(CMS-10409) Long Term Care Hospital (LCTH) Quality Reporting Program
Revision of a currently approved collection
No
Regular
Comment filed on proposed rule and continue
08/07/2017
07/05/2017
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
table that charts list comparision
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 LTCH Care Data Set Unplanned Discharge
CMS-10409 Final Supporting Statement Part A final.docx
Long Term Care Data Set