MOPS-HP 30-day notice

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Notices

Federal Register
Vol. 86, No. 38
Monday, March 1, 2021

This section of the FEDERAL REGISTER
contains documents other than rules or
proposed rules that are applicable to the
public. Notices of hearings and investigations,
committee meetings, agency decisions and
rulings, delegations of authority, filing of
petitions and applications and agency
statements of organization and functions are
examples of documents appearing in this
section.

standards, and safety management
systems.
Contact Person for Further Information
Hillary Cohen, Communications
Manager, at public@csb.gov or (202)
446–8094. Further information about
this public meeting can be found on the
CSB website at: www.csb.gov.
Dated: February 24, 2021.
Sabrina Morris,
Board Affairs Specialist, Chemical Safety and
Hazard Investigation Board.

CHEMICAL SAFETY AND HAZARD
INVESTIGATION BOARD

[FR Doc. 2021–04213 Filed 2–25–21; 11:15 am]

Sunshine Act Meeting

BILLING CODE 6350–01–P

TIME AND DATE:

March 5, 2021, 2:00 p.m.

EDT.
Public Meeting Hosted via Audio
Conference.
STATUS: Open to the public.
MATTERS TO BE CONSIDERED: The
Chemical Safety and Hazard
Investigation Board (CSB) will convene
a public meeting on Friday, March 5,
2021, at 2:00 p.m. EDT. The Board will
review the CSB’s progress in meeting its
mission and highlight safety product
newly released through investigations
and safety recommendations.
PLACE:

Additional Information
This meeting will only be available
via the following call-in number. If you
require a translator or interpreter, please
notify the individual listed below as the
‘‘Contact Person for Further
Information,’’ at least three business
days prior to the meeting.
Audience members should use the
following information to access the
meeting:
Dial-In: 1 (800) 697–5978 Audience US
Toll Free; 1 (630) 691–2750 Audience
US Toll
Passcode: 6470 316#
Please dial the phone number five
minutes prior to the start of the
conference call and enter your passcode.
The CSB is an independent federal
agency charged with investigating
incidents and hazards that result, or
may result, in the catastrophic release of
extremely hazardous substances. The
agency’s Board Members are appointed
by the President and confirmed by the
Senate. CSB investigations look into all
aspects of chemical accidents and
hazards, including physical causes such
as equipment failure as well as
inadequacies in regulations, industry

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DEPARTMENT OF COMMERCE
Census Bureau
Agency Information Collection
Activities; Submission to the Office of
Management and Budget (OMB) for
Review and Approval; Comment
Request; Management and
Organizational Practices Survey—
Hospitals
The Department of Commerce will
submit the following information
collection request to the Office of
Management and Budget (OMB) for
review and clearance in accordance
with the Paperwork Reduction Act of
1995, on or after the date of publication
of this notice. We invite the general
public and other Federal agencies to
comment on proposed, and continuing
information collections, which helps us
assess the impact of our information
collection requirements and minimize
the public’s reporting burden. Public
comments were previously requested
via the Federal Register on November
19, 2020 during a 60-day comment
period. This notice allows for an
additional 30 days for public comments.
Agency: U.S. Census Bureau.
Title: Management and Organizational
Practices Survey-Hospitals.
OMB Control Number: 0607–XXXX.
Form Number(s): MOPS–HP.
Type of Request: Regular submission,
New Information Collection Request.
Number of Respondents: 3,200.
Average Hours per Response: 45
minutes.
Burden Hours: 2,400.
Needs and Uses: The Census Bureau
proposes conducting the Management
and Organizational Practices SurveyHospitals (MOPS–HP) in order to

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provide critical information on the
health sector to our many stakeholders
in support of our mission to serve as
‘‘the leading source of quality data about
the nation’s people and economy.’’ The
MOPS–HP will collect information on
the use of structured management
practices from Chief Nursing Officers
(CNOs) at approximately 3,200 hospitals
with the goal of producing four publicly
available indices that measure key
characteristics of these structured
management practices. The proposed
MOPS–HP will be collected for
reference years 2020 and 2019. Content
includes performance monitoring, goals,
staff management, the use of
standardized clinical protocols, and
medical record documentation. Some
questions are adapted from the
Management and Organizational
Practices Survey (MOPS) (OMB
Approval Number 0607–0963),
conducted in the manufacturing sector,
allowing for inter-sectoral comparisons.
The MOPS–HP will provide a deeper
understanding of the business processes
which impact an increasingly important
sector of the economy; total national
health expenditures represented almost
18 percent of U.S. gross domestic
product in 2017 (National Center for
Health Statistics). The MOPS–HP will
provide a nationally representative
sample, enabling stakeholders to
understand the role of structured
management practices in financial and
clinical outcomes in U.S. hospitals. This
understanding is of increasing
importance with the COVID–19
pandemic, where the overwhelming
number of hospitalizations at varying
points has stretched staff and resources
to capacity. In much the same way that
the MOPS allowed for the measurement
of the importance of these structured
management practices for productivity
and growth in the manufacturing sector,
the MOPS–HP will inform our
understanding of hospitals. Questions
developed and tested for the MOPS–HP
instrument are adapted from the 2015
MOPS and the 2009 World Management
Survey’s (WMS) healthcare instrument.
The Census Bureau conducted the
MOPS in 2010 and 2015 with
approximately 35,000 manufacturing
plants to measure management
practices. These data show that
management practices are strongly
correlated with plant profitability and
productivity. The WMS has collected

