[Federal Register Volume 79, Number 51 (Monday, March 17, 2014)]
[Notices]
[Pages 14709-14710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-05801]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-14-0212]
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 Leroy Richardson, at 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
The National Hospital Care Survey (NHCS) (OMB No. 0920-0212,
Expires 04-30-2016)--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 NHCS includes the
collection of all impatient and ambulatory Uniform Bill-04 (UB-04)
claims data or electronic health record (EHR) data from a sample of 581
hospitals as well as the collection of additional clinical data from a
sample of
[[Page 14710]]
emergency department (ED) and outpatient department (OPD) visits
(including ambulatory surgeries) through the abstraction of medical
records.
NHCS integrates the former National Hospital Discharge Survey (OMB
No. 0920-0212), the National Hospital Ambulatory Medical Care Survey
(NHAMCS) (OMB No. 0920-0278) and the Drug-Abuse Warning Network (DAWN)
(OMB No. 0930-0078, expired 12/31/2011) previously conducted by the
Substance Abuse and Mental Health Services Administration's (SAMHSA).
Integration of NHAMCS and DAWN into the NHCS is part of a broader
strategy to improve efficiency by minimizing redundancy in data
collection; broadening our capability to collect more relevant data on
transitions of care; and identifying opportunities to exploit
electronic and administrative clinical data systems to augment primary
data collection.
NHCS consists of a nationally representative sample of 581
hospitals. These hospitals are currently being recruited, and
participating hospitals are submitting all of their inpatient and
ambulatory care patient data in the form of electronic UB-04
administrative claims or EHR data. Currently, hospital-level data are
collected through a paper questionnaire and additional clinical data
are being abstracted from a sample of visits to EDs and OPDs. This
activity continues in 2014, and as more hospitals choose to send EHR
data that includes clinical information, the need to conduct
abstraction will be reduced.
This revision seeks approval to continue voluntary recruitment and
data collection for NHCS, including inpatient, outpatient and emergency
care; to revise the hospital-level questionnaire with additional items
needed to improve weighting procedures; to combine the OPD and
ambulatory surgery location patient record forms to more effectively
capture ambulatory procedures in these settings; to continue collection
of substance-involved ED visit data previously collected by DAWN; and
to eliminate data collection from freestanding ambulatory surgery
centers in order to concentrate efforts on hospital-based settings of
care.
NHCS collects data items at the hospital, patient, inpatient
discharge, and visit levels. Hospital-level data items include
ownership, number of staffed beds, hospital service type, and EHR
adoption. Patient-level data items are collected from both electronic
data and abstraction components and include basic demographic
information, personal identifiers, name, address, social security
number (if available), and medical record number (if available).
Discharge-level data are collected through the UB-04 claims or EHR data
and include admission and discharge dates, diagnoses, diagnostic
services, and surgical and non-surgical procedures. Visit-level data
are collected through either EHR data, or for those hospitals
submitting UB-04 claims, through the claims as well as through
abstraction of medical records for a sample of visits. These visit-
level data include reason for visit, diagnosis, procedures,
medications, substances involved, and patient disposition.
NHCS 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), SAMHSA,
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 media.
Data collected through NHCS are essential for evaluating health
status of the population, for the planning of programs and policy to
improve health care delivery systems of the Nation, for studying
morbidity trends, and for research activities in the health field.
Historically, 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.
Estimated Annualized Burden Hours
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Number of Average burden
Respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) hours
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Hospital DHIM or DHIT......... Initial Hospital 160 1 1 160
Intake
Questionnaire.
Hospital CEO/CFO.............. Recruitment 160 1 1 160
Survey
Presentation.
Hospital CEO/CFO.............. Annual Hospital 581 1 2 1,162
Interview.
Hospital CEO/CFO.............. Annual 465 1 1.5 698
Ambulatory
Hospital
Interview.
Hospital DHIM or DHIT......... Prepare and 481 12 1 5,772
transmit UB-04
for Inpatient
and Ambulatory
data.
Hospital DHIM or DHIT......... Prepare and 100 4 1 400
transmit EHR
for Inpatient
and Ambulatory
data.
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Total..................... ................ .............. .............. .............. 8,352
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LeRoy Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-05801 Filed 3-14-14; 8:45 am]
BILLING CODE 4163-18-P