(CMS-10530) Ambulatory Surgical Center Quality Reporting Program

Forms and Documents

Document Name	Status
CMS-10530 ASCQR PRA Package (CY 2018) 8.18.2017_Clean.docx Supporting Statement A	2017-08-27

IC Document Collections

IC ID	Document Title	Status
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program Instruction	Modified

ICR Details

OMB Control No: 0938-1270	ICR Reference No: 201708-0938-022
Status: Historical Inactive	Previous ICR Reference No: 201611-0938-019
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-10530) Ambulatory Surgical Center Quality Reporting Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 12/22/2017
	Date Received in OIRA: 08/28/2017
Terms of Clearance: 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
Expiration Date	04/30/2018	36 Months From Approved	04/30/2018
Responses	1,407,576	0	1,407,576
Time Burden (Hours)	367,711	0	367,711
Cost Burden (Dollars)	0	0	0

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Abstract: Sections 109(b) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(i) of the Social Security Act by re-designating clause (iv) as clause (v) and adding new clause (iv) to paragraph (2)(D) and adding new paragraph (7). Section 1833(i)(2)(D)(iv) of the Act authorizes, but does not require, the Secretary to implement the revised ASC payment system “in a manner so as to provide for a reduction in any annual update for failure to report on quality measures in accordance with paragraph (7).” Section 1833(i)(7)(B) of the Social Security Act provides that, except as the Secretary may otherwise provide, the hospital outpatient quality data provisions of subparagraphs (B) through (E) of section 1833(t)(17) of the Act shall apply to ASCs in a similar manner to the manner in which they apply under these paragraphs to hospitals under the Hospital Outpatient Quality Reporting Program. Importantly, section 1833(t)(17)(B) of the Act requires that hospitals (or in this instance, ambulatory surgical centers) submit quality data in a form and manner, and at a time, that the Secretary specifies, or incur a reduction in their annual payment update by 2.0 percentage points.

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Authorizing Statute(s): PL: Pub.L. 109 - 432 109(b) Name of Law: Tax Relief and Health Care Act of 2006
   US Code: 42 USC 1395 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AT03	Proposed rulemaking	82 FR 33558	07/20/2017

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Ambulatory Surgical Center Quality Reporting (ASCQR) Program

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In the CY 2018 OPPS/ASC proposed rule, CMS is proposing to remove three measures from the ASCQR Program beginning with the CY 2019 payment determination; suspend the five survey-based measures beginning with the CY 2020 payment determination; adopt one new measure beginning with the CY 2021 payment determination; and adopt two new measures beginning with the CY 2022 payment determination. We anticipate that the removal of ASC-6 and ASC-7 will reduce burden and that the adoption of ASC-16 will increase burden. Additionally, we have reduced the estimated number of eligible ASCs from 5,360 to 3,937. We estimate a total reduction in burden of 88,650 hours and total program burden hours of 279,061 (367,711 hours currently approved -88,650 hours).

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Annual Cost to Federal Government: $9,500,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/28/2017

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