[Federal Register Volume 83, Number 76 (Thursday, April 19, 2018)]
[Notices]
[Pages 17414-17415]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-08165]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-18-17BAW]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled the Paul Coverdell National Acute Stroke
Program (PCNASP) 2015-2020 Assessment to the Office of Management and
Budget (OMB) for review and approval. CDC previously published a
``Proposed Data Collection Submitted for Public Comment and
Recommendations'' notice on October 10, 2017 to obtain comments from
the public and affected agencies. CDC did not receive comments related
to the previous notice. This notice serves to allow an additional 30
days for public and affected agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(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]. Direct written comments
and/or suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide
written comments within 30 days of notice publication.
Proposed Project
Paul Coverdell National Acute Stroke Program (2015-2020)
Assessment--New--National Center for Chronic Disease Prevention and
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
The Centers for Disease Control and Prevention (CDC), Division for
Heart Disease and Stroke Prevention (DHDSP), requests OMB approval for
a new collection.
The CDC is the primary Federal agency for protecting health and
promoting quality of life through the prevention and control of
disease, injury, and disability. CDC is committed to programs that
reduce the health and economic consequences of the leading causes of
death and disability, thereby ensuring a long, productive, healthy life
for all people.
Stroke remains a leading cause of serious, long-term disability and
is the fifth leading cause of death in the United States after heart
disease, cancer, chronic lower respiratory diseases, and accidents.
Estimates indicate that approximately 795,000 people suffer a first-
ever or recurrent stroke each year with more than 130,000 deaths
annually. Although there have been significant advances in preventing
and treating stroke, the rising prevalence of heart disease, diabetes,
and obesity has increased the relative risk for stroke, especially in
African American populations. Moreover, stroke's lifetime direct cost
of health care and indirect cost of lost productivity is staggering and
imposes a substantial societal economic burden. Coverdell-funded state
programs are in the forefront of developing and implementing system-
change efforts to improve emergency response systems, enhance the
quality of care for stroke, and improve transitions across stroke
systems of care, including pre-event; transitions from EMS to acute
care in hospitals; and transitions from hospitals to home,
[[Page 17415]]
rehabilitation, stroke specialist care, and primary care providers.
When Congress directed the CDC to establish the Paul Coverdell
National Acute Stroke Program (PCNASP) in 2001, CDC intended to monitor
trends in stroke and stroke care, with the ultimate mission of
improving the quality of care for stroke patients in the United States.
Since 2015, CDC has funded and provided technical assistance to nine
state health departments to develop comprehensive stroke systems of
care. A comprehensive system of care improves quality of care by
creating seamless transitions for individuals experiencing stroke. In
such a system, pre-hospital providers, in-hospital providers, and early
post-hospital providers coordinate patient hand-offs and ensure
continuity of care. CDC contracted with RTI International to conduct an
assessment of the state health departments awarded grants in 2015 to
assess their implementation in their state-based contexts and progress
toward short- and intermediate-term outcomes.
CDC and RTI International propose to collect information from all
nine funded PCNASP grantees to gain insight into the effectiveness of
implementation of their quality improvement strategies, development
(and use) of a data integrated management system, and partner
collaboration in building comprehensive state-wide stroke systems of
care. The information collection will focus on describing PCNASP
specific contributions to effective state-based stroke systems of care
and the costs associated with this work. Two components of the
information collection include: (1) Program implementation cost data
collection from program partners using a cost and resource utilization
tool; and (2) telephone interviews with key program stakeholders, such
as the PCNASP principal investigator, program manager, quality
improvement specialist, data analyst/program evaluator, and partner
support staff. Cost data collection will focus on a stratified sample
of partners' cumulative spending to support PCNASP activities, spending
by reporting period, and spending associated with specific PCNASP
strategies related to building comprehensive state-wide stroke systems
of care. Interview questions will target how each grantee implemented
its strategies, challenges encountered and how they were overcome,
factors that facilitated implementation, lessons learned along the way,
and observed outcomes and improvements. The information to be collected
does not currently exist for large scale, statewide programs that
employ multiple combinations of strategies led by state public health
departments to build comprehensive stroke systems of care. The insights
to be gained from this data collection will be critical to improving
immediate efforts and achieving the goals of spreading and replicating
state-level strategies that are proven programmatically and are cost-
effective in contributing to a higher quality of care for stroke
patients.
The total estimated annual burden hours are 328. There are no costs
to the respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
Partner Program Manager............... Cost Resource and 137 1 2
Utilization Tool.
Principal Investigator................ Telephonic Interviews... 3 1 1
Grantee Program Manager............... Telephonic Interviews... 3 1 1
Quality Improvement Specialist........ Telephonic Interviews... 3 1 1
Data Analyst/Program Evaluator........ Telephonic Interviews... 3 1 1
Partner Support Staff................. Telephonic Interviews... 6 1 1
----------------------------------------------------------------------------------------------------------------
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. 2018-08165 Filed 4-18-18; 8:45 am]
BILLING CODE 4163-18-P