Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
partB sps.doc	Supporting Statement B	Uploaded 2010-08-25	Available
CMS-10303 RESPONSE_60day_comment 4-1-10.docx	Supplementary Document	Uploaded 2010-04-20	Available
Gainsharing_OMB_pkg_(clean)v9 8 20 2010.doc	Supporting Statement A	Uploaded 2010-08-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192883	Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups (CMS-10303)	Other-Advance Letters and Focus Group Discussion Protocol	New

ICR Details

OMB Control No: 0938-1103	ICR Reference No: 201005-0938-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/25/2010
	Date Received in OIRA: 05/13/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved
Responses	77	0	0
Time Burden (Hours)	77	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed physician focus groups are part of an overall evaluation of the Centers for Medicare & Medicaid Services (CMS)'s congressionally mandated Medicare Gainsharing Demonstration Evaluation. The Congress, under Section 5007 of the Deficit Reduction Act (DRA) in 2005 required that CMS conduct a qualified gainsharing program to test alternative ways that hospitals and physicians can share in efficiency gains. The primary goal of the demonstration is to evaluate gainsharing as means to align physician and hospital incentives to improve quality and efficiency. The demonstration has two mandated Reports to Congress. Results from these physician focus groups will be included in both Reports to Congress.

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Authorizing Statute(s): PL: Pub.L. 109 - 171 5007 Name of Law: Deficit Reduction Act (DRA) of 2005
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 2547	01/15/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 20367	04/19/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups (CMS-10303)

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ICR Summary of Burden

table that charts list 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	77	0	0	77	0	0
Annual Time Burden (Hours)	77	0	0	77	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: A one-time increase in provider burden of 192.0 hours is necessary to conduct physician focus groups. The Congress, under Section 5007 of the Deficit Reduction Act (DRA) in 2005 required that CMS conduct a qualified gainsharing program to test alternative ways that hospitals and physicians can share in efficiency gains. The time period for the demonstrations will be extended. There are mandates for two Reports to Congress. The information gained from the proposed physician focus groups will be included in these mandated Reports. Focus groups are the least burdensome method of collecting information concerning impacts of the demonstration on physicians. The burden to each participant physician will be limited to 1 hour. There are no capital, startup, operational, or maintenance costs required of the focus group participants.

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Annual Cost to Federal Government: $36,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 05/13/2010

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