Privacy Narrative

Information Collection Request - Privacy Narrative
Paul Coverdell National Acute Stroke Program
Title: ______________________________________________________________________________________
Sallyann Coleman King; [email protected]; 770-488-5892
Point of Contact: _____________________________________________________________________________

The CDC’s Paul Coverdell National Acute Stroke Program (PCNASP) seeks to improve quality of care
for acute stroke patients through systematic approaches to quality improvement activities. Under a
new cooperative agreement that will begin July 1, 2021, the number of awardees will be expanded to
thirteen. Awardees will work with their selected partners (hospitals, Emergency Medical Services
(EMS) agencies) to improve quality of care by collecting data during 2 phases of care provided.
Additionally, hospital characteristics data is collected to understand the hospitals' capacity to treat
stroke patients. PCNASP collects data that includes i) pre-hospital care, ii) in-hospital care, and iii)
hospital characteristics data. The gender and race/ethnicity will be collected for each patient.
i) Pre-hospital care data includes information about care received prior to hospital arrival when
patients are transported by Emergency Medical Services (EMS). For example, data is collected on
whether the patient was screened for a possible stroke and whether the hospital was pre-notified that
a potential stroke patient is arriving.
ii) In-hospital care data is collected by awardees from their partner hospitals. This data includes
information on the therapies that are received in the hospital, such as time-sensitive medications and
referral to post-stroke care.
iii) Information on hospital characteristics data is completed by hospitals and describes the capacity of
their facility to treat stroke patients. This includes information such as the number of hospital beds and
the availability of dedicated acute stroke hospital teams that provide care for stroke patients.
PCNASP does not collect any PII except contact information of the person filling the form nor any
direct patient or hospital identifiers from the awardees.
PCNASP awardees collect data from their partners (EMS agencies, hospitals), which is then compiled
and then sent to CDC through the Secure Access Management Servers (SAMS).

Does this ICR request any PII?

✔ Yes

No

business contact info, not provided to CDC
If yes, describe: _____________________________________

Does this ICR include a form that requires a Privacy Act Statement?
Does this ICR require a PIA?

Yes

✔

No

Yes

✔

No

If yes, does a signed PIA already exist?

C/I/O Approval
Associate Director for Science

Rachel
Kaufmann -S
Comments:

Digitally signed by Rachel
Kaufmann -S
Date: 2021.03.15
11:21:56 -04'00'

Information Systems Security Officer

Cynthia
Allen -S

Digitally signed by
Cynthia Allen -S
Date: 2021.03.15
11:23:19 -04'00'

Yes

No