[Federal Register Volume 79, Number 173 (Monday, September 8, 2014)]
[Notices]
[Pages 53199-53201]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21257]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-14-0666]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (b) Evaluate the 
accuracy of the agencies estimate of the burden of the proposed 
collection of information, including the validity of the methodology 
and assumptions used; (c) Enhance the quality, utility, and clarity of 
the information to be collected; (d) Minimize the burden of the 
collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses; and 
(e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Written comments and/or 
suggestions regarding the items contained in this notice should be 
directed to the Attention: CDC Desk Officer, Office of Management and 
Budget, Washington, DC 20503 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. 
12/31/2015--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 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. The 
data will be used to detect changes in the epidemiology of adverse 
events resulting from new and current medical therapies and changing 
risks. The NHSN currently consists of five components: Patient Safety, 
Healthcare Personnel Safety, Biovigilance, Long-Term Care Facility 
(LTCF), and Dialysis. Two new components will be added within the next 
one to two years: Outpatient Procedure and Antimicrobial Use & 
Resistance.
    The Antimicrobial Use and Resistance (AUR) component will be 
launched within NHSN that will specifically examine antimicrobial use 
(AU) and antimicrobial resistance (AR) within healthcare facilities. 
The goal of the AUR component is to provide a mechanism for facilities 
to report and analyze antimicrobial use and/or resistance as part of 
local or regional efforts to reduce antimicrobial resistant infections 
through antimicrobial stewardship efforts or interruption of 
transmission of resistant pathogens at their facility. This revision 
submission includes one new form specific to the NHSN AUR component.
    Significant additions were made to three NHSN facility surveys. 
Questions about infection control practices were added to gain a better 
understanding of current practices and identify areas to target 
prevention efforts among facilities that have reported a multidrug-
resistant organism. Questions about antibiotic stewardship were added 
to gain a better understanding of current efforts to improve antibiotic 
use in hospitals and to assess the quality of hospital antibiotic 
stewardship programs.
    Additionally, minor revisions have been made to 31 other forms 
within the package to clarify and/or update surveillance definitions. 
Three forms are being removed as patient vaccination monitoring will be 
removed from NHSN.
    The previously approved NSHN package included 56 individual 
collection forms; the current revision request adds one new form and 
removes three forms for a total of 54 forms. The reporting burden will 
increase by 172,943 hours, for a total of 4,277,716 hours.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
        Type of respondents                   Form name             respondents   responses  per   response  (in
                                                                                     respondent        hrs.)
----------------------------------------------------------------------------------------------------------------
Registered Nurse (Infection          NHSN Registration Form.....           2,000               1            5/60
 Preventionist).
Registered Nurse (Infection          Facility Contact                      2,000               1           10/60
 Preventionist).                      Information.
Registered Nurse (Infection          Patient Safety Component--            6,000               1           50/60
 Preventionist).                      Annual Hospital Survey.

[[Page 53200]]

