Decision To Evaluate a Petition To Designate a Class of Employees From BWX Technologies Inc., Lynchburg, VA, To Be Included in the Special Exposure Cohort, 65349-65350 [2010-26558]
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Federal Register / Vol. 75, No. 204 / Friday, October 22, 2010 / Notices
emcdonald on DSK2BSOYB1PROD with NOTICES
Available online at https://www.whitehouse.
gov/omb/rewrite/circulars/a119/a119.html.
Last accessed December 2009.
10 NQF. NQF Consensus Development
Process, v. 1.8. Available online at https://
www.qualityforum.org/Measuring_
Performance/Consensus_Development_
Process.aspx. Last accessed December 2009.
11 NQF. National Voluntary Consensus
Standards for Hospital Care: An Initial
Performance Measure Set. Washington, DC:
NQF; 2003.
12 Hospital Quality Alliance: Improving
Care Through Information. Available online
at https://www.hospitalqualityalliance.org/.
Last accessed December 2009.
13 Hospital Quality Compare—A quality
tool provided by Medicare. Available online
at www.HospitalCompare.hhs.gov. Last
accessed December 2009.
14 NQF. Serious Reportable Events in
Healthcare: A Consensus Report.
Washington, DC: NQF; 2002.
15 NQF. Safe Practices for Better
Healthcare: A Consensus Report.
Washington, DC: NQF; 2003.
IV. Secretarial Comments on the
Annual Report to Congress
The Secretary is pleased with the
scope and vision of NQF’s March 2010
annual report. An internal
multidisciplinary cross-component HHS
team is working collaboratively with
NQF to ensure a clear multi-year vision
to ensure the most efficient and effective
utilization of the HHS contract. The
contract with this consensus-based
entity, NQF, provides a unique
opportunity to further enhance HHS’
efforts to foster a collaborative, multistakeholder approach to increase the
availability of national voluntary
consensus standards for quality and
efficiency measures to ensure broad
transparency in achieving value in
health care delivery.
Over the past year NQF began work
on several tasks outlined in the
Statement of Work, including:
Development of a national strategy for
performance measurement and
prioritization of measures for
development and endorsement; an
evaluation of NQF’s consensus
development process; several measure
endorsement projects focused on
measure gap areas such as outcomes
measures and patient safety measures;
maintenance of currently NQF-endorsed
measures; promotion of Electronic
Health Records through such activities
as the development of the ‘‘E-measure’’
and the retooling of a subset of existing
NQF-endorsed measures into E-measure
format; development of a public website
to make available current NQF
activities; endorsement of efficiency and
resource use measures. The Secretary is
pleased with the progress and
timeliness of the work outlined in the
Annual Report.
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V. Future Steps
The consensus based contract with
NQF is a four year contract. During the
first full performance year of the
contract, NQF completed deliverables
for each task. HHS will continue to task
NQF with single year and multi-year
projects.
Formulation of National Strategy and
Priorities for Health Care Performance
Measurement
During March 2009 to February 2010,
NQF created a framework for
measurement prioritization by
conducting an environmental scan of, at
a minimum, the 20 patient conditions
that account for over 95% of costs to the
Medicare program. NQF established a
steering committee to oversee the
prioritization process and to consider
additional measurement streams (e.g.
population health, child health, Health
IT) in its prioritization process.
Consensus Development Process for
Measure Endorsement
During March 2009 to February 2010,
NQF established steering committees to
consider endorsement of outcomes
measures in 3 phases. The first 2 phases
will endorse outcomes measures for
patients with Medicare high priority
conditions. The third phase will
endorse outcomes measures for mental
health and for children. Future steps
also include the endorsement of
measures for patients in Nursing Homes
as well as Patient Safety measures.
Maintenance of Consensus Endorsed
Measures
During March 2009 to February 2010,
NQF maintained endorsed measures
relevant to HHS-wide programs and will
be maintaining consensus-based
endorsed measures as developed under
the priority process.
Promotion of Electronic Health Records
During March 2009 to February 2010,
NQF supported the promotion of
electronic health records as part of HHSwide efforts. NQF developed the Health
Quality Measure Format (HQMF, or ‘‘Emeasure’’), began the retooling process
to convert a sub-set of currently
endorsed measures into E–Measure
format, and supported the HIT
Standards Panel in developing code lists
and vocabulary standards for the
transition to performance measurement
through Electronic Health Records.
