Request for Information (RFI): HHS Initiative To Enhance National All Hazards Hospital Situational Awareness, 71877-71878 [2023-22931]
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Federal Register / Vol. 88, No. 200 / Wednesday, October 18, 2023 / Notices
20852, 301–796–8867, PRAStaff@
fda.hhs.gov.
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Prior Notice of Imported Food Under the Public Health Security and Bioterrorism Preparedness and Response
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Dated: October 13, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023–23002 Filed 10–17–23; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Strategic
Preparedness and Response
Request for Information (RFI): HHS
Initiative To Enhance National All
Hazards Hospital Situational
Awareness
Administration for Strategic
Preparedness and Response (ASPR),
HHS.
ACTION: Notice of request for
information.
AGENCY:
The Administration for
Strategic Preparedness and Response
(ASPR), Centers for Disease Control and
Prevention (CDC), Centers for Medicare
& Medicaid Services (CMS), and the
Office of the National Coordinator for
Health Information Technology (ONC)
are seeking broad public input from
entities across the health care readiness
community on a national, all-hazards
standardized set of essential elements of
information (EEIs) and vendor-neutral
data collection mechanisms for hospital
data that drive action for emergency
preparedness and response. This input
will inform efforts to provide
recommendations for a standardized
lens into the readiness of, stress on, and
resources available in hospitals before,
during, and after emergencies
DATES: To be assured consideration,
comments on the RFI must be received
on or before December 18, 2023. HHS
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
18:01 Oct 17, 2023
Jkt 262001
will not reply individually to
responders but will consider all
comments submitted by the deadline.
ADDRESSES: Please submit all responses
via email to AllHazards@hhs.gov within
60 days of publication of this notice as
a Word document attachment or in the
body of an email. Include ‘‘All Hazards
Hospital Situational Awareness RFI’’ in
the subject line of the email.
FOR FURTHER INFORMATION CONTACT: For
additional information, direct questions
to Sayeedha Uddin at (202) 699–1874 or
Sayeedha.Uddin@hhs.gov.
When submitting comments or
requesting information, please include
‘‘All Hazards Hospital Situational
Awareness RFI’’ in the subject line of
the email.
When submitting comments or
requesting information, please include
‘‘All Hazards Hospital Situational
Awareness RFI’’ in the subject line of
the email.
SUPPLEMENTARY INFORMATION:
Respondents may provide information
for one or more of the questions or topic
areas listed below, as desired.
Outside of the federal COVID–19
hospital data collection, what essential
elements of information does your
entity report or collect (or plan to
report/collect in the future) related to
health care capacity, facility status,
stress, supplies, staffing, infrastructure,
and/or other information that is needed
to inform hospital emergency
preparedness and response?
What information do you collect
internally, including key areas your
leadership monitors for preparedness
and response purposes?
What information do you report to
other entities, and to whom?
Specifically, consider regular reporting
that is required by regulatory agencies,
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
0910–0520
0910–0840
0910–0053
0910–0540
0910–0381
0910–0014
Date
approval
expires
9/30/2026
9/30/2026
9/30/2026
9/30/2026
9/30/2026
9/30/2026
notifiable disease reporting, payors, as
well as time-limited or voluntary
reporting efforts to trade groups and
professional associations.
On what cadence does your entity
collect and report these essential
elements of information?
How is information used for driving
action in areas such as patient
placement, patient movement, load
balancing, equipment/supply
procurement, or other preparedness and
response areas? If you are a reporting
entity (ex. hospital), do you know how
your data is being used to create value
for your community?
What electronic systems are used to
collect the essential elements of
information (e.g., electronic health
record systems (EHRs), hospital
operations systems, etc.)? Who are the
primary vendors/developers?
What is your expectation for federal
government situational awareness of
hospital status, capacity, stress, etc.
before, during, and after a crisis?
Please share any potentially relevant
clinical and/or situational awareness
measures, efforts, and/or definitions that
might be helpful to inform this effort
(ex. National Emergency Department
Overcrowding Scale (NEDOCS) scores,
International Organization for Standards
(ISO) Health informatics—
Interoperability of public health
emergency preparedness and response
information systems, the Situational
Awareness Network for Emergencies
(SANER) Project, etc.).
We are interested in promising
practices in specific areas:
Decreasing burden is a core goal of
this initiative. Please share any
promising practices related to data
automation and/or other ways to reduce
burden of data collection and reporting.
E:\FR\FM\18OCN1.SGM
18OCN1
ddrumheller on DSK120RN23PROD with NOTICES1
71878
Federal Register / Vol. 88, No. 200 / Wednesday, October 18, 2023 / Notices
We recognize data often are sourced
from multiple systems. Please share any
promising practices in aggregating and
assessing data from multiple source
systems in a cohesive and standard way.
