80_FR_49020 80 FR 48863 - Announcement of Requirements and Registration for Million Hearts® Hypertension Control Challenge

80 FR 48863 - Announcement of Requirements and Registration for Million Hearts® Hypertension Control Challenge

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 157 (August 14, 2015)

Page Range48863-48866
FR Document2015-20076

The Centers for Disease Control and Prevention (CDC) located within the Department of Health and Human Services (HHS) announces the launch of the Million Hearts[supreg] Hypertension Control Challenge on August 18, 2015. The challenge will be open until October 31, 2015. Million Hearts[supreg] is a national initiative to prevent one million heart attacks and strokes by 2017. Achieving this goal means 10 million more Americans must have their blood pressure under control. Million Hearts[supreg] is working to control high blood pressure through clinical approaches, such as using health information technology to its fullest potential and integrating team-based approaches to health care, and community approaches, such as strengthening tobacco control and lowering sodium consumption. For more information about the initiative, visit www.millionhearts.hhs.gov. To support improved blood pressure control, HHS/CDC is announcing the 2015 Million Hearts[supreg] Hypertension Control Challenge. The challenge will improve understanding of successful implementation strategies at the health system level by motivating clinical practices and health systems to strengthen their hypertension control efforts. It will identify clinicians, clinical practices, and health systems that have exceptional rates of hypertension control and recognize them as Million Hearts[supreg] Hypertension Control Champions. To support improved quality of care delivered to patients with hypertension, Million Hearts[supreg] will document the systems, processes, and staffing that contribute to the exceptional blood pressure control rates achieved by Champions. Champions will receive local and national recognition.

Federal Register, Volume 80 Issue 157 (Friday, August 14, 2015) 
[Federal Register Volume 80, Number 157 (Friday, August 14, 2015)]
[Notices]
[Pages 48863-48866]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20076]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Announcement of Requirements and Registration for Million 
Hearts[supreg] Hypertension Control Challenge

    Authority: 15 U.S.C. 3719

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).
    Award Approving Official: Thomas R. Frieden, MD, MPH, Director, 
Centers for Disease Control and Prevention, and Administrator, Agency 
for Toxic Substances and Disease Registry.

ACTION: Notice.

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[[Page 48864]]

SUMMARY: The Centers for Disease Control and Prevention (CDC) located 
within the Department of Health and Human Services (HHS) announces the 
launch of the Million Hearts[supreg] Hypertension Control Challenge on 
August 18, 2015. The challenge will be open until October 31, 2015.
    Million Hearts[supreg] is a national initiative to prevent one 
million heart attacks and strokes by 2017. Achieving this goal means 10 
million more Americans must have their blood pressure under control. 
Million Hearts[supreg] is working to control high blood pressure 
through clinical approaches, such as using health information 
technology to its fullest potential and integrating team-based 
approaches to health care, and community approaches, such as 
strengthening tobacco control and lowering sodium consumption. For more 
information about the initiative, visit www.millionhearts.hhs.gov.
    To support improved blood pressure control, HHS/CDC is announcing 
the 2015 Million Hearts[supreg] Hypertension Control Challenge. The 
challenge will improve understanding of successful implementation 
strategies at the health system level by motivating clinical practices 
and health systems to strengthen their hypertension control efforts. It 
will identify clinicians, clinical practices, and health systems that 
have exceptional rates of hypertension control and recognize them as 
Million Hearts[supreg] Hypertension Control Champions. To support 
improved quality of care delivered to patients with hypertension, 
Million Hearts[supreg] will document the systems, processes, and 
staffing that contribute to the exceptional blood pressure control 
rates achieved by Champions.
    Champions will receive local and national recognition.

DATES: Effective August 18, 2015. Office of Management and Budget 
control number 0920-0976 expires 7/31/2016.

FOR FURTHER INFORMATION CONTACT: Division for Heart Disease and Stroke 
Prevention, National Center for Chronic Disease Prevention and Health 
Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy 
NE., Mailstop F-77, Chamblee, GA 30341, Telephone: 770-488-2424, Email: 
[email protected]; Attention: Hypertension Control Challenge.

SUPPLEMENTARY INFORMATION: 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).

Subject of Challenge Competition

    Entrants to the Million Hearts 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 a 12-
month period and a previous rate for a 12 month period a year or more 
before. Entrants will also be asked to provide the prevalence of 
hypertension in their population, and describe some population 
characteristics and the sustainable systems used by the practice or 
health system that support continued improvements in blood pressure 
control.

