Agency Information Collection Activities: Submission for OMB Review; Comment Request, 54150-54151 [2010-21721]
Download as PDF
<![CDATA[
54150
Federal Register / Vol. 75, No. 171 / Friday, September 3, 2010 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
[Document Identifier: CMS–10219, CMS–
10317, CMS–10069, CMS–10068, CMS–2728
and CMS–R–13]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare and
Medicaid Services, HHS.
In compliance with the requirement
of section 3506I(2)(A) of the Paperwork
Reduction Act of 1995, the Centers for
Medicare & Medicaid Services (CMS),
Department of Health and Human
Services, is publishing the following
summary of proposed collections for
public comment. Interested persons are
invited to send comments regarding this
burden estimate or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Healthcare
Effectiveness Data and Information Set
(HEDIS®) Data Collection for Medicare
Advantage; Use: Medicare Advantage
Organizations (MAOs) and section 1876
cost contracting managed care are
required to submit HEDIS® data to CMS
on an annual basis. Sections 422.152
and 422.516 of Volume 42 of the Code
of Federal Regulations (CFR) specify
that Medicare Advantage organizations
must submit performance measures as
specified by the Secretary of the
Department of Health and Human
Services and by CMS. These
performance measures include HEDIS®.
HEDIS® is a widely used set of health
plan performance measures utilized by
both private and public health care
purchasers to promote accountability
and to assess the quality of care
provided by managed care
organizations. HEDIS® is designed for
private and public health care
purchasers to promote accountability
and to assess the quality of care
provided by managed care
organizations. CMS is committed to the
srobinson on DSKHWCL6B1PROD with NOTICES
AGENCY:
VerDate Mar<15>2010
15:33 Sep 02, 2010
Jkt 220001
implementation of health care quality
assessment in the Medicare Advantage
program. In January 1997, CMS began
requiring Medicare managed care
organizations (MCOs) (these
organizations are now called Medicare
Advantage organizations or MAOs) to
collect and report performance
measures from HEDIS® relevant to the
Medicare managed care beneficiary
population. The data are used by CMS
staff to monitor MAO performance and
inform audit strategies, and inform
beneficiary choice through their display
in CMS’ consumer-oriented public
compare tools and Web sites. Medicare
Advantage organizations use the data for
quality assessment and as part of their
quality improvement programs and
activities. Quality Improvement
Organizations (QIOs), and CMS
contractors, use HEDIS® data in
conjunction with their statutory
authority to improve quality of care, and
consumers who are making informed
health care choices. Form Number:
CMS–10219 (OMB#: 0938–1028);
Frequency: Yearly; Affected Public:
Business or other for-profits and not-forprofit institutions; Number of
Respondents: 483 Total Annual
Responses: 483; Total Annual Hours:
154,560 (For policy questions regarding
this collection contact Lori Teichman at
410–786–6684. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: The Medicare
Acute Care Episode Demonstration; Use:
Medicare’s Acute Care Episode (ACE)
Demonstration is authorized under
Section 646 of the MMA (Pub. L. 108–
173) that amends title XVIII (42 U.S.C.
1395) of the Social Security Act. The
ACE Demonstration stems from a
longstanding need for improved quality
of care and decreased costs.
As costs have risen over time, ideas to
improve Medicare payment systems and
efficiency have been developed. Moving
from a cost based payment arrangement
to a hospital prospective payment
system has dramatically simplified
billing and coding procedures and
generated important impacts on
Medicare savings and quality of care
measures. While prospective hospital
payments based on diagnosis related
group (DRGs) for acute care was the
innovation of the 1980s, the Federal
government has taken interest in valuebased purchasing (VBP) in recent years.
The VBP strategy rests on linking
hospital performance to financial
incentives. VBP has been heralded as a
method to increase efficiency and
quality of care while decreasing cost. In
addition to its use as a payment system,
PO 00000
Frm 00067
Fmt 4703
Sfmt 4703
the VBP strategy allows for performance
scoring of hospitals based on the
designated VBP quality measures.
