83_FR_45416 83 FR 45243 - Surgeon General's Call to Action: “Community Health and Prosperity”

83 FR 45243 - Surgeon General's Call to Action: “Community Health and Prosperity”

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

Federal Register Volume 83, Issue 173 (September 6, 2018)

Page Range45243-45244
FR Document2018-19313

The Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain comment on an upcoming Surgeon General's document/ Call to Action with a working title ``Community Health and Prosperity''. CDC is the lead agency to support the Office of the Surgeon General to publish a Call to Action that will be science-informed and actionable, outlining a conceptual framework with case examples and available evidence on the business case for investing in community health. The goal of the Call to Action is to: Clearly demonstrate that investments in community health have the potential to improve the health and prosperity of communities and issue a call to action to the private sector and local policy makers for investment in communities, unilaterally or as part of multi-sector or other consortium, to improve community health.

Federal Register, Volume 83 Issue 173 (Thursday, September 6, 2018) 
[Federal Register Volume 83, Number 173 (Thursday, September 6, 2018)]
[Notices]
[Pages 45243-45244]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-19313]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2018-0082]


Surgeon General's Call to Action: ``Community Health and 
Prosperity''

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

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC) in the 
Department of Health and Human Services (HHS) announces the opening of 
a docket to obtain comment on an upcoming Surgeon General's document/
Call to Action with a working title ``Community Health and 
Prosperity''.
    CDC is the lead agency to support the Office of the Surgeon General 
to publish a Call to Action that will be science-informed and 
actionable, outlining a conceptual framework with case examples and 
available evidence on the business case for investing in community 
health. The goal of the Call to Action is to: Clearly demonstrate that 
investments in community health have the potential to improve the 
health and prosperity of communities and issue a call to action to the 
private sector and local policy makers for investment in communities, 
unilaterally or as part of multi-sector or other consortium, to improve 
community health.

DATES: Written comments must be received before November 5, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0082 by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Martin J. Vincent, Office of the Associate Director 
for Policy, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, Mail Stop D-28, 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 http://regulations.gov, including any personal 
information provided. For access to the docket to read background 
documents or comments received, go to http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Martin J. Vincent, Office of the 
Associate Director for Policy, Centers for Disease Control and 
Prevention, 1600 Clifton Road NE, Mail Stop D-28, Atlanta, Georgia 
30329. Telephone: 404-639-1455, Email: CHP@cdc.gov.

SUPPLEMENTARY INFORMATION: 

Public Participation

    Interested persons or organizations are invited to submit written 
views, recommendations, and data about how investing in communities can 
improve health and prosperity. Examples may include:
    (1) Available data, evidence and/or experience(s) (a) that suggest 
private sector investments in community health have (directly or 
indirectly) improved health and prosperity of the workforce and 
communities; (b) that healthier communities help private sector 
businesses to be more efficient, profitable, successful, or 
competitive; (c) description of data systems and evaluation frameworks 
that might contribute to supporting community health investment 
decisions, evaluating success and impact; and (d) case studies, 
examples, reviews and meta-analyses, data linkages, promising and 
emerging ideas, and best practices;
    (2) Types of investments the private sector and local policy makers 
can consider to improve health and wellness of employees and families, 
and community well-being and prosperity;
    (3) Types of partners or coalitions that have invested in community 
health and the scope of their collaborations contributions;
    (4) Descriptions of important barriers to and facilitators of 
success;

[[Page 45244]]

    (5) Private sector and local policy maker rationales for making 
investments in community health; and
    (6) Successful efforts by local policy makers to promote and 
sustain private sector investments in community health.
    Please note that comments received, including attachments and other 
supporting materials, are part of the public record and subject to 
public disclosure. Comments will be posted at https://www.regulations.gov. Therefore, do not include any information in your 
comment or supporting materials that you consider confidential or 
inappropriate for public disclosure. If you include your name, contact 
information, or other information that identifies you in the body of 
your comments, that information will be on public display. CDC will 
review all submissions and may choose to redact or withhold submissions 
containing private or proprietary information, such as Social Security 
numbers, medical information, inappropriate language, or duplicate/near 
duplicate examples of a mass-mail campaign. CDC will carefully consider 
all comments submitted and may include relevant information in the Call 
to Action.