Eligibility Rules for Participating in the Competition

    To be eligible to be recognized as a Hypertension Champion under 
this challenge, an individual or entity --
    (1) Shall have completed the nomination form in its entirety to 
participate in the competition under the rules developed by HHS/CDC;
    (2) Shall have complied with all the requirements in this section 
and;
    a. Be a U.S. licensed clinician, practicing in any U.S. setting, 
who provides continuing care for adult patients with hypertension. The 
individual must be a citizen or permanent resident of the U.S.
    b. Or 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. Or 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 
seeking care, not a selected subgroup of patients;
    (4) Must have a data management system (electronic or paper) that 
allows HHS/CDC or their contractor to check data submitted;
    (5) Must treat a minimum of 500 adult patients annually and have a 
hypertension control rate of at least 70%;
    (6) May not be a Federal entity or Federal employee acting within 
the scope of their employment;
    (7) Shall not be an HHS employee working on their applications or 
submissions during assigned duty hours;
    (8) Shall not be an employee 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 and will be shared with the CDC to the 
extent applicable law allows, in aggregate form only (i.e., the 
hypertension control rate for the practice not individual hypertension 
values);
    (10) Must have a written policy in place that conducts periodic 
background checks on all providers and takes appropriate action 
accordingly, if individual or entity is a health system. 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). CDC's contractor may also request the 
policy and any supporting information deemed necessary.
    (11) 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] 
Web site. Strategies used by Champions that support hypertension 
control may be written into a success story, placed on the Million 
Hearts[supreg] Web site, and attributed to Champions.
    Federal grantees may not use Federal funds to develop COMPETES Act 
challenge applications unless consistent with the purpose of their 
grant award and specifically requested to do so due to competition 
design.
    Federal contractors may not use Federal funds from a contract to 
develop COMPETES Act challenge applications or to fund efforts in 
support of a COMPETES Act challenge.
    Individual nominees and individuals in a group practice must be 
free from convictions or pending investigations of criminal and health 
care fraud offenses such as felony health care fraud, patient abuse or 
neglect; felony convictions for other health care-related fraud, theft, 
or other financial misconduct; and felony convictions relating to 
unlawful manufacture, distribution, prescription, or dispensing of 
controlled substances as verified through the Office of the

[[Page 48865]]

Inspector General List of Excluded Individuals and Entities. http://oig.hhs.gov/exclusions/background.asp.
    Individual nominees must be free from serious sanctions, such as 
those for misuse or mis-prescribing of prescription medications. Such 
serious sanctions will be determined at the discretion of the agency 
consistent with CDC's public health mission. CDC's contractor may 
perform background checks on individual clinicians or medical 
practices.
    Champions previously recognized through the 2013 and 2014 Million 
Hearts Hypertension Control Challenge retain their designation as a 
``Champion'' and are not eligible to be named a Champion in the 2015 
challenge.
    An individual or entity shall not be deemed ineligible because the 
individual or entity used Federal facilities or consulted with Federal 
employees during a competition if the facilities and employees are made 
available to all individuals and entities participating in the 
competition on an equal basis.
    By participating in this challenge, an individual or organization 
agrees to assume any and all risks related to participating in the 
challenge. Individuals or organizations also agree to waive claims 
against the Federal Government and its related entities, except in the 
case of willful misconduct, when participating in the challenge, 
including claims for injury; death; damage; or loss of property, money, 
or profits, and including those risks caused by negligence or other 
causes.
    By participating in this challenge, individuals or organizations 
agree to protect the Federal Government against third party claims for 
damages arising from or related to challenge activities.
    Individuals or organizations are not required to hold liability 
insurance related to participation in this challenge.
    No cash prize will be awarded.

