Proposed Data Collection Submitted for Public Comment and Recommendations, 63890-63891 [2018-26876]

Download as PDF 63890 Federal Register / Vol. 83, No. 238 / Wednesday, December 12, 2018 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–19–0976; Docket No. CDC–2018– 0112] Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Million Hearts® Hypertension Control Challenge, a program designed to identify clinical practices and health systems that have been successful in achieving high rates of hypertension control and to develop models for dissemination of successful strategies to control hypertension. DATES: CDC must receive written comments on or before February 11, 2019. SUMMARY: You may submit comments, identified by Docket No. CDC–2018– 0112 by any of the following methods: • Federal eRulemaking Portal: Regulations.gov. Follow the instructions for submitting comments. • Mail: Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, MS–D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to Regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (regulations.gov) or by U.S. mail to the address listed above. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, MS– amozie on DSK3GDR082PROD with NOTICES1 ADDRESSES: VerDate Sep<11>2014 18:39 Dec 11, 2018 Jkt 247001 D74, Atlanta, Georgia 30329; phone: 404–639–7570; Email: omb@cdc.gov. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501–3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to the OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below. The OMB is particularly interested in comments that will help: 1. Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; 2. Evaluate the accuracy of the agency’s estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; 3. Enhance the quality, utility, and clarity of the information to be collected; and 4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses. 5. Assess information collection costs. Proposed Project Million Hearts® Hypertension Control Challenge (OMB No. 0920–0976, exp. 12/31/2019—Revision—National Center for Chronic disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC). Background and Brief Description Cardiovascular disease is a leading cause of death for men and women in the United States, among the most costly health problems facing our nation today, and among the most preventable. Heart disease and stroke also contribute significantly to disability. High blood pressure, also known as hypertension, is one of the leading causes of heart disease and stroke. Currently, about 75 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 million American adults have high blood pressure but only about half (48%) have adequately controlled blood pressure. The costs of hypertension are estimated at $48.9 billion annually in direct medical costs. In September 2011, CDC launched the Million Hearts® initiative to prevent one million heart attacks and strokes by 2017. In January 2018, CDC launched Million Hearts® 2022 to continue to prevent one million heart attacks, strokes, and related health conditions. In order to achieve this goal, at least 10 million more Americans must have their blood pressure under control. Million Hearts® is working to reach this goal through the promotion of clinical practices that are effective in increasing blood pressure control among patient populations. There is scientific evidence that provides general guidance on the types of system-based changes to clinical practice that can improve patient blood pressure control, but additional information is needed to fully understand implementation practices so that they can be shared and promoted. In 2013, CDC launched the Million Hearts® Hypertension Control Challenge, authorized by Public Law 111–358, the America Creating Opportunities to Meaningfully Promote Excellence in Technology, Education and Science Reauthorization Act of 2010 (COMPETES Act). The Challenge is designed to help CDC (1) identify clinical practices and health systems that have been successful in achieving high rates of hypertension control, and (2) develop models for dissemination. The Challenge is open to single practice providers, group practice providers, and healthcare systems. Providers whose hypertensive population achieves exemplary levels of hypertension control are recognized as Million Hearts® Hypertension Control Champions. Interested clinicians or practices complete a web-based application form which collects the minimum amount of data needed to demonstrate hypertension control among their adult patients, including: (a) Two point-intime measures of the clinical hypertension control rate for the patient population, (b) the size of the clinic population served, (c) a brief description of the characteristics of the patient population served and geographic location, and (d) a description of the sustainable systems and strategies adopted to achieve and maintain hypertension control rates. The estimated burden for completing the application form is 30 minutes. CDC scientists or contractors review each E:\FR\FM\12DEN1.SGM 12DEN1 63891 Federal Register / Vol. 83, No. 238 / Wednesday, December 12, 2018 / Notices application form and rank applications by reported hypertension control rate. In the second phase of assessment, applicants with the highest preliminary scores are asked to participate in a twohour data verification and validation process. The applicant reviews the application form with a reviewer, describes how information was obtained from the providers’, practices’, or healthcare