Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

Forms and Documents

Document Name	Status
Form CMS-10432 Inpatient Psychiatric Facility Quality Reporting Program Form	Modified
CMS-10432 - Supporting Statement A - Passback_Program Responses_v5 -- CLEAN.docx Supporting Statement A	2016-07-14

IC Document Collections

IC ID	Document Title	Status
202349	Inpatient Psychiatric Facility Quality Reporting Program Form	Modified

ICR Details

OMB Control No: 0938-1171	ICR Reference No: 201508-0938-004
Status: Historical Active	Previous ICR Reference No: 201408-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/19/2016
	Date Received in OIRA: 08/05/2015
Terms of Clearance: The agency is required to display the OMB Control Number and inform respondents of its legal significance in accordance with 5 CFR 1320.5(b).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved	09/30/2017
Responses	672,672	0	904,056
Time Burden (Hours)	1,483,760	0	1,939,005
Cost Burden (Dollars)	0	0	0

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Abstract: Section 10322 of the Affordable Care Act authorizes the establishment of a new quality reporting program for Inpatient Psychiatric Facilities (IPFs). It builds on a voluntary Inpatient Psychiatric Facilities Quality Reporting (IPFQR) program which remains in effect. The IPFQR began with an initial set of 6 measures for FY 2014 and FY 2015 and for the IPPS 2016 and subsequent years; will add an additional 4 for a total of 10 IPFQR measures.IPFs failing to submit the quality measures will receive a 2% reduction in their Annual Payment Update (APU). In an effort to minimize burden and maximize efficiency, CMS has leveraged existing systems within CMS to collect aggregated and calculated measure rates from the IPFs, in a form, manner and time as specified by CMS, via a secure portal known as the QualityNet Web site beginning of October 1, 2012 for FY2014 payment determination year. These procedural requirements involve submitting necessary forms (e.g. Notice of Participation Form, Reconsideration Request Form, Disaster Waiver Form, etc.) to comply with the IPFQR Program and align with current CMS reporting requirements for other hospital quality reporting programs. When adding new measures, the law requires CMS, when "feasible and practical" to select measures put forward by "one or more national consensus building entities". Section 3013 of the Affordable Care Act (ACA) modified by Section 931 of the Public Health Service Act requires CMS to perform a gap analysis for needed quality measures every three years. Section 3014 of the ACA modified Section 1890(b) of the Social Security Act requires CMS to develop quality and efficiency measures through a "consensus-based entity". Consequently, the Measure Applications Partnership (MAP), convened by the National Quality Forum (NQF), was formed to develop measures consistent with these requirements.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 10322 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AS47	Final or interim final rulemaking	80 FR 46652	08/05/2015

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 25012	05/01/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 46652	08/05/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Inpatient Psychiatric Facility Quality Reporting Program	CMS-10432, CMS-10432, CMS-10432, CMS-10432, CMS-10432, CMS-10432	TOB & IMM Measures ,   Screening for Metabolic Disorders Measure ,   EHR & Patient Exp of Care Measures ,   SUB-1 Measure ,   Transition Record Measures

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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	672,672	904,056	0	-115,692	-115,692	0
Annual Time Burden (Hours)	1,483,760	1,939,005	0	-227,623	-227,622	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden estimates for data collection related to the proposed measures for the IPFQR Program are calculated for the IPFs based on the following data: -We estimate that there will be approximately nine (9) fewer IPF facilities (or 1,617 facilities) nationwide eligible to participate in the IPFQR Program. -We estimate that the average facility submits measure data on 125 fewer cases per year (or 431 cases per year). -1,617 IPF facilities, with approximately 431 cases per facility, results in a total of 696,927 cases per year. -We estimate that it takes an IPF approximately 3 fewer minutes (or 12 minutes) for chart abstraction of a measure for collection based on new reporting requirements. -We estimate an hourly labor cost of $22.37 (previously $63.42). The increase is offset by errors in the submission that was approved by OMB on September 30, 2014. Specifically, the burden associated with chart-abstracted measure data considered the burden associated with added measures but neglected to consider the burden associated with the existing measures. In this regard, the 2015 burden is 1,483,760 hours (see section 12, above) with a correction of -455,245 hours.

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Annual Cost to Federal Government: $106,839

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]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 08/05/2015

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