In the case of the ACE Demonstration,
the test has been designed to address the
use of a global payment for an episode
of care as an alternative approach to
payment under traditional Medicare.
The episode of care is defined as the
bundle of Part A and Part B services
provided during an inpatient stay for
Medicare FFS beneficiaries for included
Medicare severity-based diagnosisrelated groups (MS–DRGs). The ACE
Demonstration is limited to health care
groups (i.e., physician-hospital
organizations—PHOs) with at least one
physician group and at least one
hospital and that routinely provide care
for at least one group of selected
orthopedic or cardiac procedures:
• Hip/knee replacement or revision
surgery; and/or
• Coronary artery bypass graft (CABG)
surgery or cardiac intervention
procedure (pace-maker and stent
placement).
Evaluation of ACE will reveal whether
the use of a bundled payment system
will produce savings for Medicare for
episodes of care involving the included
DRGs. In addition to cost savings, the
evaluation will assess changes to quality
of care at the demonstration sites;
whether or not the payment system
creates better collaboration between
physicians and facilities leading to
higher quality patient care. Form
Number: CMS–10317 (OMB#: 0938–
New); Frequency: Occasionally;
Affected Public: Individuals or
households; Number of Respondents:
509 Total Annual Responses: 509; Total
Annual Hours: 763.5 (For policy
questions regarding this collection
contact Jesse Levy at 410–786–6600. For
all other issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approval collection; Title of Information
Collection: Medicare Waiver
Demonstration Application; Use: The
currently approved application has been
used for several congressionally
mandated and Administration high
priority demonstrations. The
standardized proposal format is not
controversial and will reduce burden on
applicants and reviewers. Responses are
strictly voluntary. The standard format
will enable CMS to select proposals that
meet CMS objectives and show the best
potential for success. Form Number:
CMS–10069 (OMB#: 0938–0880);
Frequency: Once; Affected Public:
Private Sector: Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 75 Total
Annual Responses: 75; Total Annual
E:\FR\FM\03SEN1.SGM
03SEN1
srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 171 / Friday, September 3, 2010 / Notices
Hours: 6,000 (For policy questions
regarding this collection contact Diane
Ross at 410–786–1169. For all other
issues call 410–786–1326.)
4. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Beneficiary
Customer Service Feedback Survey;
Use: The Centers for Medicare and
Medicaid Services (CMS) stresses a
continuing need for setting customer
service goals that include providing
accurate, timely, and relevant
information to its customers. With these
goals in mind, the Division of Medicare
Ombudsman Assistance (DMOA) needs
to periodically survey its customers that
correspond with CMS to ensure that the
needs of Medicare beneficiaries are
being met. This survey will be used to
measure overall satisfaction of the
customer service that the DMOA
provides to Medicare beneficiaries and
their representatives. The need for this
previously OMB approved information
collection is to further meet the
customer service goals that the CMS has
established and to continue to create a
rapport within the Medicare
community. Form Number: CMS–10068
(OMB#: 0938–0894); Frequency:
Quarterly; Affected Public: Individuals
and Households; Number of
Respondents: 2,242 Total Annual
Responses: 2,242; Total Annual Hours:
224. (For policy questions regarding this
collection contact Nancy Conn at 410–
786–8374. For all other issues call 410–
786–1326.)
