Agency Forms Undergoing Paperwork Reduction Act Review, 45012-45013 [E8-17605]
Download as PDF
<![CDATA[
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
