[Federal Register Volume 76, Number 43 (Friday, March 4, 2011)]
[Notices]
[Pages 12119-12121]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-4946]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30-Day-11-0666]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail
to [email protected]. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.
Proposed Project
National Healthcare Safety Network (NHSN) (OMB No. 0920-0666 exp.
3/31/2012)--Revision--National Center for Emerging and Zoonotic
Infectious Diseases (NCEZID), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The National Healthcare Safety Network (NHSN) is a system designed
to accumulate, exchange, and integrate relevant information and
resources among private and public stakeholders to support local and
national efforts to protect patients and to promote healthcare safety.
Specifically, the data is used to determine the magnitude of various
healthcare-associated adverse events and trends in the rates of these
events among patients and healthcare workers with similar risks.
Healthcare institutions that participate in NHSN voluntarily report
their data to CDC using a web browser based technology for data entry
and data management. Data are collected by trained surveillance
personnel using written standardized protocols. The data will be used
to detect changes in the epidemiology of adverse events resulting from
new and current medical therapies and changing risks.
This revision submission includes an amended Assurance of
Confidentiality, which required an update of the Assurance of
Confidentiality language on all forms included in the NHSN surveillance
system. The scope of NHSN dialysis surveillance is being expanded to
include all outpatient dialysis centers so that the existing Dialysis
Annual Survey can be used to facilitate prevention objectives set forth
in the HHS HAI tier 2 Action Plan and to assess national practices in
all Medicare-certified dialysis centers if CMS re-establishes this
survey method (as expected). The Patient Safety (PS) Component is being
expanded to include long term care facilities to facilitate HAI
surveillance in this setting, for which no standardized reporting
methodology or mechanism currently exists. Four new forms are proposed
for this purpose. A new form is proposed to be added to the Healthcare
Personnel Safety (HPS) Component to facilitate summary reporting of
influenza vaccination in healthcare workers, which is anticipated to be
required by CMS in the near future. In addition to this new form, the
scope of the HPS Annual Facility Survey is being expanded to include
all acute care facilities that would enroll if CMS does implement this
requirement. The NHSN Antimicrobial Use and Resistance module is
transitioning from manual web entry to electronic data upload only,
which results in a significant decrease to the reporting burden for
this package. Finally, there are many updates, clarifications, and data
collection revisions proposed in this submission.
CDC is requesting to delete four currently approved forms that are
no longer needed by the NHSN and add five new forms
The previously-approved NHSN package included 47 individual data
collection forms. If all proposed revisions are approved, the reporting
burden will decrease by 1,258,119 hours, for a total estimated burden
of 3,914,125 hours and 48 total data collection tools.
Participating institutions must have a computer capable of
supporting an Internet service provider (ISP) and access to an ISP.
There is no cost to respondents other than their time. The total
estimated annual burden hours are 3,914,125.
[[Page 12120]]
Estimate of Annualized Burden Hours
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Burden per
Respondents Form name Number of Responses per response
respondents respondent (hours)
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Infection Preventionist............ NHSN Registration Form..... 6,000 1 5/60
Facility Contact 6,000 1 10/60
Information.
Patient Safety Component-- 6,000 1 40/60
Annual Facility Survey.
Patient Safety Component-- 5,500 1 1
Outpatient Dialysis Center
Practices Survey.
Group Contact Information.. 6,000 1 5/60
Patient Safety Monthly 6,000 9 35/60
Reporting Plan.
Primary Bloodstream 6,000 36 32/60
Infection (BSI).
Dialysis Event............. 500 75 15/60
Pneumonia (PNEU)........... 6,000 72 32/60
Urinary Tract Infection 6,000 27 32/60
(UTI).
Staff RN........................... Denominators for Neonatal 6,000 9 4
Intensive Care Unit (NICU).
Denominators for Specialty 6,000 9 5
Care Area (SCA).
Denominators for Intensive 6,000 18 5
Care Unit (ICU)/Other
locations (not NICU or
SCA).
Staff RN........................... Denominator for Outpatient 500 12 5/60
Dialysis.
Infection Preventionist............ Surgical Site Infection 6,000 27 32/60
(SSI).
Staff RN........................... Denominator for Procedure.. 6,000 540 10/60
Laboratory Technician.............. Antimicrobial Use and 6,000 12 5/60
Resistance (AUR)-
Microbiology Data
Electronic Upload
Specification Tables.
Pharmacy Technician................ Antimicrobial Use and 6,000 12 5/60
Resistance (AUR)-Pharmacy
Data Electronic Upload
Specification Tables.
Infection Preventionist............ Central Line Insertion 6,000 100 5/60
Practices Adherence
Monitoring.
MDRO or CDI Infection Form. 6,000 72 32/60
MDRO and CDI Prevention 6,000 24 10/60
Process and Outcome
Measures Monthly
Monitoring.
Laboratory-identified MDRO 6,000 240 25/60
or CDI Event.
Vaccination Monthly 6,000 5 14
Monitoring Form--Summary
Method.
Vaccination Monthly 2,000 5 2
Monitoring Form--Patient-
Level Method.
Patient Vaccination........ 2,000 250 10/60
Patient Safety Component-- 250 1 25/60
Annual Facility Survey for
LTCF.
Laboratory-identified MDRO 250 8 30/60
or CDI Event for LTCF.
MDRO and CDI Prevention 250 3 7/60
Process Measures Monthly
Monitoring for LTCF.
Urinary Tract Infection 250 9 30/60
(UTI) for LTCF.
Occ Health RN...................... Healthcare Personnel Safety 6,000 1 8
Component Annual Facility
Survey.
Healthcare Worker Survey... 600 100 10/60
Healthcare Personnel Safety 600 9 10/60
Monthly Reporting Plan.
Healthcare Worker 600 200 20/60
Demographic Data.
Exposure to Blood/Body 600 50 1
Fluids.
Healthcare Worker 600 10 15/60
Prophylaxis/Treatment.
Laboratory Technician.............. Follow-Up Laboratory 600 100 15/60
Testing.
Occ Health RN...................... Healthcare Worker 600 300 10/60
Vaccination History.
Occ Health RN...................... Healthcare Worker Influenza 600 500 10/60
Vaccination.
Healthcare Worker 600 50 10/60
Prophylaxis/Treatment-
Influenza.
Pre-season Survey on 600 1 10/60
Influenza Vaccination
Programs for Healthcare
Personnel.
Post-season Survey on 600 1 10/60
Influenza Vaccination
Programs for Healthcare
Personnel.
Healthcare Personnel 6,000 6 2
Influenza Vaccination
Monthly Summary.
Clinical Laboratory Technologist... Hemovigilance Module Annual 500 1 2
Survey.
Hemovigilance Module 500 12 2/60
Monthly Reporting Plan.
Hemovigilance Module 500 12 2
Monthly Incident Summary.
Hemovigilance Module 500 12 30/60
Monthly Reporting
Denominators.
Hemovigilance Adverse 500 120 10/60
Reaction.
Hemovigilance Incident..... 500 72 10/60
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[[Page 12121]]
Dated: February 25, 2011.
Catina Conner,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2011-4946 Filed 3-3-11; 8:45 am]
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