[Federal Register Volume 81, Number 87 (Thursday, May 5, 2016)]
[Notices]
[Pages 27136-27137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10507]
[[Page 27136]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-16-0976; Docket No. CDC-2016-0042]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, 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. This notice invites comment on the Million
Hearts[supreg] Hypertension Control Challenge, program designed to
identify clinical practices and health systems that have been
successful in achieving high rates of hypertension control and to
develop models for dissemination.
DATES: Written comments must be received on or before July 5, 2016.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0042 by any of the following methods:
Federal eRulemaking Portal: Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note:
All public comment should be submitted through the Federal
eRulemaking portal (Regulations.gov) or by U.S. mail to the address
listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
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; (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.
Proposed Project
Million Hearts[supreg] Hypertension Control Challenge (OMB No.
0920-0976, exp. 7/31/2016)--Reinstatement with Change--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 75 million American adults
have high blood pressure but only about half (54%) have adequately
controlled blood pressure. The costs of hypertension are estimated at
$48.6 billion annually, including the cost of direct medical expenses
and the cost of lost productivity.
In September 2011, CDC launched the Million Hearts[supreg]
initiative to prevent 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. Million Hearts[supreg] is
working to reach this goal through the promotion of 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 2013, CDC launched the Million Hearts[supreg] Hypertension
Control Challenge, 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). The Challenge is designed to help CDC (1) identify clinical
practices and health systems that have been successful in achieving
high rates of hypertension control, and (2) develop models for
dissemination. The Challenge is open to single practice providers,
group practice providers, and healthcare systems. Providers whose
hypertensive population achieves exemplary levels of hypertension
control are recognized as Million Hearts[supreg] Hypertension Control
Champions.
In 2013, 2014, and 2015, CDC collected information needed to assess
candidates for recognition through the Million Hearts[supreg]
Hypertension Control Challenge. First, interested providers or
practices completed a web-based nomination form which collected the
minimum amount of data needed to
[[Page 27137]]
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, (c) a description of the patient population served
and geographic location, and (d) a description of the sustainable
systems and strategies adopted to achieve and maintain hypertension
control rates. The estimated burden for completing the nomination form
was 30 minutes. CDC scientists or contractors reviewed each nomination
form and assigned a preliminary score.
In the second phase of assessment, nominees with the highest
preliminary scores were asked to participate in a one-hour data
verification process. The nominee reviewed the nomination form with a
reviewer or abstractor, described how information was obtained from the
providers' (or practices') electronic records, chart reviews, or other
sources, and reviewed the methodology used to calculate the reported
hypertension control rate. Data verification was conducted to ensure
that all nominees met eligibility criteria and calculated their
reported hypertension control rate according to a standardized method.
In the third phase of the assessment, each remaining finalist
participated in a two-hour, semi-structured interview and provided
detailed information about the patient population served, the
geographic region served, and the strategies employed by the practice
or health system to achieve exemplary rates of hypertension control,
including barriers and facilitators for those strategies. Based on the
information collected for Challenges in 2013 and 2014, CDC recognized a
total of 39 public and private health care practices and systems as
Million Hearts[supreg] Hypertension Control Champions. The Champions
were announced in 2014 and 2015, approximately six months after each
Challenge was launched. Information collection has been completed for
the 2015 Challenge, but Champions have not yet been announced (as of
April 27, 2016). The Challenge was not conducted in 2016. The current
OMB approval for information collection expires July 31, 2016.
CDC plans to reinstate the Million Hearts[supreg] Hypertension
Control Challenge, with changes, for 2017, 2018, and 2019. Challenges
were previously launched in late summer/early fall. The 2017 Challenge
will launch in February 2017, coinciding with American Heart Month. The
nomination period will be open for approximately 60 days, with
recognition of the 2017 Champions in the fall of 2017. A similar
calendar year schedule is planned for 2018 and 2019. Additional changes
for 2017, 2018, and 2019 include minor changes to the nomination and
data verification forms to improve usability and data quality;
elimination of the cash prize for Champions; and changes in the
estimated number of respondents. During the period of this
Reinstatement request, on an annual basis, CDC estimates that
information will be collected from up to 500 nominees using the
nomination form, at most 40 data verifications, and at most 40 semi-
structured interviews. There is an overall reduction in estimated
annualized burden hours.
The overall goal of the Million Hearts[supreg] initiative is to
prevent one million heart attacks and strokes, and controlling
hypertension is one focus of the initiative. CDC will use the
information collected through the Million Hearts[supreg] Hypertension
Control Challenge to increase widespread attention to hypertension at
the clinical practice level, improve understanding of successful and
sustainable implementation strategies at the practice or health system
level, bring visibility to organizations that invest in hypertension
control, and motivate individual practices to strengthen their
hypertension control efforts. Information collected through the Million
Hearts[supreg] 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 so
that the strategies can be replicated by other providers and health
care systems.
OMB approval is requested for three years. Participation is
voluntary and there are no costs to respondents other than their time.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondent Form name respondents responses per response (in (in hrs.)
respondent hrs.)
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Physicians (Single or Group Million 500 1 .5 250
Practices). Hearts[supreg]
Hypertension
Control Champion
Nomination form.
Finalists........................ Data Verification 40 1 1 40
Form.
Selected Champion................ Semi-structured 40 1 2 80
Interview.
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Total........................ ................... ............ .............. ............ 370
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Leroy A. 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. 2016-10507 Filed 5-4-16; 8:45 am]
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