Future steps include the retooling of the
remaining subset of currently endorsed
measures, the development of a measure
authoring tool for creating E-measures,
and to support clinical decision support
systems for measuring and reporting
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65349
performance. NQF will also support the
selection of performance measures for
the Meaningful Use of electronic health
records.
Focused Measure Development,
Harmonization, and Endorsement
Efforts To Fill Critical Gaps in
Performance Measurement
During March 2009 to February 2010,
NQF supported a variety of performance
measurement efforts including, but not
limited to, the areas of efficiency,
harmonization, outcomes, patient safety,
care coordination, ICD–10, palliative
care, and nursing home quality metrics.
The public is encouraged to give
input through the NQF process and will
be able to track the progress on work
related to this contract on the NQF Web
site located at: https://
www.qualityforum.org/projects/
ongoing/hhs/.
VI. Collection of Information
Requirements
This document does not impose
information collection and
recordkeeping requirements.
Consequently, it need not be reviewed
by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 35).
Dated: October 15, 2010.
Kathleen Sebelius,
Secretary, Department of Health and Human
Services.
[FR Doc. 2010–26795 Filed 10–21–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Decision To Evaluate a Petition To
Designate a Class of Employees From
BWX Technologies Inc., Lynchburg,
VA, To Be Included in the Special
Exposure Cohort
National Institute for
Occupational Safety and Health
(NIOSH), Department of Health and
Human Services (HHS).
ACTION: Notice.
AGENCY:
HHS gives notice as required
by 42 CFR 83.12(e) of a decision to
evaluate a petition to designate a class
of employees from BWX Technologies,
Inc., Lynchburg, Virginia, to be included
in the Special Exposure Cohort under
the Energy Employees Occupational
Illness Compensation Program Act of
2000. The initial proposed definition for
the class being evaluated, subject to
revision as warranted by the evaluation,
is as follows:
SUMMARY:
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65350
Federal Register / Vol. 75, No. 204 / Friday, October 22, 2010 / Notices
Facility: BWX Technologies, Inc.
Location: Lynchburg, Virginia.
Job Titles and/or Job Duties: All
Atomic Weapons Employer employees.
Period of Employment: January 1,
1985 through November 30, 1994.
FOR FURTHER INFORMATION CONTACT:
Stuart L. Hinnefeld, Interim Director,
Division of Compensation Analysis and
Support, National Institute for
Occupational Safety and Health
(NIOSH), 4676 Columbia Parkway, MS
C–46, Cincinnati, OH 45226, Telephone
877–222–7570. Information requests can
also be submitted by e-mail to
DCAS@CDC.GOV.
John Howard,
Director, National Institute for Occupational
Safety and Health.
[FR Doc. 2010–26558 Filed 10–21–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–2088–92, CMS–
10054, CMS–10102 and CMS–10358]
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: Extension of a currently
approved collection; Title of
Information Collection: Outpatient
Rehabilitation Provider Cost Report
utilized by Community Mental Health
Centers; Use: In accordance with
sections 1815, 1833 and 1861 of the
emcdonald on DSK2BSOYB1PROD with NOTICES
AGENCY:
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Social Security Act, providers of service
in the Medicare program are required to
submit annual information to achieve
reimbursement for health care services
rendered to Medicare beneficiaries. In
addition, 42 CFR 413.20(b) requires that
cost reports will be required from
providers on an annual basis. Such cost
reports are required to be filed with the
provider’s Fiscal Intermediary (FI)/
Medicare Administrative Contractor
(MAC).
The FI/MAC uses the cost report not
only to make settlement with the
provider for the fiscal period covered by
the cost report, but also in deciding
whether to audit the records of the
provider. Form Number: CMS–2088–92
(OMB#: 0938–0037); Frequency: Yearly;
Affected Public: Private Sector: Business
or other for-profits and not-for-profit
institutions; Number of Respondents:
596; Total Annual Responses: 596; Total
Annual Hours: 59,600. (For policy
questions regarding this collection
contact Jill Keplinger at 410–786–4550.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Recognition of
Payment for New Technology
Ambulatory Payment Classification
(APC) Groups under the Outpatient
Prospective Payment System and
Supporting Regulations in 42 CFR, Part
419; Use: In the April 7, 2000 final rule
first implementing the hospital
outpatient prospective payment system
(OPPS), we created a set of New
Technology ambulatory payment
classifications (APCs) to pay for certain
new technology services under the
OPPS. These APCs are intended to pay
for new technology services that were
not covered by the transitional passthrough payments provisions authorized
by the Balanced Budget Refinement Act
(BBRA) of 1999. Both the New
Technology APC provision and the
transitional pass-through provisions
provide ways for ensuring appropriate
payment for new technologies for which
the use and costs are not adequately
represented in the base year claims data
on which the outpatient PPS is
constructed.
