Att B - 60 day FRN

Federal Register / Vol. 77, No. 195 / Tuesday, October 9, 2012 / Notices
Dated: October 2, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI),
Office of the Associate Director for Science
(OADS), Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2012–24765 Filed 10–5–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–13–0212]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to Kimberly S. Lane, at 1600
Clifton Road, MS D–74, Atlanta, GA
30333 or send an email to [email protected].
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; and (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. Written comments should
be received within 60 days of this
notice.

wreier-aviles on DSK5TPTVN1PROD with NOTICES

Proposed Project
The National Hospital Care Survey
(NHCS)—Revision Exp. 4/30/2014—
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

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illness and disability of the population
of the United States. This three-year
clearance request for the National
Hospital Care Survey includes data
collection from hospital inpatient
departments; hospital ambulatory
departments including emergency
departments (ED), outpatient
departments (OPD), and ambulatory
surgery locations (ASLs); and
freestanding ambulatory surgery centers
(ASCs).
The National Center for Health
Statistics’ (NCHS) surveys on hospital
care include the National Hospital
Discharge Survey (NHDS) (OMB
No.0920–0212) and the National
Hospital Ambulatory Medical Care
Survey (NHAMCS) (OMB No. 0920–
0234). NHDS, between 1965 and 2010,
provided critical information on the
utilization of the nation’s non-Federal
short-stay hospitals and on the nature
and treatment of illness among the
inpatient hospitalized population.
NHAMCS has provided data annually
since 1992 concerning the nation’s use
of hospital emergency and outpatient
departments. Beginning in 2009
NHAMCS collected data on hospital
based ambulatory surgery locations, and
in 2010 began collection of data from
free-standing ambulatory surgery
centers. NHAMCS data have been
extensively used for monitoring changes
and analyzing the types of outpatient
care provided in the nation’s hospitals.
The Drug Abuse Warning Network
(DAWN) (OMB No. 0930–0078, expired
12/31/2011) collected specific
information on drug-related visits to the
ED. DAWN was previously funded by
the Center for Behavioral Health
Statistics & Quality (CBHSQ) of the
Substance Abuse & Mental Health
Services Administration (SAMHSA),
DHHS.
NCHS is integrating the data collected
from NHDS, NHAMCS, and DAWN into
one survey called the National Hospital
Care Survey (NHCS). This integration
will increase the wealth and depth of
data on health care utilization and allow
for linkages to other data sources such
as the National Death Index and data
from Centers for Medicare and Medicaid
Services (CMS).
Since May 2011, a sample of 500
hospitals drawn for NHCS is being
recruited, and participating hospitals
are submitting inpatient level data in
the form of electronic Uniform Bill (UB–
04) administrative claims data as well as
facility level data. This activity
continues in 2013 in addition to the
sampled hospitals being asked to
provide data on the utilization of health
care provided in their EDs, OPDs and
ASLs, thus integrating the NHDS,

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NHAMCS, and DAWN into NHCS. If
funding becomes available, a new
sample of freestanding ASCs will be
recruited sometime within the 3-year
clearance period.
NHCS will replace NHDS, NHAMCS,
and DAWN, but continue to provide
nationally representative data on
utilization of hospital care and general
purpose health care statistics on
inpatient care as well as care delivered
in EDs, OPDs, ASLs, and freestanding
ASCs.
Facility-level, patient-level, dischargelevel, and visit-level, data items will be
collected from the recruited hospitals
and freestanding ASCs in NHCS.
Facility- level data items will include
ownership, number of staffed beds,
clinical capabilities, financial
information, and electronic health
record adoption. Patient-level data items
will be collected for both inpatient and
ambulatory components and include
basic demographic information,
personal identifiers, name, address,
social security number (if available),
and medical record number (if
available). For the inpatient component,
discharge-level data will be collected
through the UB–04 claims and will
include: admission and discharge dates,
diagnoses, diagnostic services, and
surgical and non-surgical procedures.
For the ambulatory component, visitlevel data will be collected through the
UB–04 claims as well as through
abstraction of a sample of medical
records, which includes reason for visit,
diagnosis, procedures, medications, and
patient disposition.
We expect that the users of NHCS will
be similar to the users of NHDS,
NHAMCS, and DAWN data. These users
include but are not limited to CDC,
Congressional Research Office, Office of
the Assistant Secretary for Planning and
Evaluation (ASPE), National Institutes
of Health, American Health Care
Association, Centers for Medicare &
Medicaid Services (CMS), Bureau of the
Census, Office of National Drug Control
Policy, state and local governments, and
nonprofit organizations. Other users of
these data include universities, research
organizations, many in the private
sector, foundations, and a variety of
users in the print media.
Data collected through NHCS are
essential for evaluating health status of
the population, for the planning of
programs and policy to elevate the
health status of the Nation, for studying
morbidity trends, and for research
activities in the health field.
Historically, NHDS and NHAMCS data
have been used extensively in the
development and monitoring of goals

