FINALSupporting Statement B

Supporting Statement B

Title of the Data Collection

Children’s Hospitals Graduate Medical Education Quality Bonus System (QBS) Initiative Response Form

OMB Control No. 0906-XXXX New

2. Collection of Information Employing Statistical Methods

The Children’s Hospital Graduate Medical Education (CHGME) Payment Program statute was amended in 2013 permitting the Secretary to establish a Quality Bonus System (QBS) to recognize and encourage grantees to meet the pediatric workforce needs of the nation. The CHGME Payment Program is requesting CHGME grantees submit a CHGME QBS Initiative Response Form to be eligible for consideration in the FY 2019 CHGME QBS payment.

For FY 2019, HRSA is proposing a Pay-for-Reporting training in transformed health care delivery in order to implement a baseline phase for the CHGME QBS. The CHGME QBS Initiative Response Form will be used to assist in developing the CHGME QBS Pay-for-Performance payment for future years and to incentivize grantees in their curriculum in the following topic areas: (a) integrated care models; (b) telehealth/Health Information Technology (HIT); (c) population health; (d) social determinants of health; and (e) additional initiatives to improve access and quality of care to rural/underserved communities.

Please note the CHGME QBS Initiative Response Form does not use statistical methods for the collection of information for the QBS. Data will be analyzed by a contractor to establish QBS standards for implementation in FY 2021.

1. Respondent Universe and Sampling Methods

The respondent universe encompasses all 58 eligible CHGME hospitals including those newly qualified as eligible entities for the CHGME QBS. One survey has been developed for all 58 eligible hospitals. Information collected will be used as a baseline to establish QBS standards for implementation in FY 2021. Responses to the survey question will vary based on each hospital’s participation and direct resident involvement in the following areas: (a) integrated care models; (b) telehealth/HIT; (c) population health; (d) social determinants of health; and (e) additional initiatives to improve access and quality of care to rural/underserved communities.

2. Procedures for the Collection of Information

Eligible CHGME hospitals are required to submit a CHGME QBS Initiative Response Form with their FY 2019 reconciliation application to be eligible for consideration for the QBS Payment in FY 2019. The CHGME QBS Initiative Response Form and Form instructions will be emailed to the CHGME hospital's project director of record.

HRSA will award an evaluation contract in FY 2020 to analyze the QBS survey results submitted by up to 58 CHGME awardees. HRSA Contracting Officer Representative (COR) will be providing the QBS survey results to the awarded contractor through a secure transfer file system. The contractor will submit a report on the findings from the analysis of CHGME awardee activities in QBS initiatives. The contractor will develop a set of core quality measures and pay-for-performance payment methodology based in part on the results from the QBS survey.

3. Methods to Maximize Response Rates and Deal with Nonresponse

All eligible hospitals will receive an incentive QBS payment when they submit documentation in their FY 2019 reconciliation application describing the hospital’s initiatives, resident curriculum, and direct resident involvement in the following areas: (a) integrated care models; (b) telehealth/HIT; (c) population health; (d) social determinants of health; and (e) additional initiatives to improve access and quality of care to rural/underserved communities. HRSA estimates approximately $3 million may be available annually for the CHGME QBS for payments.

4. Tests of Procedures or Methods to be Undertaken

Eligible children’s hospitals will use the electronic QBS reporting form to collect data from all of the necessary departments within their institution. The focus is to build a baseline of QBS information to establish QBS standards beyond FY 2019 and build standards to increase engagement and involvement of residents in broader initiatives; and establish quality measures and payment methodology based on these quality measures.

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

HRSA is in the process of awarding an evaluation contract to develop a core set of quality measures and payment methodology through conducting an environmental scan, analyzing FY 2019 CHGME QBS survey outcomes and stakeholder engagement. A long-term goal of the QBS metrics and bonus payments will be to recognize hospitals for quality improvement and GME transformation efforts in high priority focus areas and build GME standards to increase engagement and involvement of residents in broader initiatives in pediatric graduate medical education training.

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