 
Registered Nurse (Infection          Group Contact Information..           1,000               1            5/60
 Preventionist).
Registered Nurse (Infection          Patient Safety Monthly                6,000              12           15/60
 Preventionist).                      Reporting Plan.
Registered Nurse (Infection          Primary Bloodstream                   6,000              44           30/60
 Preventionist).                      Infection (BSI).
Registered Nurse (Infection          Pneumonia (PNEU)...........           6,000              72           30/60
 Preventionist).
Registered Nurse (Infection          Ventilator-Associated Event           6,000             144           25/60
 Preventionist).
Registered Nurse (Infection          Urinary Tract Infection               6,000              40           30/60
 Preventionist).                      (UTI).
Staff RN...........................  Denominators for Neonatal             6,000               9               3
                                      Intensive Care Unit (NICU).
Staff RN...........................  Denominators for Specialty            6,000               9               5
                                      Care Area (SCA)/Oncology
                                      (ONC).
Staff RN...........................  Denominators for Intensive            6,000              54               5
                                      Care Unit (ICU)/Other
                                      locations (not NICU or
                                      SCA).
Registered Nurse (Infection          Surgical Site Infection               6,000              36           35/60
 Preventionist).                      (SSI).
Staff RN...........................  Denominator for Procedure..           6,000             540            5/60
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.
Registered Nurse (Infection          Central Line Insertion                1,000             100            5/60
 Preventionist).                      Practices Adherence
                                      Monitoring.
Registered Nurse (Infection          MDRO or CDI Infection Form.           6,000              72           30/60
 Preventionist).
Registered Nurse (Infection          MDRO and CDI Prevention               6,000              24           15/60
 Preventionist).                      Process and Outcome
                                      Measures Monthly
                                      Monitoring.
Registered Nurse (Infection          Laboratory-identified MDRO            6,000             240           15/60
 Preventionist).                      or CDI Event.
Registered Nurse (Infection          Long-Term Care Facility                 250               1               1
 Preventionist).                      Component--Annual Facility
                                      Survey.
Registered Nurse (Infection          Laboratory-identified MDRO              250               8           15/60
 Preventionist).                      or CDI Event for LTCF.
Registered Nurse (Infection          MDRO and CDI Prevention                 250              12            5/60
 Preventionist).                      Process Measures Monthly
                                      Monitoring for LTCF.
Registered Nurse (Infection          Urinary Tract Infection                 250               9           30/60
 Preventionist).                      (UTI) for LTCF.
Registered Nurse (Infection          Monthly Reporting Plan for              250              12            5/60
 Preventionist).                      LTCF.
Registered Nurse (Infection          Denominators for LTCF                   250              12            3.25
 Preventionist).                      Locations.
Registered Nurse (Infection          Prevention Process Measures             250              12            5/60
 Preventionist).                      Monthly Monitoring for
                                      LTCF.
Registered Nurse (Infection          LTAC Annual Survey.........             400               1           50/60
 Preventionist).
Registered Nurse (Infection          Rehab Annual Survey........           1,000               1           50/60
 Preventionist).
Registered Nurse (Infection          Antimicrobial Use &                     100              12            5/60
 Preventionist).                      Resistance Component--
                                      Monthly Reporting Plan.
Occupational Health RN/Specialist..  Healthcare Personnel Safety              50               1               8
                                      Component Annual Facility
                                      Survey.
Occupational Health RN/Specialist..  Healthcare Personnel Safety          11,000               1            5/60
                                      Monthly Reporting Plan.
Occupational Health RN/Specialist..  Healthcare Worker                        50             200           20/60
                                      Demographic Data.
Occupational Health RN/Specialist..  Exposure to Blood/Body                   50              50               1
                                      Fluids.
Occupational Health RN/Specialist..  Healthcare Worker                        50              30           15/60
                                      Prophylaxis/Treatment.
Laboratory Technician..............  Follow-Up Laboratory                     50              50           15/60
                                      Testing.
Occupational Health RN/Specialist..  Healthcare Worker                        50              50           10/60
                                      Prophylaxis/Treatment-
                                      Influenza.
Medical/Clinical Laboratory          Hemovigilance Module Annual             500               1               2
 Technologist.                        Survey.
Medical/Clinical Laboratory          Hemovigilance Module                    500              12            1/60
 Technologist.                        Monthly Reporting Plan.
Medical/Clinical Laboratory          Hemovigilance Module                    500              12               1
 Technologist.                        Monthly Reporting
                                      Denominators.
Medical/Clinical Laboratory          Hemovigilance Adverse                   500              48           15/60
 Technologist.                        Reaction.
Medical/Clinical Laboratory          Hemovigilance Incident.....             500              10           10/60
 Technologist.
Staff RN...........................  Outpatient Procedure                  5,000               1            5/60
                                      Component--Annual Facility
                                      Survey.
Staff RN...........................  Outpatient Procedure                  5,000              12           15/60
                                      Component--Monthly
                                      Reporting Plan.
Staff RN...........................  Outpatient Procedure                  5,000              25           40/60
                                      Component Event.
Staff RN...........................  Outpatient Procedure                  5,000              12           40/60
                                      Component--Monthly
                                      Denominators and Summary.
Registered Nurse (Infection          Outpatient Dialysis Center            6,500               1            1.75
 Preventionist).                      Practices Survey.
Staff RN...........................  Dialysis Monthly Reporting            6,500              12            5/60
                                      Plan.
Staff RN...........................  Dialysis Event.............           6,500              60           20/60
Staff RN...........................  Denominators for Dialysis             6,500              12            6/60
                                      Event Surveillance.

[[Page 53201]]

 
Staff RN...........................  Prevention Process Measures           1,500              12           30/60
                                      Monthly Monitoring for
                                      Dialysis.
Staff RN...........................  Dialysis Patient Influenza              325              75           10/60
                                      Vaccination.
Staff RN...........................  Dialysis Patient Influenza              325               5           10/60
                                      Vaccination Denominator.
Epidemiologist.....................  State Health Department                 152              50           15/60
                                      Validation Record.
----------------------------------------------------------------------------------------------------------------


Leroy A. 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. 2014-21257 Filed 9-5-14; 8:45 am]
BILLING CODE 4163-18-P