[Federal Register Volume 78, Number 20 (Wednesday, January 30, 2013)]
[Notices]
[Pages 6327-6328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-01945]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-13-0212]


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 
(404) 639-7570 or send an email 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

    The National Hospital Care Survey (NHCS) (OMB No. 0920-0212, 
expiration date: 04/30/2014)--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 for the National 
Hospital Care Survey includes data collection from hospital inpatient 
departments; hospital ambulatory departments including emergency 
departments (ED), outpatient departments (OPD), and ambulatory surgery 
locations (ASLs); and freestanding ambulatory surgery centers (ASCs).
    The National Center for Health Statistics' (NCHS) surveys on 
hospital care include the National Hospital Discharge Survey (NHDS) 
(OMB No. 0920-0212) and the National Hospital Ambulatory Medical Care 
Survey (NHAMCS) (OMB No. 0920-0234). NHDS, between 1965 and 2010, 
provided critical information on the utilization of the nation's non-
Federal short-stay hospitals and on the nature and treatment of illness 
among the inpatient hospitalized population. NHAMCS has provided data 
annually since 1992 concerning the nation's use of hospital emergency 
and outpatient departments. Beginning in 2009 NHAMCS collected data on 
hospital-based ambulatory surgery locations, and in 2010 began 
collection of data from free-standing ambulatory surgery centers. 
NHAMCS data have been extensively used for monitoring changes and 
analyzing the types of outpatient care provided in the nation's 
hospitals.
    The Drug Abuse Warning Network (DAWN) (OMB No. 0930-0078, expired 
12/31/2011) collected specific information on drug-related visits to 
the ED. DAWN was previously funded by the Center for Behavioral Health 
Statistics & Quality (CBHSQ) of the Substance Abuse & Mental Health 
Services Administration (SAMHSA), DHHS.
    NCHS is integrating the data collected from NHDS, NHAMCS, and DAWN 
into one survey called the National Hospital Care Survey (NHCS). This 
integration will increase the wealth and depth of data on health care 
utilization and allow for linkages to other data sources such as the 
National Death Index and data from Centers for Medicare and Medicaid 
Services (CMS).
    The recruitment of a sample of 500 hospitals for NHCS has been 
ongoing since May 2011. Participating hospitals are submitting 
inpatient level data in the form of electronic Uniform Bill (UB-04) 
administrative claims data as well as facility-level data. This 
activity continues in 2013 in addition to the sampled hospitals being 
asked to provide data on the utilization of health care provided in 
their EDs, OPDs and ASLs, thus integrating the NHDS, NHAMCS, and DAWN 
into NHCS. If funding becomes available, a new sample of freestanding 
ASCs will be recruited sometime within the 3-year clearance period.
    NHCS will replace NHDS, NHAMCS, and DAWN, but continue to provide 
nationally representative data on utilization of hospital care and 
general purpose health care statistics on inpatient care as well as 
care delivered in EDs, OPDs, ASLs, and freestanding ASCs.
    Facility-level, patient-level, discharge-level, and visit-level, 
data items will be collected from the recruited hospitals and 
freestanding ASCs in NHCS. Facility-level data items will include 
ownership, number of staffed beds, clinical capabilities, financial 
information, and electronic health record adoption. Patient-level data 
items will be collected for both inpatient and ambulatory components 
and include basic demographic information, personal identifiers, name, 
address, social security number (if available), and medical record 
number (if available). For the inpatient component, discharge-level 
data will be collected through the UB-04 claims and will include: 
admission and discharge dates, diagnoses, diagnostic services, and 
surgical and non-surgical procedures. For the ambulatory component, 
visit-level data will be collected through the UB-04 claims as well as 
through abstraction of a sample of medical records, which includes 
reason for visit, diagnosis, procedures, medications, and patient 
disposition.

[[Page 6328]]

    We expect that the users of NHCS will be similar to the users of 
NHDS, NHAMCS, and DAWN data. These users include but are not limited to 
CDC, Congressional Research Office, Office of the Assistant Secretary 
for Planning and Evaluation (ASPE), National Institutes of Health, 
American Health Care Association, Centers for Medicare & Medicaid 
Services (CMS), Bureau of the Census, Office of National Drug Control 
Policy, state and local governments, and nonprofit organizations. Other 
users of these data include universities, research organizations, many 
in the private sector, foundations, and a variety of users in the print 
media.
    Data collected through NHCS 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. Historically, NHDS and 
NHAMCS data have been used extensively in the development and 
monitoring of goals for the Year 2000, 2010, and 2020 Healthy People 
Objectives.
    There is no cost to respondents other than their time to 
participate. The total burden is 7,224 hours.

                                        Estimated Annualized Burden Hours
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                                                                                  Number of     Avg. burden  per
            Respondents                       Form              Number of       responses per     response (in
                                                               respondents       respondent          hours)
----------------------------------------------------------------------------------------------------------------
Department of Health Information     Initial Hospital                    133                 1                 1
 Management (DHIM) or Health          Intake Questionnaire.
 Information Technology (DHIT)
 staff Hospital CEO/CFO.
Hospital CEO/CFO...................  Recruitment Survey                  133                 1                 1
                                      Presentation.
Hospital CEO/CFO...................  Annual Inpatient                    500                 1                 1
                                      Hospital Interview.
Hospital CEO/CFO...................  Annual Ambulatory                   500                 1               1.5
                                      Hospital Interview.
Hospital Medical and Health          Ambulatory Unit                   2,000                 1             15/60
 Services Manager.                    Induction.
Hospital DHIM or DHIT staff........  Prepare and transmit                500                 4                 1
                                      UB-04 for inpatient
                                      and ambulatory.
Hospital Medical Record Clerk......  Pulling and re-filing             1,125               100              1/60
                                      Patient Records (ED,
                                      OPD, and ASL).
FSASC Chief Executive Officer......  Annual FSACS                        250                 1             30/60
                                      Interview.
FSASC DHIM or DHIT.................  Prepare and transmit                250                 4                 1
                                      UB-04.
FSASC Medical Record Clerk.........  Pulling and re-filing               125               100              1/60
                                      Patient Records.
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Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity, Office of the 
Associate Director for Science, Office of the Director, Centers for 
Disease Control and Prevention.
[FR Doc. 2013-01945 Filed 1-29-13; 8:45 am]
BILLING CODE 4163-18-P