81 FR 64155 - Proposed Data Collection Submitted for Public Comment and Recommendations
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 81, Issue 181 (September 19, 2016)
Centers for Disease Control and Prevention
Federal Register Volume 81, Issue 181 (September 19, 2016)
| Page Range | 64155-64156 | |
| FR Document | 2016-22448 |
[Federal Register Volume 81, Number 181 (Monday, September 19, 2016)] [Notices] [Pages 64155-64156] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-22448] [[Page 64155]] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day-16-1015; Docket No. CDC-2016-0091] 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. ----------------------------------------------------------------------- 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 proposed revision of the National Electronic Health Records Survey (NEHRS), formerly approved as the National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Records Survey (NEHRS). This three year revision request includes an update to the currently approved questionnaire, the addition of a follow-up survey, and a survey name change deleting the National Ambulatory Medical Care Survey (NAMCS) from the title. The purpose of NEHRS is to meet the needs and demands for statistical information about EHR adoption in physician offices in the United States. DATES: Written comments must be received on or before November 18, 2016. ADDRESSES: You may submit comments, identified by Docket No. CDC-2016- 0091 by any of the following methods:Federal eRulemaking Portal: Regulations.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. 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: [email protected]. 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 The National Electronic Health Records Survey (NEHRS) (formerly approved as the National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Records Survey (NEHRS)) (OMB No. 0920-1015, Expires 04/30/2017)--Revision--National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Background and Brief Description Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k), as amended, authorizes that the Secretary of Health and Human Services (DHHS), acting through NCHS, shall collect statistics on ``utilization of health care'' in the United States. NEHRS was originally designed as a mail supplement to the National Ambulatory Medical Care Survey (NAMCS). Questions in NEHRS have been asked in NAMCS starting in 2001. The purpose of NEHRS is to measure progress toward goals for electronic health records (EHRs) adoption. NEHRS target universe consists of all non-Federal office-based physicians (excluding those in the specialties of anesthesiology, radiology, and pathology) who are engaged in direct patient care. NEHRS is the principal source of data on national and state-level EHR adoption in the United States. In 2008 and 2009, the sample size was 2,000 physicians annually. Starting in 2010, the annual sample size was increased five-fold, from 2,000 physicians to 10,302 physicians. The increased sample size allows for more reliable national estimates as well as state-level estimates on EHR adoption without having to be combined with NAMCS. For these reasons, in 2012 NEHRS became an independent survey, not as a supplement under NAMCS. NEHRS collects information on characteristics of physician practices, the capabilities of EHRs in those practices, and intent to apply for meaningful use incentive payments. These data, together with trend data, may be used to monitor the adoption of EHR as well as accessing factors associated with EHR adoption. Users of NEHRS data include, but are not limited to, Congressional offices, Federal agencies, state and local governments, schools of public health, colleges and universities, private industry, nonprofit foundations, professional associations, clinicians, researchers, administrators, and health planners. There is no cost to the respondents other than their time. [[Page 64156]] Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Average burden Type of respondent Form name Number of responses per per response Total burden respondents respondent (hours) (hours) ---------------------------------------------------------------------------------------------------------------- Office-based physicians....... NEHRS........... 10,302 1 30/60 5,151 Office-based physicians....... Follow-up NEHRS. 3,434 1 30/60 1,717 --------------------------------------------------------------- Total..................... ................ .............. .............. .............. 6,868 ---------------------------------------------------------------------------------------------------------------- Leroy A. Richardson, Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2016-22448 Filed 9-16-16; 8:45 am] BILLING CODE 4163-18-P
![Federal Register / Vol. 81, No. 181 / Monday, September 19, 2016 / Notices 64155
DEPARTMENT OF HEALTH AND proposed project or to obtain a copy of Proposed Project
HUMAN SERVICES the information collection plan and The National Electronic Health
instruments, contact the Information Records Survey (NEHRS) (formerly
Centers for Disease Control and Collection Review Office, Centers for approved as the National Ambulatory
Prevention Disease Control and Prevention, 1600 Medical Care Survey (NAMCS) National
[60Day–16–1015; Docket No. CDC–2016– Clifton Road NE., MS–D74, Atlanta, Electronic Health Records Survey
0091] Georgia 30329; phone: 404–639–7570; (NEHRS)) (OMB No. 0920–1015, Expires
Email: omb@cdc.gov. 04/30/2017)—Revision—National
Proposed Data Collection Submitted Center for Health Statistics (NCHS),
for Public Comment and SUPPLEMENTARY INFORMATION: Under the
Centers for Disease Control and
Recommendations Paperwork Reduction Act of 1995 (PRA) Prevention (CDC).
