Proposed Data Collections Submitted for Public Comment and Recommendations, 46776-46777 [E9-21914]
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46776
Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices
There is no cost to registrants. The
total estimated annualized burden hours
are 750.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondents
Data collection instruments
Persons exposed ............................................
Baseline TAR Questionnaire ..........................
Follow-up TAR questionnaire .........................
Dated: September 3, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E9–21915 Filed 9–10–09; 8:45 am]
BILLING CODE 4163–18–P
Proposed Project
National Hospital Discharge Survey
(NHDS) (OMB# 0920–0212 exp. 10/31/
2011)—Revision—National Center for
Health Statistics (NCHS), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day-09–0212]
cprice-sewell on DSKGBLS3C1PROD with NOTICES
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call the CDC Reports
Clearance Officer at 404–639–5960 or
send comments to CDC/ATSDR
Assistant Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail to
omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
VerDate Nov<24>2008
15:23 Sep 10, 2009
Jkt 217001
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 for 2010, 2011, and 2012 of
the redesigned National Hospital
Discharge Survey.
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, lengths of stay, diagnoses,
surgical and non-surgical procedures,
and 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.
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. Consequently, 2010 will
serve as the last year in which the
current NHDS will be fielded.
Meanwhile, the redesigned NHDS is
scheduled to begin in 2010.
Due to budgetary constraints, the new
sample of 240 hospitals drawn for the
redesigned NHDS will be phased in over
two years. In 2010, data collection will
begin in 80 sampled hospitals. Data
PO 00000
Frm 00044
Fmt 4703
Sfmt 4703
500
1,500
Number
responses
per
respondent
Average
burden
per response
(in hours)
1
1
30/60
20/60
collection for those initial 80 sites will
continue into 2011 with the addition of
another 160 sampled hospitals, for a
grand total of 240. All 240 hospitals will
be designated to participate in the 2012
survey. Within each sampled hospital, a
stratified, random sample of 120
discharges will be targeted. 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 data items to be collected in the
redesigned NHDS will include
significant additional details. Patient
level data items to be collected include
basic demographic information as well
as 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 medical record
data. Facility level data items include
demographic information, clinical
capabilities, and financial information.
Users of NHDS data include, but are
not limited to CDC, Congressional
Research Office, Office of the Assistant
Secretary for Planning and Evaluation
(ASPE), American Health Care
Association, Centers for Medicare &
Medicaid Services (CMS), and Bureau of
the Census. Data collected through
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, contract research
organizations, many in the private
sector, foundations, and a variety of
users in the print media. There is no
E:\FR\FM\11SEN1.SGM
11SEN1
46777
Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices
cost to respondents other than their time
to participate.
ESTIMATED ANNUALIZED BURDEN HOURS
Form
CURRENT NHDS 2010:
Primary Procedure Hospital
(PPH) Sample Listing Sheet.
PPH Medical Abstract Form ......
PPH Transmittal Notice .............
Alternate Procedure Hospital—
Locating medical records.
In-House Tape or Printout Hospital—Computer programming
and submission.
Hospital Interview Questionnaire
REDESIGNED NHDS 2010–2012:
Survey presentation to hospital
Induction (including initial facility
questionnaire).
Post induction annual facility
questionnaire.
Sample hospital discharges, obtain UB–04 & payment data.
Verify sampling & re-abstract
medical records.
Total ....................................
12
25/60
35
Medical Coder ..................................
Medical Coder ..................................
Medical Coder ..................................
7
7
20
250
12
250
5/60
1/60
1/60
146
1
83
Medical Coder ..................................
14
12
13/60
36
Hospital CEO/CFO ...........................
5
1
2
10
Hospital CEO/CFO ...........................
Director of health information management.
Director of health information management.
Director of health information management.
Director of health information management.
80
80
1
1
1
4
80
320
107
1
2
214
187
120
14/60
5,236
26
10
7/60
30
........................
........................
........................
6,191
...........................................................
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–09–09CK]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
cprice-sewell on DSKGBLS3C1PROD with NOTICES
Total burden
hours
7
BILLING CODE 4163–18–P
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Maryam I. Daneshvar,
CDC Acting Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail to
omb@cdc.gov.
15:23 Sep 10, 2009
Average
burden per
response
(in hours)
Medical Coder ..................................
Dated: September 2, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E9–21914 Filed 9–10–09; 8:45 am]
VerDate Nov<24>2008
Number of
responses per
respondent
Number of
respondents
Respondents
Jkt 217001
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Asthma Information Reporting System
(AIRS)—New—Air Pollution and
Respiratory Health Branch (APRHB),
National Center for Environmental
Health (NCEH, Centers for Disease
Control and Prevention (CDC)).
