[Federal Register Volume 84, Number 156 (Tuesday, August 13, 2019)]
[Notices]
[Pages 40065-40066]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17287]
[[Page 40065]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-19-0976]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled Million Hearts Hypertension Control Challenge
to the Office of Management and Budget (OMB) for review and approval.
CDC previously published a ``Proposed Data Collection Submitted for
Public Comment and Recommendations'' notice on December 12, 2018 to
obtain comments from the public and affected agencies. CDC received two
comments. We thank the respondents for these comments. This notice
serves to allow an additional 30 days for public and affected agency
comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(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]. Direct written comments
and/or suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide
written comments within 30 days of notice publication.
Proposed Project
Million Hearts Hypertension Control Challenge (OMB Control Number
0920-0976, Expiration 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 78 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 initiative to
prevent one million heart attacks and strokes by 2017. In January 2018,
CDC launched Million Hearts 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 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 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 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 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' (or practices') 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.
Up to 35 finalists who pass the data verification and background
check are selected as Champions. Several Champions 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 2018, CDC recognized a total of 101
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.
[[Page 40066]]
CDC plans to conduct the Million Hearts Hypertension Control
Challenge annually through 2022. 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 revision 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 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 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 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 is requested for three years. Participation is
voluntary. The total estimated annualized burden hours are 215. There
are no costs to the respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hr)
----------------------------------------------------------------------------------------------------------------
Clinicians, practices, and healthcare Million Hearts[supreg] 200 1 30/60
systems. Hypertension Control
Champion Application
form.
Finalists............................. Data Verification Form.. 40 1 2
Champions............................. Semi-structured 35 1 1
interview guide.
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019-17287 Filed 8-12-19; 8:45 am]
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