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Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices

data on 20 basic management practices
for approximately 2,000 hospitals in
nine countries, including 307 in the
U.S. Interviewers ask open-ended
questions and rate responses to indicate
whether the management practices are
more or less structured. Data from the
WMS show large variations in these
practices and their systematic
relationship with clinical outcomes
such as mortality rates from heart
attacks.
The COVID–19 pandemic highlights
the relevance of hospital management
practices, especially as they relate to
hospitals’ ability to respond to shocks to
their organization and the health care
system. In light of this, the Census
Bureau has modified the survey
proposal to collect data for reference
years 2020 and 2019. This change seeks
to directly measure management
practices and protocols before and
during the pandemic to gain a better
understanding of how hospitals have
had to adjust and pivot operations
during this public health emergency.
The Census Bureau has also included
two questions in the MOPS–HP content
to help improve measurement of
hospital preparedness. These questions
will provide information on two
elements of responsiveness, hospitals’
coordinated deployment of frontline
clinical workers and hospitals’ ability to
quickly respond to needed changes in
standardized clinical protocols. In an
effort to limit respondent burden while
adding this content, adjustments were
made to keep the total number of
questions and estimated burden per
response unchanged.
The MOPS–HP will be a supplement
to the Service Annual Survey (SAS) and
will utilize a subset of its mail-out
sample. Its sample will consist of
hospital locations for enterprises
classified under General Medical and
Surgical Hospitals (NAICS 6221) and
sampled in the SAS. The survey will be
mailed separately from the SAS and
collected electronically through the
Census Bureau’s Centurion online
reporting system. Respondents will be
sent an initial letter with instructions
detailing how to log into the instrument
and report their information. These
letters will be addressed to the
location’s Chief Nursing Officer (CNO).
Collection is scheduled to begin in April
2021 and end in October 2021. Due to
the nature of the respondents, this
schedule may be impacted by the effects
of COVID–19. The Census Bureau is
monitoring the ongoing situation and
will adjust dates as necessary as the
collection start date approaches as we
do not want to add burden to an overly
burdened sector of the economy.

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The Census Bureau will produce a
publicly available press release to
describe the survey and discuss the
results. The Census Bureau will also
write at least one research paper
describing the MOPS–HP collection,
processing, and data findings.
Conditional on quality, the Census
Bureau will construct and publish in a
research paper indices of management
practices, which can be used in
tabulations and empirical analyses for
potential use by the public, clinicians,
hospitals, and researchers. These
indices as well as microdata will be
available to approved Federal Statistical
Research Data Centers (FSRDC) users
and will provide benefits to other
Federal agencies and the public.
Examining factors that impact clinical
and financial outcomes is essential to
understanding the health care industry,
which makes up a large portion of the
U.S. economy. The MOPS–HP will
provide unique national-level estimates
on management and organizational
practices in hospitals that could
improve our understanding of the
hospital industry:
• The Centers for Medicare and
Medicaid Services’ Hospital Compare
data or the Hospital Consumer
Assessment of Healthcare Providers and
Systems (HCAHPS) survey could be
used in conjunction with the MOPS–HP
to determine whether hospitals with
more structured management practices
have higher overall patient ratings and
are more likely to be recommended.
• The National Hospital Care Survey
from the National Center for Health
Statistics could be used in combination
with the MOPS–HP’s index to evaluate
how management practices relate to
hospital utilization and patient care.
• Data from the Surveys on Patient
Safety Culture-Hospital Survey from the
Agency for Healthcare Research and
Quality could be used to study whether
hospitals with more structured
management practices have fewer
patient safety events.
• Policymakers could use the data to
understand how management and
organizational practices are evolving in
hospitals, which can help understand
changes in the industry. The Census
Bureau plans to use the data collected
from the MOPS–HP’s questions on
medical record documentation to
construct an index measuring the
management of multiple objectives—
clinical and financial—that would
inform policymakers concerned with
both aspects of hospital performance. By
examining any links between the
survey’s measures of management
practices and clinical outcomes, the
survey may help to inform policymakers

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and to encourage practices that are
beneficial to patients and our
population as a whole.
• Hospital administrators could
utilize planned public indices to
benchmark their own practices, and
subsequently make decisions or set
policies to improve their financial and
clinical outcomes.
• The MOPS–HP data could be used
in combination with the Census
Bureau’s collected data on hospital
finances, including revenues and
expenses, to improve our understanding
on how management practices may
impact financial performance.
• In a letter of support, the Bureau of
Economic Analysis (BEA) expressed
their interest in the MOPS–HP and
noted that it will help aid their mission
to promote ‘‘ ‘. . . a better
understanding of the U.S. economy
. . .’ ’’ The letter states that the MOPS–
HP will ‘‘fill a critical gap in our current
understanding of how management
systems affect patient health outcomes
and healthcare expenditures.’’
Affected Public: Business or other forprofit organizations; Not-for-profit
institutions.
Frequency: One time.
Respondent’s Obligation: Mandatory.
Legal Authority: The Census Bureau
will conduct the MOPS–HP on a
mandatory basis under authority of Title
13, United States Code, Sections 131,
182, 224, and 225.
This information collection request
may be viewed at www.reginfo.gov.
Follow the instructions to view the
Department of Commerce collections
currently under review by OMB.
Written comments and
recommendations for the proposed
information collection should be
submitted within 30 days of the
publication of this notice on the
following website www.reginfo.gov/
public/do/PRAMain. Find this
particular information collection by
selecting ‘‘Currently under 30-day
Review—Open for Public Comments’’ or
by using the search function and
entering the title of the collection.
Sheleen Dumas,
Department PRA Clearance Officer, Office of
the Chief Information Officer, Commerce
Department.
[FR Doc. 2021–04190 Filed 2–26–21; 8:45 am]
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