Background

    America's prosperity is being hampered by preventable chronic 
diseases and behavioral health issues. Life expectancy at birth dropped 
in the United States for a second consecutive year in 2016. Preliminary 
data indicate that age-adjusted death rates continued to rise in 2017, 
which is likely to mark a third straight year of declining life 
expectancy. The U.S. lags behind comparable high-income countries on a 
range of health outcomes including life expectancy despite spending 
more on health care. About 6 in 10 American adults have at least one 
chronic health condition, and these people account for 90% of total 
health care spending. While chronic diseases affect all populations, 
they are not evenly distributed. Disease rates vary by race, ethnicity, 
education, geography and income level, with the most disadvantaged 
Americans often suffering the highest burden of disease.
    However, only about 20% of the factors that influence a person's 
health can be addressed by health care and the remaining 80% reflect 
socioeconomic, environmental or behavioral factors. Focusing on 
strategies that address the social and community conditions could 
improve health, life expectancy, and quality of life, while also 
reducing related health care costs and productivity losses. Investing 
in communities to improve the health and well-being of people could 
also revitalize and improve economic opportunity, enhancing prosperity 
in the community and for its residents and businesses.
    Although there are published literature and several ongoing public, 
private and philanthropic initiatives examining how investments in 
community health can enhance well-being and economic prosperity, there 
has not been a thorough assessment that compiles the evidence and best 
practices to illustrate benefits for the private sector and local 
policy makers. The Surgeon General's Call to Action is expected to 
bridge that gap and inspire more investments by the private sector and 
local policy makers in community health.

    Dated: August 31, 2018.
Lauren Hoffmann,
Acting Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2018-19313 Filed 9-5-18; 8:45 am]
 BILLING CODE 4163-18-P

Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices 45243 annualized frequency of response (12 invitation. ATSDR assumes that 5 (66,441/5,338 = 12). The time for per RHCC) is based on ATSDR percent of these women will participate women to respond to the survey is assumptions about the number of in PAER over the next three years (or estimated at 10 minutes per patient. patients who will take part in the PAER 1.67 percent per year). Using the Participation in the PAER process and survey as described below. 3,978,497 births reported in the 2015 survey is voluntary. There is no cost to Women who receive preconception or U.S. Vital Statistics to represent the prenatal care (the second type of respondents other than their time. The number women who receive respondents) may respond to the PAER preconception or prenatal care, 1.67 total annualized time burden requested environmental exposure history by percent equals to 66,441 women who is 45,772 hours. A summary of the accessing the online PAER survey will take part in the PAER survey each estimated annualized burden hours is through the application internet home year. Thus, each RHCCH is assumed to shown in the table that follows. page or through their RHCC’s email/text interact with 12 such patients per year ESTIMATED ANNUALIZED BURDEN HOURS Average Number of Total Number of burden Type of respondent Form name responses per burden respondents per response respondent hours (in hours) Reproductive Health Care Clinicians PAER Online Registration for 5,338 1 15/60 1,335 (RHCCs). RHCCs. PAER Training Materials for RHCCs 5,338 1 15/60 1,335 PAER Email/Text Invitation, Data 5,338 12 30/60 32,028 Linkage, and Counseling. Women who Receive Preconception Access and Respond to PAER Sur- 66,441 1 10/60 11,074 or Prenatal Care. vey. Total ........................................... ........................................................... ........................ ........................ ........................ 45,772 Jeffrey M. Zirger, community health. The goal of the Call Atlanta, Georgia 30329. Telephone: Acting Chief, Information Collection Review to Action is to: Clearly demonstrate that 404–639–1455, Email: CHP@cdc.gov. Office, Office of Scientific Integrity, Office investments in community health have SUPPLEMENTARY INFORMATION: of the Associate Director for Science, Office the potential to improve the health and of the Director, Centers for Disease Control prosperity of communities and issue a Public Participation and Prevention. call to action to the private sector and Interested persons or organizations [FR Doc. 2018–19295 Filed 9–5–18; 8:45 am] local policy makers for investment in are invited to submit written views, BILLING CODE 4163–18–P communities, unilaterally or as part of recommendations, and data about how multi-sector or other consortium, to investing in communities can improve improve community health. health and prosperity. Examples may DEPARTMENT OF HEALTH AND include: DATES: Written comments must be HUMAN SERVICES (1) Available data, evidence and/or received before November 5, 2018. Centers for Disease Control and ADDRESSES: You may submit comments, experience(s) (a) that suggest private Prevention identified by Docket No. CDC–2018– sector investments in community health 0082 by any of the following methods: have (directly or indirectly) improved [Docket No. CDC–2018–0082] health and prosperity of the workforce • Federal eRulemaking Portal: http:// and communities; (b) that healthier Surgeon General’s Call to Action: www.regulations.gov. Follow the communities help private sector ‘‘Community Health and Prosperity’’ instructions for submitting comments. businesses to be more efficient, • Mail: Martin J. Vincent, Office of AGENCY: Centers for Disease Control and profitable, successful, or competitive; (c) the Associate Director for Policy, Prevention (CDC), Department of Health description of data systems and Centers for Disease Control and and Human Services (HHS). evaluation frameworks that might Prevention, 1600 Clifton Road NE, Mail ACTION: Notice with comment period. contribute to supporting community Stop D–28, Atlanta, Georgia 30329. health investment decisions, evaluating • Instructions: All submissions SUMMARY: The Centers for Disease success and impact; and (d) case received must include the agency name Control and Prevention (CDC) in the studies, examples, reviews and meta- and Docket Number. All relevant Department of Health and Human analyses, data linkages, promising and comments received will be posted Services (HHS) announces the opening emerging ideas, and best practices; without change to http:// of a docket to obtain comment on an (2) Types of investments the private regulations.gov, including any personal upcoming Surgeon General’s document/ sector and local policy makers can information provided. For access to the Call to Action with a working title consider to improve health and wellness docket to read background documents ‘‘Community Health and Prosperity’’. of employees and families, and daltland on DSKBBV9HB2PROD with NOTICES CDC is the lead agency to support the or comments received, go to http:// community well-being and prosperity; Office of the Surgeon General to publish www.regulations.gov. (3) Types of partners or coalitions that a Call to Action that will be science- FOR FURTHER INFORMATION CONTACT: have invested in community health and informed and actionable, outlining a Martin J. Vincent, Office of the the scope of their collaborations conceptual framework with case Associate Director for Policy, Centers for contributions; examples and available evidence on the Disease Control and Prevention, 1600 (4) Descriptions of important barriers business case for investing in Clifton Road NE, Mail Stop D–28, to and facilitators of success; VerDate Sep<11>2014 16:56 Sep 05, 2018 Jkt 244001 PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 E:\FR\FM\06SEN1.SGM 06SEN1