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: End Stage Renal
Disease Medical Evidence Report
Medicare Entitlement and/or Patient
Registration; Use: The End Stage Renal
Disease (ESRD) Medical Evidence
Report is completed for all ESRD
patients either by the first treatment
facility or by a Medicare-approved
ESRD facility when it is determined by
a physician that the patient’s condition
has reached that stage of renal
impairment that a regular course of
kidney dialysis or a kidney transplant is
necessary to maintain life. The data
reported on the CMS–2728 is used by
the Federal Government, ESRD
Networks, treatment facilities,
researchers and others to monitor and
assess the quality and type of care
provided to end stage renal disease
beneficiaries. The data collection
captures the specific medical
information required to determine the
Medicare medical eligibility of End
Stage Renal Disease claimants. Form
Number: CMS–2728 (OMB#: 0938–
VerDate Mar<15>2010
15:33 Sep 02, 2010
Jkt 220001
0046); Frequency: Occasionally;
Affected Public: Individuals or
households; Number of Respondents:
100,000; Total Annual Responses:
100,000; Total Annual Hours: 75,000.
(For policy questions regarding this
collection contact Connie Cole at 410–
786–0257. For all other issues call 410–
786–1326.)
6. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Conditions of
Coverage for Organ Procurement
Organizations and Supporting
Regulations in 42 CFR, Sections
486.301–.348; Use: Section 1138(b) of
the Social Security Act, as added by
section 9318 of the Omnibus Budget
Reconciliation Act of 1986 (Pub. L. 99–
509), sets forth the statutory
qualifications and requirements that
OPOs must meet in order for the costs
of their services in procuring organs for
transplant centers to be reimbursable
under the Medicare and Medicaid
programs. An OPO must be certified and
designated by the Secretary as an OPO
and must meet performance-related
standards prescribed by the Secretary.
The corresponding regulations are
found at 42 CFR Part 486 (Conditions
for Coverage of Specialized Services
Furnished by Suppliers) under subpart
G (Requirements for Certification and
Designation and Conditions for
Coverage: Organ Procurement
Organizations).
Since each OPO has a monopoly on
organ procurement within its donation
service area, CMS must hold OPOs to
high standards. Collection of this
information is necessary for CMS to
assess the effectiveness of each OPO and
determine whether it should continue to
be certified as an OPO and designated
for a particular donation service area by
the Secretary or replaced by an OPO
that can more effectively procure organs
within the donation service area. Form
Number: CMS–R–13 (OMB#: 0938–
0688); Frequency: Occasionally;
Affected Public: Not-for-profit
institutions; Number of Respondents:
79; Total Annual Responses: 79; Total
Annual Hours: 15,178. (For policy
questions regarding this collection
contact Diane Corning at 410–786–8486.
For all other issues call 410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web Site
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
PO 00000
Frm 00068
Fmt 4703
Sfmt 4703
54151
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on October 4, 2010.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395–
6974, E-mail:
OIRA_submission@omb.eop.gov.
Dated: August 26, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–21721 Filed 9–2–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–10–10GX]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Maryam I. Daneshvar,
Ph.D., CDC Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail to
omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
E:\FR\FM\03SEN1.SGM
03SEN1
]]>Agencies
[Federal Register Volume 75, Number 171 (Friday, September 3, 2010)]
[Notices]
[Pages 54150-54151]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-21721]
[[Page 54150]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-10219, CMS-10317, CMS-10069, CMS-10068, CMS-
2728 and CMS-R-13]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare and Medicaid Services, HHS.
In compliance with the requirement of section 3506I(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Healthcare
Effectiveness Data and Information Set (HEDIS[supreg]) Data Collection
for Medicare Advantage; Use: Medicare Advantage Organizations (MAOs)
and section 1876 cost contracting managed care are required to submit
HEDIS[supreg] data to CMS on an annual basis. Sections 422.152 and
422.516 of Volume 42 of the Code of Federal Regulations (CFR) specify
that Medicare Advantage organizations must submit performance measures
as specified by the Secretary of the Department of Health and Human
Services and by CMS. These performance measures include HEDIS[supreg].
