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Notice

Proposed Data Collection Submitted for Public Comment and Recommendations

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Information about this document as published in the Federal Register.

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AGENCY:

Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS).

ACTION:

Notice with comment period.

SUMMARY:

The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on the National Healthcare Safety Network (NHSN). NHSN is a Start Printed Page 37266system 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 promote healthcare safety.

DATES:

Written comments must be received on or before August 31, 2015.

ADDRESSES:

You may submit comments, identified by Docket No. CDC-2015-0048 by any of the following methods:

  • Federal eRulemaking Portal: Regulation.gov. Follow the instructions for submitting comments.
  • Mail: Leroy A. Richardson, 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. All relevant comments received will be posted without change to Regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to Regulations.gov.

Please note:

All public comment should be submitted through the Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the address listed above.

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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 the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: omb@cdc.gov.

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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 OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below.

Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency's estimate of the burden of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; to develop, acquire, install and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information, to search data sources, to complete and review the collection of information; and to transmit or otherwise disclose the information.

Proposed Project

National Healthcare Safety Network (NHSN)—Revision—National Center for Emerging and Zoonotic Infection 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 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. The data will be used to detect changes in the epidemiology of adverse events resulting from new and current medical therapies and changing risks. The NHSN currently consists of five components: Patient Safety, Healthcare Personnel Safety, Biovigilance, Long-Term Care Facility (LTCF), and Dialysis. The Outpatient Procedure Component is on track to be released in NHSN in 2016/2017. The development of this component has been previously delayed to obtain additional user feedback and support from outside partners.

Changes were made to seven facility surveys. Based on user feedback and internal reviews of the annual facility surveys it was determined that questions and response options be amended, removed, or added to fit the evolving uses of the annual facility surveys. The surveys are being increasingly used to help intelligently interpret the other data elements reported into NHSN. Currently the surveys are used to appropriately risk adjust the numerator and denominator data entered into NHSN while also guiding decisions on future division priorities for prevention.

Additionally, minor revisions have been made to 27 forms within the package to clarify and/or update surveillance definitions. Two forms are being removed as those forms will no longer be added to the NHSN system. The previously approved NHSN package included 54 individual collection forms; the current revision request removes two forms for a total of 52 forms. The reporting burden will increase by 583,825 hours, for a total of 4,861,542 hours.

