83_FR_5800 83 FR 5772 - Announcement of Requirements and Registration for the 2018 Million Hearts® Hypertension Control Challenge

83 FR 5772 - Announcement of Requirements and Registration for the 2018 Million Hearts® Hypertension Control Challenge

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

Federal Register Volume 83, Issue 28 (February 9, 2018)

Page Range5772-5774
FR Document2018-02598

The Centers for Disease Control and Prevention (CDC) located within the Department of Health and Human Services (HHS) announces the launch of the 2018 Million Hearts[supreg] Hypertension Control Challenge. Million Hearts[supreg] is a national initiative to prevent one million heart attacks and strokes by 2022. In order to prevent one million events, we need to decrease smoking, sodium consumption and physical inactivity by 20%; improve performance on appropriate aspirin use, blood pressure control, cholesterol management, and smoking cessation to 80%; and improve outcomes for priority populations. Over the last five years we have seen tremendous progress by provider and health care systems that focus on improving their performance in controlling blood pressure. Getting to 80% control would mean that 10 million more Americans would have their blood pressure under control, and be at substantially lower risk for strokes, heart attacks and other cardiovascular events. For more information about the initiative, visit https://millionhearts. hhs.gov/. The Million Hearts Hypertension Control challenge is an important way to call attention to the need for improved blood pressure control, provides a powerful motivation and target for clinicians, and will improve understanding of successful implementation strategies at the health system level. The Million Hearts Hypertension Control Challenge will identify clinicians, clinical practices, and health systems that have exceptional rates of hypertension control and recognize them as 2018 Million Hearts[supreg] Hypertension Control Champions. To support improved quality of care delivered to patients with hypertension, Million Hearts[supreg] will document and further disseminate the systems, strategies, processes, and staffing that contribute to the exceptional blood pressure control rates achieved by Champions.

Federal Register, Volume 83 Issue 28 (Friday, February 9, 2018)
[Federal Register Volume 83, Number 28 (Friday, February 9, 2018)]
[Notices]
[Pages 5772-5774]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-02598]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Announcement of Requirements and Registration for the 2018 
Million Hearts[supreg] Hypertension Control Challenge

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

ACTION: Notice.

-----------------------------------------------------------------------

    Authority: 15 U.S.C. 3719.

    Award Approving Official: Anne Schuchat, M.D. (RADM, USPHS), Acting 
Director, Centers for Disease Control and Prevention, and Acting 
Administrator, Agency for Toxic Substances and Disease Registry.
SUMMARY: The Centers for Disease Control and Prevention (CDC) located 
within the Department of Health and Human Services (HHS) announces the 
launch of the 2018 Million Hearts[supreg] Hypertension Control 
Challenge.
    Million Hearts[supreg] is a national initiative to prevent one 
million heart attacks and strokes by 2022. In order to prevent one 
million events, we need to decrease smoking, sodium consumption and 
physical inactivity by 20%; improve performance on appropriate aspirin 
use, blood pressure control, cholesterol management, and smoking 
cessation to 80%; and improve outcomes for priority populations. Over 
the last five years we have seen tremendous progress by provider and 
health care systems that focus on improving their performance in 
controlling blood pressure. Getting to 80% control would mean that 10 
million more Americans would have their blood pressure under control, 
and be at substantially lower risk for strokes, heart attacks and other 
cardiovascular events. For more information about the initiative, visit 
https://millionhearts.hhs.gov/.
    The Million Hearts Hypertension Control challenge is an important 
way to call attention to the need for improved blood pressure control, 
provides a powerful motivation and target for clinicians, and will 
improve understanding of successful implementation strategies at the 
health system level. The Million Hearts Hypertension Control Challenge 
will identify clinicians, clinical practices, and health systems that 
have exceptional rates of hypertension control and recognize them as 
2018 Million Hearts[supreg] Hypertension Control Champions. To support 
improved quality of care delivered to patients with hypertension, 
Million Hearts[supreg] will document and further disseminate the 
systems, strategies, processes, and staffing that contribute to the 
exceptional blood pressure control rates achieved by Champions.

DATES: The Challenge will accept applications from February 20, 2018 
through April 6, 2018.

FOR FURTHER INFORMATION CONTACT: Mary George, National Center for 
Chronic Disease Prevention and Health Promotion, Centers for Disease 
Control and Prevention, 4770 Buford Hwy. NE, Mailstop F-73, Chamblee, 
GA 30341, Telephone: 770-488-2424, Email: [email protected]; 
subject line of email: Million Hearts Hypertension Control Challenge.