HEDIS[supreg] is a widely used set of health plan performance measures
utilized by both private and public health care purchasers to promote
accountability and to assess the quality of care provided by managed
care organizations. HEDIS[supreg] is designed for private and public
health care purchasers to promote accountability and to assess the
quality of care provided by managed care organizations. CMS is
committed to the implementation of health care quality assessment in
the Medicare Advantage program. In January 1997, CMS began requiring
Medicare managed care organizations (MCOs) (these organizations are now
called Medicare Advantage organizations or MAOs) to collect and report
performance measures from HEDIS[supreg] relevant to the Medicare
managed care beneficiary population. The data are used by CMS staff to
monitor MAO performance and inform audit strategies, and inform
beneficiary choice through their display in CMS' consumer-oriented
public compare tools and Web sites. Medicare Advantage organizations
use the data for quality assessment and as part of their quality
improvement programs and activities. Quality Improvement Organizations
(QIOs), and CMS contractors, use HEDIS[supreg] data in conjunction with
their statutory authority to improve quality of care, and consumers who
are making informed health care choices. Form Number: CMS-10219
(OMB: 0938-1028); Frequency: Yearly; Affected Public: Business
or other for-profits and not-for-profit institutions; Number of
Respondents: 483 Total Annual Responses: 483; Total Annual Hours:
154,560 (For policy questions regarding this collection contact Lori
Teichman at 410-786-6684. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: The Medicare Acute Care Episode Demonstration;
Use: Medicare's Acute Care Episode (ACE) Demonstration is authorized
under Section 646 of the MMA (Pub. L. 108-173) that amends title XVIII
(42 U.S.C. 1395) of the Social Security Act. The ACE Demonstration
stems from a longstanding need for improved quality of care and
decreased costs.
As costs have risen over time, ideas to improve Medicare payment
systems and efficiency have been developed. Moving from a cost based
payment arrangement to a hospital prospective payment system has
dramatically simplified billing and coding procedures and generated
important impacts on Medicare savings and quality of care measures.
While prospective hospital payments based on diagnosis related group
(DRGs) for acute care was the innovation of the 1980s, the Federal
government has taken interest in value-based purchasing (VBP) in recent
years. The VBP strategy rests on linking hospital performance to
financial incentives. VBP has been heralded as a method to increase
efficiency and quality of care while decreasing cost. In addition to
its use as a payment system, the VBP strategy allows for performance
scoring of hospitals based on the designated VBP quality measures.
In the case of the ACE Demonstration, the test has been designed to
address the use of a global payment for an episode of care as an
alternative approach to payment under traditional Medicare. The episode
of care is defined as the bundle of Part A and Part B services provided
during an inpatient stay for Medicare FFS beneficiaries for included
Medicare severity-based diagnosis-related groups (MS-DRGs). The ACE
Demonstration is limited to health care groups (i.e., physician-
hospital organizations--PHOs) with at least one physician group and at
least one hospital and that routinely provide care for at least one
group of selected orthopedic or cardiac procedures:
Hip/knee replacement or revision surgery; and/or
Coronary artery bypass graft (CABG) surgery or cardiac
intervention procedure (pace-maker and stent placement).
Evaluation of ACE will reveal whether the use of a bundled payment
system will produce savings for Medicare for episodes of care involving
the included DRGs. In addition to cost savings, the evaluation will
assess changes to quality of care at the demonstration sites; whether
or not the payment system creates better collaboration between
physicians and facilities leading to higher quality patient care. Form
Number: CMS-10317 (OMB: 0938-New); Frequency: Occasionally;
Affected Public: Individuals or households; Number of Respondents: 509
Total Annual Responses: 509; Total Annual Hours: 763.5 (For policy
questions regarding this collection contact Jesse Levy at 410-786-6600.
For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approval collection; Title of Information Collection: Medicare Waiver
Demonstration Application; Use: The currently approved application has
been used for several congressionally mandated and Administration high
priority demonstrations. The standardized proposal format is not
controversial and will reduce burden on applicants and reviewers.
