The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail to firstname.lastname@example.org. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395-5806. Written comments should be received within 30 days of this notice.
National Healthcare Safety Network (NHSN) (OMB No. 0920-0666 exp. 3/31/2012)—Revision—National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The National Healthcare Safety Network (NHSN) is a system designed to accumulate, exchange, and integrate relevant information and resources among private and public stakeholders to support local and national efforts to protect patients and to promote healthcare safety. Specifically, the data is used to determine the magnitude of various healthcare-associated adverse events and trends in the rates of these events among patients and healthcare workers with similar risks. Healthcare institutions that participate in NHSN voluntarily report their data to CDC using a web browser based technology for data entry and data management. Data are collected by trained surveillance personnel using written standardized protocols. The data will be used to detect changes in the epidemiology of adverse events resulting from new and current medical therapies and changing risks.
This revision submission includes an amended Assurance of Confidentiality, which required an update of the Assurance of Confidentiality language on all forms included in the NHSN surveillance system. The scope of NHSN dialysis surveillance is being expanded to include all outpatient dialysis centers so that the existing Dialysis Annual Survey can be used to facilitate prevention objectives set forth in the HHS HAI tier 2 Action Plan and to assess national practices in all Medicare-certified dialysis centers if CMS re-establishes this survey method (as expected). The Patient Safety (PS) Component is being expanded to include long term care facilities to facilitate HAI surveillance in this setting, for which no standardized reporting methodology or mechanism currently exists. Four new forms are proposed for this purpose. A new form is proposed to be added to the Healthcare Personnel Safety (HPS) Component to facilitate summary reporting of influenza vaccination in healthcare workers, which is anticipated to be required by CMS in the near future. In addition to this new form, the scope of the HPS Annual Facility Survey is being expanded to include all acute care facilities that would enroll if CMS does implement this requirement. The NHSN Antimicrobial Use and Resistance module is transitioning from manual web entry to electronic data upload only, which results in a significant decrease to the reporting burden for this package. Finally, there are many updates, clarifications, and data collection revisions proposed in this submission.
CDC is requesting to delete four currently approved forms that are no longer needed by the NHSN and add five new forms
The previously-approved NHSN package included 47 individual data collection forms. If all proposed revisions are approved, the reporting burden will decrease by 1,258,119 hours, for a total estimated burden of 3,914,125 hours and 48 total data collection tools.
Participating institutions must have a computer capable of supporting an Internet service provider (ISP) and access to an ISP. There is no cost to respondents other than their time. The total estimated annual burden hours are 3,914,125.Start Printed Page 12120
|Respondents||Form name||Number of respondents||Responses per respondent||Burden per response (hours)|
|Infection Preventionist||NHSN Registration Form||6,000||1||5/60|
|Facility Contact Information||6,000||1||10/60|
|Patient Safety Component—Annual Facility Survey||6,000||1||40/60|
|Patient Safety Component—Outpatient Dialysis Center Practices Survey||5,500||1||1|
|Group Contact Information||6,000||1||5/60|
|Patient Safety Monthly Reporting Plan||6,000||9||35/60|
|Primary Bloodstream Infection (BSI)||6,000||36||32/60|
|Urinary Tract Infection (UTI)||6,000||27||32/60|
|Staff RN||Denominators for Neonatal Intensive Care Unit (NICU)||6,000||9||4|
|Denominators for Specialty Care Area (SCA)||6,000||9||5|
|Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA)||6,000||18||5|
|Staff RN||Denominator for Outpatient Dialysis||500||12||5/60|
|Infection Preventionist||Surgical Site Infection (SSI)||6,000||27||32/60|
|Staff RN||Denominator for Procedure||6,000||540||10/60|
|Laboratory Technician||Antimicrobial Use and Resistance (AUR)-Microbiology Data Electronic Upload Specification Tables||6,000||12||5/60|
|Pharmacy Technician||Antimicrobial Use and Resistance (AUR)-Pharmacy Data Electronic Upload Specification Tables||6,000||12||5/60|
|Infection Preventionist||Central Line Insertion Practices Adherence Monitoring||6,000||100||5/60|
|MDRO or CDI Infection Form||6,000||72||32/60|
|MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring||6,000||24||10/60|
|Laboratory-identified MDRO or CDI Event||6,000||240||25/60|
|Vaccination Monthly Monitoring Form—Summary Method||6,000||5||14|
|Vaccination Monthly Monitoring Form—Patient-Level Method||2,000||5||2|
|Patient Safety Component—Annual Facility Survey for LTCF||250||1||25/60|
|Laboratory-identified MDRO or CDI Event for LTCF||250||8||30/60|
|MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF||250||3||7/60|
|Urinary Tract Infection (UTI) for LTCF||250||9||30/60|
|Occ Health RN||Healthcare Personnel Safety Component Annual Facility Survey||6,000||1||8|
|Healthcare Worker Survey||600||100||10/60|
|Healthcare Personnel Safety Monthly Reporting Plan||600||9||10/60|
|Healthcare Worker Demographic Data||600||200||20/60|
|Exposure to Blood/Body Fluids||600||50||1|
|Healthcare Worker Prophylaxis/Treatment||600||10||15/60|
|Laboratory Technician||Follow-Up Laboratory Testing||600||100||15/60|
|Occ Health RN||Healthcare Worker Vaccination History||600||300||10/60|
|Occ Health RN||Healthcare Worker Influenza Vaccination||600||500||10/60|
|Healthcare Worker Prophylaxis/Treatment-Influenza||600||50||10/60|
|Pre-season Survey on Influenza Vaccination Programs for Healthcare Personnel||600||1||10/60|
|Post-season Survey on Influenza Vaccination Programs for Healthcare Personnel||600||1||10/60|
|Healthcare Personnel Influenza Vaccination Monthly Summary||6,000||6||2|
|Clinical Laboratory Technologist||Hemovigilance Module Annual Survey||500||1||2|
|Hemovigilance Module Monthly Reporting Plan||500||12||2/60|
|Hemovigilance Module Monthly Incident Summary||500||12||2|
|Hemovigilance Module Monthly Reporting Denominators||500||12||30/60|
|Hemovigilance Adverse Reaction||500||120||10/60|
Dated: February 25, 2011.
Acting Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-4946 Filed 3-3-11; 8:45 am]
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