Agency Information Collection Activities: Submission for OMB Review; Comment Request, 63482-63484 [2010-25943]
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Federal Register / Vol. 75, No. 199 / Friday, October 15, 2010 / Notices
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justification for an FMAP adjustment,
we cannot predetermine how much time
will be required to verify the
information, but will review and verify
a State’s submission and request for an
adjustment to its FMAP as expeditiously
as possible.
D. Methodology Utilized in the
Calculation of the Adjustment to the
Medicaid FMAP
This Final Notice announces the
methodology that the U.S. Department
of Health and Human Services (HHS)
will use in implementing the employer
contribution disregard required by
Section 614 of CHIPRA. The approach
reflects the absence of a Federal source
of reliable and timely data on pension
and insurance contributions by
individual employer and State.
We will use the BEA definition of
pension and insurance contributions:
contributions consisting of employer
payments (including payments-in-kind)
to private pension and profit-sharing
plans, publicly administered
government employee retirement plans,
private group health and life insurance
plans, privately administered workers’
compensation plans, and supplemental
unemployment benefit plans, formerly
called ‘‘other labor income’’.
We will identify significantly
disproportionate employer pension or
insurance contributions for a State by
reviewing contributions identified by
the State. We believe that States may
have greater access to timely and
relevant data on such contributions than
is available from Federal data sources.
We would request that any State that
believes an individual employer has
made a significantly disproportionate
employer or insurance contribution
provide data on that individual
employer contribution to HHS. The
State may submit official audited
financial statements for the employer for
the year of the contribution (starting
with the year 2003) and the prior year.
If the State does not submit official
audited financial statements for the
employer, the State may submit other
evidence that the increase in the
employer’s contribution is likely to
exceed 25 percent of the increase in the
State’s personal income in that year.
After a State submits written
notification that such a contribution
occurred, HHS will verify the State’s
data. As part of this verification process,
HHS will search the Security Exchange
Commission (SEC) filings or the Internal
Revenue Service (IRS) 5500 Annual
Return/Report of Employee Benefit Plan
database to find the employer’s
contributions for the relevant two-year
period. If HHS is unable to verify the
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State’s submitted data, no FMAP
adjustment will be made.
After the State’s data for an employer
is verified, HHS will allocate employer
contributions in both years to the State
according to the methodology used by
the BEA. Under that methodology,
employer contributions to pension and
insurance funds are distributed
according to State wages and salaries by
the employer’s industry subsector.
Then, HHS will determine whether the
State increase in the employer
contribution exceeds the trigger of 25
percent of the increase in total State
personal income.
If the employer contribution is
significantly disproportionate, HHS will
disregard the State-allocated
contribution, i.e., subtract it from the
State’s personal income in that year.
HHS will calculate the FMAP
adjustment for the State using the
revised State per capita income based
on the newly calculated State personal
income. Since the FMAP calculation
involves the average per capita income
for three years, the FMAP adjustment
will be calculated for each fiscal year
affected by the State’s revised per capita
income. For instance, a significantly
disproportionate employer contribution
in 2003 would affect the FMAPs for
FY06 (based on State per capita income
for calendar years 2001, 2002, and
2003), FY07 (based on State per capita
income for calendar years 2002, 2003,
and 2004), and FY08 (based on State per
capita income for calendar years 2003,
2004, and 2005).
States may submit data on
disproportionate employer
contributions made between 2003 and
2008 to HHS by the end of FY 2011. The
deadline for 2009 and beyond will be
the end of the second fiscal year
following the year end of the employer’s
annual financial statement that includes
the disproportionate employer
contribution.
To summarize this methodology, after
receipt of a State submission, HHS will
verify the employer contributions from
SEC filings or IRS 5500 reports for the
year of the contribution and the prior
year. If the employer contributions are
verified, HHS will allocate the employer
contributions for the State for both years
and determine whether the State
increase in the employer contribution
exceeds the trigger of 25 percent of the
increase in the State’s personal income.
If the employer contribution meets the
definition of significantly
disproportionate by exceeding the
trigger, HHS will recalculate the FMAP
rates for the corresponding fiscal years.
The Centers for Medicare & Medicaid
Services (CMS) will then calculate the
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changes in Federal medical assistance
payments resulting from the adjusted
FMAP rates for the State’s applicable
fiscal years. If HHS is unable to verify
the State’s submitted data, then no
FMAP adjustment will be made.
