[Federal Register Volume 79, Number 118 (Thursday, June 19, 2014)]
[Notices]
[Pages 35166-35169]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-14339]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-14-0666]
Proposed Data Collections Submitted for Public Comment and
Recommendations
The Centers for Disease Control and Prevention (CDC), as part of
its continuing effort to reduce public burden, invites the general
public and other Federal agencies to take this opportunity to comment
on proposed and/or continuing information collections, as required by
the Paperwork Reduction Act of 1995. To request more information on the
below proposed project or to obtain a copy of the information
collection plan and instruments, call 404-639-7570 or send comments to
Leroy Richardson, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send
an email to [email protected].
Comments submitted in response to this notice will be summarized
and/or included in the request for Office of Management and Budget
(OMB) approval. Comments are invited on: (a) Whether the proposed
collection of information is necessary for the proper
[[Page 35167]]
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; (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; and (e) estimates of capital or start-up costs and costs of
operation, maintenance, and purchase of services to provide
information. Burden means the total time, effort, or financial
resources expended by persons to generate, maintain, retain, disclose
or provide information to or for a Federal agency. This includes the
time needed to review instructions; to develop, acquire, install and
utilize technology and systems for the purpose of collecting,
validating and verifying information, processing and maintaining
information, and disclosing and providing information; to train
personnel and to be able to respond to a collection of information, to
search data sources, to complete and review the collection of
information; and to transmit or otherwise disclose the information.
Written comments should be received within 60 days of this notice.
Proposed Project
National Healthcare Safety Network (NHSN) (OMB No. 0920-0666,
expires 10/31/2016)--Revision--National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The National Healthcare Safety Network (NHSN) is a system designed
to accumulate, exchange, and integrate relevant information and
resources among private and public stakeholders to support local and
national efforts to protect patients and promote healthcare safety.
Specifically, the data is used to determine the magnitude of various
healthcare-associated adverse events and trends in the rates of these
events among patients and healthcare workers with similar risks. The
data will be used to detect changes in the epidemiology of adverse
events resulting from new and current medical therapies and changing
risks. The NHSN currently consists of five components: Patient Safety,
Healthcare Personnel Safety, Biovigilance, Long-Term Care Facility
(LTCF), and Dialysis. Two new components will be added within the next
one to two years: Outpatient Procedure and Antimicrobial Use &
Resistance.
The Antimicrobial Use and Resistance (AUR) Component will be
launched within NHSN that will specifically examine antimicrobial use
(AU) and antimicrobial resistance (AR) within healthcare facilities.
The goal of the AUR Component is to provide a mechanism for facilities
to report and analyze antimicrobial use and/or resistance as part of
local or regional efforts to reduce antimicrobial resistant infections
through antimicrobial stewardship efforts or interruption of
transmission of resistant pathogens at their facility. This revision
submission includes one new form specific to the NHSN AUR Component.
Significant additions were made to three NHSN facility surveys.
Questions about infection control practices were added to gain a better
understanding of current practices and identify areas to target
prevention efforts among facilities that have reported a multidrug-
resistant organism. Questions about antibiotic stewardship were added
to gain a better understanding of current efforts to improve antibiotic
use in hospitals and to assess the quality of hospital antibiotic
stewardship programs.
Additionally, minor revisions have been made to 31 other forms
within the package to clarify and/or update surveillance definitions.
Three forms are being removed as patient vaccination monitoring will be
removed from NHSN.
The previously approved NSHN package included 56 individual
collection forms; the current revision request adds one new form and
removes three forms for a total of 54 forms. The reporting burden will
increase by 172,943 hours, for a total of 4,277,716 hours.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) hours
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Registered Nurse (Infection NHSN 2,000 1 5/60 167
Preventionist). Registration
Form.
Registered Nurse (Infection Facility Contact 2,000 1 10/60 333
Preventionist). Information.
Registered Nurse (Infection Patient Safety 6,000 1 50/60 5,000
Preventionist). Component--Annu
al Hospital
Survey.
Registered Nurse (Infection Group Contact 1,000 1 5/60 83
Preventionist). Information.
Registered Nurse (Infection Patient Safety 6,000 12 15/60 18,000
Preventionist). Monthly
Reporting Plan.
Registered Nurse (Infection Primary 6,000 44 30/60 132,000
Preventionist). Bloodstream
Infection (BSI).
Registered Nurse (Infection Pneumonia (PNEU) 6,000 72 30/60 216,000
Preventionist).
Registered Nurse (Infection Ventilator- 6,000 144 25/60 360,000
Preventionist). Associated
Event.
Registered Nurse (Infection Urinary Tract 6,000 40 30/60 120,000
Preventionist). Infection (UTI).
Staff RN...................... Denominators for 6,000 9 3 162,000
Neonatal
Intensive Care
Unit (NICU).
Staff RN...................... Denominators for 6,000 9 5 270,000
Specialty Care
Area (SCA)/
Oncology (ONC).
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Staff RN...................... Denominators for 6,000 54 5 1,620,000
Intensive Care
Unit (ICU)/
Other locations
(not NICU or
SCA).
Registered Nurse (Infection Surgical Site 6,000 36 35/60 126,000
Preventionist). Infection (SSI).
Staff RN...................... Denominator for 6,000 540 5/60 270,000
Procedure.
