[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
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
          Respondents                 Form          respondents    responses per   response (in        hours
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
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.
                                                 ---------------------------------------------------------------
        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]
BILLING CODE 4163-18-P