[Federal Register Volume 84, Number 29 (Tuesday, February 12, 2019)]
[Notices]
[Pages 3452-3453]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-01915]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Docket No. CDC-2019-0007]
The National Healthcare Safety Network's Outpatient Procedure
Component (OPC) Surveillance Protocol and the Bloodstream Infection
(BSI) Surveillance Protocol; Request for Information
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Request for information.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention, in the
Department of Health and Human Services, seeks information related to
the surveillance protocols for the National Healthcare Safety Network's
(NHSN) Outpatient Procedure Component (OPC) and Bloodstream Infection
(BSI) Module of the Patient Safety Component. CDC is opening this
docket to provide the opportunity to identify issues and areas for
potential improvement for consideration as CDC updates and maintains
the NHSN surveillance protocols beginning in 2020.
DATES: Written comments will be accepted beginning February 14, 2019
and must be received on or before April 15, 2019.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
xxxx, by either of the following methods:
Federal eRulemaking Portal: http://www.regulations.gov.
Follow the instructions for submitting comments.
Mail: Katherine Allen-Bridson, National Center for
Emerging and
[[Page 3453]]
Infectious Zoonotic Disease, Centers for Disease Control and
Prevention, 1600 Clifton Road NE, Mail Stop H16-3, Atlanta, GA 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to http://regulations.gov, including any personal
information provided. For access to the docket to read background
documents or comments received, go to http://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: Katherine Allen-Bridson, RN, BSN,
MScPH, CIC, National Center for Emerging and Infectious Zoonotic
Disease, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, Mail Stop H16-3, Atlanta, GA 30329. Phone: 404-639-4000;
Email:[email protected].
SUPPLEMENTARY INFORMATION:
Purpose of the Notice: The purpose of this notice is to request
input and information from individuals and organizations on issues and
areas for potential improvement for consideration as CDC updates and
maintains the NHSN surveillance protocols for 2020. CDC will carefully
consider all comments with an intent to improve on and maintain the
requirements for a successful surveillance program: Acceptable data
collection burden, consistency, sensitivity, specificity,
representativeness, and timeliness. The CDC reserves the right to
respond to time-sensitive issues outside of this RFI as needed to
maintain the reliability of the NHSN data.
Scope of Issue: The mission of CDC's Division of Healthcare Quality
Promotion (DHQP) is to protect patients and healthcare personnel and
promote safety, quality, and value in national and international
healthcare delivery systems. In accordance with this mission, DHQP
seeks to identify effective prevention methods, foster their
implementation, and measure their impact on the incidence of
healthcare-associated infections (HAIs). Over 21,000 healthcare
facilities report data on HAIs to CDC's NHSN. This includes data that
CDC reports to the Centers for Medicare and Medicaid Services (CMS) on
behalf of healthcare facilities. CMS uses the data in its public
reporting and payment programs.
Approach: CDC seeks information from NHSN users and stakeholders
regarding the NHSN surveillance protocols, including comments that
describe specific concerns about and recommendations for specific
changes regarding the following topics: Protocol scope, definitions,
criteria, data collection requirements, and other surveillance
specifications for the OPC and BSI module.
Also, CDC is exploring the possibility of adding a new HAI event to
its surveillance protocols, hospital onset bacteremia (HOB). The scope
of HOB's surveillance would be all bloodstream infections that develop
in patients following hospital admission, i.e., those bloodstream
infections that are not present on admission. Although this scope would
be wider than Central Line-associated Bloodstream Infection (CLABSI)
surveillance, CLABSI surveillance could be incorporated as a subset of
HOB surveillance. CDC seeks input on NHSN's current CLABSI surveillance
protocol and potential work on HOB surveillance.
Potential Areas of Focus: CDC is interested in receiving
information on issues and areas for potential improvement for
consideration for the following:
1. Outpatient Procedure Component surveillance protocol.
2. Patient Safety Component Bloodstream Infection Module
surveillance protocol.
3. Possible addition of hospital onset bacteremia (HOB) to NHSN's
surveillance protocols.
Examples of the types of information valuable to CDC include:
1. How could the CLABSI and OPC surveillance protocols and/or
surveillance definitions be improved?
2. What challenges are faced when applying these definitions? What
could be added to the definitions to address these challenges?
3. What protocol or data analysis changes could make the CLABSI or
OPC data more useful?
Dated: February 6, 2019.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2019-01915 Filed 2-11-19; 8:45 am]
BILLING CODE 4163-18-P