Agency Forms Undergoing Paperwork Reduction Act Review, 45012-45013 [E8-17605]

Download as PDF 45012 Federal Register / Vol. 73, No. 149 / Friday, August 1, 2008 / Notices ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Number of responses per respondent Average burden per response (in hours) Type of respondent Form name Hospital Chief Medical Officer ........................ Ancillary Service Executive ............................. Physician/Registered Nurse/Medical Record Clerk. Medical Record Clerk ..................................... Physician/Registered Nurse/Medical Record Clerk. Physician/Phys. Asst./Nurse Practitioner/ Nurse Midwife. Physician/Registered Nurse/Medical Record Clerk. Hospital Induction (NHAMCS–101) ............... Ambulatory Unit Induction (NHAMCS–101/U) ED Patient Record form NHAMCS–100 (ED)] 470 845 220 1 2 100 55/60 1 7/60 Pulling and re-filing Patient Records ............. OPD Patient Record form [NHAMCS–100 (OPD)]. Cervical Cancer Screening Supplement (CCSS) (NHAMCS–906). ASC Patient Record form NHAMCS–100 (ASC). 393 125 132 200 1/60 6/60 250 1 15/60 107 100 6/60 Dated: July 24, 2008. Maryam I. Daneshvar, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. E8–17603 Filed 7–31–08; 8:45 am] BILLING CODE 4163–18–P clearance request includes the data collection in 2008 and 2009 using the current NHDS design; a pretest of a new design; and data collection for 2010 and 2011 of the survey using the new design. Current NHDS DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day–08–0212] Agency Forms Undergoing Paperwork Reduction Act Review The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395–6974. Written comments should be received within 30 days of this notice. mstockstill on PROD1PC66 with NOTICES Proposed Project National Hospital Discharge Survey— Revision—The National Hospital Discharge Survey (NHDS) (OMB# 0920– 0212), National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Background and Brief Description Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k), as amended, authorizes that the Secretary of Health and Human Services (DHHS), acting through NCHS, shall collect statistics on the extent and nature of illness and disability of the population of the United States. This three-year VerDate Aug<31>2005 19:39 Jul 31, 2008 Jkt 214001 The National Hospital Discharge Survey (NHDS) has been conducted continuously by the National Center for Health Statistics, CDC, since 1965. It is the principal source of data on inpatient utilization of short-stay, non-Federal hospitals and is the principal annual source of nationally representative estimates on the characteristics of discharges, the lengths of stay, diagnoses, surgical and non-surgical procedures, and the patterns of use of care in hospitals in various regions of the country. It is the benchmark against which special programmatic data sources are measured. The data items collected are the basic core of the variables contained in the Uniform Hospital Discharge Data Set (UHDDS) in addition to several variables (admission source and type, admitting diagnosis and present on admission indicators) which are identical to those needed for billing of inpatient services for Medicare patients. In the current survey, data are obtained in one of three ways: Abstracted by hospital staff; abstracted by Bureau of the Census Staff under an interagency agreement; and provided in electronic format. Due to budgetary constraints, the number of hospitals and the number of discharges for the 2008 and 2009 NHDS data collections will decrease by approximately 50% from previous years. Redesigned NHDS Although the current NHDS is still fulfilling its intended functions, it is based on concepts from the health care delivery system, as well as the hospital and patient universes, of previous PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 decades. It has become clear that a redesign of the NHDS that provides greater depth of information is necessary. In 2008, a sample of 30 hospitals will be selected for a pretest. These hospitals will not be a probability sample, but instead will be intentionally selected to include hospitals of differing size, location and other characteristics related to their service and patient clientele. In 2010, a redesigned NHDS will be implemented and will consist of a completely new sample of approximately 240 hospitals. The redesigned NHDS will use a modified two stage design. The first stage sampling will be hospitals. The second stage of sampling will be discharges. A stratified, random sample of 120 discharges is targeted within each hospital. In the redesigned survey all data will be abstracted by trained health care staff under contract. All data will be obtained from hospital records and charts and computer systems. The current data items will be collected with significant additional details. Patient level data items to be collected include personal identifiers such as social security number (last 4 digits), name and medical record number; clinical laboratory results such as hematocrit and white blood cell count; and financial billing and record data. The survey includes detailed questions for three modules: Acute myocardial infarction; infectious disease; and end of life issues. Facility level data items include demographic information, clinical capabilities, and financial information. Users of NHDS data include, but are not limited to the CDC; the Congressional Research Office; the Office of the Assistant Secretary for Planning and Evaluation (ASPE); American Health Care Association, Centers for Medicare and Medicaid E:\FR\FM\01AUN1.SGM 01AUN1 45013 Federal Register / Vol. 73, No. 149 / Friday, August 1, 2008 / Notices Services (CMS), and Bureau of the Census. Data collected through the NHDS are essential for evaluating health status of the population, for the planning of programs and policy to elevate the health status of the Nation, for studying morbidity trends, and for research activities in the health field. NHDS data have been used extensively in the development and monitoring of goals for the Year 2000 and 2010 Healthy People Objectives. In addition, NHDS data provide annual updates for numerous tables in the Congressionallymandated NCHS report, Health, United States. Other users of these data include universities, research organizations, foundations, and a variety of users in the print media. There is no cost to respondents other than their time to participate. The total estimated annualized burden hours are 5,591. TABLE 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Type of data collection Current NHDS Primary Procedure Hospitals Sample Listing Sheet ........................................... Current NHDS Primary Procedure Hospitals Medical Abstract Form ......................................... Current NHDS Primary Procedure Hospitals Transmittal Notice ................................................ Current NHDS Alternate Procedure Hospitals locating medical records .................................... Current NHDS In-House Tape or Printout Hospital—computer programming and submission Current NHDS Hospital Interview Questionnaire ........................................................................ Redesigned pretest Survey presentation to hospital .................................................................. Redesigned pretest Facility questionnaire .................................................................................. Redesigned pretest Sample discharges within hospital, obtain UB–04 & payment data ........... Redesigned pretest Verify sampling & reabstract medical records ............................................ Redesign pretest Debrief hospital staff ....................................................................................... Redesigned 2010–2011 Survey presentation to hospital ........................................................... Redesigned 2010–2011 Facility questionnaire ........................................................................... Redesigned 2010–2011 Sample discharges within hospital, obtain UB–04 & payment data .... Redesigned 2010–2011 Verify sampling & re-abstract medical records .................................... Dated: July 24, 2008. Maryam I. Daneshvar, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. E8–17605 Filed 7–31–08; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10265] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid Services (CMS) is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency’s functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, mstockstill on PROD1PC66 with NOTICES AGENCY: VerDate Aug<31>2005 19:39 Jul 31, 2008 Jkt 214001 utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. 1. Type of Information Collection Request: New collection; Title of Information Collection: Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (MMSEA) (Pub. L. 110–173); Use: Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (Pub. L. 110–173) amends the Medicare Secondary Payer (MSP) provisions of the Social Security Act (42 U.S.C. 1395y(b)) to provide for mandatory reporting by group health plan arrangements and by liability insurance (including self-insurance), nofault insurance, and workers’ compensation laws and plans. The law provides that, not withstanding any other provision of law, the Secretary of Health and Human Services may implement this provision by program instruction or otherwise. The Secretary has elected not to implement the provision through rulemaking and will implement by publishing instructions on a publicly available Web site and submitting an information collection request to OMB for review and approval of the associated information collection requirements. PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 13 13 13 41 29 10 10 10 10 2 10 80 80 160 3 Number of responses per respondent 12 250 12 250 12 1 1 1 10 10 1 1 1 120 25 Average burden per response (in hours) 25/60 5/60 1/60 1/60 13/60 2 1 4 14/60 14/60 1 1 4 14/60 14/60 Effective January 1, 2009, as required by the MMSEA, an entity serving as an insurer or third party administrator for a group health plan and, in the case of a group health plan that is self-insured and self-administered, a plan administrator or fiduciary must: (1) Secure from the plan sponsor and plan participants such information as the Secretary may specify to identify situations where the group health plan is a primary plan to Medicare; and (2) report such information to the Secretary in the form and manner (including frequency) specified by the Secretary. Effective July 1, 2009, as required by the MMSEA, ‘‘applicable plans,’’ must: (1) Determine whether a claimant is entitled to Medicare benefits; and, if so, (2) report the identity of such claimant and provide such other information as the Secretary may require to properly coordinate Medicare benefits with respect to such insurance arrangements in the form and manner (including frequency) as the Secretary may specify after the claim is resolved through a settlement, judgment, award or other payment (regardless of whether or not there is a determination or admission of liability). Applicable plan refers to the following laws, plans or other arrangements, including the fiduciary or administrator for such law, plan or arrangement: (1) Liability insurance (including self-insurance); (2) No-fault E:\FR\FM\01AUN1.SGM 01AUN1