Registration Process for Participants

    To participate, interested parties should go to 
www.millionhearts.hhs.gov. On this site, nominees will find the entry 
form and the rules and guidelines for participating. Information 
required of the nominees on the nomination form includes:
     The size of the nominee's adult patient population, a 
summary of known patient demographics (e.g., age distribution), and any 
noteworthy patient population characteristics.
     The number of the nominee's adult patients who were seen 
during the past year and had a hypertension diagnosis (i.e., 
hypertension prevalence).
     The nominee's current hypertension control rate for their 
hypertensive population. In addition, the hypertension control rate 
during the previous year is required. In determining the hypertension 
control rate, CDC defines ``hypertension control'' as a blood pressure 
reading <140 mmHg systolic and <90 mmHg diastolic among patients with a 
diagnosis of hypertension.
    The hypertension control rate should be for the provider's or 
health system's entire adult hypertensive patient population, not 
limited to a sample. Examples of ineligible data submissions include 
hypertension control rates that are limited to treatment cohorts from 
research studies or pilot studies, patients limited to a specific age 
range (such as 18-35), or patients enrolled in limited scale quality 
improvement projects.
     Sustainable clinic systems or processes that support 
hypertension control. These may include provider or patient incentives, 
dashboards, staffing characteristics, electronic record keeping 
systems, reminder or alert systems, clinician reporting, service 
modifications, etc.
    The estimated burden for completing the nomination form is 30 
minutes.

Recognition

    Up to a total of 35 of the highest scoring clinical practices or 
health systems will be recognized as Million Hearts[supreg] 
Hypertension Control Champions.

Basis Upon Which Winner Will Be Selected

    The nomination will be scored based on hypertension control rate 
(95% of score); and sustainable systems in the practice that support 
hypertension control (5% of score).
    Nominees with the highest score will be required to participate in 
a two-phase process to verify their data. Nominees who are non-
compliant or non-responsive with the data requests or timelines will be 
removed from further consideration. Phase 1 includes verification of 
the hypertension prevalence and blood pressure control rate data 
submitted and a background check. For nominees whose Phase 1 data is 
verified as accurate, phase 2 consists of a medical chart review.
    A CDC-sponsored panel of three to five experts consisting of HHS/
CDC staff will review the nominations that pass phase 2 to select 
Champions. Final selection of Champions will take into account all the 
information from the nomination form, the background check, and data 
verification. In the event of tie scores at any point in the selection 
process, geographic location may be taken into account to ensure a 
broad distribution of champions across rural or more populated areas.
    Some Champions will participate in a post-challenge telephone 
interview. The interview will include questions about the strategies 
employed by the individual or organization to achieve high rates of 
hypertension control, including barriers and facilitators for those 
strategies. The interview will focus on systems and processes and 
should not require preparation time by the Champion. The estimated time 
for the interview is two hours, which includes time to review the 
interview protocol with the interviewer, respond to the interview 
questions, and review a summary data about the Champion's practices. 
The summary will be written as a success story and will be posted on 
the Million Hearts[supreg] Web site.

Additional Information

    Information received from nominees will be stored in a password 
protected file on a secure server. The challenge Web site may post the 
number of nominations received but will not include information about 
individual nominees. The database of information submitted by nominees 
will not be posted on the Web site. Information collected from nominees 
will include general details, such as the business name, address, and 
contact information of the nominee. This type of information is 
generally publicly available. The nomination will collect and store 
only aggregate clinical data through the nomination process; no 
individual identifiable patient data will be collected or stored. 
Confidential or propriety data, clearly marked as such, will be secured 
to the full extent allowable by law.
    Information for selected Champions, such as the provider, practice, 
or health system's name, location, hypertension control rate, and 
clinic practices that support hypertension control will be shared 
through press releases, the challenge Web site, and Million 
Hearts[supreg] and HHS/CDC resources.
    Summary data on the types of systems and processes that all 
nominees use to control hypertension may be shared in documents or 
other communication products that describe generally used practices for 
successful hypertension control. HHS/CDC will use the summary data only 
as described.

[[Page 48866]]

Compliance With Rules and Contacting Contest Winners

    Finalists and Champions must comply with all terms and conditions 
of these official rules, and winning is contingent upon fulfilling all 
requirements herein. The initial finalists will be notified by email, 
telephone, or mail after the date of the judging.

Privacy

    Personal information provided by entrants on the nomination form 
through the challenge Web site will be used to contact selected 
finalists. Information is not collected for commercial marketing. 
Winners are permitted to cite that they won this challenge.
    The names, cities, and states of selected Champions will be made 
available in promotional materials and at recognition events.

General Conditions

    The HHS/CDC reserves the right to cancel, suspend, and/or modify 
the challenge, or any part of it, for any reason, at HHS/CDC's sole 
discretion.

