[Federal Register Volume 78, Number 20 (Wednesday, January 30, 2013)]
[Notices]
[Pages 6327-6328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-01945]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-13-0212]
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 National Hospital Care Survey (NHCS) (OMB No. 0920-0212,
expiration date: 04/30/2014)--Revision--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 three-year clearance request for the National
Hospital Care Survey includes data collection from hospital inpatient
departments; hospital ambulatory departments including emergency
departments (ED), outpatient departments (OPD), and ambulatory surgery
locations (ASLs); and freestanding ambulatory surgery centers (ASCs).
The National Center for Health Statistics' (NCHS) surveys on
hospital care include the National Hospital Discharge Survey (NHDS)
(OMB No. 0920-0212) and the National Hospital Ambulatory Medical Care
Survey (NHAMCS) (OMB No. 0920-0234). NHDS, between 1965 and 2010,
provided critical information on the utilization of the nation's non-
Federal short-stay hospitals and on the nature and treatment of illness
among the inpatient hospitalized population. NHAMCS has provided data
annually since 1992 concerning the nation's use of hospital emergency
and outpatient departments. Beginning in 2009 NHAMCS collected data on
hospital-based ambulatory surgery locations, and in 2010 began
collection of data from free-standing ambulatory surgery centers.
NHAMCS data have been extensively used for monitoring changes and
analyzing the types of outpatient care provided in the nation's
hospitals.
The Drug Abuse Warning Network (DAWN) (OMB No. 0930-0078, expired
12/31/2011) collected specific information on drug-related visits to
the ED. DAWN was previously funded by the Center for Behavioral Health
Statistics & Quality (CBHSQ) of the Substance Abuse & Mental Health
Services Administration (SAMHSA), DHHS.
NCHS is integrating the data collected from NHDS, NHAMCS, and DAWN
into one survey called the National Hospital Care Survey (NHCS). This
integration will increase the wealth and depth of data on health care
utilization and allow for linkages to other data sources such as the
National Death Index and data from Centers for Medicare and Medicaid
Services (CMS).
The recruitment of a sample of 500 hospitals for NHCS has been
ongoing since May 2011. Participating hospitals are submitting
inpatient level data in the form of electronic Uniform Bill (UB-04)
administrative claims data as well as facility-level data. This
activity continues in 2013 in addition to the sampled hospitals being
asked to provide data on the utilization of health care provided in
their EDs, OPDs and ASLs, thus integrating the NHDS, NHAMCS, and DAWN
into NHCS. If funding becomes available, a new sample of freestanding
ASCs will be recruited sometime within the 3-year clearance period.
NHCS will replace NHDS, NHAMCS, and DAWN, but continue to provide
nationally representative data on utilization of hospital care and
general purpose health care statistics on inpatient care as well as
care delivered in EDs, OPDs, ASLs, and freestanding ASCs.
Facility-level, patient-level, discharge-level, and visit-level,
data items will be collected from the recruited hospitals and
freestanding ASCs in NHCS. Facility-level data items will include
ownership, number of staffed beds, clinical capabilities, financial
information, and electronic health record adoption. Patient-level data
items will be collected for both inpatient and ambulatory components
and include basic demographic information, personal identifiers, name,
address, social security number (if available), and medical record
number (if available). For the inpatient component, discharge-level
data will be collected through the UB-04 claims and will include:
admission and discharge dates, diagnoses, diagnostic services, and
surgical and non-surgical procedures. For the ambulatory component,
visit-level data will be collected through the UB-04 claims as well as
through abstraction of a sample of medical records, which includes
reason for visit, diagnosis, procedures, medications, and patient
disposition.
[[Page 6328]]
We expect that the users of NHCS will be similar to the users of
NHDS, NHAMCS, and DAWN data. These users include but are not limited to
CDC, Congressional Research Office, Office of the Assistant Secretary
for Planning and Evaluation (ASPE), National Institutes of Health,
American Health Care Association, Centers for Medicare & Medicaid
Services (CMS), Bureau of the Census, Office of National Drug Control
Policy, state and local governments, and nonprofit organizations. Other
users of these data include universities, research organizations, many
in the private sector, foundations, and a variety of users in the print
media.
Data collected through NHCS are essential for evaluating health
status of the population, for the planning of programs and policy to
elevate the health status of the Nation, for studying morbidity trends,
and for research activities in the health field. Historically, NHDS and
NHAMCS data have been used extensively in the development and
monitoring of goals for the Year 2000, 2010, and 2020 Healthy People
Objectives.
There is no cost to respondents other than their time to
participate. The total burden is 7,224 hours.
Estimated Annualized Burden Hours
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Number of Avg. burden per
Respondents Form Number of responses per response (in
respondents respondent hours)
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Department of Health Information Initial Hospital 133 1 1
Management (DHIM) or Health Intake Questionnaire.
Information Technology (DHIT)
staff Hospital CEO/CFO.
Hospital CEO/CFO................... Recruitment Survey 133 1 1
Presentation.
Hospital CEO/CFO................... Annual Inpatient 500 1 1
Hospital Interview.
Hospital CEO/CFO................... Annual Ambulatory 500 1 1.5
Hospital Interview.
Hospital Medical and Health Ambulatory Unit 2,000 1 15/60
Services Manager. Induction.
Hospital DHIM or DHIT staff........ Prepare and transmit 500 4 1
UB-04 for inpatient
and ambulatory.
Hospital Medical Record Clerk...... Pulling and re-filing 1,125 100 1/60
Patient Records (ED,
OPD, and ASL).
FSASC Chief Executive Officer...... Annual FSACS 250 1 30/60
Interview.
FSASC DHIM or DHIT................. Prepare and transmit 250 4 1
UB-04.
FSASC Medical Record Clerk......... Pulling and re-filing 125 100 1/60
Patient Records.
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Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2013-01945 Filed 1-29-13; 8:45 am]
BILLING CODE 4163-18-P