Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures)
ICR 200702-0938-004 · OMB 0938-1022 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1022 can be found here:
Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures)
New collection (Request for a new OMB Control Number)
No
Regular
Approved without change
08/23/2007
02/09/2007
Upon resubmission, CMS will solicit public comment on the burden of the expanded quality measures. CMS will make, as appropriate, changes to the burden to reflect the costs and burden of hospital reporting of quality data. Such changes should be reflected in the analysis of CMS rulemakings.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
12/31/2008
36 Months From Approved
874,976
0
0
587,486
0
0
0
0
0
The purpose is to collect data to produce valid, reliable, comparable and salient quality measures to provide a potent stimulus for clinicians and providers to improve the quality of care they provide. The reporting of SCIP measures is currently being collected from hospitals for activities associated with the Quality Improvement Organization (QIO) Program. Section 5001(a) of Pub. L. 109-171 of the Deficit Reduction Act sets out new requirements under the Reporting Hospital Quality Data for Annual Payment Update program. This program was initially established under section 501(b) of the MMA which offers monetary incentives for hospitals participating in the reporting of quality data. The Act requires that we expand the existing starter set of 10 quality measures that we have used since 2003. Although, this effort increases the volume of data currently reported into the QIO Clinical Data Warehouse; it however, does not place a substantial data collection burden on hospitals. A substantial percentage of hospitals are voluntarily submitting these SCIP measures currently. In contrast to the SCIP quality measures, no additional data collection from hospitals will be required from the mortality measures. All three mortality measures can be calculated based on Medicare inpatient and outpatient claims data that are already reported to the Medicare program for payment purposes.
This program change increases the data collection requirements in order to adhere to Section 5001(a) of the DRA. The DRA revises the current hospital reporting initiative; it also stipulates new data collection requirements. The Act also requires that we expand the starter set of 10 quality measures that we have used since 2003, and that are currently approved under OCN 0938-0918. In expanding these measures, we must begin to adopt the baseline set of performance measures as set forth in the 2005 report issued by the Institute of Medicine (IOM) of the National Academy of Sciences under section 238(b) of Pub. L. 108-173, effective for payments beginning with FY 2007. The IOM measures include the Hospital Quality Alliance (HQA) measures, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient perspective survey, and three structural measures.
To comply with the DRA, CMS is expanding the starter set of 10 quality measures to include HCAHPS, patients perspectives of care measures as well as surgical care
and mortality outcome measures for obtaining the full market basket update.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form CMS-10210 HIPAA Compliance
CMS-10210.Supporting Statement Part B.10-2-06.doc
Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures)