(CMS-10409) Long Term Care Hospital (LCTH) Quality Reporting Program

ICR 201605-0938-020

OMB: 0938-1163

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2016-05-31
IC Document Collections
IC ID
Document
Title
Status
201171 Modified
ICR Details
0938-1163 201605-0938-020
Historical Active 201304-0938-004
HHS/CMS 19270
(CMS-10409) Long Term Care Hospital (LCTH) Quality Reporting Program
Extension without change of a currently approved collection   No
Regular
Approved without change 03/06/2017
Retrieve Notice of Action (NOA) 05/31/2016
This information collection request is approved as an extension, consistent with CMS' categorization in ROCIS and discussion in the supporting statement. However, OMB notes that the burden change for this collection was erroneously reported in ROCIS as a program change. In future submissions of all information collection requests, CMS needs to be mindful to report burden changes associated with extensions in the adjustment category. Failure to do so can result in it being sent back to the agency as "improperly submitted." OMB further notes that CMS states it plans to display the expiration date associated with this collection. The expiration date and OMB control number must be displayed on all paper and electronic versions of the collection.
  Inventory as of this Action Requested Previously Approved
03/31/2020 36 Months From Approved 03/31/2017
405,270 0 403,988
392,861 0 212,160
0 0 0

Section 3004 of The Affordable Care Act authorizes the establishment of a new quality reporting program for Long Term Care Hospitals (LTCHs). The LTCH Quality Reporting Program (QRP) was implemented in section VII.C. of the FY 2012 IPPS/LTCH PPS final rule (76 FR 51743 through 51756) pursuant to Section 3004 of the Patient Protection and Affordable Care Act of 2010. Beginning in FY 2014, LTCHs that fail to submit quality measures data to CMS on three quality measures (NQF #0678, NQF #0138, NQF #0139), may be subject to a 2 percentage point reduction in their annual payment update. In the FY 2013 IPPS/LTCH PPS final rule (76 FR 53614 through 53637 and 53667 through 53672), CMS retained three measures and adopted two new measures (NQF #0680 and NQF #0431) for the FY 2016 payment determination. In the FY 2014 IPPS/LTCH PPS final rule (78 FR 50853 through 50887 and 50959 through 50964), CMS retained five measures and adopted two additional measures (NQF #1716 and NQF #1717) for the FY 2017 payment determination. In the FY 2015 IPPS/LTCH PPS final rule (79 FR 50286 through 50318 and 50348 through 50349) , CMS retained seven measures and adopted one additional measure (NQF #2512) for the FY 2017 payment determination and four additional measures (application of NQF #0674, NQF #2631, NQF #2632, and non-NQF endorsed NHSN VAE) for the FY 2018 payment determination. In the FY 2016 IPPS/LTCH PPS final rule (80 FR 49723 through 49756 and 49764 through 49766), CMS retained twelve measures and adopted 3 measures to meet the requirements of the IMPACT Act (NQF #0678, application of NQF #2631, and application of NQF #0674) for FY 2018 payment determination and 1 measure (NQF #2512) to reflect NQF endorsement status for FY 2018 payment determination.

PL: Pub.L. 111 - 148 3004 Name of Law: Quality reporting for LTCHs, inpatient rehabilitation hospitals, and hospice programs
  
PL: Pub.L. 111 - 148 3004 Name of Law: Quality reporting for LTCHs, inpatient rehabilitation hospitals, and hospice programs

Not associated with rulemaking

  81 FR 12904 03/11/2016
81 FR 30309 05/16/2016
No

1
IC Title Form No. Form Name
Pressure Ulcer Submissions CMS-10409, CMS-10409, CMS-10409, CMS-10409 LTCH Care Data Set Admissions ,   LTCH Care Data Set Expired ,   LTCH Care Data Set Planned Discharge ,   LTCH Care Data Set Unplanned Discharge

  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 405,270 403,988 0 1,282 0 0
Annual Time Burden (Hours) 392,861 212,160 0 180,701 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The number of Medicare-certified LTCHs have declined from 442 to 432; however, discharges remained steady (202,050 vs. 202,635). The annual burden hours increased from 212,160 to 392,861. Second, the number of questions increased from V2.01 to V3.00 due to the addition of new measures.

$3,135,322
No
No
Yes
No
No
Uncollected
Denise King 410 786-1013 [email protected]

  No

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.
05/31/2016


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