Information Collection Requirements for the Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)

Forms and Documents

Document Name	Status
Form CMS-10250 Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2011) Form and Instruction	New
Form CMS-10250 Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2010) Form and Instruction	New
CMS-10250.Supporting Statement Part B-FINAL.doc Supporting Statement B	2009-11-25
CMS-10250 REVISED Supporting_Statement_Part_A -9-30-10.doc Supporting Statement A	2010-09-30

IC Document Collections

IC ID	Document Title	Status
194748	Hospital Outpatient Quality Data Program (HOPQDRP) CY 2011 Data Abstraction	New
194747	Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2011) Form and Instruction	New
191542	Hospital Outpatient Quality Data Program (HOPQDRP) - CY 2011 Data Validation Instruction	New
191541	Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2010) Form and Instruction	New
191540	Hospital Outpatient Quality Data Program (HOPQDRP) - Abstracting Burden (CY 2009 and CY2010)	New

ICR Details

OMB Control No: 0938-1109	ICR Reference No: 200912-0938-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Information Collection Requirements for the Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/01/2010
	Date Received in OIRA: 12/11/2009
Terms of Clearance: Since the HOPQDRP reporting requirements tend to change annually with each annual outpatient prospective payment system (PPS) rule, this ICR is approved for one year. Because this ICR is associated with rulemaking, CMS agrees to coordinate the publication of the 60 & 30 day Federal Register Notices with the issuance of the proposed and final outpatient PPS. In order to comment meaningfully on the burden and utility of these reporting requirements, the public needs access to all technical specifications on how each performance measure will be calculated (e.g. the denominators and numerators). Therefore, all such technical specifications need to be submitted with the ICR in order for the ICR package to be considered complete. These technical specifications must also match up with the year in question (i.e. the 2008 specifications should not be submitted for the 2009 measures). Incomplete submissions will be returned to the agency as "improper submissions." Finally, CMS agrees to include this ICR in the next ICB as a "bootleg" collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved
Responses	1,821,340	0	0
Time Burden (Hours)	1,802,186	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CMS will use the information collected to direct its contractor, including Quality Improvement Organizations (QIOs), to focus on particular areas of improvement, and to develop quality improvement initiatives. The information will be made available to hospitals for their use in internal quality improvement initiatives. Most importantly, this information is available to beneficiaries, as well as to the public in general, to provide hospital information to assist them in making decisions about their health care. CMS conducts focus groups or market testing prior to public reporting hospital quality data on the Hospital Compare website.

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Authorizing Statute(s): PL: Pub.L. 109 - 432 109(a) Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services
  

Citations for New Statutory Requirements: PL: Pub.L. 109 - 432 109(a) Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AP41	Final or interim final rulemaking	74 FR 60316	11/20/2009

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 35232	07/20/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 60316	11/20/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Hospital Outpatient Quality Data Program (HOPQDRP) - Abstracting Burden (CY 2009 and CY2010)
Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2010)	CMS-10250	CMS-10250.Notice of Participation
Hospital Outpatient Quality Data Program (HOPQDRP) - CY 2011 Data Validation
Hospital Outpatient Quality Data Program (HOPQDRP) CY 2011 Data Abstraction
Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2011)	CMS-10250	CMS Notice of Participation

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,821,340	0	24,800	1,796,540	0	0
Annual Time Burden (Hours)	1,802,186	0	916,026	886,160	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $11,500,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/11/2009

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