National Committee on Vital and Health Statistics; Meeting and Request for Information, 38519-38520 [2023-12617]

Download as PDF 38519 Federal Register / Vol. 88, No. 113 / Tuesday, June 13, 2023 / Notices information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Average burden per response (in hours) Total responses Total hour burden Research: Survey for individual grantees ............................ Research: Survey for research networks ............................ Research: Interview guide for individual grantees .............. Research: Interview guide for research networks ............... State Systems: Survey for state innovation grants ............. State Systems: Interview guide for the state innovation grants ................................................................................ State Systems: Interview guide for the state coordinating center ................................................................................ Training: Interview guide for the individual training grantees .................................................................................... Training: Interview Guide for the Resource Center ............. 12 4 12 4 5 1 1 1 1 1 12 4 12 4 5 0.5 0.5 1.5 1.5 0.5 6.0 2.0 18.0 6.0 2.5 5 1 5 1.5 7.5 1 1 1 1.5 1.5 72 1 1 1 72 2 1.5 1.5 108.0 3.0 Total .............................................................................. 116 ........................ 116 ........................ 154.5 HRSA specifically requests comments on (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, 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. Maria G. Button, Director, Executive Secretariat. [FR Doc. 2023–12608 Filed 6–12–23; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Committee on Vital and Health Statistics; Meeting and Request for Information Centers for Disease Control and Prevention, HHS. AGENCY: Notice of meeting. Notice of request for information (RFI). ACTION: Pursuant to the Federal Advisory Committee Act, the Department of Health and Human Services (HHS) announces the following advisory committee meeting and related Request for Information (RFI). The meeting is open to the public. The public is invited and welcome to obtain the link to attend this meeting by following the instructions posted on the Committee website: https:// ncvhs.hhs.gov/meetings-meeting/. SUMMARY: ddrumheller on DSK120RN23PROD with NOTICES1 Average number of responses per respondent Number of respondents Grant program/instrument VerDate Sep<11>2014 18:45 Jun 12, 2023 Jkt 259001 The meeting will be held Thursday, August 3, 2023: 10:00 a.m.– 5:30 p.m. EDT. To submit comments in response to the RFI, please send by close of business June 30, 2023, to NCVHSmail@cdc.gov, and include on the subject line: Response from [your organization or name] regarding ICD–11 RFI. ADDRESSES: Virtual open meeting. FOR FURTHER INFORMATION CONTACT: Substantive program information may be obtained from Rebecca Hines, MHS, Executive Secretary, NCVHS, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Hyattsville, Maryland 20782, via electronic mail to vgh4@ cdc.gov; or by telephone (301) 458– 4715. Summaries of meetings and a roster of Committee members are available on the home page of the NCVHS website https://ncvhs.hhs.gov/, where further information including an agenda and instructions to access the broadcast of the meeting will be posted. Should you require reasonable accommodation, please telephone the CDC Office of Equal Employment Opportunity at (770) 488–3210 as soon as possible. SUPPLEMENTARY INFORMATION: Name: National Committee on Vital and Health Statistics (NCVHS). Meeting of the Workgroup on Timely and Strategic Action to Inform ICD–11 Policy. The National Committee on Vital and Health Statistics was established by Congress to serve as the statutory [42 U.S.C. 242k(k)] advisory body to the Secretary of Health and Human Services DATES: PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 for health data, statistics, privacy and national health information policy and the Health Insurance Portability and Accountability Act (HIPAA).1 In that capacity, the Committee provides advice and assistance to the Department and serves as a forum for interaction with interested private sector groups on health data issues. It fulfills important review and advisory functions regarding health data and administrative standards of national and international scope, conducts studies of prevailing current topics, and makes recommendations for improvement of the Nation’s health statistics and information systems. Purpose: The purpose of the International Classification of Diseases (ICD–11) expert roundtable meeting is to gather information and identify gaps in currently available information and research essential for analysis and policy decisions on the U.S. approach to support adoption and implementation of ICD–11 for morbidity. A supplemental goal is to enable coordination of public and private entities that may affect ICD–11 integration into U.S. health information environments by obtaining broad stakeholder input on studies or assessments HHS should undertake to inform the transition and on what timeline. Together with comments received in response to the RFI, the input received at the roundtable will inform the Workgroup’s findings to be provided to the full Committee in 1 Public Law 104–191, 110 Stat. 1936 (Aug 21, 1996), available at: https://www.congress.gov/104/ plaws/publ191/PLAW-104publ191.pdf. E:\FR\FM\13JNN1.SGM 13JNN1 38520 Federal Register / Vol. 88, No. 113 / Tuesday, June 13, 2023 / Notices ddrumheller on DSK120RN23PROD with NOTICES1 contemplation of recommendations to the Secretary of HHS. The agenda for the meeting will include time for public comment. Meeting times and topics are subject to change. Background on ICD–11: The International Classification of Diseases (ICD) is the global standard for health data, clinical documentation, and statistical aggregation. It provides a common language for recording, reporting, and monitoring diseases, allowing the world to compare and share data in a consistent and standard