Hospice Quality Reporting Program (CMS-10390)

ICR 202409-0938-004

OMB: 0938-1153

Federal Form Document

ICR Details
0938-1153 202409-0938-004
Received in OIRA 202407-0938-018
HHS/CMS CCSQ
Hospice Quality Reporting Program (CMS-10390)
Revision of a currently approved collection   No
Regular 09/05/2024
  Requested Previously Approved
36 Months From Approved 01/31/2026
5,527,450 2,763,850
3,811,348 1,323,883
0 0

The Hospice Item Set (HIS) is used for the collection of quality measure data related to the Hospice Quality Reporting Program (HQRP), and the HIS V1.00.0 specified the collection of data items that supported seven Consensus Based Entity (CBE) endorsed Quality Measures (QMs) for hospice. On April 1, 2017, hospices began using an updated HIS V2.00.0, which includes the same items from the HIS V1.00.0 along with the addition of several new items for use in new measures, measure refinement, patient record matching, and future public reporting. Data collected from the HIS are used to calculate the seven CBE-endorsed QMs and the CBE-endorsed Hospice and Palliative Care Composite Process Measure – Comprehensive Assessment at Admission QM. During the FY 2021 rule, the Hospice Visits when Death is Imminent measure pair was removed and replaced with the claims-based Hospice Visits in Last Days of Life (HVLDL) measure. The reduction in provider burden and costs occurred when CMS replaced the HIS-based HVWDII quality measure via the HIS-PRA package that OMB approved on February 16, 2021 (OMB Control Number: 0938-1153). CMS is requesting to extend the existing expiration date (February 29, 2024) for an additional 3 years.

PL: Pub.L. 111 - 148 3004 Name of Law: Patient Protection and Affordable Care Act
  
None

0938-AV29 Final or interim final rulemaking 89 FR 64202 08/06/2024

No

  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 5,527,450 2,763,850 0 0 2,763,600 0
Annual Time Burden (Hours) 3,811,348 1,323,883 0 0 2,487,465 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Because HOPE contains a new timepoint and several new data elements in its admission timepoint, the burden hours and costs have increased from the previous Hospice Item Set. Burden increases mainly stem from the addition of the HUV timepoint, which adds an additional 22 minutes of clinical time and 5 minutes of administrative time. The expansion of the HOPE Admission timepoint (when compared to HIS Admission) also accounts for an increase in burden hours (27 additional minutes). Thus, burden hours increased by 2,487,466 hours.

$1,583,500
No
    No
    No
Yes
No
No
No
Jamaa Hill 301 492-4190

  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.
09/05/2024


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