Prior to
publication of the final rule, the agency should provide to OMB a
summary of all comments received on the proposed information
collection and identify any changes made in response to these
comments.
Inventory as of this Action
Requested
Previously Approved
01/31/2022
36 Months From Approved
01/31/2022
13,710,742
0
13,710,742
3,431,153
0
3,431,153
0
0
0
Section 10322 of the Affordable Care
Act (ACA) authorizes the establishment of a new quality reporting
program for Inpatient Psychiatric Facilities (IPFs). The program
began with an initial set of 6 measures for FY 2014 and FY 2015 and
currently includes 18 measures. For FY 2020 we propose adding one
measure calculated from administrative claims. IPFs that fail to
comply with the program’s requirements will receive a 2% reduction
in their Annual Payment Update (APU). To minimize burden and
maximize efficiency, CMS has leveraged existing systems within CMS
to collect aggregated data 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. CMS will use the FY 2014
procedural requirements designed to align with current quality
reporting programs. These procedural requirements involve
submitting necessary forms (e.g., Notice of Participation Form,
Reconsideration Request Form) to comply with the program and align
with current CMS reporting requirements for other hospital quality
reporting programs. When adding new measures, the law requires CMS,
where “feasible and practical”, to select measures put forward by
“one or more national consensus building entities”. Section 3013 of
the ACA requires CMS to perform a gap analysis for needed quality
measures every three years. Section 3014 of the ACA 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. CMS reviewed the MAP’s
formal recommendations prior to identifying IPFQR measures for the
FY 2018 IPPS/LTCH PPS rule.
We are proposing to adopt one
new measure, Medication Continuation Following Inpatient
Psychiatric Discharge (NQF #3205). This measure will not require
facilities to submit data on any cases since CMS will collect the
data under Medicare Part A, Part B, and Part D reporting.
Therefore, we do not believe that there is any change of burden
associated with this new measure. Based on more recent data, we are
updating our estimate for measures that do not allow sampling to
1,283 cases per facility (a change of +70 cases for each of these 2
measures), and are not changing our estimate for measures that
allow sampling. We continue to assume an average of 0.25 hours of
effort per case. This is a change in total annual effort of 35
hours per facility (2 measures * 70 cases per measure * 0.25 hours
per case). While our currently approved information collection
request estimates 1,734 IPFs, we are now estimating 1,679
facilities (a decrease of 55 IPFs). Based on recent BLS data, we
are updating our wage rate from $36.58/hr to $37.66/hr (a change of
$1.08 per hour).
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.