[Federal Register: June 1, 2004 (Volume 69, Number 105)]
[Notices]
[Page 30916-30917]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr01jn04-87]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-04-58]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call the CDC Reports
Clearance Officer on (404) 498-1210.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information
[[Page 30917]]
on respondents, including through the use of automated collection
techniques or other forms of information technology. Send comments to
Seleda Perryman, CDC Assistant Reports Clearance Officer, 1600 Clifton
Road, MS-E11, Atlanta, GA 30333 or send an e-mail to omb@cdc.gov.
Written comments should be received within 60 days of this notice.
Proposed Project
Surveys to Determine the National Incidence of Healthcare-
associated Infections and Hospital Surveillance Methods--New--National
Center for Infectious Diseases (NCID), Centers for Disease Control and
Prevention (CDC). Approximately 2 million hospital patients develop
infections acquired while hospitalized (nosocomial infections) each
year. The National Nosocomial Infections Surveillance (NNIS) system
provides national data for nosocomial infections in the U.S. Currently,
NNIS hospitals provide data on infections in surgical patients and
patients in intensive care units (ICUs) only. Consequently, national
estimates of the incidence and burden of healthcare-associated
infections in all hospitalized patients are incomplete. Additionally,
only about 300 of the nation's 5000 hospitals report data to NNIS, so
surveillance methods at most U.S. hospitals are unknown.
This proposed project consists of two surveys. The objective of the
first survey will be to estimate the total number and rate per 100
inpatient discharges of the five most common healthcare-associated
infections in U.S. hospitals. The objective of the second survey is to
determine surveillance methods routinely used by U.S. hospitals to
monitor nosocomial infections.
The first survey (Incidence of Nosocomial Infections) will involve
the use of a simplified nosocomial infections data collection
instrument that includes questions covering the five most common
healthcare associated infections. The survey will cover nosocomial
laboratory-confirmed bloodstream infections, urinary tract infections,
surgical site infections, Clostridium difficile-associated
gastrointestinal infections, and pneumonia. Data will be abstracted by
the hospital Infection Control Practitioner (ICP) or designee. The ICP
will review the charts of 20 consecutive discharged patients on a
designated day and complete a form indicating whether each met
specified criteria for nosocomial infections.
The second survey (Surveillance Methods) will also be completed by
a hospital ICP or designee. It will include questions on the number of
personnel participating in surveillance for nosocomial infections, the
types of events under surveillance, the methods used for surveillance,
who the data is reported to, and preferences regarding CDC-sponsored
healthcare surveillance systems.
Participation in the proposed surveys will be voluntary. A random
sample of 400 U.S. hospitals registered with the American Hospital
Association (AHA) would be recruited for each survey, so there will be
a total of 800 respondents. A deadline for the return of the surveys
will be provided, after which non-respondents will be contacted and
prompted to complete the surveys. Respondents may provide data on paper
forms mailed to CDC or electronically via a secure Web site.
These data will be used to estimate the total number and rate of
infections per 100 inpatient discharges at U.S. hospitals as well as
the site distribution of these infections. These estimates will be used
by CDC and other Federal agencies to allocate resources and potentially
to track rates over time. Additionally, the data will be used to better
understand the methods that are used for surveillance and to improve
CDC-sponsored healthcare surveillance systems.
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Average
Number of Number of burden/ Total burden
Form respondents responses/ response (in hours
respondent hrs)
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Incidence of Nosocomial Infections.............. 400 20 10/60 1333
Surveillance Methods............................ 400 1 1 400
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Total....................................... 800 .............. .............. 1733
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In the above table, the number of respondents reflects the number
of institutions, and the number of responses, reflects the number of
forms completed per hospital for each survey. The burden per response
is the time taken to review records and complete the appropriate
form(s). The total burden is the cumulative time that would likely be
taken for all respondents.
Dated: May 17, 2004.
Joe E. Salter,
Acting Director, Management Analysis and Services Office, Centers for
Disease Control and Prevention.
[FR Doc. 04-12224 Filed 5-28-04; 8:45 am]
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