Project Determination

Project Determination

Million Hearts Hypertension Control Champions Challenge

Project ID:	0900f3eb81f417e4
Accession #:	NCCDPHP-MHT-6/1/22-417e4
Project Contact:	Jessica Barnett
Organization:	NCCDPHP/DHDSP/OD/MHT
Status:	Project In Progress
Intended Use:	Project Determination
Estimated Start Date:	12/01/22
Estimated Completion Date:	11/30/25
CDC/ATSDR HRPO/IRB Protocol#:
OMB Control#:	0920-0976

Description

Priority

Standard

Determination Start Date

06/01/22

Description

Million Hearts is a national initiative to prevent 1 million heart attacks and strokes by 2017. Achieving this goal means that 10 million more Americans must have their blood pressure under control. Million Hearts is working to reach this goal through clinical approaches, such as using health information technology to its fullest potential and integrating team-based approaches to care, as well as community approaches. Originally launched at the inception of Million Hearts, CDC will continue with the Million Hearts™ Hypertension Control Challenge. Through this challenge we shall continue to identify clinicians, practices and health systems that are able to demonstrate high levels of hypertension control within their patient population and document the systems and processes that contribute to exemplary practice. The challenge will recognize a small number clinicians and health systems that are able to achieve exemplary results. Clinical practices and health systems will self-nominate through an online portal by providing hypertension control data, a summary of their patient population and a description of sustainable clinical and support systems. Nominations will be scored using predetermined criteria and a scoring rubric and reviewed by an expert panel of judges. Finalists will participate in data verification that will involve onsite or remote record review by a third party and/or confirmation with data submitted to a known source, such as NCQA. Recognized champions will participate in the development of a success story product to be shared broadly with public health and clinical audiences. CDC staff have developed challenge rules and criteria, data collection tools, and selection criteria. The expert panel of judges will be chaired and partially comprised of CDC staff. Current OMB approval is valid through 11/30/22. A contractor will be identified to develop and manage the challenge entry site with CDC oversight. This project is considered public health practice. The intent is to identify and share examples of clinical systems and practices that support high rates of hypertension control in a narrative or documentary format. No individual patient level data will be collected, only practice-level summary data. No generalizable knowledge will emerge from this project, only examples of successful practices that can be adopted or adapted by clinic systems and providers. A manuscript is not planned at this time. Information and success stories will be disseminated through web-based products.

IMS/CIO/Epi-Aid/Lab-Aid/Chemical Exposure Submission

No

IMS Activation Name

Not selected

Select the primary priority of the project

Not selected

Select the secondary priority(s) of the project

Not selected

Select the task force associated with the response

Not selected

CIO Emergency Response Name

Not selected

Epi-Aid Name

Not selected

Lab-Aid Name

Not selected

Assessment of Chemical Exposure Name

Not selected

Goals/Purpose

The goal of the Million Hearts Hypertension Control Champions Challenge is to recognize a small number clinicians and health systems that are able to achieve 80% or better blood pressure control among their hypertensive patients. CDC aims to share examples of the success strategies of the applicants.

Objective

CDC will identify applicants with blood pressure control rates of 80% or better among their hypertensive patients. A contractor will validate the application data and CDC will conduct qualitative interviews with some of the applicants to learn more about their strategies for success. CDC will share these examples on the Million Hearts website. This project does not relate to public health emergency, vaccines or immunization services.

Does this project include interventions, services, or policy change work aimed at improving the health of groups who have been excluded or marginalized and/or decreasing disparities?

No

Project does not incorporate elements of health equity science

Yes

Measuring Disparities

Not selected

Studying Social Determinants of Health (SDOH)

Not selected

Assessing Impact

Not selected

Methods to Improve Health Equity Research and Practice

Not selected

Other

Not selected

Activities or Tasks

New Collection of Information, Data, or Biospecimens

Target Population to be Included/Represented

Healthcare Provider

Tags/Keywords

Hypertension

CDC's Role

Activity originated and designed by CDC staff, or conducted at the specific request of CDC, or CDC staff will approve study design and data collection as a condition of any funding provided

Method Categories

Individual Interviews (Qualitative)

Methods

CDC uses an online application for the Hypertension Control Challenge. Applicants will answer a series of questions to report their hypertension control rate among their patients. After a background check is done on these applicants, a CDC selected contractor will conduct an interview to verify the applicant's application information. CDC will conduct a qualitative interview with some applicants to learn more about their strategies for success and write a success story to make these strategies publicly available.

Collection of Info, Data, or Bio specimens

Data will be collected through an electronic application and via phone interviews.

Expected Use of Findings/Results and their impact

CDC will develop success stories to make applicant's success strategies publicly available.

Could Individuals potentially be identified based on Information Collected?

No

Funding
Funding Type	Funding Title	Funding #	Original Fiscal Year	# of Years of Award	Budget Amount
CDC Cooperative Agreement	CSTLTS- MH-NACDD MH Recognition Program

HSC Review

HSC Attributes

Quality Assurance / Improvement

Yes

Regulation and Policy

Do you anticipate this project will be submitted to the IRB office

No

Institutions
Institution	FWA #	FWA Exp. Date	IRB Title	IRB Exp. Date	Funding #
National Association of Chronic Disease Directors

Staff
Staff Member	SIQT Exp. Date	Citi Biomedical Exp. Date	Citi Social and Behavioral Exp. Date	Citi Good Clinical Exp. Date	Staff Role	Email	Phone #	Organization/ Institution
Fatima Coronado	10/14/2024	11/26/2021			Project Officer		404-498-6551	OFFICE OF THE DIRECTOR

DMP
Proposed Data Collection Start Date	12/01/22
Proposed Data Collection End Date	11/30/25
Proposed Public Access Level	Non-Public
Reason for not Releasing the Data	Other- CDC will not release an institution's application data. However, CDC will disseminate in a narrative format the strategies that applicants are using to achieve blood pressure control.
Public Access justification	Million Hearts will release promotional narratives to highlight strategies that applicants attest they are using to achieve blood pressure control among their hypertensive patients. This recognition program aims to recognize and disseminate strategies that institutions are using to successfully address blood pressure control.
How Access Will Be Provided for Data	Data will be stored by CDC on a secure CDC file system. This data will be stored on a secure server that will be password protected. CDC's Million Hearts team and its funded partner (The National Association for Chronic Disease Directors) will have access to this data. Data such as the applicant's contact information will not be shared with any other entities, and will be stored for 3 years.
Plans for archival and long-term preservation of the data	Data will be stored for 3 years and then archived.

Spatiality (Geographic Location)
Country	State/Province	County/Region

Determinations
Determination	Justification	Completed	Entered By & Role
HSC: Does NOT Require HRPO Review	Not Research / Other 45 CFR 46.102(l) Quality Assurance / Improvement	06/03/22	Redmond Leonard_Joan (jrl3) CIO HSC
PRA: PRA Applies		06/06/22	Still-LeMelle_Terri (cse6) OMB / PRA
ICRO: PRA Applies	OMB Approval date: 11/21/19 OMB Expiration date: 11/30/22	06/07/22	Zirger_Jeffrey (wtj5) ICRO Reviewer