SUPPLEMENTARY INFORMATION: 
    Subject of Challenge Competition: 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).
    Applicants for the 2018 Million Hearts[supreg] 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 the most recent 12-month reporting period (e.g., 1/1/2017-12/
31/2017) and a previous rate for a 12 month period 1 year before the 
most recent reporting period (e.g., 1/1/2016-12/31/2016). Applicants 
will also be asked to provide the prevalence of hypertension in their 
population, describe some population characteristics that present 
significant challenges in attaining hypertension control (such as 
percent minority, percent enrolled in Medicaid, percent with no health 
insurance or who are homeless, and percent whose primary language is 
not English) and strategies used by the practice or health system that 
support continued improvements in blood pressure control. Further 
details are provided in the application form.
    Eligibility Rules for Participating in the Competition: To be 
eligible to be recognized as a Million Hearts[supreg] Hypertension 
Control Champion under this challenge, an individual or entity--
    (1) Shall have completed the application 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. ``[I]n 
the case of a private entity, shall be incorporated in and maintain a 
primary place of business in the United States, and in the case of an 
individual, whether participating singly or in a group, shall be a 
citizen or permanent resident of the United States. The United States 
means a State, the District of Columbia, the Commonwealth of Puerto 
Rico, and any other territory or possession of the United States.
    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

[[Page 5773]]

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 CDC or their contractor to verify data submitted;
    (5) Must treat a minimum of 500 adult patients annually and have a 
hypertension control rate of at least 80%;
    (6) May not be a Federal entity or Federal employee acting within 
the scope of their employment;
    (7) An HHS employee must not work on their application(s) during 
assigned duty hours;
    (8) Shall not be an employee of or contractor at/within 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 to the extent applicable law allows and 
will be shared with the CDC, in aggregate form only (e.g., the 
hypertension control rate for the practice not individual patients' 
hypertension values);
    (10) Must agree to sign, without revisions, a Business Associate 
Agreement with the contractor conducting the data validation.
    (11) Must have a written policy in place about conducting periodic 
background checks on all providers and taking appropriate action based 
on the results of the check. CDC's contractor may also request to 
review the policy and any supporting information deemed necessary. 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). Eligibility status, 
based upon the above-referenced written policy, appropriate action, and 
background check, will be determined at the discretion of CDC 
consistent with CDC's public health mission.
    (12) 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] 
website. Strategies used by Champions that support hypertension control 
may be written into a success story, placed on the Million 
Hearts[supreg] website, and attributed to Champions.
    Federal funds may not be used to develop COMPETES Act challenge 
applications or to fund efforts in support of a COMPETES Act challenge.
    Individual applicants 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, prescribing, or dispensing of 
controlled substances as verified through the Office of the Inspector 
General List of Excluded Individuals and Entities. http://oig.hhs.gov/exclusions/background.asp.
    Individual applicants must be free from serious sanctions, such as 
those for misuse or mis-prescribing of prescription medications. 
Eligibility status of individual applicants with serious sanctions will 
be determined at the discretion of CDC. CDC's contractor may perform 
background checks on individual clinicians or medical practices.
    Champions previously recognized through the 2013, 2014, 2015, and 
2017 Million Hearts[supreg] Hypertension Control Challenges retain 
their designation as a ``Champion'' and are not eligible to be named a 
Champion in the 2018 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.
    Participants are required to obtain liability insurance or 
demonstrate financial responsibility in the amount of $0, for claims by 
a third party for death, bodily injury, or property damage, or loss 
resulting from an activity carried out in connection with participation 
in a challenge.
    No cash prize will be awarded. Champions will receive national 
recognition.

