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
Federal Form Document
⚠️ Notice: This information collection may be outdated.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)
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.
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 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)
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)