    Authority: 15 U.S.C. 3719

    Dated: August 3, 2015.
Pamela J. Cox,
Director, Division of the Executive Secretariat, Office of the Chief of 
Staff, Centers for Disease Control and Prevention.
[FR Doc. 2015-20076 Filed 8-13-15; 8:45 am]
 BILLING CODE 4163-18-P

Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices 48863 DEPARTMENT OF HEALTH AND Hard copies of the Draft EA are Lawrenceville Campus. HHS/CDC has HUMAN SERVICES available for review at the following identified the need for new research locations: support, and office support space to Centers for Disease Control and D Gwinnett County Public Library, replace existing aging structures; Prevention Lawrenceville Branch, 1001 expanded research support and office Lawrenceville Hwy., Lawrenceville, GA support space; and a new transshipping [Docket No. CDC–2015–0049] 30046, Telephone: (770) 978–5154. and receiving area to improve the D Gwinnett County Public Library, movement of goods and visitors through Notice of Availability of the Draft Five Forks Branch, 2780 Five Forks the campus. HHS/CDC would also Environmental Assessment for HHS/ Trickum Road, Lawrenceville, GA relocate and expand parking to satisfy a CDC Lawrenceville Campus Proposed 30044–5865, Telephone: (770) 978– current shortfall of parking during Improvements 2015–2025, 5154. special events and to comply with Lawrenceville, Georgia D Gwinnett County Public Library, security requirements. A secondary Grayson Branch, 700 Grayson Parkway point of access to the campus would be AGENCY: Centers for Disease Control and Grayson, GA 30017–1208, Telephone: Prevention (CDC), Department of Health developed in order to provide for an (770) 978–5154. emergency egress and ingress for the and Human Services (HHS). FOR FURTHER INFORMATION CONTACT: campus. Finally, HHS/CDC proposes to ACTION: Notice of availability and Angela Wagner, Portfolio Manager, improve pedestrian infrastructure to request for comment. Centers for Disease Control and provide a safe, high-quality pedestrian Prevention, 1600 Clifton Road NE., MS– environment within the campus. SUMMARY: The Centers for Disease K96, Atlanta, Georgia 30329, Telephone: Control and Prevention (CDC), within (770) 488–8170. The Draft EA evaluates the potential the Department of Health and Human environmental impacts that may result SUPPLEMENTARY INFORMATION: The Services (HHS), announces the from the Build Alternative and the No Centers for Disease Control and availability and opportunity for public Build Alternative on the natural and Prevention (CDC) within the U.S. review and comment of the Draft Department of Health and Human built environment. Potential impacts of Environmental Assessment (Draft EA) Services, has prepared an each alternative are evaluated on the for the HHS/CDC Lawrenceville Campus Environmental Assessment (EA), to following resource categories: Proposed Improvements 2015–2025 on assess the potential impacts associated Socioeconomics; land use; zoning; the HHS/CDC Lawrenceville Campus, with the undertaking of proposed public policy; community facilities; Lawrenceville, Georgia. The Draft EA improvements on the HHS/CDC’s transportation; air quality; noise; has been prepared in accordance with Lawrenceville Campus located at 602 cultural resources; urban design and the National Environmental