Att D4 - Revision of Burden Costs

National Healthcare Safety Network (NHSN)

OMB Control No. 0920-0666

Revision Request June 2013

Revision of Estimated Annual Cost Burden*

		Total Estimated Burden (Hours)		Estimated Hourly Wage of Respondent		Total Estimated Annual Cost Burden		Change in Estimated Annual Cost Burden
Form Number	Form Name	07/2012	06/2013	07/2012	06/2013	07/2012	06/2013
57.100	NHSN Registration Form	167	167	$38.65	$37.84	$6,442	$6,307	($135)
57.101	Facility Contact Information	333	333	$38.65	$37.84	$12,883	$12,613	($270)
57.103	Patient Safety Component--Annual Hospital Survey	3,000	3,000	$38.65	$37.84	$115,950	$113,520	($2,430)
57.105	Group Contact Information	500	500	$38.65	$37.84	$19,325	$18,920	($405)
57.106	Patient Safety Monthly Reporting Plan	70,000	42,000	$38.65	$37.84	$2,705,500	$1,589,280	($1,116,220)
57.108	Primary Bloodstream Infection (BSI)	126,000	115,200	$38.65	$37.84	$4,869,900	$4,359,168	($510,732)
57.111	Pneumonia (PNEU)	230,400	208,800	$38.65	$37.84	$8,904,960	$7,900,992	($1,003,968)
57.112	Ventilator-Associated Event	360,000	316,800	$38.65	$37.84	$13,914,000	$11,987,712	($1,926,288)
57.114	Urinary Tract Infection (UTI)	86,400	78,300	$38.65	$37.84	$3,339,360	$2,962,872	($376,488)
57.116	Denominators for Neonatal Intensive Care Unit (NICU)	162,000	162,000	$31.71	$31.48	$5,137,020	$5,099,760	($37,260)
57.117	Denominators for Specialty Care Area (SCA)/Oncology (ONC)	270,000	270,000	$31.71	$31.48	$8,561,700	$8,499,600	($62,100)
57.118	Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA)	540,000	1,620,000	$31.71	$31.48	$17,123,400	$50,997,600	$33,874,200
57.120	Surgical Site Infection (SSI)	115,200	104,400	$38.65	$37.84	$4,452,480	$3,950,496	($501,984)
57.121	Denominator for Procedure	270,000	270,000	$31.71	$31.48	$8,561,700	$8,499,600	($62,100)
57.123	Antimicrobial Use and Resistance (AUR)-Microbiology Data Electronic Upload Specification Tables	6,000	6,000	$17.76	$17.90	$106,560	$107,400	$840
57.124	Antimicrobial Use and Resistance (AUR)-Pharmacy Data Electronic Upload Specification Tables	6,000	6,000	$13.91	$14.10	$83,460	$84,600	$1,140
57.125	Central Line Insertion Practices Adherence Monitoring	8,333	8,333	$38.65	$37.84	$322,083	$315,333	($6,750)
57.126	MDRO or CDI Infection Form	230,400	208,800	$38.65	$37.84	$8,904,960	$7,900,992	($1,003,968)
57.127	MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring	24,000	28,800	$38.65	$37.84	$927,600	$1,089,792	$162,192
57.128	Laboratory-identified MDRO or CDI Event	360,000	360,000	$38.65	$37.84	$13,914,000	$13,622,400	($291,600)
57.130	Vaccination Monthly Monitoring Form–Summary Method	420,000	7,000	$38.65	$37.84	$16,233,000	$264,880	($15,968,120)
57.131	Vaccination Monthly Monitoring Form–Patient-Level Method	20,000	1,000	$38.65	$37.84	$773,000	$37,840	($735,160)
57.133	Patient Vaccination	83,333	4,167	$38.65	$37.84	$3,220,833	$157,667	($3,063,167)
57.137	Long-Term Care Facility Component – Annual Facility Survey	188	188	$38.65	$37.84	$7,247	$7,095	($152)
57.138	Laboratory-identified MDRO or CDI Event for LTCF	500	500	$38.65	$37.84	$19,325	$18,920	($405)
57.139	MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF	250	250	$38.65	$37.84	$9,663	$9,460	($203)
