[Federal Register Volume 77, Number 94 (Tuesday, May 15, 2012)]
[Notices]
[Pages 28597-28598]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-11705]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-12-12AL]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
(404) 639-7570 or send an email to [email protected]. Send written comments
to CDC Desk Officer, Office of Management and Budget, Washington, DC or
by fax to (202) 395-5806. Written comments should be received within 30
days of this notice.
Proposed Project
The Ambulatory Care Pretest: National Hospital Care Survey--New--
National Center for Health Statistics (NCHS), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health Service (PHS) Act (42 U.S.C.
242k), as amended, authorizes that the Secretary of Health and Human
Services (DHHS), acting through NCHS, shall collect statistics on the
extent and nature of illness and disability of the population of the
United States. This one-year clearance request seeks approval to pre-
test: (1) Data collection from hospital ambulatory departments
including emergency departments (ED), outpatient departments (OPD), and
ambulatory surgery locations (ASLs) through the National Hospital Care
Survey (NHCS) (OMB No. 0920-0212, expiration date 04/30/2014); (2) new
questions on drug-related ED visits; and (3) new questions on
colorectal cancer screening in ambulatory surgery visits.
In 2012, a pretest of 32 hospitals and 15 freestanding ambulatory
surgery centers (FSASC) will collect data using methods approved for
the National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB No.
0920-
[[Page 28598]]
0278, expiration date 12/31/2014) data collection. The proposed pretest
will test the data collection procedures involved in integrating the
NHAMCS into the NHCS. NHAMCS has provided data annually since 1992
concerning the nation's use of hospital emergency and outpatient
departments, and since 2009, on hospital-based ASLs and since 2010, on
FSASCs. If the pretest is successful, NHAMCS will be integrated into
NHCS in order to increase the wealth of data on health care utilization
in hospitals across episodes of care and to allow for linkages to other
data sources such as the National Death Index and data from the Centers
for Medicare and Medicaid Services (CMS).
The data items to be collected from the recruited hospitals and
FSASCs in the pretest will include facility level data items such as
visit volume, ownership, and information on electronic health record
systems. Facility- and ambulatory unit-level data will be collected
through in-person interviews and recorded on computerized survey
instruments. It is anticipated that each hospital will have
approximately four ambulatory units and each FSASC will have one
ambulatory unit.
Patient level data items will include basic demographic
information, name, address, social security number (if available), and
medical record number (if available), and characteristics of the
patients including visit dates, reason for visit, diagnoses, diagnostic
services, procedures, medications, providers seen, and disposition.
Patient visit data will be abstracted by field representatives of the
data collection agent. A targeted number of patient visits will be
sampled from each department depending on the type of department--
approximately 200 across ambulatory units in the ED, 200 across
ambulatory units in the OPD, and 100 across ambulatory units in ASLs.
Secondly, the pretest will collect specific information on drug-
related visits to the ED. This endeavor, funded by the Center for
Behavioral Health Statistics & Quality (CBHSQ) of the Substance Abuse &
Mental Health Services Administration (SAMHSA), will assess the
feasibility of integrating the Drug Abuse Warning Network (DAWN) (OMB
No. 0930-0078, expired 12/31/2011) into the emergency department
component of the NHCS. In each of the 32 pretest hospitals with an
emergency department, a sample of all patient visits will be
abstracted; for each drug-related visit within this sample, additional
drug-related data will be abstracted. The only burden to the respondent
at the patient visit level will be due to pulling and refiling
approximately 104 medical records at each ambulatory unit.
Finally, the pretest will assess the feasibility of obtaining
information on colorectal cancer screening during ambulatory surgery
visits where a colonoscopy is performed. This endeavor is sponsored
jointly by the National Center for Chronic Disease Prevention and
Promotion (NCCDPHP) and the National Cancer Institute (NCI). The
questions will be added to the Ambulatory Surgery Patient Record form
and will be completed for patients who have a colonoscopy performed at
the sampled visit. Potential users of the NHCS ambulatory data include,
but are not limited to CDC, Congressional Research Service, Office of
the Assistant Secretary for Planning and Evaluation (ASPE), American
Health Care Association, Centers for Medicare and Medicaid Services
(CMS), Bureau of the Census, state and local governments, and nonprofit
organizations. There is no cost to respondents other than their time to
participate. The total burden is 381 hours.
Estimated Annualized Burden Hours
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Average
Number of Responses per burden per
Type of respondent Form name respondents respondent response (in
hours)
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Hospital Chief Executive Officer Hospital Induction Interview 32 1 1.5
FSASC Chief Executive Officer... FSASC Induction Interview... 15 1 30/60
Medical and Health Services Ambulatory Unit Induction... 140 1 15/60
Manager.
IT Staff........................ Prepare and transmit UB-04.. 47 1 1
Medical Record Clerk............ Pulling and refiling records 140 104 1/60
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Kimberly S. Lane,
Deputy Director, Office of Science Integrity, Office of the Associate
Director for Science, Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012-11705 Filed 5-14-12; 8:45 am]
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