During response incidents, immediate
patient care needs, power outages, and
competing priorities can be significant
challenges in maintaining shared
situational awareness. Please share any
promising practices for continued
reporting during incidents.
We recognize that some healthcare
partners have more advanced data and
situational awareness programs while
others may have minimal resources.
Please share any promising practices for
effectively leveraging minimal
resources.
Please share any ongoing or
anticipated challenges with reporting or
collecting data related to hospital
capacity, facility status, hospital stress,
supply inventory, or other information
that is needed to inform hospital
emergency preparedness and response.
Please share any non-financial
resources that would be useful to
improve your reporting capability.
Title: Request for Information on AllHazards Hospital Data.
Abstract: The Administration for
Strategic Preparedness and Response
(ASPR), Centers for Disease Control and
Prevention (CDC), Centers for Medicare
& Medicaid Services (CMS), and the
Office of the National Coordinator for
Health Information Technology (ONC)
are co-leading an effort to define the
vendor-agnostic technical and policy
infrastructure, standards, and
capabilities necessary to support allhazard data reporting by all hospitals
nationally including rehabilitation,
psychiatric, and long-term care acute
care hospitals as well as those providing
acute medical care. This effort will
gather information to provide
recommendations for a standardized
lens into the readiness of, stress on, and
resources available in hospitals before,
during, and after emergencies (including
all-hazard incidents such as public
health emergencies, hurricanes, mass
casualty incidents, infectious disease
outbreaks, etc.) for needs across the
country. While this effort is led by
federal partners, it is intended to also
support local response efforts. For
example, standardized essential
elements of information (EEIs) may help
to facilitate coordination across
jurisdictions when load balancing or
medical operations coordination centers
are needed. The effort will leverage past
efforts and collaborate with ongoing
initiatives across the healthcare
situational awareness sphere, such as
the National Biodefense Strategy.
VerDate Sep<11>2014
18:01 Oct 17, 2023
Jkt 262001
Importantly, this is a nationwide
effort for which partner input across the
healthcare readiness community is
essential. The healthcare community
rose to increased demands during the
COVID–19 public health emergency,
reinforcing their commitment to always
providing the highest quality level of
safe care to patients. ASPR, CDC, CMS,
and ONC are committed to working
together with partners to help shape the
path forward towards efficient
information sharing, minimizing burden
and increasing transparency on how
information is used to drive action.
Partners such as jurisdictions, hospital
associations, hospitals, healthcare
coalitions, medical operations
coordination centers, transfer centers,
nurses, emergency medical services,
health information technology, and
more will help to inform the project.
ASPR, CDC, CMS, and ONC will be cohosting a series of listening sessions in
addition to seeking comments through
this RFI.
To date there has been a limited
unified, all-hazards understanding of
national level hospital-facility status,
capacity, resources, and capabilities. An
all-hazards approach addresses
capabilities-based preparedness to
prevent, protect against, respond to, and
recover from terrorist attacks, major
disasters, and other emergencies.
Existing efforts have included the
COVID–19 hospital data collection, adhoc surveys performed after incidents
such as hurricanes, targeted surveillance
systems for specific communicable
diseases and/or specific types of care
(ex. Emergency Department (ED) visits),
and individual efforts within
jurisdictions. While each existing effort
has been important, data collection
efforts are patchwork, crisis-driven, and
not standardized with respect to how
EEIs are defined and operationalized. As
a result, the nation continues to lack a
comprehensive, standardized view of
the state of the healthcare system that
can be shared across partners at all
levels to inform coordinated action.
In addition to informing nationwide
EEIs, input provided will also be used
for related initiatives such as the
National Healthcare Safety Network
(NHSN) hospital bed capacity data pilot
project, the Health Level 7 (HL7) Helios
Fast Healthcare Interoperability
Resources (FHIR) Accelerator, the
Medical Countermeasures and Data
Information Technology Ecosystem, and
CDC data modernization efforts.
Nationwide EEIs identified through this
effort will directly inform updates to the
USCDI+ for Public Health, Situational
Awareness, and Emergency Response
dataset, where additional input will be
PO 00000
Frm 00062
Fmt 4703
Sfmt 4703
solicited on how to represent concepts
for data exchange purposes. The effort
also aligns with programs across the
ASPR Health Care Readiness Portfolio
and the CDC Public Health Emergency
Program.
Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance
Officer, Office of the Secretary.
[FR Doc. 2023–22931 Filed 10–17–23; 8:45 am]
BILLING CODE 4150–37–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and
Mental Health Services Administration
(SAMHSA) will publish a summary of
information collection requests under
OMB review, in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
documents, call the SAMHSA Reports
Clearance Officer at (240) 276–0361.