Registration Process for Participants

    To participate and submit an application, interested parties should 
go to https://millionhearts.hhs.gov or https://www.challenge.gov. On 
this site, applicants will find the application form and the rules and 
guidelines for participating. Information required of the applicants on 
the application form includes:
     The size of the applicant's adult primary care patient 
population, a summary of known patient demographics (e.g., age 
distribution), and any noteworthy patient population characteristics.
     The number of the applicant's adult primary care patients, 
ages 18-85 who were seen during the measurement year and had a 
hypertension diagnosis (i.e., hypertension prevalence).
     The applicant's current hypertension control rate for 
their hypertensive population ages 18-85 during the measurement 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 ages 18-85 with a diagnosis of 
hypertension.
     The hypertension control rate should be for the provider's 
or health system's entire adult hypertensive patient population ages 
18-85, and not limited to a sample. The provider's or health system's 
hypertensive population ages 18-85 should include only patients in 
primary care or in cardiology care in the case of a cardiology clinic. 
Patients seen only in dental care or behavioral health care should not 
be included. 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 only), or patient enrolled in limited scale 
quality improvement projects.
     Completion of a checklist of sustainable clinic systems or 
processes that support hypertension control. These may include provider 
or patient incentives, dashboards, staffing characteristics, electronic 
record

[[Page 5774]]

keeping systems, reminder or alert systems, clinician reporting, 
service modifications, etc.
    The estimated burden for completing the application form is 30 
minutes.

Amount of the Prize

    Up to 35 of the highest scoring clinical practices or health 
systems will be recognized as Million Hearts[supreg] Hypertension 
Control Champions. No cash prize will be awarded. Champions will 
receive national recognition.

Basis Upon Which Winner Will Be Selected

    The application will be scored based on the hypertension control 
rate for your most recent 12-month reporting period ending not earlier 
than December 31, 2017; and the degree to which the patient 
populations' characteristics present significant challenges in 
attaining hypertension control (up to 5% of score).
    Phase 1 of the validation process includes verification of the 
hypertension prevalence and blood pressure control rate data submitted 
and a background check. For applicants whose Phase 1 data is verified 
as accurate, phase 2 consists of a medical chart review. The medical 
chart review will verify the diagnosis of hypertension during the 
reporting year as well as blood pressure being controlled to <140 mm Hg 
systolic and <90 mm Hg diastolic.
    A CDC-sponsored panel of three to five experts consisting of CDC 
staff will review the applications that pass phase 2 to select 
Champions. Final selection of Champions will take into account all the 
information from the application form, the background check, and data 
verification and validation. In the event of tied scores at any point 
in the selection process, geographic location may be taken into account 
to ensure a broad distribution of champions.
    Some Champions will participate in a post-challenge telephone 
interview. The interview will include questions about the strategies 
employed by the individual practice 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 for the interviewer 
to review the interview protocol with the Champion, time for the 
Champion to respond to the interview questions, and time to review a 
summary about the Champion's hypertension control strategies. The 
summary may be written as a success story and will be posted on the 
Million Hearts[supreg] website.

Additional Information

    Information received from applicants will be stored in a password 
protected file on a secure server. The challenge website may post the 
number of applications received but will not include confidential or 
proprietary information about individual applicants. The database of 
information submitted by applicants will not be posted on the website. 
Information collected from applicants will include general details, 
such as the business name, address, and contact information of the 
applicant. This type of information is generally publicly available. 
The application will collect and store only aggregate clinical data 
through the application process; no individually 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 website, and Million 
Hearts[supreg] and CDC resources.
    Summary data on the types of systems and processes that all 
applicants use to control hypertension may be shared in documents or 
other communication products that describe generally used practices for 
successful hypertension control. CDC will use the summary data only as 
described.

Compliance With Rules and Contacting Contest Winners

    Finalists and the 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

    If Contestants choose to provide HHS/CDC with personal information 
by registering or filling out the submission form through the 
Challenge.gov website, that information is used to respond to 
Contestants in matters regarding their submission, announcements of 
applicants, finalists, and winners of the Contest.

General Conditions

    HHS/CDC reserves the right to cancel, suspend, and/or modify the 
Contest, or any part of it, for any reason, at HHS/CDC's sole 
discretion.
    Participation in this Contest constitutes a contestants' full and 
unconditional agreement to abide by the Contest's Official Rules found 
at https://www.Challenge.gov and https://millionhearts.hhs.gov/.

    Authority: 15 U.S.C. 3719.