Policy Act Webb Gin House Road in Lawrenceville, visual resources; natural resources; of 1969 (NEPA), as amended (42 U.S.C. Georgia. The proposed improvements utilities; waste; and greenhouse gases 4321 et seq.), the Council on include (1) building demolition; (2) new and sustainability. Environmental Quality (CEQ) building construction, including an implementing regulations (40 CFR Dated: August 3, 2015. approximately 12,000 gross square feet Pamela J. Cox, 1500–1508) and the HHS General (gsf) Science Support Building, a new Administration Manual (GAM) Part 30 Transshipping and Receiving Area at Director, Division of the Executive Secretariat, Environmental Procedures, dated Office of the Chief of Staff, Centers for Disease approximately 2,500 gsf and two new February 25, 2000. Control and Prevention. Office Support Buildings at [FR Doc. 2015–19861 Filed 8–13–15; 8:45 am] DATES: Written comments must be approximately 8,000 gsf and 6,000 gsf; received on or before September 28, (3) expansion and relocation of parking BILLING CODE 4163–18–P 2015. on campus; and (4) the creation of an additional point of access to the ADDRESSES: You may submit comments, campus. The proposed improvements DEPARTMENT OF HEALTH AND identified by Docket No. CDC–2015– would be undertaken between 2015 and HUMAN SERVICES 0049 by any of the following methods: 2025 and are contingent on receipt of • Federal eRulemaking Portal: http:// funding. Centers for Disease Control and www.regulations.gov. Follow the Prevention Since the original construction of the instructions for submitting comments. campus in the early 1960’s, only minor Announcement of Requirements and • Mail: Comments submitted by mail changes to the Lawrenceville Campus should be sent to Angela Wagner, Registration for Million Hearts® have occurred. These changes have Portfolio Manager, Centers for Disease Hypertension Control Challenge primarily focused on repairs or Control and Prevention, 1600 Clifton renovations to existing buildings. A Road NE., MS–K96, Atlanta, Georgia Authority: 15 U.S.C. 3719 collaborative and integrated planning 30329, Attn: Docket No. CDC–2015– process was undertaken by HHS/CDC AGENCY: Centers for Disease Control and 0049. staff in order to assess existing Prevention (CDC), Department of Health Instructions: All submissions received conditions on the Lawrenceville asabaliauskas on DSK5VPTVN1PROD with NOTICES and Human Services (HHS). must include the agency name and Campus and to identify any potential Docket Number. All relevant comments growth or shifts in program space use, Award Approving Official: Thomas R. received will be posted without change based on longterm support of HHS/ Frieden, MD, MPH, Director, Centers for to http://regulations.gov, including any CDC’s scientific mission and HHS/CDC Disease Control and Prevention, and personal information provided. For operational requirements. Administrator, Agency for Toxic access to the docket to read background The proposed improvements are Substances and Disease Registry. documents or comments received, go to needed to maintain an appropriate ACTION: Notice. http://www.regulations.gov. facilities quality level on the VerDate Sep<11>2014 20:49 Aug 13, 2015 Jkt 235001 PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 E:\FR\FM\14AUN1.SGM 14AUN1

