Notice2022-22504
Agency Forms Undergoing Paperwork Reduction Act Review
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
October 17, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
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<title>Federal Register, Volume 87 Issue 199 (Monday, October 17, 2022)</title>
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[Federal Register Volume 87, Number 199 (Monday, October 17, 2022)]
[Notices]
[Pages 62853-62854]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[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 <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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)
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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
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