way—among hospitals, regions, and countries, and over periods of time. It facilitates the collection and storage of data for analysis and evidence-based decision-making by enabling systematic recording, reporting, analysis, interpretation, and comparison of mortality and morbidity data. ICD–11 allows countries to count and identify their most pressing health issues using an up-to-date and clinically relevant classification system.2 3 4 Governments assign ICD–11 codes to health conditions and accidents so data can be used to design effective public health policies and measure their impacts, or so that clinicians can use the data for recording encounters with patients in a standard way. Request for Information: This Notice also serves as a Request for Information (RFI) addressing the potential use of ICD–11 for morbidity coding in the U.S. We welcome responses from industry stakeholders, interested individuals and organizations, or any members of the public in advance of the August 3, 2023, expert roundtable meeting. The following questions are a guide to information the Workgroup would find particularly helpful, but respondents are invited to comment on any aspect of ICD–11 that they wish. 1. What would be the benefits of implementing ICD–11 for morbidity in your setting or organization? 2. What information or research will your organization need in order to inform assessments of cost, benefits, implementation approaches, communications, and outreach regarding the transition to ICD–11? 2 ICD–11 was adopted at the World Health Assembly in May 2019 and Member States committed to start using it for mortality and morbidity reporting in 2022. Since 2019, early adopter countries, translators, and scientific groups have recommended further refinements to produce the version that is posted online today. World Health Organization (WHO) Press Release. (February 11, 2022): https://paho.org/en/news/11-22022-whos-new-international-classificationdiseases-icd-11-comes-effect. 3 WHO ICD–11 website: https://icd.who.int/en. 4 WHO ICD–11 Fact Sheet: https://icd.who.int/en/ docs/icd11factsheet_en.pdf. VerDate Sep<11>2014 18:45 Jun 12, 2023 Jkt 259001 Respondents may choose to refer to NCVHS’ most recent recommendations to HHS for proposed research questions, many of which HHS has not yet addressed.5 3. What considerations affect the impact of ICD–11 on clinical documentation, payment processes including risk adjustment, public health, population health, or research? 4. What unique U.S. coding or terminology considerations are essential? For example, coding or terminology related to community health, social determinants of health, essential human needs, sexual orientation, gender identity and expression, obesity, external cause of injury, and information about mental, behavioral, or neurodevelopmental disorders including alignment with the Diagnostic And Statistical Manual of Mental Disorders, Fifth Edition (DSM– 5)? 5. How should HHS implement ICD– 11 in the U.S. for morbidity coding? 6. The World Health Organization (WHO) recommends establishing a national center for ICD–11 implementation. What entity should be responsible for coordinating overall national implementation of ICD–11 for morbidity coding, and how should the implementation be managed? 7. ICD–11 uses an open process in which WHO encourages requests for updates and changes, thus eliminating the main drivers of national clinical modifications. What entity should be responsible for coordinating U.S. requests for updates or changes to ICD– 11? How should this process be managed? 8. What resources, tools, or support will your organization need for implementation? 9. What kinds of technical resources, guidance, or tools should the U.S. Federal Government make available? 10. What workforce, workforce planning, or training will your organization need to support implementation? 11. What are your organization’s requirements for ICD–11 mapping to other coding systems and terminologies, including value sets? 12. What other operational impacts of ICD–11 adoption and implementation should HHS consider? The Committee will compile submitted responses in advance of the August 3, 2023, meeting and consider 5 NCVHS Letter to HHS Secretary, ‘‘Updated Recommendations for Immediate Action on ICD–11 (September 10, 2021): https://ncvhs.hhs.gov/wpcontent/uploads/2021/09/NCVHS-ICD-11recommendations-for-HHS-Sept-10-2021-Final508.pdf. PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 them together with input from subject matter experts during the meeting. To submit comments in response to the RFI, please send by June 30, 2023, to NCVHSmail@cdc.gov and include on the subject line: Response from [your organization or name] regarding ICD–11 RFI. Sharon Arnold, Associate Deputy Assistant Secretary, Office of Science and Data Policy, Office of the Assistant Secretary for Planning and Evaluation. [FR Doc. 2023–12617 Filed 6–12–23; 8:45 am] BILLING CODE 4150–05–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center for Scientific Review; Notice of Closed Meetings Pursuant to section 1009 of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meetings. The meetings 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. 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: Center for Scientific Review Special Emphasis Panel; Small Business: Cell and Molecular Biology. Date: July 11–12, 2023. Time: 8:00 a.m. to 6:00 p.m. Agenda: To review and evaluate grant applications. Place: Residence Inn Bethesda, 7335 Wisconsin Avenue, Bethesda, MD 20814. Contact Person: Megan L. Goodall, Ph.D., Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20892, (301) 594–8334, megan.goodall@ nih.gov. Name of Committee: Population Sciences and Epidemiology Integrated Review Group, Cardiovascular and Respiratory Diseases Study Section. Date: July 11–12, 2023. Time: 9:00 a.m. to 8:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, Rockledge II, 6701 Rockledge Drive, Bethesda, MD 20892 (Virtual Meeting). Contact Person: Mohammed F.A. Elfaramawi, Ph.D., MD, Scientific Review Officer, Center for Scientific Review, E:\FR\FM\13JNN1.SGM 13JNN1

