Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)

Forms and Documents

Document Name	Status
Form CMS-10250 Hospital Outpatient Quality Reporting Form and Instruction	Modified
CMS-10250 CY 2022 OQR FR Supporting Statement B 12-9-21.docx Supporting Statement B	2021-12-09
CMS-10250 CY 2022 OQR FR Supporting Statement A 12-9-21.docx Supporting Statement A	2021-12-09

IC Document Collections

IC ID	Document Title	Status
217995	Hospital Outpatient Quality Reporting Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1109	ICR Reference No: 202112-0938-009
Status: Received in OIRA	Previous ICR Reference No: 202110-0938-015
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/09/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2024
Responses	953,700	3,125,100
Time Burden (Hours)	907,670	1,387,119
Cost Burden (Dollars)	0	0

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Abstract: Section 109(a) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(t) of the Social Security Act by adding a new subsection (17) that affects the payment rate update applicable to Outpatient Prospective Payment System (OPPS) payments for services furnished by hospitals in outpatient settings on or after January 1, 2009. Section 1833(t)(17)(A) of the Act, which applies to hospitals as defined under section 1886(d)(1)(B) of the Act, requires that hospitals that fail to report data required for quality measures selected by the Secretary in the form and manner required by the Secretary under section 1833(t)(17)(B) of the Act will incur a reduction in their annual payment update (APU) factor to the hospital outpatient department fee schedule by 2.0 percentage points. Hospital OQR Program payment determinations are made based on Hospital OQR Program quality measure data reported and supporting forms submitted by hospitals as specified through rulemaking. To reduce burden, a variety of different data collection mechanisms are employed, with every consideration taken to employ existing data and data collection systems.

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Authorizing Statute(s): PL: Pub.L. 109 - 432 109(a) Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services
   PL: Pub.L. 111 - 148 3014 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AU43	Final or interim final rulemaking	86 FR 63458	11/16/2021

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 42018	08/04/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 63458	11/16/2021
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
Hospital Outpatient Quality Reporting	CMS-10250, CMS-10250	Validation Review for Reconsideration Request ,   Web Based Data Collection Tool

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ICR Summary of Burden

	Total Request	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	953,700	3,125,100	0	-2,171,400	0	0
Annual Time Burden (Hours)	907,670	1,387,119	0	-479,449	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: The changes in burden discussed below include updating the wage rate from $38.80/hour to $42.40/hour based on more recent BLS wage data, as previously discussed. Combined with our updated assumption of the average number of cases required for chart abstracted measures from 947 to 289, the policy to remove the Fibrinolytic Therapy Received Within 30 Minutes (OP-2) and Median Time to Transfer to Another Facility for Acute Coronary Intervention (OP-3) measures effective with the CY 2023 reporting period result in a total decrease in annual burden of 513,480 hours at a cost of $21,771,552 (513,480 x $42.40/hour). Combined with our updated assumption of the average number of cases required for web-based measures from 384 to 242, the policy to require the Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery measure (OP-31), beginning with the CY 2023 reporting period/CY 2025 payment determination will result in a total increase in burden of 32,931 hours at a cost of $1,396,274 (32,931 x $42.40/hour) due to the additional 80 percent of hospitals that will be required to report this measure. The policy to adopt the STEMI eCQM, with voluntary reporting beginning with the CY 2023 reporting period and mandatory reporting beginning with CY 2024 reporting period/CY 2026 payment determination will result in a total increase of 2,200 hours at a cost of $93,280 (2,200 hours x $42.40) for the CY 2029 payment determination. As shown in Table 2, for the FY 2025 payment determination, we estimate an increase in burden of 110 hours at a cost of $4,664 (110 hours x $42.40/hour). In aggregate, for the CY 2027 payment determination, we estimate the updated assumptions and policies finalized in the CY 2022 OPPS/ASC final rule will result in a total decrease of 479,449 hours (-513,480 + 32,931 + 1,100) at a cost of +$20,328,638 (479,449 x $42.40/hour) across 3,300 hospitals.

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Annual Cost to Federal Government: $10,402,548

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? No

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? No

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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: 12/09/2021

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