Proposed Changes

Proposed changes to the Million Hearts Hypertension control Challenge 0920-0976

This is a revision. OMB approval is requested for 3 years. Proposed changes are outlined below.

1. Program Change: An increase in the required hypertension control rate from 70% to 80% and change in the scoring rubric for scoring applications (Attachment 7; Supporting Statement A).
   
   
   

2. A non-substantive change to a question in the Application form and two questions were moved to a different section of the Application form. One of those two questions was revised for clarity (Attachment 3a).
   
   
   

3. Revision: Changes to the Burden Table (Supporting Statement A)

In the initial submission to OMB, the burden table was based on expectations without knowledge of actual numbers of applications. Based on experience during the 2017 and 2018 Challenges, we are revising the number of estimated Applications downward from 500 to 200. This results in a reduction of 300 responses and a reduction of 150 burden hours. Additionally, during the 2017 and 2018 Challenges, it became apparent that the burden for finalists undergoing verification and validation process, the burden was underestimated and the burden for Champions interview was overestimated. This resulted in an increase in burden from 1 hour to 2 hours per finalist and an increase in total burden hours from 40 to 80 hours for finalists. The burden for Champions is reduced by 5 respondents and the total burden hours per Champion is reduced by 1 hour, resulting in a total reduction in burden of 45 hours for Champions. In total, there will be 305 fewer responses and 155 fewer burden hours.

4. Adjustment: The estimated annual cost for respondents has been updated to current hourly wage estimates and changes in burden. (Supporting Statement A)

5. Content on the eligibility, data validation process, and judging added to the Eligibility and rules for Participation revised for clarity (Attachment 7).

Existing	Revision
Attachment 7 Rules and Eligibility for Participation	Increase in the required hypertension control rate
Page 2 – hypertension control rate of at least 70%	hypertension control rate of at least 80%
Supporting Statement A
Section A.6	Increase in the required hypertension control rate
“achieving 70% hypertension control rates”	“achieving 80% hypertension control rates”
Section A.2 #1	Deletion of the complex scoring rubric
“Information collected through the application process will be used to rate and rank approximately 40 finalists per year for further consideration. Nominees and finalists will receive a preliminary score by CDC staff or contractors based on a structured scoring rubric that considers hypertension control rate (at least 90% of score), sustainable systems (up to 5% of score) and patient population that is high risk (up to 5% of scores). A CDC panel of judges will complete a preliminary review of the nomination and assign a preliminary score to each submitted nomination form.”	“Information collected through the application process will be used to rate and rank approximately 40 finalists per year for data validation. A panel of judges will review the applications and the results of data validation and background checks to determine the Champions.”
Attachment 3a Application Form
Page 4 – For the current reporting period, were you participating in any of the following programs?	Revision of a question
“Medicare Share Savings Program”	“Target: BP”
Of this number of patients seen, distribute them by age: Percent of patients: Age: 18-44 _____ Percent of patients: Age 45-64: _____ Percent of patients: Age 65-74: __­­­­___ Percent of patients: Age 75-85: _____	Pages 1-2 – Two question in the “Population served” section were moved to the “Hypertension Control” section for better flow of questions. Text of one of those two questions was simplified. Of this number of patients seen, what percent of them were: Ages: 18-44 _______ Ages 45-64: _______ Ages 65-74: _______ Ages 75-85: _______

Changes to Annualized burden hours for respondents.

Table A.15-1.

		Previous OMB Approval Period		Proposed for This Revision		Net Change
Type of Respondents	Form Name	No. of Responses	Total burden (in hours)	No. of Responses	Total burden (in hours)	Change in responses	Change in burden hours
Physician, practices and health-care systems	Million Hearts ® Hypertension Control Champion Application Form	500	250	200	100	-300	-150
Finalists	Million Hearts ® Hypertension Control Champion Data Verification Form	40	40	40	80	0	40
Champions	Interview Guide: Million Hearts ® Hypertension Control Champion	40	80	35	35	-5	-45
Total		580	370	275	215	-305	-155

Adjustment to estimated Annualized cost to Respondents due to revised data from the Bureau of Labor Statistics and changes in the annualized burden hours for respondents. Table A.12-A.

		Previous OMB Approval Period		Proposed for This Revision		Net Change
Type of Respondents	Form Name	No. of Responses	Total burden (in hours)	No. of Responses	Total burden (in hours)	Change in weighted hourly wage	Change in Total Cost
Physician, practices and health-care systems	Million Hearts ® Hypertension Control Champion Application Form	500	250	200	100	From $55.66 to $61.12	From $13,915.00 to $6,112.00
Finalists	Million Hearts ® Hypertension Control Champion Data Verification Form	40	40	40	80	From $57.99 to $57.62	From $2,319.60 to $4,609.60
Champions	Interview Guide: Million Hearts ® Hypertension Control Champion	40	80	35	35	From $66.72 to $65.37	From $5,337.60 to $2,287.95
Total		580	250	275	115		From $21,572.20 to $13,009.55