Change Request Justification_08072017

Change Request

Million Hearts ® Hypertension Control Challenge

(OMB no. 0920-0976, approved 12/21/2016, exp. Date 12/31/2019)

Date of Request: July 31, 2017

Updated August 8, 2017

OMB approval is requested by 8/31/2017

Summary

Goal of the Challenge is to identify medical practices and clinics that achieve high rates of hypertension control and to recognize them as Million Hearts® Hypertension Control Champions. Since 2013, CDC has recognized 59 Champions. Clinical practices achieving exemplary hypertension control rates can apply to the Challenge through the Million Hearts website by completing an Application that provides de-identified, aggregate information about the applicant’s patient population and rate of hypertension control. This information is used to select finalists who will then participate in data verification and validation processes, background check, and a qualitative interview. Data validation will be conducted using an independent chart abstraction contractor or electronic medical record contractor to verify the validity of the data submitted to the Challenge. Qualitative information will be collected through an in-person interview or telephone interview. Applicants are medical care providers (single physician or group practices) and health care systems reporting on hypertension control in their adult patients ages 18-85. Data collected through the application and validation processes will be analyzed to calculate and verify the hypertension control rate for the reporting period for the clinical practice. Information collected through qualitative interviews is primarily descriptive. No identifiable, patient-level information will be reported to CDC.

We request the following:

OMB approval of the revised Nomination Form, Validation form, and Rules and Eligibility content for the 2018 Challenge. See Attachment 3 track changes, Attachment 3 clean, Attachment 4 track changes, Attachment 4 clean, Attachment 7 track changes, and Attachment 7 clean. Changes relative to the 2016 versions are summarized in Attachment 9, Crosswalk of Non-substantive changes to 2016 forms.

There are no changes to the burden as outlined in the current Supporting Statement Part A, nor are there any changes to the methodology, purpose of the project, or changes that alter the interpretation of the results.

Background and Justification

Million Hearts has recently received applications for the 2017 Challenge. Based upon questions from applicants, minor modifications are requested for clarity in providing information about the applicant and the information about their patient population. The requested changes are intended to make it easier for the applicants to understand what information is requested in the application, which should save time in completing the data verification form. Secondly, CDC believes that changing the name of the nomination form to an application form provides greater clarity that physicians and clinical practices do not need to be nominated by someone else, but that they can directly apply.

In summary, the request includes:

• Changing the name of the Nomination Form to Application Form, and all instances of nomination, nominee, and nominate to application, applicant, and apply on the Application Form and the Data Verification Form, and the Eligibility and Rules form.

• Application Form: Changing the order of the applicant information and contact information and changing the order of two questions relating to the population served, and changing the order of two questions for the calculation of the hypertension control rate.

• Application Form: Revisions for clarity, instructional changes for clarity, one instructional change to be consistent with the Eligibility and Rules Form, and one new question.

• Data Verification Form: Deletion of one question which is duplicative, addition of two questions for consistency with the application form, revision of three questions for clarity and consistency, and two instructional changes on the Data Verification Form.

• Eligibility and Rules Form: Instructional changes for clarity

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