    Dated: February 6, 2018.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2018-02598 Filed 2-8-18; 8:45 am]
 BILLING CODE 4163-18-P



                                                5772                           Federal Register / Vol. 83, No. 28 / Friday, February 9, 2018 / Notices

                                                information collection. The following is                launch of the 2018 Million Hearts®                    and Science Reauthorization Act of
                                                a summary of the FY 2017 data:                          Hypertension Control Challenge.                       2010 (COMPETES Act).
                                                   Respondents: 1,104.                                     Million Hearts® is a national initiative             Applicants for the 2018 Million
                                                   Responses per Respondent: 1.                         to prevent one million heart attacks and              Hearts® Hypertension Control Challenge
                                                   Total Annual Responses: 1,104.                       strokes by 2022. In order to prevent one              will be asked to provide two
                                                   Hours per Response: 0.18.                            million events, we need to decrease                   hypertension control rates for the
                                                   Total Burden Hours: 198.                             smoking, sodium consumption and                       practice’s or health system’s
                                                   Affected Public: Businesses or other                 physical inactivity by 20%; improve                   hypertensive population: A current rate
                                                for-profit and not-for-profit.                          performance on appropriate aspirin use,               for the most recent 12-month reporting
                                                   Respondent’s Obligation: Required to                 blood pressure control, cholesterol                   period (e.g., 1/1/2017–12/31/2017) and
                                                obtain or retain benefits.                              management, and smoking cessation to                  a previous rate for a 12 month period 1
                                                   Type of Request: Revision of a                                                                             year before the most recent reporting
                                                                                                        80%; and improve outcomes for priority
                                                currently approved collection.                                                                                period (e.g., 1/1/2016–12/31/2016).
                                                                                                        populations. Over the last five years we
                                                   Reporting Frequency: On occasion.                                                                          Applicants will also be asked to provide
                                                                                                        have seen tremendous progress by
                                                C. Public Comment                                       provider and health care systems that                 the prevalence of hypertension in their
                                                                                                        focus on improving their performance in               population, describe some population
                                                  A 60 day notice was published in the                                                                        characteristics that present significant
                                                Federal Register at 82 FR 55842, on                     controlling blood pressure. Getting to
                                                                                                        80% control would mean that 10                        challenges in attaining hypertension
                                                November 24, 2017. No comments were                                                                           control (such as percent minority,
                                                received.                                               million more Americans would have
                                                                                                        their blood pressure under control, and               percent enrolled in Medicaid, percent
                                                  Obtaining Copies of Proposals:                                                                              with no health insurance or who are
                                                Requesters may obtain a copy of the                     be at substantially lower risk for strokes,
                                                                                                        heart attacks and other cardiovascular                homeless, and percent whose primary
                                                information collection documents from                                                                         language is not English) and strategies
                                                the General Services Administration,                    events. For more information about the
                                                                                                        initiative, visit https://millionhearts.              used by the practice or health system
                                                Regulatory Secretariat Division (MVCB),                                                                       that support continued improvements in
                                                1800 F Street NW, Washington, DC                        hhs.gov/.
                                                                                                                                                              blood pressure control. Further details
                                                20405.                                                     The Million Hearts Hypertension
                                                                                                                                                              are provided in the application form.
                                                  Please cite OMB Control No. 9000–                     Control challenge is an important way                   Eligibility Rules for Participating in
                                                0155, Prohibition of Acquisition of                     to call attention to the need for                     the Competition: To be eligible to be
                                                Products Produced by Forced or                          improved blood pressure control,                      recognized as a Million Hearts®
                                                Indentured Child Labor, in all                          provides a powerful motivation and                    Hypertension Control Champion under
                                                correspondence.                                         target for clinicians, and will improve               this challenge, an individual or entity—
                                                   Dated: February 2, 2018.
                                                                                                        understanding of successful                             (1) Shall have completed the
                                                                                                        implementation strategies at the health               application form in its entirety to
                                                Lorin S. Curit,
                                                                                                        system level. The Million Hearts                      participate in the competition under the
                                                Director, Federal Acquisition Policy Division,          Hypertension Control Challenge will
                                                Office of Government-wide Acquisition                                                                         rules developed by HHS/CDC;
                                                Policy, Office of Acquisition Policy, Office
                                                                                                        identify clinicians, clinical practices,                (2) Shall have complied with all the
                                                of Government-wide Policy.                              and health systems that have                          requirements in this section and;
                                                [FR Doc. 2018–02587 Filed 2–8–18; 8:45 am]
                                                                                                        exceptional rates of hypertension                       a. Be a U.S. licensed clinician,
                                                                                                        control and recognize them as 2018                    practicing in any U.S. setting, who
                                                BILLING CODE 6820–EP–P
                                                                                                        Million Hearts® Hypertension Control                  provides continuing care for adult
                                                                                                        Champions. To support improved                        patients with hypertension. The
                                                                                                        quality of care delivered to patients with            individual must be a citizen or
                                                DEPARTMENT OF HEALTH AND                                hypertension, Million Hearts® will                    permanent resident of the U.S. ‘‘[I]n the
                                                HUMAN SERVICES                                          document and further disseminate the                  case of a private entity, shall be
                                                Centers for Disease Control and                         systems, strategies, processes, and                   incorporated in and maintain a primary
                                                Prevention                                              staffing that contribute to the                       place of business in the United States,
                                                                                                        exceptional blood pressure control rates              and in the case of an individual,
                                                Announcement of Requirements and                        achieved by Champions.                                whether participating singly or in a
                                                Registration for the 2018 Million                       DATES: The Challenge will accept                      group, shall be a citizen or permanent
                                                Hearts® Hypertension Control                            applications from February 20, 2018                   resident of the United States. The
                                                Challenge                                               through April 6, 2018.                                United States means a State, the District
                                                                                                        FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                              of Columbia, the Commonwealth of
                                                AGENCY: Centers for Disease Control and                                                                       Puerto Rico, and any other territory or
                                                Prevention (CDC), Department of Health                  Mary George, National Center for
                                                                                                        Chronic Disease Prevention and Health                 possession of the United States.
                                                and Human Services (HHS).                                                                                       b. Or be a U.S. incorporated clinical
                                                ACTION: Notice.                                         Promotion, Centers for Disease Control
                                                                                                                                                              practice, defined as any practice with
                                                                                                        and Prevention, 4770 Buford Hwy. NE,
                                                                                                                                                              two or more U.S. licensed clinicians
                                                   Authority: 15 U.S.C. 3719.                           Mailstop F–73, Chamblee, GA 30341,
                                                                                                                                                              who by formal arrangement share
                                                  Award Approving Official: Anne                        Telephone: 770–488–2424, Email:
                                                                                                                                                              responsibility for a common panel of
                                                Schuchat, M.D. (RADM, USPHS), Acting                    millionhearts@cdc.gov; subject line of
                                                                                                                                                              patients, practice at the same physical
                                                                                                        email: Million Hearts Hypertension
sradovich on DSK3GMQ082PROD with NOTICES