DATES: Effective Dates: This final notice
is effective 30 days after publication and
sets forth a methodology for adjusted
percentages applicable under title XIX
of the Social Security Act for fiscal years
2006 and beyond, beginning October 1,
2005.
FOR FURTHER INFORMATION CONTACT: Rose
Chu or Thomas Musco, Office of Health
Policy, Office of the Assistant Secretary
for Planning and Evaluation, Room
447D—Hubert H. Humphrey Building,
200 Independence Avenue, SW.,
Washington, DC 20201, (202) 690–6870.
Dated: September 10, 2010 .
Kathleen Sebelius,
Secretary.
[FR Doc. 2010–25977 Filed 10–14–10; 8:45 am]
BILLING CODE 4210–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10304 and CMS–
10315]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(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: New collection; Title of
Information Collection: Information
AGENCY:
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mstockstill on DSKH9S0YB1PROD with NOTICES
Federal Register / Vol. 75, No. 199 / Friday, October 15, 2010 / Notices
Collection Requirements and
Supporting Information for Chronic
Kidney Disease Surveys under the 9th
Scope of Work; Form Number: CMS–
10304 (OMB #: 0938–New); Use: The
Centers for Medicare & Medicaid
Services (CMS) and the U.S. Department
of Health and Human Services (DHHS)
are requesting OMB clearance for the
Chronic Kidney Disease (CKD) Partner
Survey and the Chronic Kidney Disease
(CKD) Provider Survey. The Prevention
CKD Theme is a component of the
Prevention Theme of the Quality
Improvement Organization (QIO)
Program’s 9th Scope of Work (SOW).
The statutory authority for this scope of
work is found in Part B of Title XI of
the Social Security Act (the Act) as
amended by the Peer Review
Improvement Act of 1982. The Act
established the Utilization and Quality
Control Peer Review Organization
Program, now known as the Quality
Improvement Organization (QIO)
Program.
The goal of the Prevention CKD
Theme is to detect the incidence,
decrease the progression of CKD, and
improve care among Medicare
beneficiaries through provider adoption
of timely and effective quality of care
interventions; participation in quality
incentive initiatives; beneficiary
education; and key linkages and
collaborations for system change at the
state and local level. In addition to
improving the quality of care for the
elderly and frail-elderly, this Theme
aims to reduce the rate of Medicare
entitlement by disability through the
delay and prevention of end-stage renal
disease (ESRD); thus resulting in higher
quality care and significant savings to
the Medicare Trust Fund.
The CKD Partner Survey constitutes a
new information collection to be used
by CMS to obtain information on how
QIO collaboration with partners
facilitates systems change within the
QIO’s respective state. The CKD Partner
Survey will be a census administered to
350 collaborative partners in the 9th
SOW. The CKD Partner Survey will be
administered via telephone. Responses
will be entered into a pre-programmed
Computer-Assisted Telephone
Interviewing (CATI) interface. The
results of the survey shall be used for
inpatient quality indicators (IQI) by the
QIO. CMS will also use the results to
assess how partner organizations and
their perspective of the QIO’s role are
implementing system change.
Similarly, the CKD Provider Survey
constitutes a new information collection
to be used by CMS to obtain information
on how QIO collaboration with
physician practices facilitates systems
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Jkt 223001
change within the QIO’s respective
state. The CKD Provider Survey will be
administered via telephone and the
Web. Responses collected by phone will
be entered into a pre-programmed
Computer-Assisted Telephone
Interviewing (CATI) interface.
Responses collected by Web will be
housed on a secure server and database.
The results of the survey shall be used
for inpatient quality indicators (IQI) by
the QIO. CMS will also use the results
to assess how physicians’ practices and
their perspective of the QIO’s role are
implementing system change.