Project: SAMHSA Generic Clearance
for the Collection of Qualitative
Research and Assessment
SAMHSA is requesting approval from
the Office of Management and Budget
(OMB) for their Generic clearance for
purposes of conducting qualitative
research. SAMHSA conducts qualitative
research to gain a better understanding
of emerging substance use and mental
health policy issues, improve the
development and quality of
instruments, and to ensure SAMHSA
leadership, centers and offices have
recent data and information to inform
program and policy decision-making.
SAMHSA is requesting approval for at
least four types of qualitative research:
(a) interviews, (b) focus groups, (c)
questionnaires, and (d) other qualitative
methods.
SAMHSA is the agency within the
U.S. Department of Health and Human
Services (HHS) that leads public health
efforts to advance the behavioral health
of the nation and to improve the lives
of individuals living with mental and
substance use disorders, and their
families. It’s mission is to lead public
health and service delivery efforts that
promote mental health, prevent
substance misuse, and provide
treatments and supports to foster
recovery while ensuring equitable
access and better outcomes. SAMHSA
pursues this mission by providing grant
E:\FR\FM\18OCN1.SGM
18OCN1
]]>Agencies
- DEPARTMENT OF HEALTH AND HUMAN SERVICES
- Administration for Strategic Preparedness and Response
[Federal Register Volume 88, Number 200 (Wednesday, October 18, 2023)]
[Notices]
[Pages 71877-71878]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-22931]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Strategic Preparedness and Response
Request for Information (RFI): HHS Initiative To Enhance National
All Hazards Hospital Situational Awareness
AGENCY: Administration for Strategic Preparedness and Response (ASPR),
HHS.
ACTION: Notice of request for information.
-----------------------------------------------------------------------
SUMMARY: The Administration for Strategic Preparedness and Response
(ASPR), Centers for Disease Control and Prevention (CDC), Centers for
Medicare & Medicaid Services (CMS), and the Office of the National
Coordinator for Health Information Technology (ONC) are seeking broad
public input from entities across the health care readiness community
on a national, all-hazards standardized set of essential elements of
information (EEIs) and vendor-neutral data collection mechanisms for
hospital data that drive action for emergency preparedness and
response. This input will inform efforts to provide recommendations for
a standardized lens into the readiness of, stress on, and resources
available in hospitals before, during, and after emergencies
DATES: To be assured consideration, comments on the RFI must be
received on or before December 18, 2023. HHS will not reply
individually to responders but will consider all comments submitted by
the deadline.
ADDRESSES: Please submit all responses via email to [email protected]
within 60 days of publication of this notice as a Word document
attachment or in the body of an email. Include ``All Hazards Hospital
Situational Awareness RFI'' in the subject line of the email.
FOR FURTHER INFORMATION CONTACT: For additional information, direct
questions to Sayeedha Uddin at (202) 699-1874 or
[email protected].
When submitting comments or requesting information, please include
``All Hazards Hospital Situational Awareness RFI'' in the subject line
of the email.
When submitting comments or requesting information, please include
``All Hazards Hospital Situational Awareness RFI'' in the subject line
of the email.
SUPPLEMENTARY INFORMATION: Respondents may provide information for one
or more of the questions or topic areas listed below, as desired.
Outside of the federal COVID-19 hospital data collection, what
essential elements of information does your entity report or collect
(or plan to report/collect in the future) related to health care
capacity, facility status, stress, supplies, staffing, infrastructure,
and/or other information that is needed to inform hospital emergency
preparedness and response?
What information do you collect internally, including key areas
your leadership monitors for preparedness and response purposes?
What information do you report to other entities, and to whom?
Specifically, consider regular reporting that is required by regulatory
agencies, notifiable disease reporting, payors, as well as time-limited
or voluntary reporting efforts to trade groups and professional
associations.
On what cadence does your entity collect and report these essential
elements of information?
How is information used for driving action in areas such as patient
placement, patient movement, load balancing, equipment/supply
procurement, or other preparedness and response areas? If you are a
reporting entity (ex. hospital), do you know how your data is being
used to create value for your community?
What electronic systems are used to collect the essential elements
of information (e.g., electronic health record systems (EHRs), hospital
operations systems, etc.)? Who are the primary vendors/developers?
What is your expectation for federal government situational
awareness of hospital status, capacity, stress, etc. before, during,
and after a crisis?
Please share any potentially relevant clinical and/or situational
awareness measures, efforts, and/or definitions that might be helpful
to inform this effort (ex. National Emergency Department Overcrowding
Scale (NEDOCS) scores, International Organization for Standards (ISO)
Health informatics--Interoperability of public health emergency
preparedness and response information systems, the Situational
Awareness Network for Emergencies (SANER) Project, etc.).
