Proposed Data Collection Submitted for Public Comment and Recommendations

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Published

December 21, 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 2022 Million Hearts[supreg] Hypertension Control Champions Challenge. This program will be used to identify clinicians, clinical practices, and health systems that have exceptional rates of hypertension control and recognize them as 2022 Million Hearts[supreg] Hypertension Control Champions.

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<title>Federal Register, Volume 86 Issue 242 (Tuesday, December 21, 2021)</title>
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[Federal Register Volume 86, Number 242 (Tuesday, December 21, 2021)]
[Notices]
[Pages 72239-72241]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-27600]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-22-0976; Docket No. CDC-2021-0130]

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 2022 Million Hearts[supreg]
Hypertension Control Champions Challenge. This program will be used to
identify clinicians, clinical practices, and health systems that have
exceptional rates of hypertension control and recognize them as 2022
Million Hearts[supreg] Hypertension Control Champions.

DATES: CDC must receive written comments on or before February 22,
2022.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0130 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 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, MS H21-8, Atlanta, Georgia 30329; phone: 404-639-7118; Email:
<a href="/cdn-cgi/l/email-protection#0a6567684a696e69246d657c"><span class="__cf_email__" data-cfemail="ea858788aa898e89c48d859c">[email&#160;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

[[Page 72240]]

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

2022 Million Hearts[supreg] Hypertension Control Champions
Challenge (OMB Control No. 0920-0976, Exp. 11/30/2022)--Revision--
National Center for Chronic Disease and Public Health Promotion
(NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

Million Hearts[supreg] is a national initiative to prevent one
million heart attacks and strokes by 2022. In order to prevent one
million cardiovascular events (e.g., heart attacks and strokes), we
need to decrease smoking, sodium consumption and physical inactivity by
20%; improve performance on quality-of-care measures for appropriate
aspirin use, blood pressure control, cholesterol management, and
smoking cessation to 80%; and improve outcomes for priority populations
disproportionately burdened by cardiovascular disease.
Over the last nine years, we have seen tremendous progress by
providers and health care systems that focus on improving their
performance in controlling patients' blood pressure. Getting to 80%
blood pressure control (defined as <140/<90 mm Hg) would mean that 10
million more Americans with hypertension would have their blood
pressure under control, and be at substantially lower risk for strokes,
heart attacks, kidney failure, and other related cardiovascular events.
For more information about the initiative, visit <a href="https://millionhearts.hhs.gov/">https://millionhearts.hhs.gov/</a>. Million Hearts[supreg] is a registered
trademark of the Department of Health and Human Services.
The challenge is an important way to call attention to the need for
improved hypertension control, provides a powerful motivation and
target for clinicians, and will improve understanding of successful
implementation strategies at the health system level. It will identify
clinicians, clinical practices, and health systems that have
exceptional rates of hypertension control and recognize them as 2022
Million Hearts[supreg] Hypertension Control Champions. To support
improved quality of care delivered to patients with hypertension,
Million Hearts[supreg] will document the systems, strategies,
processes, and staffing that contribute to the exceptional blood
pressure control rates achieved by Champions.
The challenge is 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). Applicants for the 2022 Million Hearts[supreg] Hypertension
Control Challenge will be asked to provide two hypertension control
rates for the practice's or health system's hypertensive population: A
current rate for the most recent 12-month reporting period (e.g., 1/1/
2021-12/31/2021) and a previous rate for the 12-month period
immediately preceding the most recent reporting period (e.g., 1/1/2020-
12/31/2020). Applicants will also be asked to provide the prevalence of
hypertension in their population (more details provided below),
describe some population characteristics (such as urban/rural location,
percent minority, percent enrolled in Medicaid, percent with no health
insurance, and percent whose primary language is not English) and
strategies used by the practice or health system that support
improvements in blood pressure control. A copy of the application form
will be available on the Challenge website for the duration of the
Challenge.
To be eligible for recognition as a Million Hearts[supreg]
Hypertension Control Champion under this challenge, an individual or
entity:
(1) Shall have completed the application form in its entirety to
participate in the competition under the rules developed by HHS/CDC;
(2) Shall have complied with all eligibility requirements and
satisfy the requirements in one of the following subparts:
a. Be a U.S. licensed clinician (i.e., MD, DO, nurse practitioner,
or physician assistant), practicing in any U.S. setting, who provides
ongoing care for adult patients with hypertension. The individual must
be a citizen or permanent resident of the U.S.;
b. Be a U.S. incorporated clinical practice, defined as any
practice with two or more U.S. licensed clinicians who by formal
arrangement share responsibility for a common panel of patients,
practice at the same physical location or street address, and provide
continuing medical care for adult patients with hypertension;
c. Be a health system, incorporated in and maintaining a primary
place of business in the U.S., that provides continuing medical care
for adult patients with hypertension. We encourage large health systems
(those that are comprised of a large number of geographically dispersed
clinics and/or have multiple hospital locations) to consider having one
or a few of the highest performing clinics or regional affiliates apply
individually instead of the health system applying as a whole;
(3) Must treat all adult patients with hypertension in the
practice, not a selected subgroup of patients;
(4) Must have a data management system (electronic or paper) that
allows HHS/CDC or their contractor to verify data submitted;
(5) Must treat a minimum of 500 adult patients annually and have a
hypertension control rate (blood pressure <140 mm Hg systolic and <90
mm Hg diastolic) of at least 80%;
(6) May not be a federal entity or federal employee acting within
the scope of their employment;
(7) An HHS employee must not work on their application(s) during
assigned duty hours;
(8) Shall not be an employee of or contractor at CDC;
(9) Must agree to participate in a data validation process to be
conducted by a reputable independent contractor. Data will be kept
confidential by the contractor to the extent applicable law allows and
will be shared with the CDC, in aggregate form only (e.g., the
hypertension control rate for the practice not individual patients'
hypertension values);
(10) Must agree to sign, without revisions, a Business Associate
Agreement with the contractor conducting the data validation.
(11) Must have a written policy in place about conducting periodic
background checks on all providers and taking appropriate action based
on the results of the check. CDC's contractor may also request to
review the policy and any supporting information deemed necessary. In
addition, a health system background check will be conducted by CDC or
a CDC contractor that includes a search for the Joint Commission
sanctions and current investigations for serious institutional
misconduct (e.g., attorney general investigation). Eligibility status,
based upon the above-

[[Page 72241]]

referenced written policy, appropriate action, and background check,
will be determined at the discretion of the CDC consistent with CDC's
public health mission.
(12) Must agree to be recognized if selected and agree to
participate in an interview to develop a success story that describes
the systems and processes that support hypertension control among
patients. Champions will be recognized on the Million Hearts[supreg]
website. Strategies used by Champions that support hypertension control
may be written into a success story, placed on the Million
Hearts[supreg] website, used in press releases, publications, and
attributed to Champions.
No cash prize will be awarded. Champions will receive national
recognition. CDC requests OMB approval for an estimated 215 annual
burden hours. There are no costs to respondents other than their time
to participate.

Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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Physician, practices and Million 200 1 30/60 100
healthcare systems. Hearts[supreg]
Hypertension
Control
Champion
Application
Form.
Finalists..................... Million 40 1 2 80
Hearts[supreg]
Hypertension
Control
Champion Data
Verification
Form.
Champions..................... Interview Guide: 35 1 1 35
Million
Hearts[supreg]
Hypertension
Control
Champion.
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Total..................... ................ .............. .............. .............. 215
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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. 2021-27600 Filed 12-20-21; 8:45 am]
BILLING CODE 4163-18-P

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