                                                Director, Centers for Disease Control                                                                         location or street address, and provide
                                                and Prevention, and Acting                              Control Challenge.
                                                                                                                                                              continuing medical care for adult
                                                Administrator, Agency for Toxic                         SUPPLEMENTARY INFORMATION:                            patients with hypertension;
                                                Substances and Disease Registry.                           Subject of Challenge Competition:                    c. Or be a health system, incorporated
                                                SUMMARY: The Centers for Disease                        The challenge is authorized by Public                 in and maintaining a primary place of
                                                Control and Prevention (CDC) located                    Law 111–358, the America Creating                     business in the U.S. that provides
                                                within the Department of Health and                     Opportunities to Meaningfully Promote                 continuing medical care for adult
                                                Human Services (HHS) announces the                      Excellence in Technology, Education


                                           VerDate Sep<11>2014   16:57 Feb 08, 2018   Jkt 244001   PO 00000   Frm 00019   Fmt 4703   Sfmt 4703   E:\FR\FM\09FEN1.SGM   09FEN1


                                                                               Federal Register / Vol. 83, No. 28 / Friday, February 9, 2018 / Notices                                            5773

                                                patients with hypertension. We                          Strategies used by Champions that                        Participants are required to obtain
                                                encourage large health systems (those                   support hypertension control may be                   liability insurance or demonstrate
                                                that are comprised of a large number of                 written into a success story, placed on               financial responsibility in the amount of
                                                geographically dispersed clinics and/or                 the Million Hearts® website, and                      $0, for claims by a third party for death,
                                                have multiple hospital locations) to                    attributed to Champions.                              bodily injury, or property damage, or
                                                consider having one or a few of the                        Federal funds may not be used to                   loss resulting from an activity carried
                                                highest performing clinics or regional                  develop COMPETES Act challenge                        out in connection with participation in
                                                affiliates apply individually instead of                applications or to fund efforts in                    a challenge.
                                                the health system applying as a whole;                  support of a COMPETES Act challenge.                     No cash prize will be awarded.
                                                   (3) Must treat all adult patients with                  Individual applicants and individuals              Champions will receive national
                                                hypertension in the practice seeking                    in a group practice must be free from                 recognition.
                                                care, not a selected subgroup of patients;              convictions or pending investigations of              Registration Process for Participants
                                                   (4) Must have a data management                      criminal and health care fraud offenses
                                                system (electronic or paper) that allows                such as felony health care fraud, patient                To participate and submit an
                                                CDC or their contractor to verify data                  abuse or neglect; felony convictions for              application, interested parties should go
                                                submitted;                                                                                                    to https://millionhearts.hhs.gov or
                                                                                                        other health care-related fraud, theft, or
                                                   (5) Must treat a minimum of 500 adult                                                                      https://www.challenge.gov. On this site,
                                                                                                        other financial misconduct; and felony
                                                patients annually and have a                                                                                  applicants will find the application
                                                                                                        convictions relating to unlawful
                                                hypertension control rate of at least                                                                         form and the rules and guidelines for
                                                                                                        manufacture, distribution, prescribing,
                                                80%;                                                                                                          participating. Information required of
                                                                                                        or dispensing of controlled substances
                                                   (6) May not be a Federal entity or                                                                         the applicants on the application form
                                                                                                        as verified through the Office of the
                                                Federal employee acting within the                                                                            includes:
                                                                                                        Inspector General List of Excluded
                                                scope of their employment;                                                                                       • The size of the applicant’s adult
                                                                                                        Individuals and Entities. http://
                                                   (7) An HHS employee must not work                                                                          primary care patient population, a
                                                                                                        oig.hhs.gov/exclusions/background.asp.
                                                on their application(s) during assigned                                                                       summary of known patient
                                                                                                           Individual applicants must be free                 demographics (e.g., age distribution),
                                                duty hours;
                                                   (8) Shall not be an employee of or                   from serious sanctions, such as those for             and any noteworthy patient population
