Notice2021-15229
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
July 19, 2021
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
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 a proposed information collection project titled the National Hospital Care Survey (NHCS). The goal of the project is to assess patient care in hospital- based settings, and to describe patterns of health care delivery and utilization in the United States.
Full Text
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<title>Federal Register, Volume 86 Issue 135 (Monday, July 19, 2021)</title>
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[Federal Register Volume 86, Number 135 (Monday, July 19, 2021)]
[Notices]
[Pages 38094-38095]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-15229]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-21-0212; Docket No. CDC-2021-0069]
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 a proposed
information collection project titled the National Hospital Care Survey
(NHCS). The goal of the project is to assess patient care in hospital-
based settings, and to describe patterns of health care delivery and
utilization in the United States.
DATES: CDC must receive written comments on or before September 17,
2021.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0069 by any of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://Regulations.gov">Regulations.gov</a>. Follow the
instructions for submitting comments.
<bullet> 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 <a href="http://Regulations.gov">Regulations.gov</a>.
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, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7118; Email:
<a href="/cdn-cgi/l/email-protection#0867656a486b6c6b266f677e"><span class="__cf_email__" data-cfemail="e986848ba98a8d8ac78e869f">[email protected]</span></a>.
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.
[[Page 38095]]
Proposed Project
National Hospital Care Survey (NHCS) (OMB Control No. 0920-0212,
Exp. 03/31/2022)--Revision--National Center for Health Statistics
(NCHS), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health Service (PHS) Act (42 U.S.C.
242k), as amended, authorizes that the Secretary of Health and Human
Services (DHHS), acting through NCHS, shall collect statistics on the
extent and nature of illness and disability of the population of the
United States. This three-year clearance request for National Hospital
Care Survey (NHCS) includes the collection of all inpatient and
ambulatory Uniform Bill-04 (UB-04) claims data or electronic health
record (EHR) data, as well as the collection of hospital-level
information via a questionnaire from a sample of 608 hospitals.
The National Ambulatory Medical Care Survey (NAMCS) was conducted
intermittently from 1973 through 1985, and annually since 1989. The
survey is conducted under authority of Section 306 of the Public Health
Service Act (42 U.S.C. 242k). The National Hospital Discharge Survey
(NHDS) (OMB No. 0920-0212, Exp. Date 01/31/2019), conducted
continuously between 1965 and 2010, was the Nation's principal source
of data on inpatient utilization of short-stay, non-institutional, non-
Federal hospitals, and was the principal source of nationally
representative estimates on the characteristics of inpatients including
lengths of stay, diagnoses, surgical and non-surgical procedures, and
patterns of use of care in hospitals in various regions of the country.
In 2011, NHDS was granted approval by OMB to expand its content and to
change its name to the National Hospital Care Survey (NHCS).
In May 2011, recruitment of sampled hospitals for the NHCS began.
Hospitals in the NHCS are asked to provide data on all inpatients from
their UB-04 administrative claims, or EHRs. Hospital-level
characteristics and data on the impact of COVID-19 on the hospital are
collected through an Annual Hospital Interview. NHCS will continue to
provide the same national health-care statistics on hospitals that NHDS
provided. Additionally, NHCS collects more information at the hospital
level (e.g., volume of care provided by the hospital), which allow for
analyses on the effect of hospital characteristics on the quality of
care provided. NHCS data collected from UB-04 administrative claims and
EHRs include all inpatient discharges, not just a sample. The
confidential collection of personally identifiable information allows
NCHS to link episodes of care provided to the same patient in the ED
and/or OPD and as an inpatient, as well as link patients to the
National Death Index (NDI) to measure post-discharge mortality, and
Medicare and Medicaid data to leverage comorbidities. The availability
of patient identifiers also makes analysis on hospital readmissions
possible. This comprehensive collection of data makes future
opportunities for surveillance possible, including analyzing trends and
incidence of opioid misuse, acute myocardial infarction, heart failure
and stroke, as well as trends and point prevalence of health care
acquired infections and antimicrobial use.
Beginning in 2013, in addition to inpatient hospital data,
hospitals participating in NHCS were asked to provide data on the
utilization of health care services in their ambulatory settings (e.g.,
EDs and OPDs). Due to low response rates and high level of missing
data, OPD data were not collected in the last approval period (2019,
2020 and 2021). Collection of OPD may resume in future years.
Data collected through NHCS are essential for evaluating the health
status of the population, for the planning of programs and policy to
improve health care delivery systems of the Nation, for studying
morbidity trends, and for research activities in the health field.
There are no changes to the data collection survey. The only change is
to the burden hours due to the increase of the sample size. The new
total annualized burden is 7,184 hours.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Respondents Form name respondents responses per response (in (in hours)
respondent hours)
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Hospital DHIM or DHIT.......................... Initial Hospital Intake Questionnaire.. 150 1 1 136
Hospital CEO/CFO............................... Recruitment Survey Presentation........ 150 1 1 136
Hospital DHIM or DHIT.......................... Prepare and transmit UB-04 or State 408 12 1 4,896
File for Inpatient and Ambulatory
(monthly).
Hospital DHIM or DHIT.......................... Prepare and transmit EHR for Inpatient 200 4 1 800
and Ambulatory (quarterly).
Hospital CEO/CFO............................... Annual Hospital Interview.............. 608 1 2 1,216
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Total...................................... ....................................... .............. .............. .............. 7,184
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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. 2021-15229 Filed 7-16-21; 8:45 am]
BILLING CODE 4163-18-P
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