomes Data for ICU/Non-ICU
Attachment J: Clinical Outcomes Data for ICU/Non-ICU 9 Attachment J: Clinical Outcomes Data for ICU/Non-ICU
Attachment K: Clinical Outcomes Data for Surgical Services 10 Attachment K: Clinical Outcomes Data for Surgical Services
Attachment K: Clinical Outcomes Data for Surgical Services 10 Attachment K: Clinical Outcomes Data for Surgical Services
Attachment L: Clinical Outcomes Data for LTC 11 Attachment L: Clinical Outcomes Data for LTC
Attachment L: Clinical Outcomes Data for LTC 11 Attachment L: Clinical Outcomes Data for LTC
Attachment Q: Survey of Patient Safety Culture-HSOPS V.2 17 Attachment Q: Survey of Patient Safety Culture—HSOPS V.2
Gap Analysis 3, 4, 5 Attachment B: ICU/Non-ICU Gap Analysis ,   Attachment C: Surgical Services Gap Analysis ,   Attachment D: LTC Gap Analysis
TEAM CHECK-UP TOOL – Long-Term Care (LTC) 8 Attachment G: LTC Team Checkup Tool
Team Checkup Tool 6, 7 Attachment E: ICU/Non-ICU Team Checkup Tool ,   Attachment F: Surgical Services Team Checkup Tool

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 36,928 36,637 0 291 0 0
Annual Time Burden (Hours) 12,052 11,552 0 500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There is a reduction in burden from 15 minutes to 12.5 minutes per survey for the HSOPS 2.0 due to the shorter length of the instrument compared to Version 1.0.

$1,977,501
No
    Yes
    No
No
No
No
No
Erwin Brown 301 427-1652 erwin.brown@ahrq.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/19/2022


© 2024 OMB.report | Privacy Policy