[Federal Register Volume 79, Number 51 (Monday, March 17, 2014)]
[Notices]
[Pages 14709-14710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-05801]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-14-0212]


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 projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-7570 or 
send comments to Leroy Richardson, at 1600 Clifton Road, MS D74, 
Atlanta, GA 30333 or send an email 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

    The National Hospital Care Survey (NHCS) (OMB No. 0920-0212, 
Expires 04-30-2016)--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 NHCS includes the 
collection of all impatient and ambulatory Uniform Bill-04 (UB-04) 
claims data or electronic health record (EHR) data from a sample of 581 
hospitals as well as the collection of additional clinical data from a 
sample of

[[Page 14710]]

emergency department (ED) and outpatient department (OPD) visits 
(including ambulatory surgeries) through the abstraction of medical 
records.
    NHCS integrates the former National Hospital Discharge Survey (OMB 
No. 0920-0212), the National Hospital Ambulatory Medical Care Survey 
(NHAMCS) (OMB No. 0920-0278) and the Drug-Abuse Warning Network (DAWN) 
(OMB No. 0930-0078, expired 12/31/2011) previously conducted by the 
Substance Abuse and Mental Health Services Administration's (SAMHSA). 
Integration of NHAMCS and DAWN into the NHCS is part of a broader 
strategy to improve efficiency by minimizing redundancy in data 
collection; broadening our capability to collect more relevant data on 
transitions of care; and identifying opportunities to exploit 
electronic and administrative clinical data systems to augment primary 
data collection.
    NHCS consists of a nationally representative sample of 581 
hospitals. These hospitals are currently being recruited, and 
participating hospitals are submitting all of their inpatient and 
ambulatory care patient data in the form of electronic UB-04 
administrative claims or EHR data. Currently, hospital-level data are 
collected through a paper questionnaire and additional clinical data 
are being abstracted from a sample of visits to EDs and OPDs. This 
activity continues in 2014, and as more hospitals choose to send EHR 
data that includes clinical information, the need to conduct 
abstraction will be reduced.
    This revision seeks approval to continue voluntary recruitment and 
data collection for NHCS, including inpatient, outpatient and emergency 
care; to revise the hospital-level questionnaire with additional items 
needed to improve weighting procedures; to combine the OPD and 
ambulatory surgery location patient record forms to more effectively 
capture ambulatory procedures in these settings; to continue collection 
of substance-involved ED visit data previously collected by DAWN; and 
to eliminate data collection from freestanding ambulatory surgery 
centers in order to concentrate efforts on hospital-based settings of 
care.
    NHCS collects data items at the hospital, patient, inpatient 
discharge, and visit levels. Hospital-level data items include 
ownership, number of staffed beds, hospital service type, and EHR 
adoption. Patient-level data items are collected from both electronic 
data and abstraction components and include basic demographic 
information, personal identifiers, name, address, social security 
number (if available), and medical record number (if available). 
Discharge-level data are collected through the UB-04 claims or EHR data 
and include admission and discharge dates, diagnoses, diagnostic 
services, and surgical and non-surgical procedures. Visit-level data 
are collected through either EHR data, or for those hospitals 
submitting UB-04 claims, through the claims as well as through 
abstraction of medical records for a sample of visits. These visit-
level data include reason for visit, diagnosis, procedures, 
medications, substances involved, and patient disposition.
    NHCS 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), SAMHSA, 
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 media.
    Data collected through NHCS are essential for evaluating health 
status of the population, for the planning of programs and policy to 
improve health care delivery systems of the Nation, for studying 
morbidity trends, and for research activities in the health field. 
Historically, 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.

                                        Estimated Annualized Burden Hours
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                                                                     Number of    Average burden
          Respondents               Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Hospital DHIM or DHIT.........  Initial Hospital             160               1               1             160
                                 Intake
                                 Questionnaire.
Hospital CEO/CFO..............  Recruitment                  160               1               1             160
                                 Survey
                                 Presentation.
Hospital CEO/CFO..............  Annual Hospital              581               1               2           1,162
                                 Interview.
Hospital CEO/CFO..............  Annual                       465               1             1.5             698
                                 Ambulatory
                                 Hospital
                                 Interview.
Hospital DHIM or DHIT.........  Prepare and                  481              12               1           5,772
                                 transmit UB-04
                                 for Inpatient
                                 and Ambulatory
                                 data.
Hospital DHIM or DHIT.........  Prepare and                  100               4               1             400
                                 transmit EHR
                                 for Inpatient
                                 and Ambulatory
                                 data.
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           8,352
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LeRoy Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-05801 Filed 3-14-14; 8:45 am]
BILLING CODE 4163-18-P