[Federal Register Volume 77, Number 244 (Wednesday, December 19, 2012)]
[Notices]
[Pages 75168-75169]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-30564]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-13-13EP]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-639-7570 or
send comments to Ron Otten, 1600 Clifton Road, MS-D74, Atlanta, GA
30333 or send an email to [email protected].
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
Million HeartsTM Hypertension Control Challenge--New--
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 67 million American adults
have high blood pressure but fewer than half (46%) have adequately
controlled blood pressure. The costs of hypertension and its associated
diseases are estimated at $156 billion annually, including the cost of
medical care and the cost of lost productivity.
In September 2011, CDC launched the Million HeartsTM
initiative with the goal of preventing one million heart attacks and
strokes by 2017. In order to achieve this goal, at least 10 million
more Americans must have their blood pressure under control. Toward
this end, Million HeartsTM is promoting 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 more information is
needed to fully understand implementation practices so that they can be
shared and promoted.
In May 2013, CDC proposes to launch the Million HeartsTM
Hypertension Control Challenge to identify clinical practices and
health systems that have been successful in achieving high rates of
hypertension control and to develop models for dissemination. The most
successful clinical practices or health plans will be recognized as
Million HeartsTM Hypertension Control Champions and will
receive a cash award of $5,000-$15,000. Recognition will be provided to
two groups of practices: Those that represent fewer than 50,000 covered
lives, and those that represent 50,000 or more covered lives. Providers
eligible to apply for recognition include single practice providers,
group practice providers, and healthcare systems. The Challenge is
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).
CDC requests OMB approval to collect the information needed to
identify, qualify, and rank applicants for recognition through the
Million HeartsTM Hypertension Control Challenge. Interested
providers or clinical programs may voluntarily self-nominate their
practice or healthcare system by completing a web-based nomination form
located on the Challenge.gov web portal. The nomination process will
include submission of the minimum amount of data needed to provide
evidence of clinical success in achieving hypertension control,
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, and (c) a description of the sustainable systems
adopted to achieve hypertension control rates. The estimated burden for
completing the nomination form is 30 minutes.
CDC scientists or contractors will assign a preliminary score to
each submitted nomination form. Those with the highest preliminary
scores will be further reviewed by a CDC-sponsored panel of three to
five experts in hypertension control. The panel will provide CDC with a
ranked list of nominees recommended for recognition through the Million
HeartsTM Hypertension Control Challenge.
Finalists will be asked to participate in a data verification
process so that CDC can verify the information submitted on the
nomination form. The estimated burden to the respondent is one hour,
which includes time to review
[[Page 75169]]
the nomination form with a reviewer or abstractor in person or by
phone, and to describe to the reviewer how information was obtained
from electronic records, chart reviews, or other sources. Finalists may
be eliminated based on the results of data verification.
Each remaining finalist, or Champion, will be asked to participate
in a semi-structured interview. The interview will provide detailed
information about the strategies employed by the practice or health
system to achieve exemplary rates of hypertension control, including
barriers and facilitators for those strategies. The interview will
focus on systems and processes and should take no preparation time by
the finalist. The estimated burden to the respondent is two hours,
which includes time to review the interview protocol with the
interviewer, respond to the interview questions, and review qualitative
data.
OMB approval is requested for three years. On an annual basis, CDC
estimates that information will be collected from 1,750 nominees using
the nomination form, at most 30 data verification forms, and at most 30
semi-structured interviews that include review of qualitative data. The
number of Champions recognized in the first year of the challenge may
be less than 30. As the Challenge becomes known, the number of
recognized Champions may increase to a maximum of 30.
The overall goal of the Million HeartsTM initiative is
to improve the quality of care delivered to hypertensive patients. CDC
will use the information collected through the Million
HeartsTM Hypertension Control Challenge to increase
widespread attention to hypertension at the clinical practice level,
improve understanding of successful implementation strategies at the
health system level, bring prestige to organizations that invest in
hypertension control, and motivate individual practices to strengthen
their hypertension control efforts. Although some providers and
healthcare systems routinely provide data on hypertension control rates
to entities such as quality improvement committees, these entities do
not collect or disseminate information about the clinic processes used
to achieve hypertension control. Information collected through the
Million HeartsTM Hypertension Control Challenge will link
success in clinical outcomes of hypertension control with information
about procedures that can be used to achieve similar favorable
outcomes. The Challenge will allow interested providers and health care
systems to replicate successful the strategies.
Participation is voluntary and there are no costs to respondents
other than their time.
Estimated Annualized Burden Hours
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Number of Avg. burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hr) (in hr)
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Physicians (Single or Group Million HeartsTM 1,750 1 .5 875
Practices). Hypertension
Control
Champion
Nomination form.
Finalists..................... Data 30 1 1 30
Verification
Form.
Selected Champion............. Semi-structured 30 1 2 60
Interview.
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Total..................... ................ .............. .............. .............. 965
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Dated: December 13, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI), Office of the Associate
Director for Science (OADS), Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2012-30564 Filed 12-18-12; 8:45 am]
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