We are interested in promising practices in specific areas:
Decreasing burden is a core goal of this initiative. Please share
any promising practices related to data automation and/or other ways to
reduce burden of data collection and reporting.
[[Page 71878]]
We recognize data often are sourced from multiple systems. Please
share any promising practices in aggregating and assessing data from
multiple source systems in a cohesive and standard way.
During response incidents, immediate patient care needs, power
outages, and competing priorities can be significant challenges in
maintaining shared situational awareness. Please share any promising
practices for continued reporting during incidents.
We recognize that some healthcare partners have more advanced data
and situational awareness programs while others may have minimal
resources. Please share any promising practices for effectively
leveraging minimal resources.
Please share any ongoing or anticipated challenges with reporting
or collecting data related to hospital capacity, facility status,
hospital stress, supply inventory, or other information that is needed
to inform hospital emergency preparedness and response.
Please share any non-financial resources that would be useful to
improve your reporting capability.
Title: Request for Information on All-Hazards Hospital Data.
Abstract: The Administration for Strategic Preparedness and
Response (ASPR), Centers for Disease Control and Prevention (CDC),
Centers for Medicare & Medicaid Services (CMS), and the Office of the
National Coordinator for Health Information Technology (ONC) are co-
leading an effort to define the vendor-agnostic technical and policy
infrastructure, standards, and capabilities necessary to support all-
hazard data reporting by all hospitals nationally including
rehabilitation, psychiatric, and long-term care acute care hospitals as
well as those providing acute medical care. This effort will gather
information to provide recommendations for a standardized lens into the
readiness of, stress on, and resources available in hospitals before,
during, and after emergencies (including all-hazard incidents such as
public health emergencies, hurricanes, mass casualty incidents,
infectious disease outbreaks, etc.) for needs across the country. While
this effort is led by federal partners, it is intended to also support
local response efforts. For example, standardized essential elements of
information (EEIs) may help to facilitate coordination across
jurisdictions when load balancing or medical operations coordination
centers are needed. The effort will leverage past efforts and
collaborate with ongoing initiatives across the healthcare situational
awareness sphere, such as the National Biodefense Strategy.
Importantly, this is a nationwide effort for which partner input
across the healthcare readiness community is essential. The healthcare
community rose to increased demands during the COVID-19 public health
emergency, reinforcing their commitment to always providing the highest
quality level of safe care to patients. ASPR, CDC, CMS, and ONC are
committed to working together with partners to help shape the path
forward towards efficient information sharing, minimizing burden and
increasing transparency on how information is used to drive action.
Partners such as jurisdictions, hospital associations, hospitals,
healthcare coalitions, medical operations coordination centers,
transfer centers, nurses, emergency medical services, health
information technology, and more will help to inform the project. ASPR,
CDC, CMS, and ONC will be co-hosting a series of listening sessions in
addition to seeking comments through this RFI.
To date there has been a limited unified, all-hazards understanding
of national level hospital-facility status, capacity, resources, and
capabilities. An all-hazards approach addresses capabilities-based
preparedness to prevent, protect against, respond to, and recover from
terrorist attacks, major disasters, and other emergencies. Existing
efforts have included the COVID-19 hospital data collection, ad-hoc
surveys performed after incidents such as hurricanes, targeted
surveillance systems for specific communicable diseases and/or specific
types of care (ex. Emergency Department (ED) visits), and individual
efforts within jurisdictions. While each existing effort has been
important, data collection efforts are patchwork, crisis-driven, and
not standardized with respect to how EEIs are defined and
operationalized. As a result, the nation continues to lack a
comprehensive, standardized view of the state of the healthcare system
that can be shared across partners at all levels to inform coordinated
action.
In addition to informing nationwide EEIs, input provided will also
be used for related initiatives such as the National Healthcare Safety
Network (NHSN) hospital bed capacity data pilot project, the Health
Level 7 (HL7) Helios Fast Healthcare Interoperability Resources (FHIR)
Accelerator, the Medical Countermeasures and Data Information
Technology Ecosystem, and CDC data modernization efforts. Nationwide
EEIs identified through this effort will directly inform updates to the
USCDI+ for Public Health, Situational Awareness, and Emergency Response
dataset, where additional input will be solicited on how to represent
concepts for data exchange purposes. The effort also aligns with
programs across the ASPR Health Care Readiness Portfolio and the CDC
Public Health Emergency Program.
Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance Officer, Office of the
Secretary.
[FR Doc. 2023-22931 Filed 10-17-23; 8:45 am]
BILLING CODE 4150-37-P