Laboratory Technician......... Antimicrobial 6,000 12 5/60 6,000
Use and
Resistance
(AUR)--Microbio
logy Data
Electronic
Upload
Specification
Tables.
Pharmacy Technician........... Antimicrobial 6,000 12 5/60 6,000
Use and
Resistance
(AUR)--Pharmacy
Data Electronic
Upload
Specification
Tables.
Registered Nurse (Infection Central Line 1,000 100 5/60 8,333
Preventionist). Insertion
Practices
Adherence
Monitoring.
Registered Nurse (Infection MDRO or CDI 6,000 72 30/60 216,000
Preventionist). Infection Form.
Registered Nurse (Infection MDRO and CDI 6,000 24 15/60 36,000
Preventionist). Prevention
Process and
Outcome
Measures
Monthly
Monitoring.
Registered Nurse (Infection Laboratory- 6,000 240 15/60 360,000
Preventionist). identified MDRO
or CDI Event.
Registered Nurse (Infection Long-Term Care 250 1 1 250
Preventionist). Facility
Component--Annu
al Facility
Survey.
Registered Nurse (Infection Laboratory- 250 8 15/60 500
Preventionist). identified MDRO
or CDI Event
for LTCF.
Registered Nurse (Infection MDRO and CDI 250 12 5/60 250
Preventionist). Prevention
Process
Measures
Monthly
Monitoring for
LTCF.
Registered Nurse (Infection Urinary Tract 250 9 30/60 1,125
Preventionist). Infection (UTI)
for LTCF.
Registered Nurse (Infection Monthly 250 12 5/60 250
Preventionist). Reporting Plan
for LTCF.
Registered Nurse (Infection Denominators for 250 12 3.25 9,750
Preventionist). LTCF Locations.
Registered Nurse (Infection Prevention 250 12 5/60 250
Preventionist). Process
Measures
Monthly
Monitoring for
LTCF.
Registered Nurse (Infection LTAC Annual 400 1 50/60 333
Preventionist). Survey.
Registered Nurse (Infection Rehab Annual 1,000 1 50/60 833
Preventionist). Survey.
Registered Nurse (Infection Antimicrobial 100 12 5/60 100
Preventionist). Use &
Resistance
Component--Mont
hly Reporting
Plan.
Occupational Health RN/ Healthcare 50 1 8 400
Specialist. Personnel
Safety
Component
Annual Facility
Survey.
Occupational Health RN/ Healthcare 11,000 1 5/60 917
Specialist. Personnel
Safety Monthly
Reporting Plan.
Occupational Health RN/ Healthcare 50 200 20/60 3,333
Specialist. Worker
Demographic
Data.
Occupational Health RN/ Exposure to 50 50 1 2,500
Specialist. Blood/Body
Fluids.
Occupational Health RN/ Healthcare 50 30 15/60 375
Specialist. Worker
Prophylaxis/
Treatment.
Laboratory Technician......... Follow-Up 50 50 15/60 625
Laboratory
Testing.
Occupational Health RN/ Healthcare 50 50 10/60 417
Specialist. Worker
Prophylaxis/
Treatment-
Influenza.
Medical/Clinical Laboratory Hemovigilance 500 1 2 1,000
Technologist. Module Annual
Survey.
Medical/Clinical Laboratory Hemovigilance 500 12 1/60 100
Technologist. Module Monthly
Reporting Plan.
Medical/Clinical Laboratory Hemovigilance 500 12 1 6,000
Technologist. Module Monthly
Reporting
Denominators.
Medical/Clinical Laboratory Hemovigilance 500 48 15/60 6,000
Technologist. Adverse
Reaction.
Medical/Clinical Laboratory Hemovigilance 500 10 10/60 833
Technologist. Incident.
Staff RN...................... Outpatient 5,000 1 5/60 417
Procedure
Component--Annu
al Facility
Survey.
Staff RN...................... Outpatient 5,000 12 15/60 15,000
Procedure
Component--Mont
hly Reporting
Plan.
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Staff RN...................... Outpatient 5,000 25 40/60 83,333
Procedure
Component Event.
Staff RN...................... Outpatient 5,000 12 40/60 40,000
Procedure
Component--Mont
hly
Denominators
and Summary.
Registered Nurse (Infection Outpatient 6,500 1 1.75 11,375
Preventionist). Dialysis Center
Practices
Survey.
Staff RN...................... Dialysis Monthly 6,500 12 5/60 6,500
Reporting Plan.
Staff RN...................... Dialysis Event.. 6,500 60 20/60 130,000
Staff RN...................... Denominators for 6,500 12 6/60 7,800
Dialysis Event
Surveillance.
Staff RN...................... Prevention 1,500 12 30/60 9,000
Process
Measures
Monthly
Monitoring for
Dialysis.
Staff RN...................... Dialysis Patient 325 75 10/60 4,063
Influenza
Vaccination.
Staff RN...................... Dialysis Patient 325 5 10/60 271
Influenza
Vaccination
Denominator.
Epidemiologist................ State Health 152 50 15/60 1,900
Department
Validation
Record.
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Total..................... ................ .............. .............. .............. 4,277,716
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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. 2014-14339 Filed 6-18-14; 8:45 am]
BILLING CODE 4163-18-P