                                                contractor at/within CDC;                               misuse or mis-prescribing of                          characteristics.
                                                   (9) Must agree to participate in a data              prescription medications. Eligibility                    • The number of the applicant’s adult
                                                validation process to be conducted by a                 status of individual applicants with                  primary care patients, ages 18–85 who
                                                reputable independent contractor. Data                  serious sanctions will be determined at               were seen during the measurement year
                                                will be kept confidential by the                        the discretion of CDC. CDC’s contractor               and had a hypertension diagnosis (i.e.,
                                                contractor to the extent applicable law                 may perform background checks on                      hypertension prevalence).
                                                allows and will be shared with the CDC,                 individual clinicians or medical                         • The applicant’s current
                                                in aggregate form only (e.g., the                       practices.                                            hypertension control rate for their
                                                hypertension control rate for the                          Champions previously recognized                    hypertensive population ages 18–85
                                                practice not individual patients’                       through the 2013, 2014, 2015, and 2017                during the measurement year is
                                                hypertension values);                                   Million Hearts® Hypertension Control                  required. In determining the
                                                   (10) Must agree to sign, without                     Challenges retain their designation as a              hypertension control rate, CDC defines
                                                revisions, a Business Associate                         ‘‘Champion’’ and are not eligible to be               ‘‘hypertension control’’ as a blood
                                                Agreement with the contractor                           named a Champion in the 2018                          pressure reading <140 mmHg systolic
                                                conducting the data validation.                         challenge.                                            and <90 mmHg diastolic among patients
                                                   (11) Must have a written policy in                      An individual or entity shall not be               ages 18–85 with a diagnosis of
                                                place about conducting periodic                         deemed ineligible because the                         hypertension.
                                                background checks on all providers and                  individual or entity used Federal                        • The hypertension control rate
                                                taking appropriate action based on the                  facilities or consulted with Federal                  should be for the provider’s or health
                                                results of the check. CDC’s contractor                  employees during a competition if the                 system’s entire adult hypertensive
                                                may also request to review the policy                   facilities and employees are made                     patient population ages 18–85, and not
                                                and any supporting information deemed                   available to all individuals and entities             limited to a sample. The provider’s or
                                                necessary. In addition, a health system                 participating in the competition on an                health system’s hypertensive population
                                                background check will be conducted by                   equal basis.                                          ages 18–85 should include only patients
                                                CDC or a CDC contractor that includes                      By participating in this challenge, an             in primary care or in cardiology care in
                                                a search for The Joint Commission                       individual or organization agrees to                  the case of a cardiology clinic. Patients
                                                sanctions and current investigations for                assume any and all risks related to                   seen only in dental care or behavioral
                                                serious institutional misconduct (e.g.,                 participating in the challenge.                       health care should not be included.
                                                attorney general investigation).                        Individuals or organizations also agree               Examples of ineligible data submissions
                                                Eligibility status, based upon the above-               to waive claims against the Federal                   include hypertension control rates that
                                                referenced written policy, appropriate                  Government and its related entities,                  are limited to treatment cohorts from
                                                action, and background check, will be                   except in the case of willful misconduct,             research studies or pilot studies,
                                                determined at the discretion of CDC                     when participating in the challenge,                  patients limited to a specific age range
                                                consistent with CDC’s public health                     including claims for injury; death;                   (such as 18–35 only), or patient enrolled
                                                                                                        damage; or loss of property, money, or
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                                                mission.                                                                                                      in limited scale quality improvement
                                                   (12) Must agree to be recognized if                  profits, and including those risks caused             projects.
                                                selected and agree to participate in an                 by negligence or other causes.                           • Completion of a checklist of
                                                interview to develop a success story that                  By participating in this challenge,                sustainable clinic systems or processes
                                                describes the systems and processes that                individuals or organizations agree to                 that support hypertension control.
                                                support hypertension control among                      protect the Federal Government against                These may include provider or patient
                                                patients. Champions will be recognized                  third party claims for damages arising                incentives, dashboards, staffing
                                                on the Million Hearts® website.                         from or related to challenge activities.              characteristics, electronic record


