[Federal Register Volume 86, Number 178 (Friday, September 17, 2021)]
[Notices]
[Pages 51894-51896]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-20156]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-21-1274; Docket No. CDC-2021-0096]


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 and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on the Million 
Hearts Hospital & Health System Recognition Program. This program 
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 November 16, 
2021.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0096 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

[[Page 51895]]

Clifton Road NE, Mailstop H21-8, 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, Mailstop H21-8, 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;
    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; and
    5. Assess information collection costs.

Proposed Project

    Million Hearts Hospitals & Health Systems Recognition Program (OMB 
Control No. 0920-1274, Exp. 11/30/2022)--Extension--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, 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 Hospitals & Health Systems 
designation signals a commitment to not only clinical quality, but 
population health overall.
    Initially launched in 2020, the Program will continue to 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 priority areas of 
Keeping People Healthy, Optimizing Care, Improving Outcomes for 
Priority Populations, and Innovating for Health. CDC anticipates that 
new 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 Hospitals & Health Systems Recognition Program 
application, indicating the areas in which they are committing to 
implement Million Hearts 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 Hospitals and Health Systems designation conveys 
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 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 
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 by having their success stories highlighted by Million Hearts by 
placement on the Million Hearts website or e-newsletter.
    The program's web-based application will stay 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 50 applicants per year. The 
overall goal of the Million Hearts initiative is to prevent one million 
heart attacks and strokes. Promoting evidence-based strategies that 
prevent CVD is an additional focus of the initiative.
    CDC will use the information collected through the Million Hearts 
Hospitals & Health Systems 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 strategies and motivate other hospitals and health 
systems to strengthen their efforts to address CVD.
    OMB approval is requested for three years. CDC requests approval 
for an estimated 149 annual burden hours. Participation is voluntarily, 
and there are no costs to respondents other than their time.

[[Page 51896]]



                                        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.)
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Medical & Health Service        Recognition                   50               1          160/60             134
 Manager.                        Program
                                 Application.
Medical & Health Service        Interview Guide.              30               1           30/60              15
 Manager.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             149
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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. 2021-20156 Filed 9-16-21; 8:45 am]
BILLING CODE 4163-18-P