Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

ICR 201908-0938-011

OMB: 0938-1171

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0938-1171 201908-0938-011
Active 201812-0938-001
HHS/CMS CCSQ
Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
Revision of a currently approved collection   No
Regular
Approved without change 11/05/2019
Retrieve Notice of Action (NOA) 08/27/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 01/31/2022
13,517,629 0 13,710,742
3,381,086 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.

PL: Pub.L. 111 - 148 10322 Name of Law: Affordable Care Act
  
None

0938-AT69 Final or interim final rulemaking 84 FR 38424 08/06/2019

  84 FR 16980 04/23/2019
84 FR 38424 08/06/2019
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 13,517,629 13,710,742 0 0 -193,113 0
Annual Time Burden (Hours) 3,381,086 3,431,153 0 0 -50,067 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
In the FY 2020 IPF PPS final rule, we adopted 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. Our currently approved information collection request estimates 1,734 IPFs, as indicated above we now estimate 1,679 facilities, or a decrease of 55 IPFs. 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. Overall, we are adjusting our burden estimates by -50,067 hours and -193,113 responses.

$106,839
No
    No
    No
Yes
No
No
Uncollected
Mitch Bryman 410 786-5258 [email protected]

  No

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.
08/27/2019


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