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                                                5774                           Federal Register / Vol. 83, No. 28 / Friday, February 9, 2018 / Notices

                                                keeping systems, reminder or alert                      summary may be written as a success                   any part of it, for any reason, at HHS/
                                                systems, clinician reporting, service                   story and will be posted on the Million               CDC’s sole discretion.
                                                modifications, etc.                                     Hearts® website.                                        Participation in this Contest
                                                  The estimated burden for completing                                                                         constitutes a contestants’ full and
                                                the application form is 30 minutes.                     Additional Information
                                                                                                                                                              unconditional agreement to abide by the
                                                                                                           Information received from applicants               Contest’s Official Rules found at https://
                                                Amount of the Prize
                                                                                                        will be stored in a password protected                www.Challenge.gov and https://
                                                   Up to 35 of the highest scoring                      file on a secure server. The challenge                millionhearts.hhs.gov/.
                                                clinical practices or health systems will               website may post the number of
                                                be recognized as Million Hearts®                                                                                Authority: 15 U.S.C. 3719.
                                                                                                        applications received but will not
                                                Hypertension Control Champions. No                      include confidential or proprietary                     Dated: February 6, 2018.
                                                cash prize will be awarded. Champions                   information about individual                          Sandra Cashman,
                                                will receive national recognition.                      applicants. The database of information               Executive Secretary, Centers for Disease
                                                                                                        submitted by applicants will not be                   Control and Prevention.
                                                Basis Upon Which Winner Will Be
                                                Selected                                                posted on the website. Information                    [FR Doc. 2018–02598 Filed 2–8–18; 8:45 am]
                                                                                                        collected from applicants will include                BILLING CODE 4163–18–P
                                                   The application will be scored based                 general details, such as the business
                                                on the hypertension control rate for                    name, address, and contact information
                                                your most recent 12-month reporting                     of the applicant. This type of                        DEPARTMENT OF HEALTH AND
                                                period ending not earlier than December                 information is generally publicly                     HUMAN SERVICES
                                                31, 2017; and the degree to which the                   available. The application will collect
                                                patient populations’ characteristics                    and store only aggregate clinical data                Centers for Disease Control and
                                                present significant challenges in                       through the application process; no                   Prevention
                                                attaining hypertension control (up to                   individually identifiable patient data                [Docket No. CDC–2017–0059]
                                                5% of score).                                           will be collected or stored. Confidential
                                                   Phase 1 of the validation process                                                                          Notice of Availability of Draft
                                                                                                        or propriety data, clearly marked as
                                                includes verification of the                                                                                  Environmental Impact Statement,
                                                                                                        such, will be secured to the full extent
                                                hypertension prevalence and blood                                                                             Public Meeting, and Request for
                                                                                                        allowable by law.
                                                pressure control rate data submitted and                   Information for selected Champions,                Comments; Site Acquisition and
                                                a background check. For applicants                      such as the provider, practice, or health             Campus Consolidation for the Centers
                                                whose Phase 1 data is verified as                       system’s name, location, hypertension                 for Disease Control and Prevention/
                                                accurate, phase 2 consists of a medical                 control rate, and clinic practices that               National Institute for Occupational
                                                chart review. The medical chart review                  support hypertension control will be                  Safety and Health (CDC/NIOSH),
                                                will verify the diagnosis of hypertension               shared through press releases, the                    Cincinnati, Ohio
                                                during the reporting year as well as                    challenge website, and Million Hearts®
                                                blood pressure being controlled to <140                 and CDC resources.                                    AGENCY:  Centers for Disease Control and
