[Federal Register Volume 84, Number 224 (Wednesday, November 20, 2019)]
[Notices]
[Pages 64078-64079]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-25152]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-19GH]
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 Evaluating the implementation and impact of a
fall prevention program, including opioid medication management, in a
hospital discharge setting, 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 02/07/2019 to obtain comments from the public and affected
agencies. CDC received three comments related to the previous notice.
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
Evaluating the implementation and impact of an opioid medication
management program, in a hospital discharge setting, to reduce falls in
older adults--New--National Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Over one in four older adults report a fall, and one in 10 report a
fall injury each year. Falls result in serious injuries. They are the
leading cause of traumatic brain injuries in older adults and 95% of
hip fractures in older adults are due to falls.
Certain types of medications, known as psychoactive medications,
have been associated with an increased fall risk in older adults.
Psychoactive medications, including opioids and benzodiazepines, affect
the central nervous system and can cause side effects such as
dizziness, sedation, confusion, blurred vision, and orthostatic
hypotension. Opioid prescribing in emergency department settings,
inpatient settings, and at hospital discharge settings is very common
and may increase future chronic opioid use. Studies have shown that
opioid treatments in older adults are associated with significantly
increased risk of falls, injurious falls, and fractures.
This data collection will perform a formative evaluation of the
implementation and impact of a fall prevention program in a hospital
discharge setting at the University of California, San Francisco
(UCSF). Components of the program will target opioid medication
management in the acute and post-acute settings and referral to
clinically effective programs to reduce the risk of falls and opioid
misuse. A total of four questionnaires will be administered. (1) The
Pre-discharge patient questionnaire will be used to survey older adults
at University of California San Francisco (UCSF) Medical Center while
in the hospital (before discharge). The questionnaire includes 47
questions and is expected to take approximately 10 minutes to complete.
(2) The Post-discharge patient questionnaire will be used to survey the
older adults that completed the pre-discharge survey three additional
times (at 14, 30 and 60 days) after being discharged from UCSF Medical
Center. This questionnaire includes 60 questions and is expected to
take approximately 10 minutes to complete. (3) The UCSF Clinical staff
evaluation questionnaire will be used to survey clinical staff at the
UCSF Medical Center. The questionnaire includes 31 questions and is
expected to take approximately five minutes to complete. (4) The
Primary Care Provider (PCP) post-discharge questionnaire will be used
to survey primary care providers
[[Page 64079]]
involved in the care of patients discharged from USCF. The
questionnaire includes 11 questions and is expected to take
approximately five minutes to complete.
CDC will use the information collected to: (1) Examine post-
discharge use of opioids or alternative therapies for pain management
among older adult patients, (2) examine post-discharge compliance and
follow up by older adults with primary care doctors and/or specialist
referrals for pain management and fall prevention efforts, (3) identify
rate of readmission for a fall by level of patient compliance and
follow-up post-discharge, (4) evaluate the uptake of the program by
clinical staff, and (5) identify opportunities for program and process
improvement.
The data collection proposed by this project represents the first
federal effort to monitor use of opioids and other pain relief
strategies through implementation of the fall prevention and opioid
management initiative in a hospital discharge setting to measure impact
on older adult health outcomes. The total estimated annualized burden
hours is 541. There are no costs to the respondents other than their
time.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hours)
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Older adult Patients.................. Pre-discharge Patient 800 1 10/60
Questionnaire.
Post-discharge Patient 800 3 10/60
Questionnaire.
UCSF clinical staff................... Clinical Staff 50 1 5/60
Evaluation
Questionnaire.
Primary care providers (PCP).......... PCP post discharge 50 1 5/60
survey.
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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. 2019-25152 Filed 11-19-19; 8:45 am]
BILLING CODE 4163-19-P