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OMB Control No: 0935-0247	ICR Reference No: 201909-0935-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Embedded Research in Care Delivery Systems
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/02/2019
	Date Received in OIRA: 10/02/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved
Responses	74	0	0
Time Burden (Hours)	74	0	0
Cost Burden (Dollars)	0	0	0

Abstract: In support of its mission and the goal of the Department of Health and Human Services of promoting affordable health care, AHRQ’s strategic agenda includes “catalyzing the evolution of learning health systems” through research, training, tools, and data. The Learning Health System is a model in which internal data and experience are systematically integrated with external evidence, and that knowledge is put into practice. As a result, patients get higher quality, safer, more efficient care, and health care delivery organizations become better places to work. One way to foster this type of system learning is to embed researchers within care delivery systems. Embedded researchers are either employed by a delivery system or invited to work in them on a specified project. Embedded researchers contribute to health system learning by collaborating with delivery system stakeholders to identify and evaluate innovations and practice changes that can improve the outcomes of individual and populations and health system performance. AHRQ is developing tools and findings to support embedded research, and is funding training of researchers to conduct this embedded research. Evidence about strategies for deploying embedded researchers can contribute directly to AHRQ’s strategic initiatives in support of embedded research and the learning health system and to related programs conducted by the federally-funded Patient Centered Outcomes Research Institute (PCORI); the National Academy of Medicine; AcademyHealth and other non-governmental entities. Most available information on embedded research and learning systems comes from descriptions offered by the participants. There is little independent research on ways that delivery systems currently organize and use embedded research to promote improved care delivery. To provide research background on the current state of embedded research, the investigators for this project conducted an environmental scan. It included preliminary, key informant interviews with six nationally recognized experts on embedded research and consultations with several staff members at AHRQ and AcademyHealth, who contribute to programs supporting embedded research and learning health systems. Additionally, the researchers scanned published and grey literature on embedded research and reviewed summaries of discussions at the inaugural meeting of the Embedded Researcher’s Interest Group within AcademyHealth (June, 2019) and a national conference on Accelerating the Development of Learning Healthcare Systems through Embedded Research (February, 2019). This conference was jointly funded by AHRQ, PCORI and the Department of Veterans Affairs Health Services Research & Development Service (VA HSR&D).

Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Agency for Healthcare Research and Quality Act of 1999

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 36606	07/29/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 52108	10/01/2019
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Interviews with executive-level subjects	1
Interviews with physicians	1
Interviews with researchers and other operations staff	1

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	74	74
Annual Time Burden (Hours)	74	74
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

Annual Cost to Federal Government: $16,379

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Erwin Brown 301 427-1652 erwin.brown@ahrq.hhs.gov

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