Agencies

[Federal Register Volume 88, Number 113 (Tuesday, June 13, 2023)]
[Notices]
[Pages 38519-38520]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-12617]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


National Committee on Vital and Health Statistics; Meeting and 
Request for Information

AGENCY: Centers for Disease Control and Prevention, HHS.

ACTION: Notice of meeting. Notice of request for information (RFI).

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

SUMMARY: Pursuant to the Federal Advisory Committee Act, the Department 
of Health and Human Services (HHS) announces the following advisory 
committee meeting and related Request for Information (RFI). The 
meeting is open to the public. The public is invited and welcome to 
obtain the link to attend this meeting by following the instructions 
posted on the Committee website: https://ncvhs.hhs.gov/meetings-meeting/.

DATES: The meeting will be held Thursday, August 3, 2023: 10:00 a.m.-
5:30 p.m. EDT.
    To submit comments in response to the RFI, please send by close of 
business June 30, 2023, to [email protected], and include on the 
subject line: Response from [your organization or name] regarding ICD-
11 RFI.

ADDRESSES: Virtual open meeting.

FOR FURTHER INFORMATION CONTACT: Substantive program information may be 
obtained from Rebecca Hines, MHS, Executive Secretary, NCVHS, National 
Center for Health Statistics, Centers for Disease Control and 
Prevention, 3311 Toledo Road, Hyattsville, Maryland 20782, via 
electronic mail to [email protected]; or by telephone (301) 458-4715. 
Summaries of meetings and a roster of Committee members are available 
on the home page of the NCVHS website https://ncvhs.hhs.gov/, where 
further information including an agenda and instructions to access the 
broadcast of the meeting will be posted.
    Should you require reasonable accommodation, please telephone the 
CDC Office of Equal Employment Opportunity at (770) 488-3210 as soon as 
possible.

SUPPLEMENTARY INFORMATION: 
    Name: National Committee on Vital and Health Statistics (NCVHS).
    Meeting of the Workgroup on Timely and Strategic Action to Inform 
ICD-11 Policy.
    The National Committee on Vital and Health Statistics was 
established by Congress to serve as the statutory [42 U.S.C. 242k(k)] 
advisory body to the Secretary of Health and Human Services for health 
data, statistics, privacy and national health information policy and 
the Health Insurance Portability and Accountability Act (HIPAA).\1\ In 
that capacity, the Committee provides advice and assistance to the 
Department and serves as a forum for interaction with interested 
private sector groups on health data issues. It fulfills important 
review and advisory functions regarding health data and administrative 
standards of national and international scope, conducts studies of 
prevailing current topics, and makes recommendations for improvement of 
the Nation's health statistics and information systems.
---------------------------------------------------------------------------

    \1\ Public Law 104-191, 110 Stat. 1936 (Aug 21, 1996), available 
at: https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf.
---------------------------------------------------------------------------

    Purpose: The purpose of the International Classification of 
Diseases (ICD-11) expert roundtable meeting is to gather information 
and identify gaps in currently available information and research 
essential for analysis and policy decisions on the U.S. approach to 
support adoption and implementation of ICD-11 for morbidity. A 
supplemental goal is to enable coordination of public and private 
entities that may affect ICD-11 integration into U.S. health 
information environments by obtaining broad stakeholder input on 
studies or assessments HHS should undertake to inform the transition 
and on what timeline. Together with comments received in response to 
the RFI, the input received at the roundtable will inform the 
Workgroup's findings to be provided to the full Committee in

