Non-Substantive Change Request 18JAN2022

Change Request

Paul Coverdell Acute National Stroke Registry
(OMB no. 0920-1108, exp. date 09/30/2024)

November 30, 2021

Summary
CDC requests OMB approval for non-substantive changes to the approved Paul Coverdell Acute
National Registry information collection, OMB approval number 0920-1108, exp. 09/30/2024.
The current data information collection consists of three parts: Pre-Hospital Data Elements, InHospital Data Elements, and Hospital Inventory Survey. This request requires minor
modifications to approved In-Hospital Data Elements to evaluate and improve program efficacy.
This change request does not require the collection of new or additional primary data, as the
primary data are already available to awardees via their electronic health record systems. The
request is to have four additional administrative Data Elements reported to CDC, which will
improve analytical utility, data quality, and program fidelity. No other changes are proposed to
any other part of the OMB approved data collection. The number of In-Hospital Data Elements
will increase from 155 to 159.
An overview of the four proposed data elements is provided in Exhibit 1. Details of how the data
elements will appear are provided in Exhibit 2. The exhibits are attached.

Attachments
•

Exhibits
1. Overview of Proposed Administrative Coverdell Data Elements
2. Rationale for Proposed Administrative Coverdell Data Elements

•

Coverdell Data Elements Manual, Edition 1
1. Proposed Administrative Coverdell Data Elements on Pages 13 to 16 and 27 to 30

Background
CDC collects information from funded recipients of the Paul Coverdell Acute National Registry
(currently 13 state health departments). Programs submit this information via a CDC web portal.
The information is used to monitor, evaluate, and report on funded programs.
Coverdell awardees gather responses from participating hospital providers, who administer
and/or record responses in their electronic health record or another format the state approves.
The data captures stroke risk factors such as high blood pressure, elevated blood cholesterol,
obesity, diabetes, and smoking. Hospital providers collect the data elements at the time the
participants are being brought to the hospital and when in-hospital being treated for stroke. The
Coverdell program encourages awardees to use electronic health records and to auto-fill fields in
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their data files.

Justification
The proposed change is to add four administrative data elements to improve analytical utility,
data quality, and program fidelity to the Coverdell Program.
Analytical Utility: Proposed changes involve receiving a “unique patient identifier” consistent
with CDC receiving de-identified data. Receipt of a state FIPS code is also proposed to organize
data within the data file and to generate individual reports by state health department awardees.
Data Quality: Proposed changes involve receiving a “unique hospital identifier” which is a
random 5-digit code that CDC is blinded to by state health departments. This identifier will be
used to advance focused technical assistance provision and data quality improvement.
Program Fidelity: Finally, a participant zip code is to be received from awardees to help
identify areas where persons are at highest risk for stroke events. This can be demonstrated by
participants with disproportionately high prevalence of risk factors for stroke events, like high
blood pressure and/or high blood cholesterol, and state-level data of highest need for stroke
services. This includes participants disproportionately impacted by stroke outcomes among those
who have had a stroke event such as stroke hospitalizations and stroke mortality. This will
demonstrate that funds are being directed to priority populations and areas as prescribed in the
cooperative agreement.

Implementation Schedule
CDC is submitting this non-substantive change request to OMB to provide implementation
guidance to programs for early 2022.

Effect on Burden Estimate
The burden is negligible. These four Data Elements are already in existence in the electronic
health record and incumbent funded recipients are familiar with them. The request simply
requires slightly expanding the data export to CDC. This does not require collecting any new or
additional data. No change in burden is projected and therefore the burden is unchanged.

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Type of
Respondents

No. of
Respondents

Annual
Frequency
per
Response

Hours per
Response

Total
Hours

13

4

30/60

46

In Hospital Data

13

4

30/60

26

Hospital
Inventory Survey

13

1

8

104

Hospital
Inventory Survey

650

1

30/60

325

Total

767

Type of
Collection
Pre Hospital Data

Coverdell
Funded
Programs

Coverdell
Hospital
Partners

501

Exhibit 1. Overview of Proposed Administrative Coverdell Data Elements
Type

Administrative Elements Added

Number of Elements
Impacted

STFIPS

Adding four data
Elements

Unique Participant ID Number

4
Residence Zip Code
Unique Hospital ID Assigned by State

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Exhibit 2. Rationale for Proposed Administrative Coverdell Data Elements
MDE Field
Number

Information Collection
Phrasing

Item IN-0A
State FIPS Code

Enhance Analytical
Utility

Unique Participant ID Number

Enhance Analytical
Utility

Item IN-0B

Item IN-0C
Item IN-0D

Rationale

Zip Code of Residence
A Hospital ID Number
generated by State (State
Keeps Key)

Program Fidelity
Enhance Data Quality

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