Federal Register - December 8, 2021
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Source: Federal Register
69650
Federal Register / Vol. 86, No. 233 / Wednesday, December 8, 2021 / Notices
Gaps in knowledge, skills, and resources required for identifying residents and staff infected with COVID19.
Impacts on the prevention and spread of SARSCoV2, implementation of best practice safety measures;
improvement of quality of care for residents with mild and asymptomatic cases; and reduction of social isolation for residents, families, and staff.
The primary data collection includes the following activities:
Survey of all approximately 15,000
nursing homes eligible for the COVID
19 Provider Relief Fund. Separate survey instruments will be used for Network participants Participant Survey and non-participants NonParticipant Survey. The Participant Survey will be conducted primarily via a secure web-based platform. The NonParticipant Survey will be conducted via web and telephone.
Key informant interviews with up to 96 individuals from 32 nursing homes participating in the Network across all assessment domains, conducted virtually on a secure platform.
Information collected will inform whether and how the Network activities aided the nursing homes efforts to mitigate the challenges posed by the COVID19 pandemic. This data
collection effort will also provide information on why nursing homes may not have been able to participate in the Network Non-Participant Survey.
Findings from the assessment will allow AHRQ to:
Assess the Networks reach and the effectiveness of the retention and engagement strategies;
Study implementation of the Networks training sessions, mentorship and technical assistance activities, and dissemination of the safety and quality improvement tools;
Study the Networks impact on ensuring availability of protective equipment, rapid identification of nursing home residents and staff infected with SARSCoV2, entry and transmission of COVID19, and improving health outcomes; and Study the long-term impact, sustainability, and replicability of the training program and Network activities to address other patient safety and quality improvement priorities.
Estimated Annual Respondent Burden Survey. The nursing home survey will have two survey instruments:
Participant Survey for nursing home facilities that participated in the Network
Non-Participant Survey for nursing homes that did not participate in the Network For the Participant Survey we expect that 1,804 participants 20% response rate will agree to participate on behalf of their facilities and that the survey will take about 20 minutes to complete.
For the Non-Participant Survey, we expect that 1,264 participants will agree to participate 20% response rate on behalf of their facilities and that the survey will take about 5 minutes to complete. This estimate is based on prior provider survey experience and the response rate for an earlier customer satisfaction survey, which was approximately 20%.
Key Informant Interviews. Key informant interviews will be conducted with up to 32 nursing homes up to 3
staff from each nursing home in each interview, for a total of 96 staff involved in the Network. All interviews are expected to last 30 minutes, including time for respondents to provide verbal consent for participation and ask any questions at the start.
The total annual burden hours for the survey and key informant interviews are estimated to be 744 hours, as shown in Exhibit 1.
EXHIBIT 1ESTIMATED ANNUALIZED BURDEN HOURS
Number of respondents
Form name
Total burden hours
Total burden hours
Survey instrumentparticipant
Survey instrumentnonparticipant
Nursing Home Key Informant Interview Management
1,804
1,264
96
0.33
0.08
0.50
595
101
48
Total
3,164
744
Exhibit 2 shows the estimated annual cost burden associated with the respondents time to participate in this
information collection, which comes to $45,242.64.
EXHIBIT 2ESTIMATED ANNUALIZED COST BURDEN
Number of respondents
jspears on DSK121TN23PROD with NOTICES1
Form name
Total burden hours
Average hourly wage rate
$
Total cost burden $
Survey instrumentparticipant
Survey instrumentnonparticipant
Nursing Home Key Informant Interview Management
1,804
1,264
96
595
101
48
1 60.81
1 60.81
36,181.95
6,141.81
2,918.88
Total
3,164
744
45,242.64
1 60.81
Wage rates were calculated using the mean hourly wage from the U.S. Department of Labor, Bureau of Labor Statistics, May 2020 National Occupational Employment and Wage Estimates for the United States, https www.bls.gov/oes/current/oes_nat.htm.
1 Average rate for Nursing Care Facilities: Management Occupations.
2 Average rate for Nursing Care Facilities: All Occupations.
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