[[Page 38520]]

contemplation of recommendations to the Secretary of HHS. The agenda 
for the meeting will include time for public comment. Meeting times and 
topics are subject to change.
    Background on ICD-11: The International Classification of Diseases 
(ICD) is the global standard for health data, clinical documentation, 
and statistical aggregation. It provides a common language for 
recording, reporting, and monitoring diseases, allowing the world to 
compare and share data in a consistent and standard way--among 
hospitals, regions, and countries, and over periods of time. It 
facilitates the collection and storage of data for analysis and 
evidence-based decision-making by enabling systematic recording, 
reporting, analysis, interpretation, and comparison of mortality and 
morbidity data.
    ICD-11 allows countries to count and identify their most pressing 
health issues using an up-to-date and clinically relevant 
classification system.2 3 4 Governments assign ICD-11 codes 
to health conditions and accidents so data can be used to design 
effective public health policies and measure their impacts, or so that 
clinicians can use the data for recording encounters with patients in a 
standard way.
---------------------------------------------------------------------------

    \2\ ICD-11 was adopted at the World Health Assembly in May 2019 
and Member States committed to start using it for mortality and 
morbidity reporting in 2022. Since 2019, early adopter countries, 
translators, and scientific groups have recommended further 
refinements to produce the version that is posted online today. 
World Health Organization (WHO) Press Release. (February 11, 2022): 
https://paho.org/en/news/11-2-2022-whos-new-international-classification-diseases-icd-11-comes-effect.
    \3\ WHO ICD-11 website: https://icd.who.int/en.
    \4\ WHO ICD-11 Fact Sheet: https://icd.who.int/en/docs/icd11factsheet_en.pdf.
---------------------------------------------------------------------------

    Request for Information: This Notice also serves as a Request for 
Information (RFI) addressing the potential use of ICD-11 for morbidity 
coding in the U.S. We welcome responses from industry stakeholders, 
interested individuals and organizations, or any members of the public 
in advance of the August 3, 2023, expert roundtable meeting. The 
following questions are a guide to information the Workgroup would find 
particularly helpful, but respondents are invited to comment on any 
aspect of ICD-11 that they wish.
    1. What would be the benefits of implementing ICD-11 for morbidity 
in your setting or organization?
    2. What information or research will your organization need in 
order to inform assessments of cost, benefits, implementation 
approaches, communications, and outreach regarding the transition to 
ICD-11? Respondents may choose to refer to NCVHS' most recent 
recommendations to HHS for proposed research questions, many of which 
HHS has not yet addressed.\5\
---------------------------------------------------------------------------

    \5\ NCVHS Letter to HHS Secretary, ``Updated Recommendations for 
Immediate Action on ICD-11 (September 10, 2021): https://ncvhs.hhs.gov/wp-content/uploads/2021/09/NCVHS-ICD-11-recommendations-for-HHS-Sept-10-2021-Final-508.pdf.
---------------------------------------------------------------------------

    3. What considerations affect the impact of ICD-11 on clinical 
documentation, payment processes including risk adjustment, public 
health, population health, or research?
    4. What unique U.S. coding or terminology considerations are 
essential? For example, coding or terminology related to community 
health, social determinants of health, essential human needs, sexual 
orientation, gender identity and expression, obesity, external cause of 
injury, and information about mental, behavioral, or neurodevelopmental 
disorders including alignment with the Diagnostic And Statistical 
Manual of Mental Disorders, Fifth Edition (DSM-5)?
    5. How should HHS implement ICD-11 in the U.S. for morbidity 
coding?
    6. The World Health Organization (WHO) recommends establishing a 
national center for ICD-11 implementation. What entity should be 
responsible for coordinating overall national implementation of ICD-11 
for morbidity coding, and how should the implementation be managed?
    7. ICD-11 uses an open process in which WHO encourages requests for 
updates and changes, thus eliminating the main drivers of national 
clinical modifications. What entity should be responsible for 
coordinating U.S. requests for updates or changes to ICD-11? How should 
this process be managed?
    8. What resources, tools, or support will your organization need 
for implementation?
    9. What kinds of technical resources, guidance, or tools should the 
U.S. Federal Government make available?
    10. What workforce, workforce planning, or training will your 
organization need to support implementation?
    11. What are your organization's requirements for ICD-11 mapping to 
other coding systems and terminologies, including value sets?
    12. What other operational impacts of ICD-11 adoption and 
implementation should HHS consider?
    The Committee will compile submitted responses in advance of the 
August 3, 2023, meeting and consider them together with input from 
subject matter experts during the meeting. To submit comments in 
response to the RFI, please send by June 30, 2023, to [email protected] 
and include on the subject line: Response from [your organization or 
name] regarding ICD-11 RFI.

Sharon Arnold,
Associate Deputy Assistant Secretary, Office of Science and Data 
Policy, Office of the Assistant Secretary for Planning and Evaluation.
[FR Doc. 2023-12617 Filed 6-12-23; 8:45 am]
BILLING CODE 4150-05-P


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