(44 U.S.C. 3501–3520), Federal agencies
AGENCY: Centers for Disease Control and Background and Brief Description
must obtain approval from the Office of
Prevention (CDC), Department of Health
Management and Budget (OMB) for each Section 306 of the Public Health
and Human Services (HHS).
collection of information they conduct Service (PHS) Act (42 U.S.C. 242k), as
ACTION: Notice with comment period.
or sponsor. In addition, the PRA also amended, authorizes that the Secretary
SUMMARY: The Centers for Disease requires Federal agencies to provide a of Health and Human Services (DHHS),
Control and Prevention (CDC), as part of 60-day notice in the Federal Register acting through NCHS, shall collect
its continuing efforts to reduce public concerning each proposed collection of statistics on ‘‘utilization of health care’’
burden and maximize the utility of information, including each new in the United States. NEHRS was
government information, invites the proposed collection, each proposed originally designed as a mail
general public and other Federal extension of existing collection of supplement to the National Ambulatory
agencies to take this opportunity to information, and each reinstatement of Medical Care Survey (NAMCS).
comment on proposed and/or previously approved information Questions in NEHRS have been asked in
continuing information collections, as NAMCS starting in 2001.
collection before submitting the The purpose of NEHRS is to measure
required by the Paperwork Reduction collection to OMB for approval. To
Act of 1995. This notice invites progress toward goals for electronic
comply with this requirement, we are health records (EHRs) adoption. NEHRS
comment on the proposed revision of publishing this notice of a proposed
the National Electronic Health Records target universe consists of all non-
data collection as described below. Federal office-based physicians
Survey (NEHRS), formerly approved as
the National Ambulatory Medical Care Comments are invited on: (a) Whether (excluding those in the specialties of
Survey (NAMCS) National Electronic the proposed collection of information anesthesiology, radiology, and
Health Records Survey (NEHRS). This is necessary for the proper performance pathology) who are engaged in direct
three year revision request includes an of the functions of the agency, including patient care.
update to the currently approved whether the information shall have NEHRS is the principal source of data
questionnaire, the addition of a follow- practical utility; (b) the accuracy of the on national and state-level EHR
up survey, and a survey name change adoption in the United States. In 2008
agency’s estimate of the burden of the
deleting the National Ambulatory and 2009, the sample size was 2,000
proposed collection of information; (c)
Medical Care Survey (NAMCS) from the physicians annually. Starting in 2010,
ways to enhance the quality, utility, and the annual sample size was increased
title. The purpose of NEHRS is to meet clarity of the information to be
the needs and demands for statistical five-fold, from 2,000 physicians to
collected; (d) ways to minimize the 10,302 physicians. The increased
information about EHR adoption in burden of the collection of information
physician offices in the United States. sample size allows for more reliable
on respondents, including through the national estimates as well as state-level
DATES: Written comments must be use of automated collection techniques
received on or before November 18, estimates on EHR adoption without
or other forms of information having to be combined with NAMCS.
2016.
technology; and (e) estimates of capital For these reasons, in 2012 NEHRS
ADDRESSES: You may submit comments, or start-up costs and costs of operation, became an independent survey, not as a
identified by Docket No. CDC–2016– maintenance, and purchase of services supplement under NAMCS.
0091 by any of the following methods: to provide information. Burden means NEHRS collects information on
• Federal eRulemaking Portal: the total time, effort, or financial characteristics of physician practices,
Regulations.gov. Follow the instructions the capabilities of EHRs in those
resources expended by persons to
for submitting comments. practices, and intent to apply for
• Mail: Leroy A. Richardson, generate, maintain, retain, disclose or
provide information to or for a Federal meaningful use incentive payments.
Information Collection Review Office, These data, together with trend data,
Centers for Disease Control and agency. This includes the time needed
to review instructions; to develop, may be used to monitor the adoption of
Prevention, 1600 Clifton Road NE., MS– EHR as well as accessing factors
D74, Atlanta, Georgia 30329. acquire, install and utilize technology
associated with EHR adoption.
Instructions: All submissions received and systems for the purpose of Users of NEHRS data include, but are
must include the agency name and collecting, validating and verifying not limited to, Congressional offices,
Docket Number. All relevant comments information, processing and Federal agencies, state and local
received will be posted without change maintaining information, and disclosing
mstockstill on DSK3G9T082PROD with NOTICES
governments, schools of public health,
to Regulations.gov, including any and providing information; to train colleges and universities, private
personal information provided. For personnel and to be able to respond to industry, nonprofit foundations,
access to the docket to read background a collection of information, to search professional associations, clinicians,
documents or comments received, go to data sources, to complete and review researchers, administrators, and health
Regulations.gov. the collection of information; and to planners.
FOR FURTHER INFORMATION CONTACT: To transmit or otherwise disclose the There is no cost to the respondents
request more information on the information. other than their time.