Frequency: Yearly; Affected Public:
Private Sector—Business or other forprofits and Not-for profit institutions;
Number of Respondents: 1,350; Total
Annual Responses: 1,350; Total Annual
Hours: 337.5. (For policy questions
regarding this collection contact Robert
Kambic at 410–786–1515. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Patient Safety
Survey Under the 9th Scope of Work:
Nursing Home in Need (NHIN) Use: The
Centers for Medicare & Medicaid
Services (CMS) is requesting OMB
clearance for the Nursing Homes in
Need (NHIN) Survey. The NHIN is a
component of the Patient Safety Theme
of the Quality Improvement
Organization (QIO) Program’s 9th Scope
of Work (SOW). The statutory authority
for this scope of work is found in Part
B of Title XI of the Social Security Act
(the Act) as amended by the Peer
Review Improvement Act of 1982. The
Act established the Utilization and
Quality Control Peer Review
Organization Program, now known as
the Quality Improvement Organization
(QIO) Program.
The QIO in each State will provide
special technical assistance to a small
number of nursing homes in need of
assistance with quality improvement
efforts. This special technical assistance
will be for the QIO to conduct a root
cause analysis (RCA) with one nursing
home in its state per year (three over
three years). Under this component, it is
expected that within the first quarter of
the contract period, CMS will assign one
nursing home to each QIO. The
determination of which nursing homes
are eligible under this component will
be made by CMS. Some of these
facilities may meet criteria for Special
Focus Facilities (SFF). The intent of this
component is that each State QIO will
work with three nursing homes over the
three-year contract period; these
assignments are expected to be spaced
out so that each State QIO will get one
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63483
nursing home assigned approximately
every 12 months.
The NHIN Survey is a new
information collection to be used by
CMS to obtain information on nursing
home satisfaction with technical
assistance strategies delivered as a
component of the NHIN. The NHIN
Survey will be a census of 53 nursing
homes working with their respective
QIOs. The survey will be conducted one
time for each of the nursing homes
assisted in the first two years under the
9th SOW and it will be conducted twice
with nursing homes assisted in the third
year. The information collected through
this survey will allow CMS to help
focus the NHIN task to maximize the
benefit to participating nursing homes.
The NHIN Survey will be administered
via telephone by trained and
experienced interviewers. Responses
will be entered into a pre-programmed
Computer-Assisted Telephone
Interviewing (CATI) interface.
The NHIN Survey will include
questions to determine if the QIO has
conducted a root cause analysis and
developed an action plan. These will be
followed by questions about their
satisfaction with the QIO and their
perceived value of the QIO’s assistance.
The NHIN Survey will address the
following:
• Background information;
• Current work—information and
assessment;
• Satisfaction with QIOs;
• Value of QIO assistance;
• Sources of information; and
• Respondent comments.
All survey protocol and
correspondence will be translated into
Spanish and bi-lingual telephone
interviewers will be used as needed.
Form Number: CMS–10315 (OMB #:
0938–New); Frequency: Occasionally;
Affected Public: Businesses and other
for-profit and not-for-profit institutions;
Number of Respondents: 53; Total
Annual Responses: 106; Total Annual
Hours: 17.5 hours (years 1 and 2), 35
hours (year 3). (For policy questions
regarding this collection contact Bob
Kambic 410–786–1515. 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.
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63484
Federal Register / Vol. 75, No. 199 / Friday, October 15, 2010 / Notices
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 November 15, 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: October 8, 2010.
Martique Jones,
Director, Regulations Development Division—
B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2010–25943 Filed 10–14–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–153 and
CMS–10152]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) 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 functions;
(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: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Medicaid Drug
Utilization Review (DUR) Annual
Report; Use: The DUR program is
required to assure that prescriptions are
appropriate, medically necessary and
are not likely to result in adverse
medical results. Each State DUR
program must consist of prospective
drug use review, retrospective drug use
review, data assessment of drug use
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against predetermined standards, and
ongoing educational outreach activities.
In addition, States are required to
submit an annual DUR program report
that includes a description of the nature
and scope of State DUR activities as
outlined in the statute and regulations.
Over the years, technology has changed
as has the practice of the pharmacy.
Therefore, CMS has revised the old
survey vehicle to more fully address the
current practices and areas of concern
with the Medicaid Pharmacy Programs.