57.140	Urinary Tract Infection (UTI) for LTCF	1,125	1,013	$38.65	$37.84	$43,481	$38,313	($5,168)
57.141	Monthly Reporting Plan for LTCF	250	250	$38.65	$37.84	$9,663	$9,460	($203)
57.142	Denominators for LTCF Locations	9,000	9,000	$38.65	$37.84	$347,850	$340,560	($7,290)
57.143	Prevention Process Measures Monthly Monitoring for LTCF	250	250	$38.65	$37.84	$9,663	$9,460	($203)
57.150	LTAC Annual Survey	200	200	$38.65	$37.84	$7,730	$7,568	($162)
57.151	Rehab Annual Survey	417	417	$38.65	$37.84	$16,104	$15,767	($337)
57.200	Healthcare Personnel Safety Component Annual Facility Survey	800	400	$39.69	$39.85	$31,752	$15,940	($15,812)
57.203	Healthcare Personnel Safety Monthly Reporting Plan	150	75	$39.69	$39.85	$5,954	$2,989	($2,965)
57.204	Healthcare Worker Demographic Data	6,667	3,333	$39.69	$39.85	$264,600	$132,833	($131,767)
57.205	Exposure to Blood/Body Fluids	5,000	2,500	$39.69	$39.85	$198,450	$99,625	($98,825)
57.206	Healthcare Worker Prophylaxis/Treatment	750	375	$39.69	$39.85	$29,768	$14,944	($14,824)
57.207	Follow-Up Laboratory Testing	1,250	625	$17.76	$17.90	$22,200	$11,188	($11,013)
57.210	Healthcare Worker Prophylaxis/Treatment-Influenza	5,000	417	$39.69	$39.85	$198,450	$16,604	($181,846)
57.300	Hemovigilance Module Annual Survey	1,000	1,000	$32.84	$33.14	$32,840	$33,140	$300
57.301	Hemovigilance Module Monthly Reporting Plan	200	100	$32.84	$33.14	$6,568	$3,314	($3,254)
57.303	Hemovigilance Module Monthly Reporting Denominators	3,000	6,000	$32.84	$33.14	$98,520	$198,840	$100,320
57.304	Hemovigilance Adverse Reaction	10,000	6,000	$32.84	$33.14	$328,400	$198,840	($129,560)
57.305	Hemovigilance Incident	$5,580	1,000	$32.84	$33.14	$5,580	$33,140	($163,900)
57.400	Outpatient Procedure Component—Annual Facility Survey	-	417	-	$31.48	-	$13,117	$13,117
57.401	Outpatient Procedure Component - Monthly Reporting Plan	-	15,000	-	$31.48	-	$472,200	$472,200
57.402	Outpatient Procedure Component Event	-	83,333	-	$31.48	-	$2,623,333	$2,623,333
57.403	Outpatient Procedure Component - Monthly Denominators and Summary	-	40,000	-	$31.48	-	$1,259,200	$1,259,200
57.500	Outpatient Dialysis Center Practices Survey	8,550	10,500	$38.65	$37.84	$330,458	$397,320	$66,863
57.501	Dialysis Monthly Reporting Plan	-	6,000	-	$31.48	-	$188,880	$188,880
57.502	Dialysis Event	91,200	78,000	$31.71	$31.48	$2,891,952	$2,455,440	($436,512)
57.503	Denominator for Outpatient Dialysis	6,840	7,200	$31.71	$31.48	$216,896	$226,656	$9,760
57.504	Prevention Process Measures Monthly Monitoring for Dialysis	-	3,600	-	$31.48	-	$113,328	$113,328
57.505	Dialysis Patient Influenza Vaccination	-	3,125	-	$31.48	-	$98,375	$98,375
57.506	Dialysis Patient Influenza Vaccination Denominator	-	208	-	$31.48	-	$6,558	$6,558
57.600	State Health Department Validation Record	-	1,900	-	$31.38	-	$59,622	$59,622
Total Estimated Annual Cost Burden						$127,928,768	$138,711,373	$10,782,604

*Despite no change in the estimated burden hours, cost increased or decreased due to increase or decrease in annual wages.

Revision of estimated national annual cost burden of data collection by NHSN data collection form. 2