National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities

ICR 202005-0920-008

OMB: 0920-1290

Federal Form Document

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Justification for No Material/Nonsubstantive Change
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Justification for No Material/Nonsubstantive Change
2020-05-12
Supplementary Document
2020-05-07
Supplementary Document
2020-05-07
Justification for No Material/Nonsubstantive Change
2020-05-07
Supplementary Document
2020-05-01
Supplementary Document
2020-05-01
Justification for No Material/Nonsubstantive Change
2020-05-01
Supporting Statement A
2020-04-23
Justification for No Material/Nonsubstantive Change
2020-04-23
Supplementary Document
2020-04-10
Justification for No Material/Nonsubstantive Change
2020-04-09
Supplementary Document
2020-03-24
Supplementary Document
2020-03-23
Supplementary Document
2020-03-23
Supplementary Document
2020-03-23
Supplementary Document
2020-03-23
Supplementary Document
2020-03-23
Supplementary Document
2020-03-23
Supplementary Document
2020-03-23
Supporting Statement B
2020-03-24
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ICR Details
0920-1290 202005-0920-008
Historical Active 202005-0920-004
HHS/CDC 0920-1290
National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/24/2020
Approved with change 05/18/2020
Retrieve Notice of Action (NOA) 05/14/2020
Previous terms continue: Approved consistent with CDC’s commitment to clearly caveat the interpretation of the national representativeness of the data and the ability of this collection to document longitudinal trends due to changes in the number and characteristics of participating hospitals and nursing homes throughout the epidemic as well as differences in how each hospital and nursing home implements this data collection, including variation in which staff collect the data on any given day.
  Inventory as of this Action Requested Previously Approved
09/30/2020 09/30/2020 09/30/2020
3,235,450 0 3,235,450
1,159,736 0 1,066,226
0 0 0

The goal of this information collection is to 1) capture the daily, aggregate impact of COVID-19 on healthcare facilities, and 2) monitor medical capacity to respond at local, state, and national levels. This information will be used to inform the overall real-time COVID-19 response efforts and possible resource allocation, and enable state and local health departments to gain immediate access to the COVID-19 data for hospitals within their jurisdiction. Information collection for long term care facilities are being added to this request. This Change Request is submitted to modify the Patient Impact and Hospital Capacity form in response to a request form the White House Coronavirus Task Force.
I have determined that the information must be collected prior to the expiration of time period established under Part 1320, and that this information is essential to CDC’s ability, as well as that of state and local health departments, to effectively address the national public health crisis caused by the Novel Coronavirus (COVID-19). As rates of infection and resulting deaths continue to rise across the nation, healthcare facilities and public health departments are facing significant strain on patient care and infection prevention efforts. NHSN plans to introduce a new surveillance module that will enable hospitals to report daily COVID-19 patient counts to NHSN, and NHSN in turn will enable state and local health departments to gain immediate access to the COVID-19 data for hospitals in their jurisdiction. COVID-19 data submitted to NHSN also will be used immediately by CDC’s emergency COVID-19 response. NHSN’s role as a shared platform for healthcare-associated infection surveillance provides a valuable foundation for COVID-19 surveillance. The COVID-19 modules can additionally be adapted for future outbreaks of COVID or other infectious diseases. A large majority of the nation’s hospitals already participate in NHSN, and infection preventionists (IPs) in those hospitals use NHSN for surveillance and reporting of healthcare-associated infection and antimicrobial resistance. CDC cannot reasonably comply with the normal clearance procedures due to the public harm that could escalate if routine processing of this request is required. CDC requests authorization to use information collection instruments in the existing NHSN web-based application for 180 days to enable immediate CDC and public health departments with immediate access to COVID-19 patient impact data.

