[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
----------------------------------------------------------------------------------------------------------------
                                                                                                    Burden per
            Respondents                       Form name              Number of     Responses per     response
                                                                    respondents     respondent        (hours)
----------------------------------------------------------------------------------------------------------------
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
----------------------------------------------------------------------------------------------------------------



[[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]
BILLING CODE 4163-18-P