Form Number: CMS–R–153 (OMB#:
0938–0659); Frequency: Annually;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
51; Total Annual Responses: 51; Total
Annual Hours: 20,298. (For policy
questions regarding this collection
contact Madlyn Kruh at 410–786–3239.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Data Collection
for Medicare Beneficiaries Using
NaF–18 Positron Emission Tomography
(PET) to Identify Bone Metastasis in
Cancer; Use: In Decision Memorandum
# CAG–00065R, issued on February 26,
2010, the Centers for Medicare and
Medicaid Services (CMS) determined
that the evidence is sufficient to
conclude that for Medicare beneficiaries
receiving NaF–18 PET scan to identify
bone metastasis in cancer is reasonable
and necessary only when the provider is
participating in and patients are
enrolled in a clinical study designed to
information at the time of the scan to
assist in initial antitumor treatment
planning or to guide subsequent
treatment strategy by the identification,
location and quantification of bone
metastases in beneficiaries in whom
bone metastases are strongly suspected
based on clinical symptoms or the
results of other diagnostic studies.
Qualifying clinical studies must ensure
that specific hypotheses are addressed;
appropriate data elements are collected;
hospitals and providers are qualified to
provide the PET scan and interpret the
results; participating hospitals and
providers accurately report data on all
Medicare enrolled patients; and all
patient confidentiality, privacy, and
other Federal laws must be followed.
Consistent with section 1142 of the
Social Security Act, the Agency for
Healthcare Research and Quality
(AHRQ) supports clinical research
studies that the CMS determines meet
specified standards and address the
specified research questions.
To qualify for payment, providers
must prescribe certain NaF–18 PET
scans for beneficiaries with a set of
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clinical criteria specific to each solid
tumor. The statuary authority for this
policy is section 1862(a)(1)(E) of the
Social Security Act. The need to
prospectively collect information at the
time of the scan is to assist the provider
in decision making for patient
management. To qualify for payment,
providers must prescribe certain
NaF–18 PET scans for beneficiaries with
a set of clinical criteria specific to each
solid tumor. Data elements will be
transmitted to CMS for evaluation of the
short and long-term benefits of NaF–18
PET to beneficiaries and for use in
future clinical decision making. Form
Number: CMS–10152 (OMB#: 0938–
0968); Frequency: Annually; Affected
Public: Individuals or Households;
Number of Respondents: 25,000; Total
Annual Responses: 25,000; Total
Annual Hours: 2,084. (For policy
questions regarding this collection
contact Stuart Caplan at 410–786–9564.
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
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
Reports Clearance Office on (410) 786–
1326.
In commenting on the proposed
information collections please reference
the document identifier or OMB control
number. To be assured consideration,
comments and recommendations must
be submitted in one of the following
ways by December 14, 2010:
1. Electronically. You may submit
your comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) accepting comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: October 8, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–25934 Filed 10–14–10; 8:45 am]
BILLING CODE 4120–01–P
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]]>Agencies
[Federal Register Volume 75, Number 199 (Friday, October 15, 2010)]
[Notices]
[Pages 63482-63484]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-25943]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10304 and CMS-10315]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(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: New collection; Title of
Information Collection: Information
[[Page 63483]]
Collection Requirements and Supporting Information for Chronic Kidney
Disease Surveys under the 9th Scope of Work; Form Number: CMS-10304
(OMB : 0938-New); Use: The Centers for Medicare & Medicaid
Services (CMS) and the U.S. Department of Health and Human Services
(DHHS) are requesting OMB clearance for the Chronic Kidney Disease
(CKD) Partner Survey and the Chronic Kidney Disease (CKD) Provider
Survey. The Prevention CKD Theme is a component of the Prevention Theme
of the Quality Improvement Organization (QIO) Program's 9th Scope of
Work (SOW). The statutory authority for this scope of work is found in
Part B of Title XI of the Social Security Act (the Act) as amended by
the Peer Review Improvement Act of 1982. The Act established the
Utilization and Quality Control Peer Review Organization Program, now
known as the Quality Improvement Organization (QIO) Program.
The goal of the Prevention CKD Theme is to detect the incidence,
decrease the progression of CKD, and improve care among Medicare
beneficiaries through provider adoption of timely and effective quality
of care interventions; participation in quality incentive initiatives;
beneficiary education; and key linkages and collaborations for system
change at the state and local level. In addition to improving the
quality of care for the elderly and frail-elderly, this Theme aims to
reduce the rate of Medicare entitlement by disability through the delay
and prevention of end-stage renal disease (ESRD); thus resulting in
higher quality care and significant savings to the Medicare Trust Fund.
The CKD Partner Survey constitutes a new information collection to
be used by CMS to obtain information on how QIO collaboration with
partners facilitates systems change within the QIO's respective state.
