Change Request Justification - 29MAY2020

0920-1290 Change Memo - NHSN COVID-19 PIHC changes 05292020.docx

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

Change Request Justification - 29MAY2020

OMB: 0920-1290

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Change Memo for

“National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19)

Surveillance in Healthcare Facilities”

(OMB Control No. 0920-1290)

Expiration Date: 09/30/2020































Program Contact


Lauren Wattenmaker

Surveillance Branch

Division of Healthcare Quality Promotion

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

Atlanta, Georgia 30333

Phone: 404-718-5842

Email: [email protected]


Submission Date: May 29, 2020

The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests a nonmaterial/non-substantive of the currently approved Information Collection Request: “National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities (OMB Control No. 0920-1290).”


The COVID-19 Patient Impact and Hospital Capacity data collection tool was released with the NHSN COVID-19 Module on March 27, 2020. Facility-level data collected through NHSN as part of the COVID-19 Module are being made available to a broader set of Federal, state, and local agency data users than data typically collected by NHSN. Specifically, COVID-19 data at the state, county, territory, and facility level submitted to NHSN will continue to be used for public health emergency response activities by CDC’s emergency COVID-19 response, by the U.S. Department of Health and Human Services’ (HHS’) COVID-19 tracking system maintained in the Office of the Assistant Secretary of Preparedness and Response as part of the National Response Coordination Center at the Federal Emergency Management Agency (FEMA), and by the White House Coronavirus Task Force.

In order to strengthen the COVID-19 response efforts, the White House Coronavirus Task Force has requested additional data elements be added to the Patient Impact and Hospital Capacity form. Specifically, we are adding two new data field for daily collection:

  • HOSPITALIZED and ICU: Patients currently hospitalized in an inpatient ICU bed who have suspected or confirmed COVID-19

  • Number of Hospitalized and ICU with Confirmed COVID-19 (subset)

We are additionally modifying existing data elements for clarity based on user input by adding subset fields to nine data elements that request number of confirmed COVID-19 counts.

We estimate these changes will add five minutes to the previously approved burden for this data collection tool. The previous burden calculated for this form consisted of 327,285 hours. As a result of the changes proposed in this change memo, the burden for this form will increase by 46,755 hours.

Type of Respondent

Form Name

No. of Respondents

No. Responses per Respondent

Avg. Burden per response (in hrs.)

Total Burden (in hrs.)

Microbiologist (IP)

COVID-19 Patient Impact Module Form

2079

180

40/60

249,480

Business and financial operations occupations

COVID-19 Patient Impact Module Form

519

180

40/60

62,280

State and local health department occupations

COVID-19 Patient Impact Module Form

519

180

40/60

62,280


The previous burden calculated for this entire data collection consisted of 1,159,736 hours. As a result of the changes proposed in this change memo, the new burden will consist of 1,206,491 hours.


Type of Respondent

Form Name

No. of Respondents

No. Responses per Respondent

Avg. Burden per response (in hrs.)

Total Burden (in hrs.)

Microbiologist (IP)

COVID-19 Patient Impact Module Form

2079

180

35/60

249,480

Business and financial operations occupations

COVID-19 Patient Impact Module Form

519

180

35/60

62,280

State and local health department occupations

COVID-19 Patient Impact Module Form

519

180

35/60

62,280

Microbiologist (IP)

COVID-19 Healthcare Worker Form

2079

180

25/60

155,925

Business and financial operations occupations

COVID-19 Healthcare Worker Form

519

180

25/60

38,925

State and local health department occupations

COVID-19 Healthcare Worker Form

519

180

25/60

38,925

Microbiologist (IP)

COVID-19 Supplies Form

2079

180

25/60

155,925

Business and financial operations occupations

COVID-19 Supplies Form

519

180

25/60

38,925

State and local health department occupations

COVID-19 Supplies Form

519

180

25/60

38,925

LTCF personnel

NHSN and Secure Access Management Services (SAMS) enrollment

11,500

1

60/60

11,500

LTCF personnel

COVID-19 Module, Long Term Care Facility: Staff and Personnel Impact form

9,782

26

15

63,583

Business and financial operations occupations

COVID-19 Module, Long Term Care Facility: Staff and Personnel Impact form

2,446

26

15/60

15,899

State and local health department occupations

COVID-19 Module, Long Term Care Facility: Staff and Personnel Impact form

2,446

26

15/60

15,899

LTCF personnel

COVID-19 Module, Long Term Care Facility Staff and Personnel Impact form (retrospective data entry)

4,891

1

15/60

1,223

Business and financial operations occupations

COVID-19 Module, Long Term Care Facility Staff and Personnel Impact form (retrospective data entry)

1,223

1

15/60

306

state and local health department occupations

COVID-19 Module, Long Term Care Facility Staff and Personnel Impact form (retrospective data entry)

1,223

1

15/60

306

LTCF personnel

COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form

9,782

26

20/60

84,777

Business and financial operations occupations

COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form

2,446

26

20/60

21,199

State and local health department occupations

COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form

2,446

26

20/60

21,199

LTCF personnel

COVID-19 Module, Long Term Care Facility Resident Impact and Facility Capacity form (retrospective data entry)

4,891

1

15/60

1,223

Business and financial operations occupations

COVID-19 Module, Long Term Care Facility Resident Impact and Facility Capacity form (retrospective data entry)

1,223

1

15/60

306

state and local health department occupations

COVID-19 Module, Long Term Care Facility Resident Impact and Facility Capacity form (retrospective data entry)

1,223

1

15/60

306

LTCF personnel

COVID-19 Module, Long Term Care Facility: Ventilator Capacity & Supplies form

9,782

26

5/60

21,194

Business and financial operations occupations

COVID-19 Module, Long Term Care Facility: Ventilator Capacity & Supplies form

2,446

26

5/60

5,300

State and local health department occupations

COVID-19 Module, Long Term Care Facility: Ventilator Capacity & Supplies form

2,446

26

5/60

5,300

LTCF personnel

COVID-19 Module, Long Term Care Facility: Supplies & Personal Protective Equipment form

9,782

26

15/60

63,583

Business and financial operations occupations

COVID-19 Module, Long Term Care Facility: Supplies & Personal Protective Equipment form

2,446

26

15/60

15,899

State and local health department occupations

COVID-19 Module, Long Term Care Facility: Supplies & Personal Protective Equipment form

2,446

26

15/60

15,899

Total


1,206,491



Attachments:

  1. COVID-19 Patient Impact and Hospital Capacity Form

  2. Table of Instructions for COVID-19 Patient Impact and Hospital Capacity Form

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWattenmaker, Lauren (CDC/DDID/NCEZID/DHQP)
File Modified0000-00-00
File Created2021-01-14

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