                                                mm Hg systolic and <90 mm Hg                               Summary data on the types of systems               Prevention (CDC), Department of Health
                                                diastolic.                                              and processes that all applicants use to              and Human Services (HHS).
                                                   A CDC-sponsored panel of three to                    control hypertension may be shared in                 ACTION: Notice of Availability;
                                                five experts consisting of CDC staff will               documents or other communication                      announcement of public meeting; and
                                                review the applications that pass phase                 products that describe generally used                 request for comments.
                                                2 to select Champions. Final selection of               practices for successful hypertension
                                                Champions will take into account all the                                                                      SUMMARY:    The Centers for Disease
                                                                                                        control. CDC will use the summary data
                                                information from the application form,                                                                        Control and Prevention (CDC) within
                                                                                                        only as described.
                                                the background check, and data                                                                                the Department of Health and Human
                                                verification and validation. In the event               Compliance With Rules and Contacting                  Services (HHS), in cooperation with the
                                                of tied scores at any point in the                      Contest Winners                                       General Services Administration (GSA),
                                                selection process, geographic location                    Finalists and the Champions must                    announces the availability of a Draft
                                                may be taken into account to ensure a                   comply with all terms and conditions of               Environmental Impact Statement (EIS)
                                                broad distribution of champions.                        these Official Rules, and winning is                  for the proposed acquisition of a site in
                                                   Some Champions will participate in a                 contingent upon fulfilling all                        Cincinnati, Ohio, and the development
                                                post-challenge telephone interview. The                 requirements herein. The initial finalists            of this site into a new, consolidated
                                                interview will include questions about                  will be notified by email, telephone, or              CDC/National Institute for Occupational
                                                the strategies employed by the                          mail after the date of the judging.                   Safety and Health (NIOSH) campus
                                                individual practice or organization to                                                                        (Proposed Action). The site being
                                                achieve high rates of hypertension                      Privacy                                               considered for acquisition and
                                                control, including barriers and                           If Contestants choose to provide HHS/               development is bounded by Martin
                                                facilitators for those strategies. The                  CDC with personal information by                      Luther King Drive East to the south,
                                                interview will focus on systems and                     registering or filling out the submission             Harvey Avenue to the west, Ridgeway
                                                processes and should not require                        form through the Challenge.gov website,               Avenue to the north, and Reading Road
                                                preparation time by the Champion. The                   that information is used to respond to                to the east.
                                                estimated time for the interview is two                                                                         The Draft EIS and this notice are
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                                                                                                        Contestants in matters regarding their
                                                hours, which includes time for the                      submission, announcements of                          published pursuant to the requirements
                                                interviewer to review the interview                     applicants, finalists, and winners of the             of the National Environmental Policy
                                                protocol with the Champion, time for                    Contest.                                              Act of 1969 (NEPA) as implemented by
                                                the Champion to respond to the                                                                                the Council on Environmental Quality
                                                interview questions, and time to review                 General Conditions                                    (CEQ) Regulations (40 CFR parts 1500–
                                                a summary about the Champion’s                            HHS/CDC reserves the right to cancel,               1508). In parallel with the NEPA
                                                hypertension control strategies. The                    suspend, and/or modify the Contest, or                process, CDC is also conducting


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Document Created: 2018-02-09 00:11:45
Document Modified: 2018-02-09 00:11:45
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.
DatesThe Challenge will accept applications from February 20, 2018 through April 6, 2018.
ContactMary George, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy. NE, Mailstop F-73, Chamblee, GA 30341, Telephone: 770-488-2424, Email: [email protected]; subject line of email: Million Hearts Hypertension Control Challenge.
FR Citation83 FR 5772 

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