45244 Federal Register / Vol. 83, No. 173 / Thursday, September 6, 2018 / Notices (5) Private sector and local policy communities to improve the health and changes in capacity, knowledge, skills, maker rationales for making investments well-being of people could also and self-efficacy as a result of CBA in community health; and revitalize and improve economic service delivery. (6) Successful efforts by local policy opportunity, enhancing prosperity in DATES: CDC must receive written makers to promote and sustain private the community and for its residents and comments on or before November 5, sector investments in community businesses. 2018. health. Although there are published Please note that comments received, literature and several ongoing public, ADDRESSES: You may submit comments, including attachments and other private and philanthropic initiatives identified by Docket No. CDC–2018– supporting materials, are part of the examining how investments in 0080 by any of the following methods: public record and subject to public community health can enhance well- • Federal eRulemaking Portal: disclosure. Comments will be posted at being and economic prosperity, there Regulations.gov. Follow the instructions https://www.regulations.gov. Therefore, has not been a thorough assessment that for submitting comments. do not include any information in your compiles the evidence and best • Mail: Jeffrey M. Zirger, Information comment or supporting materials that practices to illustrate benefits for the Collection Review Office, Centers for you consider confidential or private sector and local policy makers. Disease Control and Prevention, 1600 inappropriate for public disclosure. If The Surgeon General’s Call to Action is Clifton Road NE, MS–D74, Atlanta, you include your name, contact expected to bridge that gap and inspire Georgia 30329. information, or other information that more investments by the private sector Instructions: All submissions received identifies you in the body of your and local policy makers in community must include the agency name and comments, that information will be on health. Docket Number. CDC will post, without public display. CDC will review all Dated: August 31, 2018. change, all relevant comments to submissions and may choose to redact Regulations.gov. Lauren Hoffmann, or withhold submissions containing Please note: Submit all comments Acting Executive Secretary, Centers for private or proprietary information, such Disease Control and Prevention. through the Federal eRulemaking portal as Social Security numbers, medical (regulations.gov) or by U.S. mail to the [FR Doc. 2018–19313 Filed 9–5–18; 8:45 am] information, inappropriate language, or address listed above. BILLING CODE 4163–18–P duplicate/near duplicate examples of a FOR FURTHER INFORMATION CONTACT: To mass-mail campaign. CDC will carefully request more information on the consider all comments submitted and proposed project or to obtain a copy of DEPARTMENT OF HEALTH AND may include relevant information in the the information collection plan and HUMAN SERVICES Call to Action. instruments, contact Jeffery M. Zirger Background Centers for Disease Control and Information Collection Review Office, Prevention Centers for Disease Control and America’s prosperity is being hampered by preventable chronic [60Day–18–1099; Docket No. CDC–2018– Prevention, 1600 Clifton Road NE, MS– diseases and behavioral health issues. 0080] D74, Atlanta, Georgia 30329; phone: Life expectancy at birth dropped in the 404–639–7570; email: omb@cdc.gov. United States for a second consecutive Proposed Data Collection Submitted SUPPLEMENTARY INFORMATION: Under the year in 2016. Preliminary data indicate for Public Comment and Paperwork Reduction Act of 1995 (PRA) that age-adjusted death rates continued Recommendations (44 U.S.C. 3501–3520), Federal agencies to rise in 2017, which is likely to mark AGENCY: Centers for Disease Control and must obtain approval from the Office of a third straight year of declining life Prevention (CDC), Department of Health Management and Budget (OMB) for each expectancy. The U.S. lags behind and Human Services (HHS). collection of information they conduct comparable high-income countries on a ACTION: Notice with comment period. or sponsor. In addition, the PRA also range of health outcomes including life requires Federal agencies to provide a expectancy despite spending more on SUMMARY: The Centers for Disease 60-day notice in the Federal Register health care. About 6 in 10 American Control and Prevention (CDC), as part of concerning each proposed collection of adults have at least one chronic health its continuing effort to reduce public information, including each new condition, and these people account for burden and maximize the utility of proposed collection, each proposed 90% of total health care spending. government information, invites the extension of existing collection of While chronic diseases affect all general public and other Federal information, and each reinstatement of populations, they are not evenly agencies the opportunity to comment on previously approved information distributed. Disease rates vary by race, a proposed and/or continuing collection before submitting the ethnicity, education, geography and information collection, as required by collection to the OMB for approval. To income level, with the most the Paperwork Reduction Act of 1995. comply with this requirement, we are disadvantaged Americans often This notice invites comment on a publishing this notice of a proposed suffering the highest burden of disease. proposed information collection project data collection as described below. However, only about 20% of the titled Capacity Building Assistance The OMB is particularly interested in factors that influence a person’s health Program: Assessment and Quality comments that will help: can be addressed by health care and the Control. The purpose of this information 1. Evaluate whether the proposed remaining 80% reflect socioeconomic, collection is to assess how well the collection of information is necessary daltland on DSKBBV9HB2PROD with NOTICES environmental or behavioral factors. capacity building assistance (CBA) for the proper performance of the Focusing on strategies that address the program meets the needs of health care functions of the agency, including social and community conditions could staff from organizations funded directly whether the information will have improve health, life expectancy, and or indirectly by the CDC, involved in practical utility; quality of life, while also reducing HIV prevention service delivery. The 2. Evaluate the accuracy of the related health care costs and program will assess customer agency’s estimate of the burden of the productivity losses. Investing in satisfaction with CBA services and proposed collection of information, VerDate Sep<11>2014 16:56 Sep 05, 2018 Jkt 244001 PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 E:\FR\FM\06SEN1.SGM 06SEN1


Document Created: 2018-09-05 23:56:09
Document Modified: 2018-09-05 23:56:09
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
Action``Community Health and Prosperity''
DatesWritten comments must be received before November 5, 2018.
ContactMartin J. Vincent, Office of the Associate Director for Policy, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mail Stop D-28, Atlanta, Georgia 30329. Telephone: 404-639-1455, Email: [email protected]
FR Citation83 FR 45243 
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