[Federal Register Volume 76, Number 54 (Monday, March 21, 2011)]
[Notices]
[Pages 15315-15316]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-6504]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-11-11BM]
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 20503 or by fax to (202) 395-
5806. Written comments should be received within 30 days of this
notice.
Proposed Project
Healthcare System Surge Capacity at the Community Level--New-
National Center for Emerging and Zoonotic Infectious Diseases,
(NCEZID), Centers for Disease Control and Prevention, (CDC).
Background and Brief Description
The Healthcare Preparedness Activity, Division of Healthcare
Quality Promotion (DHQP) at the Centers for Disease Control and
Prevention (CDC) works with other federal agencies, state governments,
medical societies and other public and private organizations to promote
collaboration amongst healthcare partners, and to integrate healthcare
preparedness into federal, state and local public health preparedness
planning. The goal of the Activity is to help local communities'
healthcare delivery and public health sectors effectively and
efficiently prepare for and respond to urgent and emergent threats.
Surge is defined as a marked increase in demand for resources such
as personnel, space and material. Health care providers manage both
routine surge (predictable fluctuations in demand associated with the
weekly calendar, for example) as well as unusual surge (larger
fluctuations in demand caused by rarer events such as pandemic
influenza). Except in extraordinary cases, providers are expected to
manage surge while adhering to their existing standards for quality and
patient safety.
Currently, health care organizations are expected to prepare for
and respond to surges in demand ranging from a severe catastrophe (for
example, a nuclear detonation) to more common, less severe events (for
example, a worse-than-usual influenza season). CDC and other federal
agencies have dedicated considerable funding and technical assistance
towards developing and coordinating community-level responses to surges
in demand, but it remains a difficult task.
While there is extensive research on managing collaborations during
times of extraordinary pressure where response to surge takes
precedence over other activities, less is known about developing and
maintaining integrated collaborations during periods where the system
must respond to unusual surge but also continue the routine provision
of health care. In particular, studies have not explored how these
collaborations can build on sustainable relationships between a broad
range of stakeholders (including primary care providers) in communities
with different market structures and different degrees of investment in
public health.
This study aims to generate information about the role of
community-based collaborations in disaster preparedness that the CDC
can use to develop its programs guiding and supporting these
collaborations. This project will explore barriers and facilitators to
coordination on surge response in ten communities, eight of which have
been studied longitudinally since the mid-1990s as part of the Center
for Studying Health System Change's (HSC's) Community Tracking Study
(CTS). Interviews of local healthcare stakeholders will be conducted at
10 sites.
Interviews will be conducted at a total of 63 organizations over
the two years of this project. Within each of the ten communities
studied, two emergency practitioner respondents (one from a safety-net
hospital and one from a non-safety-net hospital), two primary care
providers (one from a large practice and one from a small practice) and
two local preparedness experts (one from the County or local public
health agency, and one coordinator or collaboration leader) will be
interviewed. In three sites (Phoenix, Greenville and Seattle) an
additional respondent will be identified from an outlying rural area to
offer the perspective of providers in those communities. There is no
cost to respondents except their time. The total annualized burden is
63 hours.
[[Page 15316]]
Estimated Annualized Burden Hours
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Average
Number of Number of burden
Respondent category respondents responses per response (in
respondent hours)
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Emergency Department and Primary Care........................... 43 1 1
Public Health and Preparedness/Coalition Leader................. 20 1 1
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Petunia Gissendaner,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2011-6504 Filed 3-18-11; 8:45 am]
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