OMB files this
comment in accordance with 5 CFR 1320.11( c ). This OMB action is
not an approval to conduct or sponsor an information collection
under the Paperwork Reduction Act of 1995. This action has no
effect on any current approvals. If OMB has assigned this ICR a new
OMB Control Number, the OMB Control Number will not appear in the
active inventory. For future submissions of this information
collection, reference the OMB Control Number provided. OMB is
withholding approval at this time. Prior to publication of the
final rule, the agency should provide a summary of any comments
related to the information collection and their response, including
any changes made to the ICR as a result of comments. In addition,
the agency must enter the correct burden estimates
Inventory as of this Action
Requested
Previously Approved
03/31/2020
36 Months From Approved
03/31/2020
405,270
0
405,270
392,861
0
392,861
0
0
0
In the FY 2018 IPPS/LTCH PPS proposed
rule, CMS is proposing to adopt three measures beginning with the
FY 2020 LTCH QRP and remove two measures. The proposed measures are
Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury,
Compliance with Spontaneous Breathing Trial (SBT) by Day 2 of the
LTCH Stay, and Ventilator Liberation Rate. The proposed measures
for removal are Percent of Residents or Patients with Pressure
Ulcers That Are New or Worsened (Short Stay) (NQF #0678) and the
All-Cause Unplanned Readmission Measure for 30 Days Post Discharge
from Long-Term Care Hospitals (NQF #2512). We are also proposing to
characterize the data elements, as described in section IX.C.10 of
the FY 2018 IPPS/LTCH PPS proposed rule, as standardized patient
assessment data under section 1899B(b)(1)(B) of the Act, that must
be reported by LTCHs under the LTCH QRP through the LTCH CARE Data
Set. Authorizing Statute(
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 432 to 426 and
discharges have significantly decreased from 202,635 in calendar
year 2015 to 146,592 in fiscal year 2016. As a result, the annual
burden hours decreased from 196,474 to 165,884. We note that an
arithmetic error in the previous PRA package inflated the annual
burden hours from 196,474 to an erroneous figure of 392,861 (This
is put in as a change due to agency estimate). The number of
questions increased from V 3.00 to V 4.00 due to the addition of
new measures and standardized patient assessment data
elements.
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-10409 Long Term Care Data Set
CMS-10409 Final Supporting Statement Part A final.docx
Long Term Care Data Set