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![64156 Federal Register / Vol. 81, No. 181 / Monday, September 19, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per Total burden
Type of respondent Form name responses per
respondents response (hours)
respondent (hours)
Office-based physicians .................... NEHRS ............................................. 10,302 1 30/60 5,151
Office-based physicians .................... Follow-up NEHRS ............................ 3,434 1 30/60 1,717
Total ........................................... ........................................................... ........................ ........................ ........................ 6,868
Leroy A. Richardson, To request additional information on private health care practices and
Chief, Information Collection Review Office, the proposed project or to obtain a copy systems were recognized as Million
Office of Scientific Integrity, Office of the of the information collection plan and Hearts® Hypertension Control
Associate Director for Science, Office of the instruments, call (404) 639–7570 or Champions for achieving exemplary
Director, Centers for Disease Control and send an email to omb@cdc.gov. Written levels of hypertension control in adults
Prevention. comments and/or suggestions regarding ages 18–85.
[FR Doc. 2016–22448 Filed 9–16–16; 8:45 am] the items contained in this notice CDC plans to reinstate the Million
BILLING CODE 4163–18–P should be directed to the Attention: Hearts® Hypertension Control
CDC Desk Officer, Office of Management Challenge, with changes, for
and Budget, Washington, DC 20503 or information collection beginning in
DEPARTMENT OF HEALTH AND by fax to (202) 395–5806. Written 2017. Challenges were previously
HUMAN SERVICES comments should be received within 30 launched in late summer/early fall. The
days of this notice. 2016 Challenge is scheduled to launch
Centers for Disease Control and
Prevention Proposed Project in February 2017, coinciding with
American Heart Month. The nomination
[30Day–16–0976] Million Hearts® Hypertension Control period will be open for approximately
Challenge (OMB No. 0920–0976, exp. 60 days, with recognition of the 2016
Agency Forms Undergoing Paperwork 7/31/2016)—Reinstatement with Million Hearts® Hypertension Control
Reduction Act Review Change—National Center for Chronic Champions in the fall of 2017. A similar
Disease Prevention and Health calendar year schedule is planned for
The Centers for Disease Control and Promotion (NCCDPHP), Centers for
Prevention (CDC) has submitted the 2018 (information collection and
Disease Control and Prevention (CDC). recognition for the 2017 Champions)
following information collection request
to the Office of Management and Budget Background and Brief Description and 2019 (information collection and
(OMB) for review and approval in In September 2011, HHS launched the recognition for the 2018 Champions).
accordance with the Paperwork Million Hearts® initiative to prevent one Information collection supporting the
Reduction Act of 1995. The notice for million heart attacks and strokes by Challenge will be conducted in three
the proposed information collection is 2017. There is scientific evidence that steps. First, interested providers or
published to obtain comments from the provides general guidance on the types practices will complete a web-based
public and affected agencies. of system-based changes to clinical nomination form which provides the
Written comments and suggestions practice that can improve patient blood minimum amount of data needed to
from the public and affected agencies pressure control, but more information demonstrate evidence of clinical success
concerning the proposed collection of is needed to fully understand in achieving hypertension control,
information are encouraged. Your implementation practices so that they including: (a) Two point-in-time
comments should address any of the can be shared and promoted. measures of the clinical hypertension
following: (a) Evaluate whether the In 2013, CDC launched the Million control rate for the patient population,
proposed collection of information is Hearts® Hypertension Control Challenge (b) the size of the clinic population
necessary for the proper performance of (OMB No. 0920–0976, exp. 7/31/2016). served, (c) a description of the patient
the functions of the agency, including The Challenge is authorized by Public population served and geographic
whether the information will have Law 111–358, the America Creating location, and (d) a description of the
practical utility; (b) Evaluate the Opportunities to Meaningfully Promote sustainable systems and strategies
accuracy of the agencies estimate of the Excellence in Technology, Education adopted to achieve and maintain
burden of the proposed collection of and Science Reauthorization Act of hypertension control rates. The
information, including the validity of 2010 (COMPETES Act). The annual estimated burden for completing the
the methodology and assumptions used; Challenge is designed to help CDC (1) nomination form is 30 minutes. CDC
(c) Enhance the quality, utility, and identify clinical practices and health scientists or contractors will review
clarity of the information to be systems that have been successful in each nomination form and assign a
collected; (d) Minimize the burden of achieving high rates of hypertension preliminary score.
the collection of information on those control, and (2) develop models for In the second phase of assessment,
who are to respond, including through dissemination. The Challenge is open to nominees with the highest preliminary
mstockstill on DSK3G9T082PROD with NOTICES
the use of appropriate automated, single practice providers, group practice scores (finalists) will be asked to
electronic, mechanical, or other providers, and healthcare systems. participate in a one-hour data
technological collection techniques or In 2013, 2014, and 2015, CDC verification process. The nominee will
other forms of information technology, collected information needed to assess review the nomination form with a
e.g., permitting electronic submission of candidates for recognition through the reviewer or abstractor, describe how
responses; and (e) Assess information Million Hearts® Hypertension Control information was obtained from the
collection costs. Challenge. A total of 59 public and provider’s (or practice’s) electronic
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Document Created: 2016-09-17 02:29:49
Document Modified: 2016-09-17 02:29:49
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice with comment period. | |
| Dates | Written comments must be received on or before November 18, 2016. | |
| 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: [email protected] | |
| FR Citation | 81 FR 64155 |
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