Background and Brief Description
In 1999, the CDC began developing its
National Asthma Control Program, a
population-based, public health
approach to addressing the burden of
asthma. The program supports the goals
and objectives of ‘‘Healthy People 2010’’
for asthma and is based on the public
health principles of surveillance,
partnerships, and interventions. This
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
data collection request will provide
NCEH with routine information,
through a semi-annual Management
Information System, AIRS, about the
activities and performance of the state
and territorial grantees funded under
the National Asthma Control Program.
The primary purpose of the National
Asthma Control Program is to develop
program capacity to address asthma
from a public health perspective to
bring about: (1) A focus on asthmarelated activity within states; (2) an
increased understanding of asthmarelated data and its application to
program planning and evaluation
through the development and
maintenance of an ongoing asthma
surveillance system; (3) an increased
recognition, within the public health
structure of states, of the potential to use
a public health approach to reduce the
burden of asthma; (4) linkages of state
health agencies to other agencies and
organizations addressing asthma in the
population; and (5) implementation of
interventions to achieve positive health
impacts, such as reducing the number of
deaths, hospitalizations, emergency
department visits, school or work days
missed, and limitations on activity due
to asthma.
The proposed AIRS management
information system will be comprised of
multiple components that enable the
electronic reporting of three types of
E:\FR\FM\11SEN1.SGM
11SEN1
]]>Agencies
[Federal Register Volume 74, Number 175 (Friday, September 11, 2009)]
[Notices]
[Pages 46776-46777]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21914]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-09-0212]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call the CDC Reports
Clearance Officer at 404-639-5960 or send comments to CDC/ATSDR
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D74,
Atlanta, GA 30333 or send an e-mail to omb@cdc.gov.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
National Hospital Discharge Survey (NHDS) (OMB 0920-0212
exp. 10/31/2011)--Revision--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 for 2010, 2011, and 2012 of the redesigned National Hospital
Discharge Survey.
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, lengths of stay, diagnoses, surgical and non-surgical
procedures, and 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.
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. Consequently, 2010 will
serve as the last year in which the current NHDS will be fielded.
Meanwhile, the redesigned NHDS is scheduled to begin in 2010.
Due to budgetary constraints, the new sample of 240 hospitals drawn
for the redesigned NHDS will be phased in over two years. In 2010, data
collection will begin in 80 sampled hospitals. Data collection for
those initial 80 sites will continue into 2011 with the addition of
another 160 sampled hospitals, for a grand total of 240. All 240
hospitals will be designated to participate in the 2012 survey. Within
each sampled hospital, a stratified, random sample of 120 discharges
will be targeted. 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 data items to be collected in the redesigned NHDS will include
significant additional details. Patient level data items to be
collected include basic demographic information as well as 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 medical record
data. Facility level data items include demographic information,
clinical capabilities, and financial information.
Users of NHDS data include, but are not limited to CDC,
Congressional Research Office, Office of the Assistant Secretary for
Planning and Evaluation (ASPE), American Health Care Association,
Centers for Medicare & Medicaid Services (CMS), and Bureau of the
Census. Data collected through 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, contract research organizations, many in the
private sector, foundations, and a variety of users in the print media.
There is no
[[Page 46777]]
cost to respondents other than their time to participate.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form Respondents Number of responses per per response Total burden
respondents respondent (in hours) hours
----------------------------------------------------------------------------------------------------------------
CURRENT NHDS 2010:
Primary Procedure Hospital Medical Coder... 7 12 25/60 35
(PPH) Sample Listing
Sheet.
PPH Medical Abstract Form. Medical Coder... 7 250 5/60 146
PPH Transmittal Notice.... Medical Coder... 7 12 1/60 1
Alternate Procedure Medical Coder... 20 250 1/60 83
Hospital--Locating
medical records.
In-House Tape or Printout Medical Coder... 14 12 13/60 36
Hospital--Computer
programming and
submission.
Hospital Interview Hospital CEO/CFO 5 1 2 10
Questionnaire.
REDESIGNED NHDS 2010-2012:
Survey presentation to Hospital CEO/CFO 80 1 1 80
hospital.
Induction (including Director of 80 1 4 320
initial facility health
questionnaire). information
management.
Post induction annual Director of 107 1 2 214
facility questionnaire. health
information
management.
Sample hospital Director of 187 120 14/60 5,236
discharges, obtain UB-04 health
& payment data. information
management.
Verify sampling & re- Director of 26 10 7/60 30
abstract medical records. health
information
management.
---------------------------------------------------------------
Total................. ................ .............. .............. .............. 6,191
----------------------------------------------------------------------------------------------------------------
Dated: September 2, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E9-21914 Filed 9-10-09; 8:45 am]
BILLING CODE 4163-18-P
