[Federal Register Volume 75, Number 226 (Wednesday, November 24, 2010)]
[Notices]
[Pages 71708-71710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-29581]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60 Day-11-11AT]
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
The National Hospital Care Survey (NHCS)--New--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 data
collection from hospital inpatient departments; hospital ambulatory
departments including emergency departments (ED), outpatient
departments (OPD), and ambulatory surgery centers (ASC); and
freestanding ASCs of the new National Hospital Care Survey.
The National Center for Health Statistics' (NCHS) surveys on
hospital care include the National Hospital Discharge Survey (NHDS)
(OMB No.0920-0212) and the National Hospital Ambulatory Medical Care
Survey (NHAMCS) (OMB No. 0920-0234). NHDS has, since 1965, provided
critical information on the utilization of the nation's non-Federal
short-stay hospitals and on the nature and treatment of illness among
the inpatient hospitalized population. NHAMCS has provided data
annually since 1992 concerning the nation's use of hospital emergency
and outpatient departments, and since 2009 and 2010, on hospital based
and free-standing ambulatory surgery centers, respectively. These data
have been extensively used for monitoring changes and analyzing the
types of care provided in the nation's hospitals. NCHS is planning to
integrate
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the data collected from these two hospital surveys and freestanding
ASCs into one survey, called the National Hospital Care Survey (NHCS).
This integration will increase the wealth and depth of data on health
care utilization and allow for linkages to other data sources such as
the National Death Index and data from Centers for Medicare and
Medicaid Services (CMS).
A new sample of 500 hospitals drawn for the NHCS will be recruited.
Annual data collection will begin by collecting the electronic Uniform
Bills (UB-04s) on inpatients, along with facility level data, from
recruited hospitals for the year 2011 onward. A pretest of a survey
supplement on acute coronary syndrome sponsored by the National Heart,
Lung, and Blood Institute will also be fielded in 2011. Then, starting
in 2013, the sampled hospitals will be asked to provide data on the
utilization of health care provided in their emergency and outpatient
departments (ED and OPD) and ambulatory surgery centers (ASCs), thus
integrating the NHDS and NHAMCS into NHCS. A new sample for
freestanding ASCs will also be recruited in 2013. NHCS will replace
NHDS and NHAMCS but continue to provide nationally representative data
on utilization of hospital care and general purpose health-care
statistics on inpatient care as well as care delivered in EDs, OPDs,
and ASCs.
Patient level, discharge/visit level, and facility level data items
will be collected from the recruited hospitals and freestanding ASCs in
the NHCS. Patient level data items will include basic demographic
information, personal identifiers, name, address, social security
number (if available), and medical record number (if available).
Discharge/visit level data will include admission and discharge dates,
reason(s) for visit, diagnoses, diagnostic services, surgical and non-
surgical procedures, medications, and disposition. Facility level data
items will 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 the former NHDS and NHAMCS 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), Bureau of
the Census, state and local governments, and nonprofit organizations.
Data collected through NHDS and NHAMCS 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
and NHAMCS data have been used extensively in the development and
monitoring of goals for the Year 2000 and 2010 Healthy People
Objectives. Other users of these data include universities, 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 Hours
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Number of Number of Avg. burden
Respondents Form responding responses per per response Total burden
hospitals respondent (in hours) hours
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HOSPITAL INPATIENT COMPONENT
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Hospital CEO/CFO............................... Survey presentation to hospital........ 167 1 1 167
Director of health information management Induction (including initial facility 167 1 4 668
(DHIM) or health information technology (DHIT). questionnaire).
DHIM or DHIT................................... Post induction annual facility 333 1 2 666
questionnaire.
DHIM or DHIT................................... Prepare and transmit UB-04 (2011-2013). 500 4 1 2,000
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AMBULATORY COMPONENT
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Ancillary Service Executive.................... Freestanding ASC Induction............. 67 1 1.5 101
Ancillary Service Executive.................... Ambulatory Unit Induction.............. 613 1 1 613
Physician/Registered Nurse/Medical Record Clerk ED Patient Record form................. 78 100 7/60 910
Physician/Registered Nurse/Medical Record Clerk OPD Patient Record form................ 44 200 9/60 1,320
Physician/Registered Nurse/Medical Record Clerk ASC Patient Record Form................ 79 100 6/60 790
Medical Record Clerk........................... Pulling and re-filing Patient Records 151 133 1/60 335
(ED, OPD, and ASC).
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ACUTE CORONARY SYNDROME PRETEST
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Hospital CEO/CFO............................... Presentation at hospital............... 11 1 1 11
DHIM or DHIT................................... Pulling medical records for abstraction 11 3 15/60 8
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Total...................................... ....................................... .............. .............. .............. 7,589
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[[Page 71710]]
Dated: November 18, 2010.
Carol E. Walker,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2010-29581 Filed 11-23-10; 8:45 am]
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