This ICR is
approved for 24 months under the following conditions in order to
provide for a trial run of this database: (1) During the intial
round of applications, AHRQ agrees to compile the questions that
come in about this ICR from interested applicants and prepare FAQs
for future rounds of applications. These FAQs will be included with
the request for renewal. (2) AHRQ agrees to also collect data on
how many applications it receives and how many applications are
ultimately included in the healthcare innovations database. This
data will also be included in the request for renewal. AHRQ will
also compile a list of why the excluded applications were excluded
and use this information in the request for renewal to refine the
inclusion/exclusion criteria. At that time, AHRQ should also
determine more concretely whether this database is intended to be a
showcase for AHRQs funded projects or a database of innovative
interventions. In order for this database to be both, AHRQ would
have to demonstrate that truly innovative interventions that were
not funded by AHRQ were excluded if and only if they were of a
lower evidence rating and/or less innovative in terms of how AHRQ
is defining the term innovative. (3) AHRQ will also prepare some
kind of plan for evaluating the utility of this project (e.g.
through customer satisfication surveys). This will require AHRQ to
somehow track who comes to this website so that they can be
surveyed at a later time about their satisfaction with the
database. (4) Since the main users of this database will be those
working on the front-lines of quality improvement and looking for
solutions to their problems, providing data on innovations that did
not work seems to have limited utility. However, since there can be
utility in knowing what innovations failed for researchers or those
who are trying to come up with innovations, information about
failed innovations can be part of the database as long as they are
listed separately from those innovations that seem to have worked.
AHRQ agrees to separate the effective/efficacious innovations from
the failed innovations so that visitors to the database can easily
find what they are looking for. (5) The inclusion and exclusion
criteria will be provided as part of the instructions to
applicants. (6) AHRQ agrees to include its priorities (as listed in
the supporting statement) in the instructions to applicants so that
applicants understand the criteria on which they are being judged.
(7) AHRQ agrees to place the evidence rating in the first section
where the innovation is summarized so that visitors to the database
can easily determine which innovations have what level of evidence
rating. (8) AHRQ agrees to limit the database section that includes
innovations that worked to those that are at least suggestive on
the evidence rating scale (i.e. "unproven" innovations will not be
included). (9) Consistent with AHRQ memo of 1/12/09, AHRQ will
provide the definition for truly innovative in its instructions
and requests for applications so that applicants understand more
clearly what type of innovations AHRQ is looking for(i.e. "For the
purposes of the AHRQ Health Care Innovations Exchange, innovation
refers to the creative implementation of new or altered products,
services, processes, systems, organizational structures, or
business models as a means of improving one or more domains of
health care quality. In this context, the Health Care Innovations
Exchange sees innovations as activities that are generally
perceived as new in a particular setting or for a particular
population relative to the usual care delivery processes. Applying
that view to this work, the Health Care Innovations Exchange team
will assess the novelty of quality improvement initiatives/efforts
against usual care delivery (or care processes). The context and
conditions of the novel approach to improving quality are important
elements in making that assessment.In addition to brand new ideas,
the Health Care Innovations Exchange will welcome activities
adapted from other industries to health care, transferred from one
health care setting or market segment to another, drawn from
settings in other countries, or applied to a new or different
patient population. Innovators must be able to communicate to the
Health Care Innovations Exchange team how their innovations differ
from what is regarded as standard practice in their organizations
and among similar organizations. The Health Care Innovations
Exchange team will couple their working knowledge of the industry
(and the knowledge of experts) with the innovators perspective in
making a final decision about novelty.
Inventory as of this Action
Requested
Previously Approved
03/31/2011
36 Months From Approved
566
0
0
401
0
0
0
0
0
The Innovations Exchange will provide
a national-level information hub to foster the implementation and
adaptation of innovative strategies that improve health care
quality and minimize disparities in the care received by different
populations. It is intended to address stakeholder interest in a
"one-stop shop" that presents digested and reliable information
about health care delivery innovations along with their
accompanying implementation tools and networking opportunities to
share implementation strategies and techniques. Its target
audiences, broadly defined, will be current and potential change
agents in the U.S. health care system, including clinicians (e.g.,
physicians, nurses, and other providers), health system
administrators, health plan managers, health service purchasers,
regulators, and policymakers from relevant Federal and state
agencies.
US Code:
42
USC 299 Name of Law: Healthcare Research and Quality Act of
1999
This request for OMB clearance
is for a new information collection.
$38,873
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Doris Lefkowitz
3014271477
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.