Change Request Justification 12MAY2020

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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 7, 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).”  

This Change Request is submitted to include two additional revised versions of the following Instructions documents:
    1) Instructions for Completion of the COVID-19 Long-term Care Facility (LTCF): Resident Impact and Facility Capacity Form (CDC 57.144)
    2) Instructions for Completion of the COVID-19 Long-term Care Facility (LTCF): Staff and Personnel Impact Form (CDC 57.145)
Revisions contain a revised narrative that describes reporting requirements.  
The burden associated with the retrospective data entry was increased as a result of the following modifications:
    1) Burden required for NHSN enrollment
    2) Burden required to find RETROSPECTIVE records related to: 
        a. Staff and Personnel Impact
        b. Resident Impact / Facility Capacity  
    3) Burden required to enter RETROSPECTIVE data into NHSN via the calendaring function