CMS needs to keep pace with
emerging new technologies and make
them accessible to Medicare
beneficiaries in a timely manner. It is
necessary that we continue to collect
appropriate information from interested
parties such as hospitals, medical
device manufacturers, pharmaceutical
companies and others that bring to our
attention specific services that they
wish us to evaluate for New Technology
APC payment. We are making no
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changes to the information that we
collect. The information that we seek to
continue to collect is necessary to
determine whether certain new services
are eligible for payment in New
Technology APCs, to determine
appropriate coding and to set an
appropriate payment rate for the new
technology service. The intent of these
provisions is to ensure timely
beneficiary access to new and
appropriate technologies. Form Number:
CMS–10054 (OMB#: 0938–0860);
Frequency: Annually; Affected Public:
Private sector business or other forprofits; Number of Respondents: 15;
Total Annual Responses: 15; Total
Annual Hours: 180. (For policy
questions regarding this collection
contact Christina Smith Ritter at 410–
786–4636. For all other issues call 410–
786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: National
Implementation of Hospital Consumer
Assessment of Healthcare Providers and
Systems (HCAHPS); Use: The HCAHPS
(Hospital Consumer Assessment of
Healthcare Providers and Systems)
survey is the first national,
standardized, publicly reported survey
of patients’ perspectives of hospital
care, also known as the CAHPS®
Hospital Survey. The HCAHPS is a
survey instrument and data collection
methodology for measuring patients’
perceptions of their hospital experience.
While many hospitals have collected
information on patient satisfaction for
their own internal use, until HCAHPS
there was no national standard for
collecting and publicly reporting
information about patient experience of
care that allowed valid comparisons to
be made across hospitals locally,
regionally and nationally.
Publicly reported HCAHPS results are
based on four consecutive quarters of
patient surveys. CMS publishes
participating hospitals’ HCAHPS results
on the Hospital Compare Web site four
times a year, with the oldest quarter of
patient surveys rolling off as the most
recent quarter rolls on. Three broad
goals have shaped HCAHPS. First, the
survey is designed to produce
comparable data on the patient’s
perspective on care that allows objective
and meaningful comparisons between
hospitals on domains that are important
to consumers. Second, public reporting
of the survey results is designed to
create incentives for hospitals to
improve their quality of care. Third,
public reporting serves to enhance
public accountability in health care by
increasing the transparency of the
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Agencies
[Federal Register Volume 75, Number 204 (Friday, October 22, 2010)]
[Notices]
[Pages 65349-65350]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-26558]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Decision To Evaluate a Petition To Designate a Class of Employees
From BWX Technologies Inc., Lynchburg, VA, To Be Included in the
Special Exposure Cohort
AGENCY: National Institute for Occupational Safety and Health (NIOSH),
Department of Health and Human Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: HHS gives notice as required by 42 CFR 83.12(e) of a decision
to evaluate a petition to designate a class of employees from BWX
Technologies, Inc., Lynchburg, Virginia, to be included in the Special
Exposure Cohort under the Energy Employees Occupational Illness
Compensation Program Act of 2000. The initial proposed definition for
the class being evaluated, subject to revision as warranted by the
evaluation, is as follows:
[[Page 65350]]
Facility: BWX Technologies, Inc.
Location: Lynchburg, Virginia.
Job Titles and/or Job Duties: All Atomic Weapons Employer
employees.
Period of Employment: January 1, 1985 through November 30, 1994.
FOR FURTHER INFORMATION CONTACT: Stuart L. Hinnefeld, Interim Director,
Division of Compensation Analysis and Support, National Institute for
Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, MS C-46,
Cincinnati, OH 45226, Telephone 877-222-7570. Information requests can
also be submitted by e-mail to DCAS@CDC.GOV.
John Howard,
Director, National Institute for Occupational Safety and Health.
[FR Doc. 2010-26558 Filed 10-21-10; 8:45 am]
BILLING CODE 4163-19-P