The CKD Partner Survey will be a census administered to 350
collaborative partners in the 9th SOW. The CKD Partner Survey will be
administered via telephone. Responses will be entered into a pre-
programmed Computer-Assisted Telephone Interviewing (CATI) interface.
The results of the survey shall be used for inpatient quality
indicators (IQI) by the QIO. CMS will also use the results to assess
how partner organizations and their perspective of the QIO's role are
implementing system change.
Similarly, the CKD Provider Survey constitutes a new information
collection to be used by CMS to obtain information on how QIO
collaboration with physician practices facilitates systems change
within the QIO's respective state. The CKD Provider Survey will be
administered via telephone and the Web. Responses collected by phone
will be entered into a pre-programmed Computer-Assisted Telephone
Interviewing (CATI) interface. Responses collected by Web will be
housed on a secure server and database. The results of the survey shall
be used for inpatient quality indicators (IQI) by the QIO. CMS will
also use the results to assess how physicians' practices and their
perspective of the QIO's role are implementing system change.
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits and Not-for profit institutions; Number of Respondents:
1,350; Total Annual Responses: 1,350; Total Annual Hours: 337.5. (For
policy questions regarding this collection contact Robert Kambic at
410-786-1515. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Patient Safety Survey Under the 9th Scope of
Work: Nursing Home in Need (NHIN) Use: The Centers for Medicare &
Medicaid Services (CMS) is requesting OMB clearance for the Nursing
Homes in Need (NHIN) Survey. The NHIN is a component of the Patient
Safety Theme of the Quality Improvement Organization (QIO) Program's
9th Scope of Work (SOW). The statutory authority for this scope of work
is found in Part B of Title XI of the Social Security Act (the Act) as
amended by the Peer Review Improvement Act of 1982. The Act established
the Utilization and Quality Control Peer Review Organization Program,
now known as the Quality Improvement Organization (QIO) Program.
The QIO in each State will provide special technical assistance to
a small number of nursing homes in need of assistance with quality
improvement efforts. This special technical assistance will be for the
QIO to conduct a root cause analysis (RCA) with one nursing home in its
state per year (three over three years). Under this component, it is
expected that within the first quarter of the contract period, CMS will
assign one nursing home to each QIO. The determination of which nursing
homes are eligible under this component will be made by CMS. Some of
these facilities may meet criteria for Special Focus Facilities (SFF).
The intent of this component is that each State QIO will work with
three nursing homes over the three-year contract period; these
assignments are expected to be spaced out so that each State QIO will
get one nursing home assigned approximately every 12 months.
The NHIN Survey is a new information collection to be used by CMS
to obtain information on nursing home satisfaction with technical
assistance strategies delivered as a component of the NHIN. The NHIN
Survey will be a census of 53 nursing homes working with their
respective QIOs. The survey will be conducted one time for each of the
nursing homes assisted in the first two years under the 9th SOW and it
will be conducted twice with nursing homes assisted in the third year.
The information collected through this survey will allow CMS to help
focus the NHIN task to maximize the benefit to participating nursing
homes. The NHIN Survey will be administered via telephone by trained
and experienced interviewers. Responses will be entered into a pre-
programmed Computer-Assisted Telephone Interviewing (CATI) interface.
The NHIN Survey will include questions to determine if the QIO has
conducted a root cause analysis and developed an action plan. These
will be followed by questions about their satisfaction with the QIO and
their perceived value of the QIO's assistance. The NHIN Survey will
address the following:
Background information;
Current work--information and assessment;
Satisfaction with QIOs;
Value of QIO assistance;
Sources of information; and
Respondent comments.
All survey protocol and correspondence will be translated into
Spanish and bi-lingual telephone interviewers will be used as needed.
Form Number: CMS-10315 (OMB : 0938-New); Frequency:
Occasionally; Affected Public: Businesses and other for-profit and not-
for-profit institutions; Number of Respondents: 53; Total Annual
Responses: 106; Total Annual Hours: 17.5 hours (years 1 and 2), 35
hours (year 3). (For policy questions regarding this collection contact
Bob Kambic 410-786-1515. 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.
[[Page 63484]]
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 November 15,
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: October 8, 2010.
Martique Jones,
Director, Regulations Development Division--B, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2010-25943 Filed 10-14-10; 8:45 am]
BILLING CODE 4120-01-P
