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
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.
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.