Agencies

[Federal Register Volume 73, Number 149 (Friday, August 1, 2008)]
[Notices]
[Pages 45012-45013]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-17605]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-08-0212]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail 
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 days of this notice.

Proposed Project

    National Hospital Discharge Survey--Revision--The National Hospital 
Discharge Survey (NHDS) (OMB 0920-0212), National Center for 
Health Statistics (NCHS), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 
242k), as amended, authorizes that the Secretary of Health and Human 
Services (DHHS), acting through NCHS, shall collect statistics on the 
extent and nature of illness and disability of the population of the 
United States. This three-year clearance request includes the data 
collection in 2008 and 2009 using the current NHDS design; a pretest of 
a new design; and data collection for 2010 and 2011 of the survey using 
the new design.
Current NHDS
    The National Hospital Discharge Survey (NHDS) has been conducted 
continuously by the National Center for Health Statistics, CDC, since 
1965. It is the principal source of data on inpatient utilization of 
short-stay, non-Federal hospitals and is the principal annual source of 
nationally representative estimates on the characteristics of 
discharges, the lengths of stay, diagnoses, surgical and non-surgical 
procedures, and the patterns of use of care in hospitals in various 
regions of the country. It is the benchmark against which special 
programmatic data sources are measured. The data items collected are 
the basic core of the variables contained in the Uniform Hospital 
Discharge Data Set (UHDDS) in addition to several variables (admission 
source and type, admitting diagnosis and present on admission 
indicators) which are identical to those needed for billing of 
inpatient services for Medicare patients. In the current survey, data 
are obtained in one of three ways: Abstracted by hospital staff; 
abstracted by Bureau of the Census Staff under an interagency 
agreement; and provided in electronic format. Due to budgetary 
constraints, the number of hospitals and the number of discharges for 
the 2008 and 2009 NHDS data collections will decrease by approximately 
50% from previous years.
Redesigned NHDS
    Although the current NHDS is still fulfilling its intended 
functions, it is based on concepts from the health care delivery 
system, as well as the hospital and patient universes, of previous 
decades. It has become clear that a redesign of the NHDS that provides 
greater depth of information is necessary.
    In 2008, a sample of 30 hospitals will be selected for a pretest. 
These hospitals will not be a probability sample, but instead will be 
intentionally selected to include hospitals of differing size, location 
and other characteristics related to their service and patient 
clientele.
    In 2010, a redesigned NHDS will be implemented and will consist of 
a completely new sample of approximately 240 hospitals. The redesigned 
NHDS will use a modified two stage design. The first stage sampling 
will be hospitals. The second stage of sampling will be discharges. A 
stratified, random sample of 120 discharges is targeted within each 
hospital. In the redesigned survey all data will be abstracted by 
trained health care staff under contract. All data will be obtained 
from hospital records and charts and computer systems.
    The current data items will be collected with significant 
additional details. Patient level data items to be collected include 
personal identifiers such as social security number (last 4 digits), 
name and medical record number; clinical laboratory results such as 
hematocrit and white blood cell count; and financial billing and record 
data. The survey includes detailed questions for three modules: Acute 
myocardial infarction; infectious disease; and end of life issues. 
Facility level data items include demographic information, clinical 
capabilities, and financial information.
    Users of NHDS data include, but are not limited to the CDC; the 
Congressional Research Office; the Office of the Assistant Secretary 
for Planning and Evaluation (ASPE); American Health Care Association, 
Centers for Medicare and Medicaid

[[Page 45013]]

Services (CMS), and Bureau of the Census. Data collected through the 
NHDS are essential for evaluating health status of the population, for 
the planning of programs and policy to elevate the health status of the 
Nation, for studying morbidity trends, and for research activities in 
the health field. NHDS data have been used extensively in the 
development and monitoring of goals for the Year 2000 and 2010 Healthy 
People Objectives. In addition, NHDS data provide annual updates for 
numerous tables in the Congressionally-mandated NCHS report, Health, 
United States. Other users of these data include universities, research 
organizations, foundations, and a variety of users in the print media. 
There is no cost to respondents other than their time to participate. 
The total estimated annualized burden hours are 5,591.

                                   Table 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                        Average
                                                       Number of       Number of      burden per
              Type of data collection                 respondents   responses  per   response  (in
                                                                       respondent       hours)
--------------------------------------------------------------------------------------------------
Current NHDS Primary Procedure Hospitals Sample                 13              12           25/60
 Listing Sheet....................................
Current NHDS Primary Procedure Hospitals Medical                13             250            5/60
 Abstract Form....................................
Current NHDS Primary Procedure Hospitals                        13              12            1/60
 Transmittal Notice...............................
Current NHDS Alternate Procedure Hospitals                      41             250            1/60
 locating medical records.........................
Current NHDS In-House Tape or Printout Hospital--               29              12           13/60
 computer programming and submission..............
Current NHDS Hospital Interview Questionnaire.....              10               1               2
Redesigned pretest Survey presentation to hospital              10               1               1
Redesigned pretest Facility questionnaire.........              10               1               4
Redesigned pretest Sample discharges within                     10              10           14/60
 hospital, obtain UB-04 & payment data............
Redesigned pretest Verify sampling & reabstract                  2              10           14/60
 medical records..................................
Redesign pretest Debrief hospital staff...........              10               1               1
Redesigned 2010-2011 Survey presentation to                     80               1               1
 hospital.........................................
Redesigned 2010-2011 Facility questionnaire.......              80               1               4
Redesigned 2010-2011 Sample discharges within                  160             120           14/60
 hospital, obtain UB-04 & payment data............
Redesigned 2010-2011 Verify sampling & re-abstract               3              25           14/60
 medical records..................................
----------------------------------------------------------------------------------------------------------------


    Dated: July 24, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E8-17605 Filed 7-31-08; 8:45 am]
BILLING CODE 4163-18-P
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