[Federal Register Volume 83, Number 238 (Wednesday, December 12, 2018)]
[Notices]
[Pages 63890-63891]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-26876]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-19-0976; Docket No. CDC-2018-0112]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies the opportunity to comment on a proposed and/or
continuing information collection, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
information collection project titled Million Hearts[supreg]
Hypertension Control Challenge, a program designed to identify clinical
practices and health systems that have been successful in achieving
high rates of hypertension control and to develop models for
dissemination of successful strategies to control hypertension.
DATES: CDC must receive written comments on or before February 11,
2019.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0112 by any of the following methods:
Federal eRulemaking Portal: Regulations.gov. Follow the
instructions for submitting comments.
Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road,
NE, MS-D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to Regulations.gov.
Please note: Submit all comments through the Federal eRulemaking
portal (regulations.gov) or by U.S. mail to the address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road, NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email:
[email protected].
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. 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;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected; and
4. 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
submissions of responses.
5. Assess information collection costs.
Proposed Project
Million Hearts[supreg] Hypertension Control Challenge (OMB No.
0920-0976, exp. 12/31/2019--Revision--National Center for Chronic
disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Cardiovascular disease is a leading cause of death for men and
women in the United States, among the most costly health problems
facing our nation today, and among the most preventable. Heart disease
and stroke also contribute significantly to disability. High blood
pressure, also known as hypertension, is one of the leading causes of
heart disease and stroke. Currently, about 75 million American adults
have high blood pressure but only about half (48%) have adequately
controlled blood pressure. The costs of hypertension are estimated at
$48.9 billion annually in direct medical costs.
In September 2011, CDC launched the Million Hearts[supreg]
initiative to prevent one million heart attacks and strokes by 2017. In
January 2018, CDC launched Million Hearts[supreg] 2022 to continue to
prevent one million heart attacks, strokes, and related health
conditions. In order to achieve this goal, at least 10 million more
Americans must have their blood pressure under control. Million
Hearts[supreg] is working to reach this goal through the promotion of
clinical practices that are effective in increasing blood pressure
control among patient populations. 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
additional 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, 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 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. Providers whose
hypertensive population achieves exemplary levels of hypertension
control are recognized as Million Hearts[supreg] Hypertension Control
Champions.
Interested clinicians or practices complete a web-based application
form which collects the minimum amount of data needed to demonstrate
hypertension control among their adult patients, 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 brief description of the characteristics 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
application form is 30 minutes. CDC scientists or contractors review
each
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application form and rank applications by reported hypertension control
rate.
In the second phase of assessment, applicants with the highest
preliminary scores are asked to participate in a two-hour data
verification and validation process. The applicant reviews the
application form with a reviewer, describes how information was
obtained from the providers', practices', or healthcare systems'
electronic records, chart reviews, or other sources, and reviews the
methodology used to calculate the reported hypertension control rate.
Data verification and validation is conducted to ensure that all
applicants meet eligibility criteria and assure accuracy of their
reported hypertension control rate according to a standardized method.
Applicants must have achieved a hypertension control rate of at least
80% among their adult patients aged 18-85 years with hypertension.
Finalists who pass the data verification and validation process and
background check will be reviewed by a CDC panel of judges to determine
the Champion status. Several Champions will be asked to participate in
a one-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 the information collected
for Challenges in 2013 through 2017, CDC recognized a total of 83
public and private health care practices and systems as Million
Hearts[supreg] Hypertension Control Champions. The Champions are
announced roughly annually, approximately six months after the
Challenge application period ends. The current OMB approval for
information collection expires December 31, 2019.
CDC plans to continue the Million Hearts[supreg] Hypertension
Control Challenge through 2022 with revisions. The 2020 Challenge is
planned to launch in February 2020, coinciding with American Heart
Month. The application period will be open for approximately 45-60
days, with recognition of the 2020 Champions in the fall of 2020. A
similar calendar year schedule is planned for 2021 and 2022. Revision
for 2020, 2021, and 2022 includes a reduction in the estimated number
of respondents. During the period of this Renewal request, on an annual
basis, CDC estimates that information will be collected from up to 200
applicants using the application form, at most 40 data verifications,
and at most 35 semi-structured interviews. There is an overall
reduction in estimated annualized burden hours.
The overall goal of the Million Hearts[supreg] initiative is to
prevent one million heart attacks and strokes, and controlling
hypertension is one focus of the initiative. 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 strategies 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 for a revision is requested for three years. CDC
estimates that up to 200 applicants will submit an application covered
by this information collection each year. It is estimated that
information collection activities will total 215 burden hours per year.
This represents a decrease in the estimated annualized burden hours
from 370 hours to 215 hours. There is no cost to respondents other than
their time.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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Physicians, Practices, and Million 200 1 30/60 100
healthcare systems. Hearts[supreg]
Hypertension
Control
Champion
Application
form.
Finalists..................... Data 40 1 2 80
Verification
Form.
Champions..................... Semi-structured 35 1 1 35
interview guide.
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Total..................... ................ .............. .............. .............. 215
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Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2018-26876 Filed 12-11-18; 8:45 am]
BILLING CODE 4163-18-P