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.
The previously approved burden
was based on 1,617 facilities submitting data on 431 cases for each
of sixteen (16) measures per year. In the IPPS/LTCH PPS Final Rule
published on [date], for the FY 2019 Program CMS increased this to
eighteen (18) measures from 16. CMS also updated the estimates
based on new program data, these updates are as follows: • There
will be approximately 67 additional IPFs (1,684 facilities)
nationwide eligible to participate in the IPFQR Program. • The
average facility will submit measure data on an additional 417
cases per year (for a total of 848 cases per year). • Each IPF will
take an additional 3 minutes per case to abstract data (for a total
of 15 minutes).
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.
Form CMS-10432 Inpatient Psychiatric Facility Quality Reporting Program
CMS-10432 IPFQR Supporting Statement A - Passback3_clean.docx
Inpatient Psychiatric Facility Quality Reporting Program