The National Healthcare Safety Network's Outpatient Procedure Component (OPC) Surveillance Protocol and the Bloodstream Infection (BSI) Surveillance Protocol; Request for Information, 3452-3453 [2019-01915]

Download as PDF 3452 Federal Register / Vol. 84, No. 29 / Tuesday, February 12, 2019 / Notices You may submit comments, identified by Docket No. CDC–2019– 0008 by any of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H16–4, Atlanta, Georgia 30329; Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to https://regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to https://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: For questions concerning this notice: Ashley C. Altenburger, JD, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H16–4, Atlanta, Georgia 30329; telephone 404–498– 1600; email dgmqpolicyoffice@cdc.gov. SUPPLEMENTARY INFORMATION: ADDRESSES: Public Participation Interested persons or organizations are invited to participate by submitting written views, recommendations, and data. Please note that comments received, including attachments and other supporting materials, are part of the public record and are subject to public disclosure. Comments will be posted on https://www.regulations.gov. Therefore, do not include any information in your comment or supporting materials that you consider confidential or inappropriate for public disclosure. If you include your name, contact information, or other information that identifies you in the body of your comments, that information will be on public display. CDC will review all submissions and may choose to redact, or withhold, submissions containing private or proprietary information such as Social Security numbers, medical information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. Additional Background HHS/CDC published the final rule for the Control of Communicable Diseases on January 19, 2017, which included amendments to the domestic (interstate) and foreign quarantine regulations for the control of communicable diseases. The rule became effective on March 21, 2017. CDC regulations at 42 CFR 71.4 (airlines) and 42 CFR 71.5 (vessels) relate to the transmission of passenger, crew, and flight/voyage information for public health purposes; both contain subsections that state: VerDate Sep<11>2014 18:30 Feb 11, 2019 Jkt 247001 No later than February 21, 2019, the Secretary or Director will publish and seek comment on a report evaluating the burden of this section on affected entities and duplication of activities in relation to mandatory passenger data submissions to [U.S. Department of Homeland Security, Customs and Border Patrol] DHS/CBP. The report will specifically recommend actions that streamline and facilitate use and transmission of any duplicate information collected. On February 12, 2019, CDC published a report to its website evaluating the burdens these regulatory provisions may have generated on the airline and ship industries since they became effective on March 21, 2017. The report can be found at https://www.cdc.gov/ quarantine/final-rule-communicablediseases.html. The public comment period will end on March 14, 2019. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2019–02035 Filed 2–11–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and the Determination of the Chief Operating Officer, CDC, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP)—DD19–001; Research Approaches to Improve the Care and Outcomes of People Living with Spina Bifida Components A and B. Dates: April 9–10, 2019. Times: 10:00 a.m.–6:30 p.m., EDT. Place: Teleconference. Agenda: To review and evaluate grant applications. PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 For Further Information Contact: Jaya Raman, Ph.D., Scientific Review Officer, CDC, 4770 Buford Highway, Mailstop F80, Atlanta, Georgia 30341, Telephone: (770) 488–6511, kva5@cdc.gov. The Chief Operating Officer, Centers for Disease Control and Prevention, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Sherri Berger, Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2019–01959 Filed 2–11–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket No. CDC–2019–0007] The National Healthcare Safety Network’s Outpatient Procedure Component (OPC) Surveillance Protocol and the Bloodstream Infection (BSI) Surveillance Protocol; Request for Information Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Request for information. AGENCY: The Centers for Disease Control and Prevention, in the Department of Health and Human Services, seeks information related to the surveillance protocols for the National Healthcare Safety Network’s (NHSN) Outpatient Procedure Component (OPC) and Bloodstream Infection (BSI) Module of the Patient Safety Component. CDC is opening this docket to provide the opportunity to identify issues and areas for potential improvement for consideration as CDC updates and maintains the NHSN surveillance protocols beginning in 2020. SUMMARY: Written comments will be accepted beginning February 14, 2019 and must be received on or before April 15, 2019. ADDRESSES: You may submit comments, identified by Docket No. CDC–2018– xxxx, by either of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Katherine Allen-Bridson, National Center for Emerging and DATES: E:\FR\FM\12FEN1.SGM 12FEN1 Federal Register / Vol. 84, No. 29 / Tuesday, February 12, 2019 / Notices Infectious Zoonotic Disease, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mail Stop H16–3, Atlanta, GA 30329. Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to https://regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to https://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Katherine Allen-Bridson, RN, BSN, MScPH, CIC, National Center for Emerging and Infectious Zoonotic Disease, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mail Stop H16–3, Atlanta, GA 30329. Phone: 404–639–4000; Email:nhsn@cdc.gov. SUPPLEMENTARY INFORMATION: Purpose of the Notice: The purpose of this notice is to request input and information from individuals and organizations on issues and areas for potential improvement for consideration as CDC updates and maintains the NHSN surveillance protocols for 2020. CDC will carefully consider all comments with an intent to improve on and maintain the requirements for a successful surveillance program: Acceptable data collection burden, consistency, sensitivity, specificity, representativeness, and timeliness. The CDC reserves the right to respond to time-sensitive issues outside of this RFI as needed to maintain the reliability of the NHSN data. Scope of Issue: The mission of CDC’s Division of Healthcare Quality Promotion (DHQP) is to protect patients and healthcare personnel and promote safety, quality, and value in national and international healthcare delivery systems. In accordance with this mission, DHQP seeks to identify effective prevention methods, foster their implementation, and measure their impact on the incidence of healthcareassociated infections (HAIs). Over 21,000 healthcare facilities report data on HAIs to CDC’s NHSN. This includes data that CDC reports to the Centers for Medicare and Medicaid Services (CMS) on behalf of healthcare facilities. CMS uses the data in its public reporting and payment programs. Approach: CDC seeks information from NHSN users and stakeholders regarding the NHSN surveillance protocols, including comments that describe specific concerns about and recommendations for specific changes regarding the following topics: Protocol scope, definitions, criteria, data collection requirements, and other VerDate Sep<11>2014 18:30 Feb 11, 2019 Jkt 247001 surveillance specifications for the OPC and BSI module. Also, CDC is exploring the possibility of adding a new HAI event to its surveillance protocols, hospital onset bacteremia (HOB). The scope of HOB’s surveillance would be all bloodstream infections that develop in patients following hospital admission, i.e., those bloodstream infections that are not present on admission. Although this scope would be wider than Central Line-associated Bloodstream Infection (CLABSI) surveillance, CLABSI surveillance could be incorporated as a subset of HOB surveillance. CDC seeks input on NHSN’s current CLABSI surveillance protocol and potential work on HOB surveillance. Potential Areas of Focus: CDC is interested in receiving information on issues and areas for potential improvement for consideration for the following: 1. Outpatient Procedure Component surveillance protocol. 2. Patient Safety Component Bloodstream Infection Module surveillance protocol. 3. Possible addition of hospital onset bacteremia (HOB) to NHSN’s surveillance protocols. Examples of the types of information valuable to CDC include: 1. How could the CLABSI and OPC surveillance protocols and/or surveillance definitions be improved? 2. What challenges are faced when applying these definitions? What could be added to the definitions to address these challenges? 3. What protocol or data analysis changes could make the CLABSI or OPC data more useful? Dated: February 6, 2019. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2019–01915 Filed 2–11–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and the Determination of PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 3453 the Chief Operating Officer, Centers for Disease Control and Prevention, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP)—SIP19–001; Improving Cognitive Impairment Detection and Referral to Resources among Older Adults: Applying the KAER Model in a Clinical Health Care System. Dates: April 23, 2019. Times: 11:00 a.m.–6:30 p.m., EDT. Place: Teleconference. Agenda: To review and evaluate grant applications. For Further Information Contact: Jaya Raman Ph.D., Scientific Review Officer, CDC, 4770 Buford Highway, Mailstop F80, Atlanta, Georgia 30341, Telephone: (770) 488–6511, kva5@cdc.gov. The Chief Operating Officer, Centers for Disease Control and Prevention, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Sherri Berger, Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2019–01960 Filed 2–11–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and the Determination of the Chief Operating Officer, CDC, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would E:\FR\FM\12FEN1.SGM 12FEN1

