[Federal Register Volume 84, Number 101 (Friday, May 24, 2019)]
[Notices]
[Pages 24150-24151]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-10838]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-19-19ARD; Docket No. CDC-2019-0037]
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 a proposed information collection project
titled ``An Evaluation of CDC's STEADI Older Adult Fall Prevention
Initiative in a Primary Care Setting.'' This new data collection effort
is an essential component to determine the impact of CDC's Stopping
Elderly Accidents, Deaths, and Injuries (STEADI) initiative on falls,
emergency department visits, and hospitalizations due to falls.
DATES: CDC must receive written comments on or before July 23, 2019.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2019-
0037 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 Jeffery 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
Evaluation of CDC's STEADI Older Adult Fall Prevention Initiative
in a Primary Care Setting--New--National Center for Injury Prevention
and Control (NCIPC), Centers for Disease Control and Prevention (CDC).
[[Page 24151]]
Background and Brief Description
Falls are the leading cause of both fatal and non-fatal injuries
among older adults, defined as age 65 and older. From 2007 to 2016,
fall death age-adjusted rates increased by 31% with almost 30,000 older
adults dying as the result of a fall in 2016. The economic consequences
of falls are significant and growing as the population ages, with
medical costs of older adult falls estimated at $50 billion. CDC
created the Stopping Elderly Accidents, Deaths, and Injuries (STEADI)
initiative to guide health care providers' fall prevention activities
in the primary care setting.
This new data collection effort is an essential component to
determine the impact of CDC's Stopping Elderly Accidents, Deaths, and
Injuries (STEADI) initiative on falls, emergency department visits, and
hospitalizations due to falls. It will help CDC determine the impact of
less resource intense versions of STEADI, and evaluate the process of
implementing STEADI fall prevention initiative in a primary care
setting to provide context for the impact evaluations. The study
population will be limited to adults 65 and older who have an
outpatient visit during the study period and screen as high risk for
falls at the selected primary care clinics implementing the STEADI fall
prevention initiative. The study population for the process evaluation
will include the clinical implementation staff at the selected clinics
where the intervention will take place (physicians, physician
assistants/nurse practitioners, study research nurses, and practice or
operations manager).
Two data collection methods will be used; the CDC's Stay
Independent Fall Risk Screener will be administered to older adult
patients at selected primary care clinics to determine which older
adults are at high risk for a fall. Those who screen at high risk will
be assigned, based on clinic attended and week of attendance, to one of
three study arms. Patient surveys will be used to determine whether or
not these patients experience a fall during the study period, are
treated for a fall, and/or use any fall prevention strategies
throughout the study period. Four surveys will be administered to each
patient during a 12-month period: One baseline survey and three follow-
up surveys. Older adults will also be asked to keep track of their
falls in a monthly falls diary, so they can accurately recall and
report the information during the 12-month period for the patient
surveys. The process evaluation interviews will be used to understand
the attitudes of clinical staff towards the implementation process,
barriers and facilitators to implementation, and the implementation
fidelity to core components of the STEADI initiative. Descriptive
statistics and cross tabulations will be used to describe quantitative
data from the patient survey and process evaluation data. Risk ratios
of the effect of the intervention on post-intervention falls will be
calculated comparing intervention and control groups while controlling
for demographic, health, attitude, and behavior variables.
The data collected from this study will be used to: Demonstrate the
impact of STEADI and different components of STEADI on falls and fall
injuries in a primary care setting and improve the implementation of
STEADI in a primary care setting. There are no costs to the respondents
other than their time. The total estimated annualized burden hours is
3,836.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (hours) (hours)
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Patient....................... Stay Independent 5,093 1 10/60 849
Fall Risk
Screener.
Patient Consent * 1,333 1 12/60 267
Form.
Patient Baseline 1,000 1 15/60 250
Survey.
Patient Follow- 896 3 15/60 672
up Survey.
Patient Falls 896 12 10/60 1,792
Diary.
Nurse......................... Nurse Interview 1 1 1 1
Guide/Consent.
Physician/Physician Assistants/ Provider 3 1 1 3
Nurse Practitioners. Interview Guide/
Consent.
Clinic operations Manager..... Operations 2 1 1 2
Manager Guide/
Consent.
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Total..................... ................ .............. .............. .............. 3,836
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Jeffrey M. Zirger,
Lead, Information Collection Review Office Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019-10838 Filed 5-23-19; 8:45 am]
BILLING CODE 4163-19-P