[Federal Register Volume 81, Number 181 (Monday, September 19, 2016)]
[Notices]
[Pages 64156-64157]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-22446]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-16-0976]


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

    Million Hearts[supreg] Hypertension Control Challenge (OMB No. 
0920-0976, exp. 7/31/2016)--Reinstatement with Change--National Center 
for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    In September 2011, HHS launched the Million Hearts[supreg] 
initiative to prevent one million heart attacks and strokes by 2017. 
There is scientific evidence that provides general guidance on the 
types of system-based changes to clinical practice that can improve 
patient blood pressure control, but more information is needed to fully 
understand implementation practices so that they can be shared and 
promoted.
    In 2013, CDC launched the Million Hearts[supreg] Hypertension 
Control Challenge (OMB No. 0920-0976, exp. 7/31/2016). The Challenge is 
authorized by Public Law 111-358, the America Creating Opportunities to 
Meaningfully Promote Excellence in Technology, Education and Science 
Reauthorization Act of 2010 (COMPETES Act). The annual Challenge is 
designed to help CDC (1) identify clinical practices and health systems 
that have been successful in achieving high rates of hypertension 
control, and (2) develop models for dissemination. The Challenge is 
open to single practice providers, group practice providers, and 
healthcare systems.
    In 2013, 2014, and 2015, CDC collected information needed to assess 
candidates for recognition through the Million Hearts[supreg] 
Hypertension Control Challenge. A total of 59 public and private health 
care practices and systems were recognized as Million Hearts[supreg] 
Hypertension Control Champions for achieving exemplary levels of 
hypertension control in adults ages 18-85.
    CDC plans to reinstate the Million Hearts[supreg] Hypertension 
Control Challenge, with changes, for information collection beginning 
in 2017. Challenges were previously launched in late summer/early fall. 
The 2016 Challenge is scheduled to launch in February 2017, coinciding 
with American Heart Month. The nomination period will be open for 
approximately 60 days, with recognition of the 2016 Million 
Hearts[supreg] Hypertension Control Champions in the fall of 2017. A 
similar calendar year schedule is planned for 2018 (information 
collection and recognition for the 2017 Champions) and 2019 
(information collection and recognition for the 2018 Champions).
    Information collection supporting the Challenge will be conducted 
in three steps. First, interested providers or practices will complete 
a web-based nomination form which provides the minimum amount of data 
needed to demonstrate evidence of clinical success in achieving 
hypertension control, including: (a) Two point-in-time measures of the 
clinical hypertension control rate for the patient population, (b) the 
size of the clinic population served, (c) a description of the patient 
population served and geographic location, and (d) a description of the 
sustainable systems and strategies adopted to achieve and maintain 
hypertension control rates. The estimated burden for completing the 
nomination form is 30 minutes. CDC scientists or contractors will 
review each nomination form and assign a preliminary score.
    In the second phase of assessment, nominees with the highest 
preliminary scores (finalists) will be asked to participate in a one-
hour data verification process. The nominee will review the nomination 
form with a reviewer or abstractor, describe how information was 
obtained from the provider's (or practice's) electronic

[[Page 64157]]

records, chart reviews, or other sources, and review the methodology 
used to calculate the reported hypertension control rate. CDC conducts 
data verification to ensure that all nominees meet eligibility criteria 
and calculate their reported hypertension control rate according to a 
standardized method.
    In the third phase of the assessment, each remaining finalist will 
participate in a two-hour, semi-structured interview and provide 
detailed information about the patient population served, the 
geographic region served, and the strategies employed by the practice 
or health system to achieve exemplary rates of hypertension control, 
including barriers and facilitators for those strategies.
    Based on experience with administration of the Challenge in 
previous years, CDC plans to eliminate the cash prize awarded to 
Champions in previous years, and to implement minor changes to the 
nomination form and the data verification form that will improve 
usability and data quality. There are no changes to the estimated 
burden per response. Finally, CDC anticipates an overall reduction in 
burden due to a reduction in the estimated number of nominees. During 
the period of this Reinstatement request, on an annual basis, CDC 
estimates that information will be collected from up to 500 nominees 
using the nomination form, at most 40 data verifications, and at most 
40 semi-structured interviews.
    CDC will use the information collected through the Million 
Hearts[supreg] Hypertension Control Challenge to increase widespread 
attention to hypertension at the clinical practice level, improve 
understanding of successful and sustainable implementation strategies 
at the practice or health system level, bring visibility to 
organizations that invest in hypertension control, and motivate 
individual practices to strengthen their hypertension control efforts. 
Information collected through the Million Hearts[supreg] Hypertension 
Control Challenge will link success in clinical outcomes of 
hypertension control with information about procedures that can be used 
to achieve similar favorable outcomes so that the strategies can be 
replicated by other providers and health care systems.
    OMB approval is requested for three years. Participation is 
voluntary and there are no costs to the respondents other than their 
time. The total estimated annualized burden hours are 370.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
           Type of responses                    Form name            Number of     responses per   per response
                                                                    respondents     respondent        (in hr)
----------------------------------------------------------------------------------------------------------------
Physicians (Single or Group Practices)  Million Hearts[supreg]               500               1           30/60
                                         Hypertension Control
                                         Champion Nomination
                                         form.
Finalists.............................  Data Verification Form..              40               1               1
                                        Semi-structured                       40               1               2
                                         Interview.
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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. 2016-22446 Filed 9-16-16; 8:45 am]
 BILLING CODE 4163-18-P