Agencies

[Federal Register Volume 84, Number 29 (Tuesday, February 12, 2019)]
[Notices]
[Pages 3452-3453]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-01915]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2019-0007]


The National Healthcare Safety Network's Outpatient Procedure 
Component (OPC) Surveillance Protocol and the Bloodstream Infection 
(BSI) Surveillance Protocol; Request for Information

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

ACTION: Request for information.

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

SUMMARY: The Centers for Disease Control and Prevention, in the 
Department of Health and Human Services, seeks information related to 
the surveillance protocols for the National Healthcare Safety Network's 
(NHSN) Outpatient Procedure Component (OPC) and Bloodstream Infection 
(BSI) Module of the Patient Safety Component. CDC is opening this 
docket to provide the opportunity to identify issues and areas for 
potential improvement for consideration as CDC updates and maintains 
the NHSN surveillance protocols beginning in 2020.

DATES: Written comments will be accepted beginning February 14, 2019 
and must be received on or before April 15, 2019.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
xxxx, by either of the following methods:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Katherine Allen-Bridson, National Center for 
Emerging and

[[Page 3453]]

Infectious Zoonotic Disease, Centers for Disease Control and 
Prevention, 1600 Clifton Road NE, Mail Stop H16-3, Atlanta, GA 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to https://regulations.gov, including any personal 
information provided. For access to the docket to read background 
documents or comments received, go to https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Katherine Allen-Bridson, RN, BSN, 
MScPH, CIC, National Center for Emerging and Infectious Zoonotic 
Disease, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, Mail Stop H16-3, Atlanta, GA 30329. Phone: 404-639-4000; 
Email:nhsn@cdc.gov.

SUPPLEMENTARY INFORMATION: 
    Purpose of the Notice: The purpose of this notice is to request 
input and information from individuals and organizations on issues and 
areas for potential improvement for consideration as CDC updates and 
maintains the NHSN surveillance protocols for 2020. CDC will carefully 
consider all comments with an intent to improve on and maintain the 
requirements for a successful surveillance program: Acceptable data 
collection burden, consistency, sensitivity, specificity, 
representativeness, and timeliness. The CDC reserves the right to 
respond to time-sensitive issues outside of this RFI as needed to 
maintain the reliability of the NHSN data.
    Scope of Issue: The mission of CDC's Division of Healthcare Quality 
Promotion (DHQP) is to protect patients and healthcare personnel and 
promote safety, quality, and value in national and international 
healthcare delivery systems. In accordance with this mission, DHQP 
seeks to identify effective prevention methods, foster their 
implementation, and measure their impact on the incidence of 
healthcare-associated infections (HAIs). Over 21,000 healthcare 
facilities report data on HAIs to CDC's NHSN. This includes data that 
CDC reports to the Centers for Medicare and Medicaid Services (CMS) on 
behalf of healthcare facilities. CMS uses the data in its public 
reporting and payment programs.
    Approach: CDC seeks information from NHSN users and stakeholders 
regarding the NHSN surveillance protocols, including comments that 
describe specific concerns about and recommendations for specific 
changes regarding the following topics: Protocol scope, definitions, 
criteria, data collection requirements, and other surveillance 
specifications for the OPC and BSI module.
    Also, CDC is exploring the possibility of adding a new HAI event to 
its surveillance protocols, hospital onset bacteremia (HOB). The scope 
of HOB's surveillance would be all bloodstream infections that develop 
in patients following hospital admission, i.e., those bloodstream 
infections that are not present on admission. Although this scope would 
be wider than Central Line-associated Bloodstream Infection (CLABSI) 
surveillance, CLABSI surveillance could be incorporated as a subset of 
HOB surveillance. CDC seeks input on NHSN's current CLABSI surveillance 
protocol and potential work on HOB surveillance.
    Potential Areas of Focus: CDC is interested in receiving 
information on issues and areas for potential improvement for 
consideration for the following:
    1. Outpatient Procedure Component surveillance protocol.
    2. Patient Safety Component Bloodstream Infection Module 
surveillance protocol.
    3. Possible addition of hospital onset bacteremia (HOB) to NHSN's 
surveillance protocols.
    Examples of the types of information valuable to CDC include:
    1. How could the CLABSI and OPC surveillance protocols and/or 
surveillance definitions be improved?
    2. What challenges are faced when applying these definitions? What 
could be added to the definitions to address these challenges?
    3. What protocol or data analysis changes could make the CLABSI or 
OPC data more useful?

    Dated: February 6, 2019.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2019-01915 Filed 2-11-19; 8:45 am]
 BILLING CODE 4163-18-P

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