Proposed Data Collection Submitted for Public Comment and Recommendations

Citation86 FR 38094
Published date19 July 2021
Record Number2021-15229
SectionNotices
CourtCenters For Disease Control And Prevention,Health And Human Services Department
Federal Register, Volume 86 Issue 135 (Monday, July 19, 2021)
[Federal Register Volume 86, Number 135 (Monday, July 19, 2021)]
                [Notices]
                [Pages 38094-38095]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2021-15229]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Disease Control and Prevention
                [60Day-21-0212; Docket No. CDC-2021-0069]
                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.
                -----------------------------------------------------------------------
                SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
                of its continuing effort to reduce public burden and maximize the
                utility of government information, invites the general public and other
                Federal agencies the opportunity to comment on a proposed and/or
                continuing information collection, as required by the Paperwork
                Reduction Act of 1995. This notice invites comment on a proposed
                information collection project titled the National Hospital Care Survey
                (NHCS). The goal of the project is to assess patient care in hospital-
                based settings, and to describe patterns of health care delivery and
                utilization in the United States.
                DATES: CDC must receive written comments on or before September 17,
                2021.
                ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
                0069 by any of the following methods:
                 Federal eRulemaking Portal: Regulations.gov. Follow the
                instructions for submitting comments.
                 Mail: Jeffrey M. Zirger, 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. CDC will post, without change, all relevant comments
                to Regulations.gov.
                 Please note: Submit all comments 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 Jeffrey M. Zirger, Information Collection
                Review Office, Centers for Disease Control and Prevention, 1600 Clifton
                Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7118; 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 the OMB for approval. To
                comply with this requirement, we are publishing this notice of a
                proposed data collection as described below.
                 The OMB is particularly interested in comments that will help:
                 1. 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;
                 2. Evaluate the accuracy of the agency's estimate of the burden of
                the proposed collection of information, including the validity of the
                methodology and assumptions used;
                 3. Enhance the quality, utility, and clarity of the information to
                be collected;
                 4. 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
                submissions of responses; and
                 5. Assess information collection costs.
                [[Page 38095]]
                Proposed Project
                 National Hospital Care Survey (NHCS) (OMB Control No. 0920-0212,
                Exp. 03/31/2022)--Revision--National Center for Health Statistics
                (NCHS), Centers for Disease Control and Prevention (CDC).
                Background and Brief Description
                 Section 306 of the Public Health Service (PHS) Act (42 U.S.C.
                242k), as amended, authorizes that the Secretary of Health and Human
                Services (DHHS), acting through NCHS, shall collect statistics on the
                extent and nature of illness and disability of the population of the
                United States. This three-year clearance request for National Hospital
                Care Survey (NHCS) includes the collection of all inpatient and
                ambulatory Uniform Bill-04 (UB-04) claims data or electronic health
                record (EHR) data, as well as the collection of hospital-level
                information via a questionnaire from a sample of 608 hospitals.
                 The National Ambulatory Medical Care Survey (NAMCS) was conducted
                intermittently from 1973 through 1985, and annually since 1989. The
                survey is conducted under authority of Section 306 of the Public Health
                Service Act (42 U.S.C. 242k). The National Hospital Discharge Survey
                (NHDS) (OMB No. 0920-0212, Exp. Date 01/31/2019), conducted
                continuously between 1965 and 2010, was the Nation's principal source
                of data on inpatient utilization of short-stay, non-institutional, non-
                Federal hospitals, and was the principal source of nationally
                representative estimates on the characteristics of inpatients including
                lengths of stay, diagnoses, surgical and non-surgical procedures, and
                patterns of use of care in hospitals in various regions of the country.
                In 2011, NHDS was granted approval by OMB to expand its content and to
                change its name to the National Hospital Care Survey (NHCS).
                 In May 2011, recruitment of sampled hospitals for the NHCS began.
                Hospitals in the NHCS are asked to provide data on all inpatients from
                their UB-04 administrative claims, or EHRs. Hospital-level
                characteristics and data on the impact of COVID-19 on the hospital are
                collected through an Annual Hospital Interview. NHCS will continue to
                provide the same national health-care statistics on hospitals that NHDS
                provided. Additionally, NHCS collects more information at the hospital
                level (e.g., volume of care provided by the hospital), which allow for
                analyses on the effect of hospital characteristics on the quality of
                care provided. NHCS data collected from UB-04 administrative claims and
                EHRs include all inpatient discharges, not just a sample. The
                confidential collection of personally identifiable information allows
                NCHS to link episodes of care provided to the same patient in the ED
                and/or OPD and as an inpatient, as well as link patients to the
                National Death Index (NDI) to measure post-discharge mortality, and
                Medicare and Medicaid data to leverage comorbidities. The availability
                of patient identifiers also makes analysis on hospital readmissions
                possible. This comprehensive collection of data makes future
                opportunities for surveillance possible, including analyzing trends and
                incidence of opioid misuse, acute myocardial infarction, heart failure
                and stroke, as well as trends and point prevalence of health care
                acquired infections and antimicrobial use.
                 Beginning in 2013, in addition to inpatient hospital data,
                hospitals participating in NHCS were asked to provide data on the
                utilization of health care services in their ambulatory settings (e.g.,
                EDs and OPDs). Due to low response rates and high level of missing
                data, OPD data were not collected in the last approval period (2019,
                2020 and 2021). Collection of OPD may resume in future years.
                 Data collected through NHCS are essential for evaluating the health
                status of the population, for the planning of programs and policy to
                improve health care delivery systems of the Nation, for studying
                morbidity trends, and for research activities in the health field.
                There are no changes to the data collection survey. The only change is
                to the burden hours due to the increase of the sample size. The new
                total annualized burden is 7,184 hours.
                 Estimated Annualized Burden Hours
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                 Average
                 Number of Number of burden per Total burden
                 Respondents Form name respondents responses per response (in (in hours)
                 respondent hours)
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                Hospital DHIM or DHIT.......................... Initial Hospital Intake Questionnaire.. 150 1 1 136
                Hospital CEO/CFO............................... Recruitment Survey Presentation........ 150 1 1 136
                Hospital DHIM or DHIT.......................... Prepare and transmit UB-04 or State 408 12 1 4,896
                 File for Inpatient and Ambulatory
                 (monthly).
                Hospital DHIM or DHIT.......................... Prepare and transmit EHR for Inpatient 200 4 1 800
                 and Ambulatory (quarterly).
                Hospital CEO/CFO............................... Annual Hospital Interview.............. 608 1 2 1,216
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                 Total...................................... ....................................... .............. .............. .............. 7,184
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                Jeffrey M. Zirger,
                Lead, Information Collection Review Office, Office of Scientific
                Integrity, Office of Science, Centers for Disease Control and
                Prevention.
                [FR Doc. 2021-15229 Filed 7-16-21; 8:45 am]
                BILLING CODE 4163-18-P
                

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