48864 Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices SUMMARY: The Centers for Disease Subject of Challenge Competition (6) May not be a Federal entity or Control and Prevention (CDC) located Entrants to the Million Hearts Federal employee acting within the within the Department of Health and Hypertension Control Challenge will be scope of their employment; Human Services (HHS) announces the (7) Shall not be an HHS employee asked to provide two hypertension launch of the Million Hearts® control rates for the practice’s or health working on their applications or Hypertension Control Challenge on submissions during assigned duty system’s hypertensive population: a August 18, 2015. The challenge will be hours; current rate for a 12-month period and (8) Shall not be an employee or open until October 31, 2015. a previous rate for a 12 month period a Million Hearts® is a national initiative contractor at CDC; year or more before. Entrants will also (9) Must agree to participate in a data to prevent one million heart attacks and be asked to provide the prevalence of strokes by 2017. Achieving this goal validation process to be conducted by a hypertension in their population, and reputable independent contractor. Data means 10 million more Americans must describe some population have their blood pressure under control. will be kept confidential by the characteristics and the sustainable contractor and will be shared with the Million Hearts® is working to control systems used by the practice or health CDC to the extent applicable law allows, high blood pressure through clinical system that support continued in aggregate form only (i.e., the approaches, such as using health improvements in blood pressure hypertension control rate for the information technology to its fullest control. practice not individual hypertension potential and integrating team-based Eligibility Rules for Participating in the values); approaches to health care, and (10) Must have a written policy in community approaches, such as Competition place that conducts periodic strengthening tobacco control and To be eligible to be recognized as a background checks on all providers and lowering sodium consumption. For Hypertension Champion under this takes appropriate action accordingly, if more information about the initiative, challenge, an individual or entity — individual or entity is a health system. visit www.millionhearts.hhs.gov. (1) Shall have completed the In addition, a health system background To support improved blood pressure nomination form in its entirety to check will be conducted by CDC or a control, HHS/CDC is announcing the participate in the competition under the CDC contractor that includes a search 2015 Million Hearts® Hypertension rules developed by HHS/CDC; for The Joint Commission sanctions and Control Challenge. The challenge will (2) Shall have complied with all the current investigations for serious improve understanding of successful requirements in this section and; institutional misconduct (e.g., attorney implementation strategies at the health a. Be a U.S. licensed clinician, general investigation). CDC’s contractor system level by motivating clinical practicing in any U.S. setting, who may also request the policy and any practices and health systems to provides continuing care for adult supporting information deemed strengthen their hypertension control patients with hypertension. The necessary. efforts. It will identify clinicians, individual must be a citizen or (11) Must agree to be recognized if clinical practices, and health systems permanent resident of the U.S. selected and agree to participate in an that have exceptional rates of b. Or be a U.S. incorporated clinical interview to develop a success story that hypertension control and recognize practice, defined as any practice with describes the systems and processes that them as Million Hearts® Hypertension two or more U.S. licensed clinicians support hypertension control among Control Champions. To support who by formal arrangement share patients. Champions will be recognized improved quality of care delivered to responsibility for a common panel of on the Million Hearts® Web site. patients with hypertension, Million patients, practice at the same physical Strategies used by Champions that Hearts® will document the systems, location or street address, and provide support hypertension control may be processes, and staffing that contribute to continuing medical care for adult written into a success story, placed on the exceptional blood pressure control patients with hypertension; the Million Hearts® Web site, and rates achieved by Champions. c. Or be a health system, incorporated attributed to Champions. Champions will receive local and in and maintaining a primary place of Federal grantees may not use Federal national recognition. business in the U.S. that provides funds to develop COMPETES Act DATES: Effective August 18, 2015. Office continuing medical care for adult challenge applications unless consistent of Management and Budget control patients with hypertension. We with the purpose of their grant award number 0920–0976 expires 7/31/2016. encourage large health systems (those and specifically requested to do so due that are comprised of a large number of to competition design. FOR FURTHER INFORMATION CONTACT: geographically dispersed clinics and/or Federal contractors may not use Division for Heart Disease and Stroke have multiple hospital locations) to Federal funds from a contract to develop Prevention, National Center for Chronic consider having one or a few of the COMPETES Act challenge applications Disease Prevention and Health highest performing clinics or regional or to fund efforts in support of a Promotion, Centers for Disease Control affiliates apply individually instead of COMPETES Act challenge. and Prevention, 4770 Buford Hwy NE., the health system applying as a whole; Individual nominees and individuals Mailstop F–77, Chamblee, GA 30341, (3) Must treat all adult patients with in a group practice must be free from Telephone: 770–488–2424, Email: hypertension in the practice seeking convictions or pending investigations of millionhearts@cdc.gov; Attention: care, not a selected subgroup of patients; criminal and health care fraud offenses asabaliauskas on DSK5VPTVN1PROD with NOTICES Hypertension Control Challenge. (4) Must have a data management such as felony health care fraud, patient SUPPLEMENTARY INFORMATION: The system (electronic or paper) that allows abuse or neglect; felony convictions for challenge is authorized by Public Law HHS/CDC or their contractor to check other health care-related fraud, theft, or 111–358, the America Creating data submitted; other financial misconduct; and felony Opportunities to Meaningfully Promote (5) Must treat a minimum of 500 adult convictions relating to unlawful Excellence in Technology, Education patients annually and have a manufacture, distribution, prescription, and Science Reauthorization Act of hypertension control rate of at least or dispensing of controlled substances 2010 (COMPETES Act). 70%; as verified through the Office of the VerDate Sep<11>2014 20:49 Aug 13, 2015 Jkt 235001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\14AUN1.SGM 14AUN1

Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices 48865 Inspector General List of Excluded year and had a hypertension diagnosis nomination form, the background check, Individuals and Entities. http:// (i.e., hypertension prevalence). and data verification. In the event of tie oig.hhs.gov/exclusions/background.asp. • The nominee’s current scores at any point in the selection Individual nominees must be free hypertension control rate for their process, geographic location may be from serious sanctions, such as those for hypertensive population. In addition, taken into account to ensure a broad misuse or mis-prescribing of the hypertension control rate during the distribution of champions across rural prescription medications. Such serious previous year is required. In or more populated areas. sanctions will be determined at the determining the hypertension control Some Champions will participate in a discretion of the agency consistent with rate, CDC defines ‘‘hypertension post-challenge telephone interview. The CDC’s public health mission. CDC’s control’’ as a blood pressure reading <140 mmHg systolic and <90 mmHg interview will include questions about contractor may perform background checks on individual clinicians or diastolic among patients with a the strategies employed by the medical practices. diagnosis of hypertension. individual or organization to achieve Champions previously recognized The hypertension control rate should high rates of hypertension control, through the 2013 and 2014 Million be for the provider’s or health system’s including barriers and facilitators for Hearts Hypertension Control Challenge entire adult hypertensive patient those strategies. The interview will retain their designation as a population, not limited to a sample. focus on systems and processes and ‘‘Champion’’ and are not eligible to be Examples of ineligible data submissions should not require preparation time by named a Champion in the 2015 include hypertension control rates that the Champion. The estimated time for challenge. are limited to treatment cohorts from the interview is two hours, which An individual or entity shall not be research studies or pilot studies, includes time to review the interview deemed ineligible because the patients limited to a specific age range protocol with the interviewer, respond individual or entity used Federal (such as 18–35), or patients enrolled in to the interview questions, and review facilities or consulted with Federal limited scale quality improvement a summary data about the Champion’s employees during a competition if the projects. practices. The summary will be written facilities and employees are made • Sustainable clinic systems or as a success story and will be posted on available to all individuals and entities processes that support hypertension the Million Hearts® Web site. participating in the competition on an control. These may include provider or equal basis. patient incentives, dashboards, staffing Additional Information By participating in this challenge, an characteristics, electronic record Information received from nominees individual or organization agrees to keeping systems, reminder or alert will be stored in a password protected assume any and all risks related to systems, clinician reporting, service file on a secure server. The challenge participating in the challenge. modifications, etc. Web site may post the number of Individuals or organizations also agree The estimated burden for completing nominations received but will not to waive claims against the Federal the nomination form is 30 minutes. include information about individual Government and its related entities, Recognition nominees. The database of information except in the case of willful misconduct, Up to a total of 35 of the highest submitted by nominees will not be when participating in the challenge, scoring clinical practices or health posted on the Web site. Information including claims for injury; death; damage; or loss of property, money, or systems will be recognized as Million collected from nominees will include profits, and including those risks caused Hearts® Hypertension Control general details, such as the business by negligence or other causes. Champions. name, address, and contact information By participating in this challenge, of the nominee. This type of information Basis Upon Which Winner Will Be is generally publicly available. The individuals or organizations agree to Selected protect the Federal Government against nomination will collect and store only third party claims for damages arising The nomination will be scored based aggregate clinical data through the from or related to challenge activities. on hypertension control rate (95% of nomination process; no individual Individuals or organizations are not score); and sustainable systems in the identifiable patient data will be required to hold liability insurance practice that support hypertension collected or stored. Confidential or related to participation in this control (5% of score). propriety data, clearly marked as such, challenge. Nominees with the highest score will will be secured to the full extent No cash prize will be awarded. be required to participate in a two-phase allowable by law. process to verify their data. Nominees Registration Process for Participants Information for selected Champions, who are non-compliant or non- such as the provider, practice, or health To participate, interested parties responsive with the data requests or system’s name, location, hypertension should go to timelines will be removed from further control rate, and clinic practices that www.millionhearts.hhs.gov. On this consideration. Phase 1 includes support hypertension control will be site, nominees will find the entry form verification of the hypertension shared through press releases, the and the rules and guidelines for prevalence and blood pressure control challenge Web site, and Million Hearts® participating. Information required of rate data submitted and a background and HHS/CDC resources. check. For nominees whose Phase 1 asabaliauskas on DSK5VPTVN1PROD with NOTICES the nominees on the nomination form includes: data is verified as accurate, phase 2 Summary data on the types of systems • The size of the nominee’s adult consists of a medical chart review. and processes that all nominees use to patient population, a summary of A CDC-sponsored panel of three to control hypertension may be shared in known patient demographics (e.g., age five experts consisting of HHS/CDC staff documents or other communication distribution), and any noteworthy will review the nominations that pass products that describe generally used patient population characteristics. phase 2 to select Champions. Final practices for successful hypertension • The number of the nominee’s adult selection of Champions will take into control. HHS/CDC will use the summary patients who were seen during the past account all the information from the data only as described. 