[Federal Register Volume 75, Number 153 (Tuesday, August 10, 2010)]
[Notices]
[Pages 48348-48349]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-19704]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-10-0212]
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 project or to obtain a copy
of the data collection plans and instruments, call the CDC Reports
Clearance Officer at 404-639-5960 or send comments to CDC Assistant
Reports Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA
30333 or send an e-mail to [email protected].
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 on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
Revision of the National Hospital Discharge Survey (NHDS) (OMB No.
0920-0212 exp. 10/31/2011)--Revision--National Center for Health
Statistics (NCHS), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health Service (PHS) Act (42 U.S.C.
242k), as amended, authorizes that the Secretary of Health and Human
Services (DHHS), acting through NCHS, shall collect statistics on the
extent and nature of illness and disability of the population of the
United States. This three-year clearance request includes hospital
recruitment and data collection for 2011, 2012, and 2013 of the
redesigned National Hospital Discharge Survey, as well as a pretest of
data collection on acute coronary syndrome for a supplement to the NHDS
which will be sponsored by the National Heart, Lung and Blood
Institute.
The National Hospital Discharge Survey (NHDS) has been conducted
continuously by the National Center for Health Statistics, CDC, since
1965. It is the principal source of data on inpatient utilization of
short-stay, non-Federal hospitals and is the principal annual source of
nationally representative estimates on the characteristics of
discharges, lengths of stay, diagnoses, surgical and non-surgical
procedures, and patterns of use of care in hospitals in various regions
of the country. It is the benchmark against which special programmatic
data sources are measured.
Although the current NHDS is still fulfilling its intended
functions, it is based on concepts from the health care delivery
system, as well as the hospital and patient universes, of previous
decades. It has become clear that a redesign of the NHDS that provides
greater depth of information is necessary. Consequently, 2010 will
serve as the last year in which the current NHDS will be fielded.
Meanwhile, the redesigned National Hospital Discharge Survey (NHDS) is
scheduled to begin in 2011.
A new sample of 500 hospitals drawn for the NHDS will be recruited
beginning in June 2011 and continuing through September 2012. In 2011,
data collection will begin by collecting the electronic Uniform Bills
(UB-04s) from recruited hospitals for the year 2011 followed by data
for 2012 and 2013. A pretest of a survey supplement on acute coronary
syndrome sponsored by the National Heart Lung and Blood will also be
fielded in 2011.
The data items to be collected from the UB-04 in the NHDS will
include patient level data items including basic demographic
information, personal identifiers, name, address and medical record
number (if available on the UB-04), and characteristics of the
discharges including admission and discharge dates, diagnoses, and
surgical and non-surgical procedures. Facility level data items include
demographic information, clinical capabilities, and financial
information.
The pretest of the supplement on acute coronary syndrome will be
conducted in a convenience sample of 32 hospitals and discharges will
be identified from the UB-04 codes for a diagnosis of acute myocardial
infarction.
Users of NHDS data include, but are not limited to CDC,
Congressional Research Office, Office of the Assistant Secretary for
Planning and Evaluation (ASPE), American Health Care Association,
Centers for Medicare & Medicaid Services (CMS), and Bureau of the
Census. Data collected through NHDS are essential for evaluating health
status of the population, for the planning of programs and policy to
elevate the health status of the Nation, for studying morbidity trends,
and for research activities in the health field. NHDS data have been
used extensively in the development and monitoring of goals for the
Year 2000 and 2010 Healthy People Objectives. In addition, NHDS data
provide annual updates for numerous tables in the Congressionally-
mandated NCHS report, Health, United States. Other users of these data
include universities, contract research organizations, many in the
private sector, foundations, and a variety of users in the print media.
There is no cost to respondents other than their time to participate.
Estimated Annualized Burden Table
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Average
Number of Number of burden per Total burden
Respondents Form respondents responses per response (in hours
respondent hours)
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Redesigned NHDS:
Hospital CEO/CFO.......... Survey 167 1 1 167
presentation to
hospital.
[[Page 48349]]
Director of health Induction 167 1 4 668
information management (including
(DHIM) or Health initial
information technology facility
(DHIT). questionnaire).
DHIM or DHIT.............. Post induction 500 2 1 1,000
annual facility
questionnaire.
DHIM or DHIT.............. transmit UB-04.. 500 4 1 2,000
Acute Coronary Syndrome
Pretest:
Hospital CEO/CFO.......... Presentation at 11 1 1 11
hospital.
DHIM or DHIT.............. Pulling medical 11 1 30/60 6
records for
abstraction.
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Total................. ................ .............. .............. .............. 3,852
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Dated: August 4, 2010.
Maryam I. Daneshvar,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2010-19704 Filed 8-9-10; 8:45 am]
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