systems’ electronic records, chart reviews, or other sources, and reviews the methodology used to calculate the reported hypertension control rate. Data verification and validation is conducted to ensure that all applicants meet eligibility criteria and assure accuracy of their reported hypertension control rate according to a standardized method. Applicants must have achieved a hypertension control rate of at least 80% among their adult patients aged 18–85 years with hypertension. Finalists who pass the data verification and validation process and background check will be reviewed by a CDC panel of judges to determine the Champion status. Several Champions will be asked to participate in a onehour, semi-structured interview and provide detailed information about the patient population served, the geographic region served, and the strategies employed by the practice or health system to achieve exemplary rates of hypertension control, including barriers and facilitators for those strategies. Based on the information collected for Challenges in 2013 through 2017, CDC recognized a total of 83 public and private health care practices and systems as Million Hearts® Hypertension Control Champions. The Champions are announced roughly annually, approximately six months after the Challenge application period ends. The current OMB approval for information collection expires December 31, 2019. CDC plans to continue the Million Hearts® Hypertension Control Challenge through 2022 with revisions. The 2020 Challenge is planned to launch in February 2020, coinciding with American Heart Month. The application period will be open for approximately 45–60 days, with recognition of the 2020 Champions in the fall of 2020. A similar calendar year schedule is planned for 2021 and 2022. Revision for 2020, 2021, and 2022 includes a reduction in the estimated number of respondents. During the period of this Renewal request, on an annual basis, CDC estimates that information will be collected from up to 200 applicants using the application form, at most 40 data verifications, and at most 35 semistructured interviews. There is an overall reduction in estimated annualized burden hours. The overall goal of the Million Hearts® initiative is to prevent one million heart attacks and strokes, and controlling hypertension is one focus of the initiative. CDC will use the information collected through the Million Hearts® Hypertension Control Challenge to increase widespread attention to hypertension at the clinical practice level, improve understanding of successful and sustainable implementation strategies at the practice or health system level, bring visibility to organizations that invest in hypertension control, and motivate individual practices to strengthen their hypertension control efforts. Information collected through the Million Hearts® Hypertension Control Challenge will link success in clinical outcomes of hypertension control with information about strategies that can be used to achieve similar favorable outcomes so that the strategies can be replicated by other providers and health care systems. OMB approval for a revision is requested for three years. CDC estimates that up to 200 applicants will submit an application covered by this information collection each year. It is estimated that information collection activities will total 215 burden hours per year. This represents a decrease in the estimated annualized burden hours from 370 hours to 215 hours. There is no cost to respondents other than their time. ESTIMATED ANNUALIZED BURDEN HOURS Average burden per response (in hours) Total burden (in hours) Form name Physicians, Practices, and healthcare systems. Finalists ............................................. Champions ........................................ Million Hearts® Hypertension Control Champion Application form. Data Verification Form ..................... Semi-structured interview guide ....... 200 1 30/60 100 40 35 1 1 2 1 80 35 Total ........................................... ........................................................... ........................ ........................ ........................ 215 Jeffrey M. Zirger, Acting Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2018–26876 Filed 12–11–18; 8:45 am] BILLING CODE 4163–18–P amozie on DSK3GDR082PROD with NOTICES1 Number of responses per respondent Number of respondents Type of respondents DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living Administration on Intellectual and Developmental Disabilities, President’s Committee for People With Intellectual Disabilities Administration for Community Living, HHS. ACTION: Notice of rescheduled meeting due to the closure of federal offices on December 5, 2018. AGENCY: The President’s Committee for People with Intellectual Disabilities SUMMARY: VerDate Sep<11>2014 18:39 Dec 11, 2018 Jkt 247001 PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 (PCPID) will host a webinar/conference call for its members to discuss the potential topics of the Committee’s 2019 Report to the President. All the PCPID meetings, in any format, are open to the public. This virtual meeting will be conducted in a discussion format. Webinar/Conference Call: Wednesday, December 12, 2018 from 9:00 a.m. to 10:00 a.m. (EST). DATES: For further information and accommodations needs, please contact Ms. Allison Cruz, Director, Office of Innovation, 330 C Street SW, Switzer Building, Room 1114, Washington, DC FOR FURTHER INFORMATION CONTACT: E:\FR\FM\12DEN1.SGM 12DEN1

