[Federal Register Volume 84, Number 63 (Tuesday, April 2, 2019)]
[Notices]
[Pages 12613-12615]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-06311]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-19-19TG; Docket No. CDC-2019-0010]


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 information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on the Million Hearts[supreg] Hospital/Health 
System Recognition Program that recognizes institutions working 
systematically to improve the cardiovascular health of the population 
and communities they serve.

DATES: CDC must receive written comments on or before June 3, 2019.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0010 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;

[[Page 12614]]

    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] Hospital/Health System Recognition Program--
New ICR--National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP), Centers for Disease Control and Prevention CDC).

Background and Brief Description

    Heart disease, stroke and other cardiovascular diseases (CVDs) kill 
over 800,000 Americans each year, accounting for one in every three 
deaths. CVD is the nation's number one killer among both men and women 
and the leading cause of health disparities. Million Hearts[supreg], a 
national, public-private initiative co-led by the Centers for Disease 
Control and Prevention (CDC) and the Centers for Medicare & Medicaid 
Services (CMS), was established to address this issue.
    Whether migrating towards value-based reimbursement or simply 
striving for a significant impact in reducing the devastation of heart 
attacks and strokes, clinical organizations are positioned to improve 
the health of the population they serve by implementing high-impact, 
evidence-based strategies. Achieving a Million Hearts[supreg] Hospital/
Health System designation signals a commitment to not only clinical 
quality, but population health overall.
    The Program will recognize institutions that are working to 
systematically improve the cardiovascular health of the population and 
communities that they serve by implementing strategies under the 
Million Hearts[supreg] priority areas of keeping people healthy, 
optimizing care, improving outcomes for priority populations, and 
innovating for health. CDC anticipates that applicants will range from 
health systems with multiple hospitals, hospitals with and without 
ambulatory medical practices, and medical practices not affiliated with 
hospitals. Any clinical entity whose leaders consider it eligible may 
apply. Recognition can be achieved by a robust commitment to implement 
specific strategies, by implementing specific strategies, and most 
importantly by achieving specific outcomes. Applicants will complete 
the Million Hearts[supreg] Hospital/Health System Recognition Program 
application, indicating the areas in which they are committing to 
implement Million Hearts[supreg] strategies; areas in which they have 
implemented key strategies; and those strategies for which they have 
achieved outcomes/results.
    Applicants must address a minimum of one strategy in at least three 
of the four priority areas (Keeping People Healthy, Optimizing Care, 
Improving Outcomes for Priority Populations and Innovating for Health) 
that are outlined in the application. However, they are encouraged to 
target as many strategies as is appropriate for their institution. 
Applicants will be subject to a background check.
    The Million Hearts[supreg] Hospitals/Health System designation is 
intended to convey that the institution is committed to preventing 
heart attacks and strokes by a combination of efforts that are about 
Keeping People Healthy, Optimizing Care, Improving Outcomes for 
Priority Populations and Innovating for Health. All applicants with 
reported outcomes and a select number of those who are committing to 
implement or are implementing Million Hearts[supreg] strategies, will 
be asked to participate in a semi-structured, qualitative interview. 
The purpose of the interview is to obtain in-depth contextual 
information about the Million Hearts[supreg] strategies and 
facilitators used to achieve improved cardiovascular outcomes among the 
applicant's patient population. Applicants with reported outcomes will 
receive increased recognition from Million Hearts[supreg] by having 
their success stories highlighted on the Million Hearts[supreg] 
website, e-newsletter, etc.
    After the Million Hearts[supreg] Hospital/Health System Recognition 
Program launches, the web-based application will be open throughout the 
year and applications will be reviewed on a quarterly basis and 
recognized within six months of acceptable review. CDC estimates that 
information will be collected from up to 100 applicants per year. The 
overall goal of the Million Hearts[supreg] initiative is to prevent one 
million heart attacks and strokes. Promoting evidence-based strategies 
that prevent CVD is one focus of the initiative.
    CDC will use the information collected through the Million 
Hearts[supreg] Hospital/Health System Recognition Program to increase 
widespread attention on successful and sustainable implementation 
strategies, improve understanding of these strategies at the practice 
level, bring visibility to organizations that commit, implement, or 
have implemented Million Hearts[supreg] strategies and motivate other 
hospitals and health systems to strengthen their efforts to address 
CVD. OMB approval is requested for three years. Participation is 
voluntarily and there are no costs to respondents other than their 
time.

                                        Estimated Annualized Burden Hours
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                                                                     Number of      Avg. burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent       (in hrs.)       (in hrs.)
----------------------------------------------------------------------------------------------------------------
Medical & Health Service        Recognition                  100               1          160/60             267
 Service Manager.                Program
                                 Application.
Medical & Health Service        Interview Guide.              60               1           30/60              30
 Manager.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             297
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[[Page 12615]]

Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-06311 Filed 4-1-19; 8:45 am]
 BILLING CODE 4163-18-P