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61412

Federal Register / Vol. 77, No. 195 / Tuesday, October 9, 2012 / Notices

for the Year 2000, 2010, and 2020
Healthy People Objectives.

There is no cost to respondents other
than their time to participate.

ESTIMATED ANNUALIZED BURDEN HOURS
Respondents

Number of
respondents

Form

Number of
responses per
respondent

Average
burden per
response
(in hours)

Total burden
hours

HOSPITAL
Hospital CEO/CFO ............................
Hospital CEO/CFO ............................
Hospital CEO/CFO ............................
Medical and Health Services Manager.
Department of Health Information
Management (DHIM) or Health Information Technology (DHIT) staff.
Medical Record Clerk .......................

Hospital Eligibility Questions ............
Recruitment Survey Presentation ....
Annual Hospital Interview (includes
inpatient and ambulatory).
Ambulatory Unit Induction ................
Prepare and transmit UB–04 (2013–
2015) for inpatient and ambulatory.
Pulling and re-filing Patient Records
(ED, OPD, and ASL).

500
167
500

1
1
1

1
1
2

500
167
1000

2,000

1

15/60

500

500

4

1

2,000

1,125

100

1/60

1,875

FREESTANDING AMBULATORY SURGERY CENTERS (FSASC)
FSASC Chief Executive Officer ........
FSASC DHIM or DHIT ......................

250
250

1
4

30/60
1

125
1000

FSASC Medical Record Clerk ..........

Annual FSACS Interview .................
Prepare and transmit UB–04 (2013–
2015).
Pulling and re-filing Patient Records

125

100

1/60

208

Total ...........................................

...........................................................

........................

........................

........................

7,375

Dated: October 2, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI),
Office of the Associate Director for Science
(OADS), Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2012–24761 Filed 10–5–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–13–0728]

wreier-aviles on DSK5TPTVN1PROD with NOTICES

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 and
send comments to Ron Otten, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to [email protected].

VerDate Mar<15>2010

15:28 Oct 05, 2012

Jkt 229001

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; and (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. Written comments should
be received within 60 days of this
notice.
Proposed Project
Title: National Notifiable Disease
Surveillance System (NNDSS), OMB
Control No. 0920–0728, Revision Exp.
01/31/2014, Office of Surveillance,
Epidemiology, and Laboratory Services
(OSELS), Public Health Surveillance
and Informatics Program Office
(PHSIPO) {Proposed} Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Public Health Services Act (42
U.S.C. 241) authorizes CDC to
disseminate nationally notifiable
condition information. CDC’s Morbidity

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and Mortality Weekly Report publishes
incidence and prevalence tables for
nationally notifiable conditions for the
reporting of case notification data from
57 reporting jurisdictions (50 states, 2
cities, and 5 territorial health
departments) using the National
Electronic Disease Surveillance System
(NEDSS) umbrella of systems and
including the National Electronic
Telecommunications System for
Surveillance (NETSS) and other
surveillance data sources to NNDSS.
Each year, the Council of State and
Territorial Epidemiologists (CSTE)
establishes the public health
surveillance priorities and policies for
the nation which are voted on by the
Chief Epidemiologist in each U.S. State
and Territory. In 2012, CSTE members
voted to have Leptospirosis added to the
CSTE List of Notifiable Conditions. In
response to this CSTE position
statement, the CDC Leptospirosis
Program is requesting a change to
NNDSS to include Leptospirosis on the
NNDSS list so that reporting
jurisdictions can start submitting core
surveillance data to CDC. The
annualized burden hours and cost to
reporting jurisdictions to submit this
data to CDC will not change
significantly.

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