[Federal Register Volume 81, Number 165 (Thursday, August 25, 2016)]
[Notices]
[Pages 58513-58514]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-20366]
[[Page 58513]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-16-0852]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to [email protected]. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written
comments should be received within 30 days of this notice.
Proposed Project
Prevalence Survey of Healthcare-Associated Infections (HAIs) and
Antimicrobial Use in U.S. Acute Care Hospitals (OMB Control No. 0920-
0852, Expires 12/31/2016)--Revision--National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Preventing healthcare-associated infections (HAIs) and reducing the
emergence and spread of antimicrobial resistance are priorities for the
CDC and the U.S. Department of Health and Human Services (DHHS).
Improving antimicrobial drug prescribing in the United States is a
critical component of strategies to reduce antimicrobial resistance,
and is a key component of the President's National Strategy for
Combating Antibiotic Resistant Bacteria (CARB), which calls for
``inappropriate inpatient antibiotic use for monitored conditions/
agents'' to be ``reduced 20% from 2014 levels'' (page 9, https://www.whitehouse.gov/sites/default/files/docs/carb_national_strategy.pdf). To achieve these goals and improve patient
safety in the United States, it is necessary to know the current burden
of infections and antimicrobial drug use in different healthcare
settings, including the types of infections and drugs used in short-
term acute care hospitals, the pathogens causing infections, and the
quality of antimicrobial drug prescribing.
Today more than 5,000 short-term acute care hospitals participate
in national HAI surveillance through the CDC's National Healthcare
Safety Network (NHSN, OMB Control No. 0920-0666, expiration 12/31/18).
These hospitals' surveillance efforts are focused on those HAIs that
are required to be reported as part of state legislative mandates or
Centers for Medicare & Medicaid Services (CMS) Inpatient Quality
Reporting (IQR) Program. Hospitals do not report data on all types of
HAIs occurring hospital-wide. Data from a previous prevalence survey
showed that approximately 28% of all HAIs are included in the CMS IQR
Program. Periodic assessments of the magnitude and types of HAIs
occurring in all patient populations in hospitals are needed to inform
decisions by local and national policy makers and by hospital infection
prevention professionals regarding appropriate targets and strategies
for HAI prevention.
The CDC's hospital prevalence survey efforts began in 2008-2009. A
pilot survey was conducted over a 1-day period at each of nine acute
care hospitals in one U.S. city. This pilot phase was followed in 2010
by a phase 2, limited roll-out HAI and antimicrobial use prevalence
survey, conducted in 22 hospitals across 10 Emerging Infections Program
sites (California, Colorado, Connecticut, Georgia, Maryland, Minnesota,
New Mexico, New York, Oregon, and Tennessee). A full-scale, phase 3
survey was conducted in 2011, involving 183 hospitals in the 10 EIP
sites. Data from this survey conducted in 2011 showed that there were
an estimated 722,000 HAIs in U.S acute care hospitals in 2011, and
about half of the 11,282 patients included in the survey in 2011 were
receiving antimicrobial drugs. The survey was repeated in 2015-2016 to
update the national HAI and antimicrobial drug use burden; data from
this survey will also provide baseline information on the quality of
antimicrobial drug prescribing for selected, common clinical conditions
in hospitals. Data collection is ongoing at this time.
A revision of the prevalence survey's existing OMB approval is
sought to reduce the data collection burden and to extend the approval
to allow another short-term acute care hospital survey to be conducted
in 2019. Data from the 2019 survey will be used to evaluate progress in
eliminating HAIs and improving antimicrobial drug use.
The 2019 survey will be performed in a sample of up to 300 acute
care hospitals, drawn from the acute care hospital populations in each
of the 10 EIP sites (and including participation from many hospitals
that participated in prior phases of the survey). Infection prevention
personnel in participating hospitals and EIP site personnel will
collect demographic and clinical data from the medical records of a
sample of eligible patients in their hospitals on a single day in 2019,
to identify CDC-defined HAIs and collect information on antimicrobial
drug use. The survey data will be used to estimate the prevalence of
HAIs and antimicrobial drug use and describe the distribution of
infection types and pathogens. The data will also be used to determine
the quality of antimicrobial drug prescribing. These data will inform
strategies to reduce and eliminate healthcare-associated infections--a
DHHS Healthy People 2020 objective (http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=17). This survey project
also supports the CDC Winnable Battle goal of improving national
surveillance for healthcare-associated infections (http://www.cdc.gov/winnablebattles/Goals.html) and the CARB National Strategy (https://www.whitehouse.gov/sites/default/files/docs/carb_national_strategy.pdf)
and Action Plan (https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf).
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There are no costs to the respondents other than their time. The
total estimated annual burden hours is 1,860. This represents a
reduction in the total estimated annual burden hours from the previous
approval due to a reduction in the number of respondents.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondents Form Name respondents responses per response (in
respondent hrs.)
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Infection Preventionist............... Healthcare Facility 100 1 45/60
Assessment (HFA).
Infection Preventionist............... Patient Information Form 100 63 17/60
(PIF).
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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. 2016-20366 Filed 8-24-16; 8:45 am]
BILLING CODE 4163-18-P