Responses are strictly voluntary. The standard format will enable CMS
to select proposals that meet CMS objectives and show the best
potential for success. Form Number: CMS-10069 (OMB: 0938-
0880); Frequency: Once; Affected Public: Private Sector: Business or
other for-profits and Not-for-profit institutions; Number of
Respondents: 75 Total Annual Responses: 75; Total Annual
[[Page 54151]]
Hours: 6,000 (For policy questions regarding this collection contact
Diane Ross at 410-786-1169. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Beneficiary Customer Service Feedback Survey; Use: The
Centers for Medicare and Medicaid Services (CMS) stresses a continuing
need for setting customer service goals that include providing
accurate, timely, and relevant information to its customers. With these
goals in mind, the Division of Medicare Ombudsman Assistance (DMOA)
needs to periodically survey its customers that correspond with CMS to
ensure that the needs of Medicare beneficiaries are being met. This
survey will be used to measure overall satisfaction of the customer
service that the DMOA provides to Medicare beneficiaries and their
representatives. The need for this previously OMB approved information
collection is to further meet the customer service goals that the CMS
has established and to continue to create a rapport within the Medicare
community. Form Number: CMS-10068 (OMB: 0938-0894); Frequency:
Quarterly; Affected Public: Individuals and Households; Number of
Respondents: 2,242 Total Annual Responses: 2,242; Total Annual Hours:
224. (For policy questions regarding this collection contact Nancy Conn
at 410-786-8374. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Medical Evidence Report Medicare Entitlement and/or Patient
Registration; Use: The End Stage Renal Disease (ESRD) Medical Evidence
Report is completed for all ESRD patients either by the first treatment
facility or by a Medicare-approved ESRD facility when it is determined
by a physician that the patient's condition has reached that stage of
renal impairment that a regular course of kidney dialysis or a kidney
transplant is necessary to maintain life. The data reported on the CMS-
2728 is used by the Federal Government, ESRD Networks, treatment
facilities, researchers and others to monitor and assess the quality
and type of care provided to end stage renal disease beneficiaries. The
data collection captures the specific medical information required to
determine the Medicare medical eligibility of End Stage Renal Disease
claimants. Form Number: CMS-2728 (OMB: 0938-0046); Frequency:
Occasionally; Affected Public: Individuals or households; Number of
Respondents: 100,000; Total Annual Responses: 100,000; Total Annual
Hours: 75,000. (For policy questions regarding this collection contact
Connie Cole at 410-786-0257. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Conditions of Coverage for Organ Procurement Organizations
and Supporting Regulations in 42 CFR, Sections 486.301-.348; Use:
Section 1138(b) of the Social Security Act, as added by section 9318 of
the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509), sets
forth the statutory qualifications and requirements that OPOs must meet
in order for the costs of their services in procuring organs for
transplant centers to be reimbursable under the Medicare and Medicaid
programs. An OPO must be certified and designated by the Secretary as
an OPO and must meet performance-related standards prescribed by the
Secretary. The corresponding regulations are found at 42 CFR Part 486
(Conditions for Coverage of Specialized Services Furnished by
Suppliers) under subpart G (Requirements for Certification and
Designation and Conditions for Coverage: Organ Procurement
Organizations).
Since each OPO has a monopoly on organ procurement within its
donation service area, CMS must hold OPOs to high standards. Collection
of this information is necessary for CMS to assess the effectiveness of
each OPO and determine whether it should continue to be certified as an
OPO and designated for a particular donation service area by the
Secretary or replaced by an OPO that can more effectively procure
organs within the donation service area. Form Number: CMS-R-13
(OMB: 0938-0688); Frequency: Occasionally; Affected Public:
Not-for-profit institutions; Number of Respondents: 79; Total Annual
Responses: 79; Total Annual Hours: 15,178. (For policy questions
regarding this collection contact Diane Corning at 410-786-8486. For
all other issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
Site address at https://www.cms.hhs.gov/PaperworkReductionActof1995, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on October 4, 2010.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.
Dated: August 26, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-21721 Filed 9-2-10; 8:45 am]
BILLING CODE 4120-01-P
