SUBMISSION OF INFORMATION COLLECTION UNDER THE
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
DATE OF REQUEST: October 31, 2018
SUB AGENCY (I/C): HHS/AHRQ
TITLE: Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey
GENERIC CLEARANCE UNDER OMB#: 0935-0179 EXP. DATE: 11/30/2020
The AHRQ QIs are
standardized, evidence-based quality measures that can be used with
readily available hospital inpatient administrative data to measure
and track clinical performance and outcomes, including inpatient
mortality, surgical complications, and certain hospital-acquired
infections. They address quality of care for patients hospitalized
for a broad range of procedures or conditions that are high risk,
problem prone, and/or high volume. The purpose of this survey is to
gather feedback about the AHRQ QIs, with an emphasis on their use to
support hospital quality improvement efforts. The survey will be
used to gather information from current users and those who may
choose to engage with the program in the future (i.e., potential
users) about their experiences with and perceptions of the AHRQ QI
program, including facilitators of and barriers to use, as well as
whether, how and why they use other measures to support their
quality improvement efforts. In particular, the topics areas in the
survey include: 1) Reasons for using/not using the AHRQ QIs and AHRQ
QI resources, 2) Use of the AHRQ QIs for quality improvement, 3)
Other measures used for quality improvement and the reasons for use,
4) Use of the WinQI software, and 5) Opportunities to enhance user
experience with the AHRQ QI program, including software, technical
assistance and resources (e.g., toolkit).
TOTAL ANNUAL BURDEN APPROVED: 3,383 Hours Per year
BURDEN USED TO DATE: 404 hours.
BURDEN THIS REQUEST: 50 hours.
FEDERAL COST: The estimated annual cost to the Federal government is $356_.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ______ NO _____x_ N/A
OBLIGATION TO RESPOND:
___x___ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
___X_ WEB SITE
____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
_____ IN PERSON INTERVIEW
____ OTHER: _
CONTACT INFORMATION:
NAME: _Erwin Brown______________________________
TELEPHONE NUMBER: 301.427.1652________________
EMAIL ADDRESS: _ebrown@ahrq.gov________________
| File Type | application/msword |
| File Title | Generic Clearance Form - 04/28/2008 |
| Subject | Generic Clearance Form - 04/28/2008 |
| Author | OD/USER |
| Last Modified By | SYSTEM |
| File Modified | 2018-10-31 |
| File Created | 2018-10-31 |