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48866 Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices Compliance With Rules and Contacting challenge, or any part of it, for any grant funded under section 438 of the Contest Winners reason, at HHS/CDC’s sole discretion. Social Security Act, and most recently Finalists and Champions must Authority: 15 U.S.C. 3719 reauthorized under the Child and comply with all terms and conditions of Family Services Improvement and Dated: August 3, 2015. Innovation Act of 2012 (Pub. L. 112–34). these official rules, and winning is Pamela J. Cox, contingent upon fulfilling all The purpose of the CIP is to facilitate Director, Division of the Executive Secretariat, the handling of child welfare cases in requirements herein. The initial finalists Office of the Chief of Staff, Centers for Disease will be notified by email, telephone, or the courts. All 50 states, Puerto Rico, Control and Prevention. and the District of Columbia receive mail after the date of the judging. [FR Doc. 2015–20076 Filed 8–13–15; 8:45 am] grants under the program. The program Privacy BILLING CODE 4163–18–P requires two submissions annually from Personal information provided by grantees that constitute information entrants on the nomination form collections under the Paperwork DEPARTMENT OF HEALTH AND Reduction Act. through the challenge Web site will be HUMAN SERVICES used to contact selected finalists. The purpose of this notice is to Information is not collected for Administration for Children and request an extension of the Office of commercial marketing. Winners are Families Management and Budget Control permitted to cite that they won this Number 0907–0307 permitting challenge. Proposed Information Collection continued use of the information The names, cities, and states of Activity; Comment Request collections requires by ACF–CB–PI–12– selected Champions will be made 02. The burden estimates are provided available in promotional materials and Proposed Projects below. The Administration on Children, at recognition events. Title: State Court Improvement Youth, and Families anticipates issuing Program. a new Program Instruction following General Conditions OMB No.: 0970–0307. reauthorization of the program in The HHS/CDC reserves the right to Description: The Court Improvement federal fiscal year 2017. cancel, suspend, and/or modify the Program (CIP) is a mandatory formula Respondents: State Courts. ANNUAL BURDEN ESTIMATES Number of Average Number of Total burden Instrument responses per burden hours respondents hours respondent per response Application ....................................................................................................... 52 1 92 4,784 Annual Reports ................................................................................................ 52 1 86 4,472 Estimated Total Annual Burden the quality, utility, and clarity of the OMB No.: 0970–0370. Hours: 9,256. information to be collected; and (d) Description: The federal Office of In compliance with the requirements ways to minimize the burden of the Child Support Enforcement (OCSE), of Section 506(c)(2)(A) of the Paperwork collection of information on Division of Federal Systems maintains Reduction Act of 1995, the respondents, including through the use Administration for Children and the Child Support Portal, which of automated collection techniques or Families is soliciting public comment contains a variety of child support other forms of information technology. on the specific aspects of the applications to help enforce state child Consideration will be given to information collection described above. comments and suggestions submitted support cases. To securely access child Copies of the proposed collection of within 60 days of this publication. support applications, authorized users information can be obtained and must register to use the Child Support comments may be forwarded by writing Robert Sargis, Portal. Information collected from the to the Administration for Children and Reports Clearance Officer. registration form is used to authenticate Families, Office of Planning, Research [FR Doc. 2015–20073 Filed 8–13–15; 8:45 am] and authorize the users. and Evaluation, 370 L’Enfant BILLING CODE 4184–01–P The OCSE Child Support Portal Promenade SW., Washington, DC 20447, Registration information collection Attn: ACF Reports Clearance Officer. activities are authorized by 42 U.S.C. Email address: DEPARTMENT OF HEALTH AND 653(m)(2), which requires the Secretary infocollection@acf.hhs.gov. All requests HUMAN SERVICES to establish and implement safeguards should be identified by the title of the information collection. Administration for Children and to restrict access to confidential The Department specifically requests Families information in the Federal Parent comments on: (a) Whether the proposed Locator Service to authorized persons asabaliauskas on DSK5VPTVN1PROD with NOTICES collection of information is necessary Submission for OMB Review; and to restrict use of such information for the proper performance of the Comment Request to authorized purposes. functions of the agency, including Proposed Projects Respondents: Employers, Financial whether the information shall have Institutions, Insurers, Tribal, and State practical utility; (b) the accuracy of the Title: Office of Child Support Agencies. agency’s estimate of the burden of the Enforcement Child Support Portal proposed collection of information; (c) Registration. VerDate Sep<11>2014 18:50 Aug 13, 2015 Jkt 235001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 E:\FR\FM\14AUN1.SGM 14AUN1


Document Created: 2018-02-23 10:58:48
Document Modified: 2018-02-23 10:58:48
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesEffective August 18, 2015. Office of Management and Budget control number 0920-0976 expires 7/31/2016.
ContactDivision for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE., Mailstop F-77, Chamblee, GA 30341, Telephone: 770-488-2424, Email: [email protected]; Attention: Hypertension Control Challenge.
FR Citation80 FR 48863 
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