Agencies

[Federal Register Volume 83, Number 238 (Wednesday, December 12, 2018)]
[Notices]
[Pages 63890-63891]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-26876]



[[Page 63890]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-19-0976; Docket No. CDC-2018-0112]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled Million Hearts[supreg] 
Hypertension Control Challenge, a program designed to identify clinical 
practices and health systems that have been successful in achieving 
high rates of hypertension control and to develop models for 
dissemination of successful strategies to control hypertension.

DATES: CDC must receive written comments on or before February 11, 
2019.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0112 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road, 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (regulations.gov) or by U.S. mail to the address listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road, NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
[email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Million Hearts[supreg] Hypertension Control Challenge (OMB No. 
0920-0976, exp. 12/31/2019--Revision--National Center for Chronic 
disease Prevention and Health Promotion (NCCDPHP), Centers for Disease 
Control and Prevention (CDC).

Background and Brief Description

    Cardiovascular disease is a leading cause of death for men and 
women in the United States, among the most costly health problems 
facing our nation today, and among the most preventable. Heart disease 
and stroke also contribute significantly to disability. High blood 
pressure, also known as hypertension, is one of the leading causes of 
heart disease and stroke. Currently, about 75 million American adults 
have high blood pressure but only about half (48%) have adequately 
controlled blood pressure. The costs of hypertension are estimated at 
$48.9 billion annually in direct medical costs.
    In September 2011, CDC launched the Million Hearts[supreg] 
initiative to prevent one million heart attacks and strokes by 2017. In 
January 2018, CDC launched Million Hearts[supreg] 2022 to continue to 
prevent one million heart attacks, strokes, and related health 
conditions. In order to achieve this goal, at least 10 million more 
Americans must have their blood pressure under control. Million 
Hearts[supreg] is working to reach this goal through the promotion of 
clinical practices that are effective in increasing blood pressure 
control among patient populations. There is scientific evidence that 
provides general guidance on the types of system-based changes to 
clinical practice that can improve patient blood pressure control, but 
additional information is needed to fully understand implementation 
practices so that they can be shared and promoted.
    In 2013, CDC launched the Million Hearts[supreg] Hypertension 
Control Challenge, authorized by Public Law 111-358, the America 
Creating Opportunities to Meaningfully Promote Excellence in 
Technology, Education and Science Reauthorization Act of 2010 (COMPETES 
Act). The Challenge is designed to help CDC (1) identify clinical 
practices and health systems that have been successful in achieving 
high rates of hypertension control, and (2) develop models for 
dissemination. The Challenge is open to single practice providers, 
group practice providers, and healthcare systems. Providers whose 
hypertensive population achieves exemplary levels of hypertension 
control are recognized as Million Hearts[supreg] Hypertension Control 
Champions.
    Interested clinicians or practices complete a web-based application 
form which collects the minimum amount of data needed to demonstrate 
hypertension control among their adult patients, including: (a) Two 
point-in-time measures of the clinical hypertension control rate for 
the patient population, (b) the size of the clinic population served, 
(c) a brief description of the characteristics of the patient 
population served and geographic location, and (d) a description of the 
sustainable systems and strategies adopted to achieve and maintain 
hypertension control rates. The estimated burden for completing the 
application form is 30 minutes. CDC scientists or contractors review 
each

[[Page 63891]]

application form and rank applications by reported hypertension control 
rate.
    In the second phase of assessment, applicants with the highest 
preliminary scores are asked to participate in a two-hour data 
verification and validation process. The applicant reviews the 
application form with a reviewer, describes how information was 
obtained from the providers', practices', or healthcare systems' 
electronic records, chart reviews, or other sources, and reviews the 
methodology used to calculate the reported hypertension control rate. 
Data verification and validation is conducted to ensure that all 
applicants meet eligibility criteria and assure accuracy of their 
reported hypertension control rate according to a standardized method. 
Applicants must have achieved a hypertension control rate of at least 
80% among their adult patients aged 18-85 years with hypertension.
    Finalists who pass the data verification and validation process and 
background check will be reviewed by a CDC panel of judges to determine 
the Champion status. Several Champions will be asked to participate in 
a one-hour, semi-structured interview and provide detailed information 
about the patient population served, the geographic region served, and 
the strategies employed by the practice or health system to achieve 
exemplary rates of hypertension control, including barriers and 
facilitators for those strategies. Based on the information collected 
for Challenges in 2013 through 2017, CDC recognized a total of 83 
public and private health care practices and systems as Million 
Hearts[supreg] Hypertension Control Champions. The Champions are 
announced roughly annually, approximately six months after the 
Challenge application period ends. The current OMB approval for 
information collection expires December 31, 2019.
    CDC plans to continue the Million Hearts[supreg] Hypertension 
Control Challenge through 2022 with revisions. The 2020 Challenge is 
planned to launch in February 2020, coinciding with American Heart 
Month. The application period will be open for approximately 45-60 
days, with recognition of the 2020 Champions in the fall of 2020. A 
similar calendar year schedule is planned for 2021 and 2022. Revision 
for 2020, 2021, and 2022 includes a reduction in the estimated number 
of respondents. During the period of this Renewal request, on an annual 
basis, CDC estimates that information will be collected from up to 200 
applicants using the application form, at most 40 data verifications, 
and at most 35 semi-structured interviews. There is an overall 
reduction in estimated annualized burden hours.
    The overall goal of the Million Hearts[supreg] initiative is to 
prevent one million heart attacks and strokes, and controlling 
hypertension is one focus of the initiative. CDC will use the 
information collected through the Million Hearts[supreg] Hypertension 
Control Challenge to increase widespread attention to hypertension at 
the clinical practice level, improve understanding of successful and 
sustainable implementation strategies at the practice or health system 
level, bring visibility to organizations that invest in hypertension 
control, and motivate individual practices to strengthen their 
hypertension control efforts. Information collected through the
    Million Hearts[supreg] Hypertension Control Challenge will link 
success in clinical outcomes of hypertension control with information 
about strategies that can be used to achieve similar favorable outcomes 
so that the strategies can be replicated by other providers and health 
care systems.
    OMB approval for a revision is requested for three years. CDC 
estimates that up to 200 applicants will submit an application covered 
by this information collection each year. It is estimated that 
information collection activities will total 215 burden hours per year. 
This represents a decrease in the estimated annualized burden hours 
from 370 hours to 215 hours. There is no cost to respondents other than 
their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
Physicians, Practices, and      Million                      200               1           30/60             100
 healthcare systems.             Hearts[supreg]
                                 Hypertension
                                 Control
                                 Champion
                                 Application
                                 form.
Finalists.....................  Data                          40               1               2              80
                                 Verification
                                 Form.
Champions.....................  Semi-structured               35               1               1              35
                                 interview guide.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             215
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2018-26876 Filed 12-11-18; 8:45 am]
 BILLING CODE 4163-18-P


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