[Federal Register Volume 76, Number 3 (Wednesday, January 5, 2011)]
[Notices]
[Pages 559-560]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-33342]



[[Page 559]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30-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 data collection plans and instruments, call the CDC Reports 
Clearance Officer on 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]. Written comments should be 
received within 30 days of this notice.

Proposed Project

    National Hospital Discharge Survey (NHDS)(OMB 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 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 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 (167 
hospitals on an annualized basis). In 2011, data collection will begin 
by collecting the electronic Uniform Bills (UB-04s) from hospitals 
recruited in 2011 followed by data for all sample facilities for 2012 
and 2013. A post induction annual facility questionnaire to update 
facility information will be collected for two years--2012 and 2013 
(333 hospitals on an annualized basis).
    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, social security 
number (if available), and medical record number (if available), and 
characteristics of the discharge including admission and discharge 
dates, diagnoses, and surgical and non-surgical procedures. Facility 
level data items include demographic information, clinical 
capabilities, and financial information. UB-04 data will be transmitted 
from all 500 hospitals on a quarterly basis.
    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 pretest will be conducted in a convenience sample of 32 
hospitals (11 hospitals on an annualized basis) 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, 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. The 
total estimated annualized burden is 3,520 hours.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                  Number of      Avg. burden per
            Respondents                       Form              Number of       responses per     response (in
                                                               respondents       respondent          hours)
----------------------------------------------------------------------------------------------------------------
Hospital CEO/CFO...................  Survey Presentation                 167                 1                 1
                                      for the NHDS.
Director of health information       Facility                            167                 1                 4
 management (DHIM) or Health          Questionnaire Form
 information technology (DHIT).       for the NHDS.
DHIM or DHIT.......................  Post-Induction Annual               333                 1                 2
                                      Facility
                                      Questionnaire.
DHIM or DHIT.......................  Quarterly                           500                 4                 1
                                      Transmission of UB-
                                      04 Data.
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                                      Acute Coronary Syndrome (ACS) Pretest
----------------------------------------------------------------------------------------------------------------
Hospital CEO/CFO...................  Survey Presentation                  11                 1                 1
                                      for the ACS Module
                                      for the NHDS.
----------------------------------------------------------------------------------------------------------------
DHIM or DHIT.......................  Abstraction and                      11                 3             15/60
                                      Reabstraction for
                                      the ACS Module of
                                      the NHDS.
----------------------------------------------------------------------------------------------------------------


    Dated: December 28, 2010.
Carol E. Walker,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. 2010-33342 Filed 1-4-11; 8:45 am]
BILLING CODE 4163-18-P