Estimated Annualized Burden Hours

Type of respondentsForm nameNumber of respondentsNumber of responses per respondentAverage burden per response (in hours)Total burden (in hours)
Registered Nurse (Infection Preventionist)NHSN Registration Form2,00015/60167
Registered Nurse (Infection Preventionist)Facility Contact Information2,000110/60333
Registered Nurse (Infection Preventionist)Patient Safety Component—Annual Hospital Survey5,000150/604,167
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Registered Nurse (Infection Preventionist)Group Contact Information1,00015/6083
Registered Nurse (Infection Preventionist)Patient Safety Monthly Reporting Plan6,0001215/6018,000
Registered Nurse (Infection Preventionist)Primary Bloodstream Infection (BSI)6,0004430/60132,000
Registered Nurse (Infection Preventionist)Pneumonia (PNEU)6,0007230/60216,000
Registered Nurse (Infection Preventionist)Ventilator-Associated Event6,00014425/60360,000
Registered Nurse (Infection Preventionist)Urinary Tract Infection (UTI)6,0004020/6080,000
Staff RNDenominators for Neonatal Intensive Care Unit (NICU)6,00093162,000
Staff RNDenominators for Specialty Care Area (SCA)/Oncology (ONC)6,00095270,000
Staff RNDenominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA)6,0006051,800,000
Registered Nurse (Infection Preventionist)Surgical Site Infection (SSI)6,0003635/60126,000
Staff RNDenominator for Procedure6,0005405/60270,000
Laboratory TechnicianAntimicrobial Use and Resistance (AUR)-Microbiology Data Electronic Upload Specification Tables6,000125/606,000
Pharmacy TechnicianAntimicrobial Use and Resistance (AUR)-Pharmacy Data Electronic Upload Specification Tables6,000125/606,000
Registered Nurse (Infection Preventionist)Central Line Insertion Practices Adherence Monitoring1,00010025/6041,667
Registered Nurse (Infection Preventionist)MDRO or CDI Infection Form6,0007230/60216,000
Registered Nurse (Infection Preventionist)MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring6,0002415/6036,000
Registered Nurse (Infection Preventionist)Laboratory-identified MDRO or CDI Event6,00024030/60720,000
Registered Nurse (Infection Preventionist)Long-Term Care Facility Component—Annual Facility Survey25011250
Registered Nurse (Infection Preventionist)Laboratory-identified MDRO or CDI Event for LTCF250815/60500
Registered Nurse (Infection Preventionist)MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF250125/60250
Registered Nurse (Infection Preventionist)Urinary Tract Infection (UTI) for LTCF250930/601,125
Registered Nurse (Infection Preventionist)Monthly Reporting Plan for LTCF250125/60250
Registered Nurse (Infection Preventionist)Denominators for LTCF Locations250123.259,750
Registered Nurse (Infection Preventionist)Prevention Process Measures Monthly Monitoring for LTCF250125/60250
Registered Nurse (Infection Preventionist)LTAC Annual Survey400150/60333
Registered Nurse (Infection Preventionist)Rehab Annual Survey1,000150/60833
Occupational Health RN/SpecialistHealthcare Personnel Safety Component Annual Facility Survey5018400
Occupational Health RN/SpecialistHealthcare Personnel Safety Monthly Reporting Plan17,00015/601,417
Occupational Health RN/SpecialistHealthcare Worker Demographic Data5020020/603,333
Occupational Health RN/SpecialistExposure to Blood/Body Fluids505012,500
Occupational Health RN/SpecialistHealthcare Worker Prophylaxis/Treatment503015/60375
Laboratory TechnicianFollow-Up Laboratory Testing505015/60625
Occupational Health RN/SpecialistHealthcare Worker Prophylaxis/Treatment-Influenza505010/60417
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Medical/Clinical Laboratory TechnologistHemovigilance Module Annual Survey500121,000
Medical/Clinical Laboratory TechnologistHemovigilance Module Monthly Reporting Plan500121/60100
Medical/Clinical Laboratory TechnologistHemovigilance Module Monthly Reporting Denominators5001216,000
Medical/Clinical Laboratory TechnologistHemovigilance Adverse Reaction5004815/606,000
Medical/Clinical Laboratory TechnologistHemovigilance Incident5001010/60833
Staff RNPatient Safety Component—Annual Facility Survey for Ambulatory Surgery Center (ASC)5,00015/60417
Staff RNOutpatient Procedure Component—Monthly Reporting Plan5,0001215/6015,000
Staff RNOutpatient Procedure Component Event5,0002540/6083,333
Staff RNOutpatient Procedure Component—Monthly Denominators and Summary5,0001240/6040,000
Registered Nurse (Infection Preventionist)Outpatient Dialysis Center Practices Survey6,50012.013,000
Staff RNDialysis Monthly Reporting Plan6,500125/606,500
Staff RNDialysis Event6,5006025/60162,500
Staff RNDenominators for Dialysis Event Surveillance6,5001210/6013,000
Staff RNPrevention Process Measures Monthly Monitoring for Dialysis1,500121.2522,500
Staff RNDialysis Patient Influenza Vaccination3257510/604,063
Staff RNDialysis Patient Influenza Vaccination Denominator325510/60271
Total4,861,542
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Maryam I. Daneshvar,

Deputy Director, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention.

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[FR Doc. 2015-16028 Filed 6-29-15; 8:45 am]

BILLING CODE 4163-18-P