[Federal Register Volume 87, Number 199 (Monday, October 17, 2022)]
[Notices]
[Pages 62853-62854]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-22504]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-23-0976]


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 
Champions 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 21, 2021 to obtain comments from the public and affected 
agencies. CDC did not receive 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. Comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. 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 Champions Challenge (OMB 
Control No. 0929-0976, 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

    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 February 
2022, CDC launched Million Hearts 2027 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

[[Page 62854]]

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. 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 2020, CDC recognized a total of 133 
public and private health care practices and systems as Million Hearts 
Hypertension Control Champions. The Champions are announced roughly 
annually, approximately six months after the Challenge application 
period ends.
    CDC plans to conduct the Million Hearts Hypertension Control 
Challenge annually through 2027. The 2023 Challenge is planned to 
launch in February 2023, coinciding with American Heart Month. The 
application period will be open for approximately 45-60 days, with 
recognition of the 2023 Champions in the fall of 2023. A similar 
calendar year schedule is planned for 2024 and 2025.
    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.
    CDC requests OMB approval for an estimated 215 annual burden hours. 
Participation is voluntary, and there are no costs to the respondents 
other than their time to participate.

                                        Estimated Annualized Burden Hours
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                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Clinicians, practices, and healthcare   Million Hearts                       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.
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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. 2022-22504 Filed 10-14-22; 8:45 am]
BILLING CODE 4163-18-P