[Federal Register Volume 81, Number 181 (Monday, September 19, 2016)]
[Notices]
[Pages 64156-64157]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-22446]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-16-0976]
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
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
In September 2011, HHS launched the Million Hearts[supreg]
initiative to prevent one million heart attacks and strokes by 2017.
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 (OMB No. 0920-0976, exp. 7/31/2016). The Challenge is
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 annual 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.
In 2013, 2014, and 2015, CDC collected information needed to assess
candidates for recognition through the Million Hearts[supreg]
Hypertension Control Challenge. A total of 59 public and private health
care practices and systems were recognized as Million Hearts[supreg]
Hypertension Control Champions for achieving exemplary levels of
hypertension control in adults ages 18-85.
CDC plans to reinstate the Million Hearts[supreg] Hypertension
Control Challenge, with changes, for information collection beginning
in 2017. Challenges were previously launched in late summer/early fall.
The 2016 Challenge is scheduled to launch in February 2017, coinciding
with American Heart Month. The nomination period will be open for
approximately 60 days, with recognition of the 2016 Million
Hearts[supreg] Hypertension Control Champions in the fall of 2017. A
similar calendar year schedule is planned for 2018 (information
collection and recognition for the 2017 Champions) and 2019
(information collection and recognition for the 2018 Champions).
Information collection supporting the Challenge will be conducted
in three steps. First, interested providers or practices will complete
a web-based nomination form which provides the minimum amount of data
needed to demonstrate 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 is 30 minutes. CDC scientists or contractors will
review each nomination form and assign a preliminary score.
In the second phase of assessment, nominees with the highest
preliminary scores (finalists) will be asked to participate in a one-
hour data verification process. The nominee will review the nomination
form with a reviewer or abstractor, describe how information was
obtained from the provider's (or practice's) electronic
[[Page 64157]]
records, chart reviews, or other sources, and review the methodology
used to calculate the reported hypertension control rate. CDC conducts
data verification to ensure that all nominees meet eligibility criteria
and calculate their reported hypertension control rate according to a
standardized method.
In the third phase of the assessment, each remaining finalist will
participate in a two-hour, semi-structured interview and provide
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 experience with administration of the Challenge in
previous years, CDC plans to eliminate the cash prize awarded to
Champions in previous years, and to implement minor changes to the
nomination form and the data verification form that will improve
usability and data quality. There are no changes to the estimated
burden per response. Finally, CDC anticipates an overall reduction in
burden due to a reduction in the estimated number of nominees. 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.
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 the respondents other than their
time. The total estimated annualized burden hours are 370.
Estimated Annualized Burden Hours
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Number of Average burden
Type of responses Form name Number of responses per per response
respondents respondent (in hr)
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Physicians (Single or Group Practices) Million Hearts[supreg] 500 1 30/60
Hypertension Control
Champion Nomination
form.
Finalists............................. Data Verification Form.. 40 1 1
Semi-structured 40 1 2
Interview.
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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. 2016-22446 Filed 9-16-16; 8:45 am]
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