US Code: 42 USC 242b, 242k, 242m Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

No

28
IC Title Form No. Form Name
LTC Supplies and PPE - microbiologists none LTC Supplies
LTC Supplies and PPE - business operations occupations none LTC Supplies and PPE
COVID-19 Healthcare Worker Form - Microbiologist 0920-1290 COVID-19 Healthcare Worker Form
COVID-19 Healthcare Worker Form - Business/Financial Operations 0920-1290 COVID-19 Healthcare Worker Form
COVID-19 Healthcare Worker Form - State and Local Health Department 0920-1290 COVID-19 Healthcare Worker Form
COVID-19 Supplies Form - Microbiologist 0920-1290 COVID-19 Supplies Form
COVID-19 Supplies Form - Business/Financial Operations 0920-1290 COVID-19 Supplies Form
COVID-19 Supplies Form - State and Local Health Department 0920-1290 COVID-19 Supplies Form
COVID-19 Patient Impact Module Form - Microbiologist NA, 0920-1290 COVID-19 Patient Impact Module Form ,   COVID-19 Patient Impact Module Form - 14MAY2020
COVID-19 Patient Impact Module Form - State and Local Health Departments NA, 0920-1290 COVID-19 Patient Impact Module Form ,   COVID-19 Patient Impact Module Form - 14MAY2020
COVID-19 Patient Impact Module Form - Business/Financial Operations NA, 0920-1290 COVID-19 Patient Impact Module Form ,   COVID-19 Patient Impact Module Form - 14MAY2020
LTC Supplies and PPE - state/local health depts. none LTC Supplies and PPE
NHSN and Secure Access Management Services (SAMS) Enrollment 0920-1290 NHSN and Secure Access Management Services (SAMS) Enrollment
LTCF Personnel - Staff and Personnel Impact - Retrospective Data Entry 0920-1290 COVID-19 Module - LTCF Staff and Personnel Impact Form (Retrospective Datat Entry)
Business and Financial Operations Occupations - Staff and Personnel Impact - Retrospective Data Entry 0920-1290 COVID-19 Module - LTCF Staff and Personnel Impact Form (Retrospective Datat Entry)
State and Local Health Departments - Staff and Personnel Impact - Retrospective Data Entry 0920-1290 COVID-19 Module - LTCF Staff and Personnel Impact Form (Retrospective Datat Entry)
Business and Financial Operations Occupations - Resident Impact/Facility Capacity Form - Retrospective Data Entry 0920-1290 COVID-19 Module - LTCF Resident Impact and Facility Capacity Form (Retrospective Datat Entry)
State and Local Health Department - Resident Impact / Facility Capacity Form (Retrospective Datat Entry) 0920-1290 COVID-19 Module - LTCF Resident Impact and Facility Capacity Form (Retrospective Datat Entry)
LTC Staff and Personnel Impact - microbiologist none LTC Staff and Personnel Impact
LTC Staff and Personnel Impact - business operations occupations none LTC Staff and Personnel Impact
LTC Staff and Personnel Impact - state/local health depts. none LTC Staff and Personnel Impact
LTC Resident Impact - microbiologist none LTC Resident impact and facility capacity
LTCF Personnel - Resident Impact/Facility Capacity - Retrospective Data Entry 0920-1290 COVID-19 Module - LTCF Resident Impact and Facility Capacity Form (Retrospective Datat Entry)
LTC Resident Impact - business operations occupations none LTC Resident Impact and Facility Capacity
LTC Resident Impact - state/local health depts. none LTC Resident impact
LTC Ventilator Capacity - microbiologists none LTC Ventilator Capacity
LTC Ventilator Capacity - business operations occupations none LTC Ventilator Capacity
LTC Ventilator Capacity - state/local health depts. none LTC Ventilator Capacity

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,235,450 3,235,450 0 0 0 0
Annual Time Burden (Hours) 1,159,736 1,066,226 0 93,510 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden increase due to modification of COVID-19 Patient Impact Module Form.

$0
No
    Yes
    No
No
No
No
Yes
Jeffrey Zirger 404 639-7118 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/14/2020


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