Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2; Corrections, 23193-23196 [2012-9331]
Download as PDF
<![CDATA[
Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Proposed Rules
In the Rules and Regulations section
of this Federal Register, we are
approving these negative declarations in
a direct final action without prior
proposal because we believe these
negative declarations are not
controversial. If we receive adverse
comments, however, we will publish a
timely withdrawal of the direct final
rule and address the comments in
subsequent action based on this
proposed rule. Please note that if we
receive adverse comment on an
amendment, paragraph, or section of
this rule and if that provision may be
severed from the remainder of the rule,
we may adopt as final those provisions
of the rule that are not the subject of an
adverse comment.
We do not plan to open a second
comment period, so anyone interested
in commenting should do so at this
time. If we do not receive adverse
comments, no further activity is
planned. For further information, please
see the direct final action.
Dated: March 29, 2012.
Keith Takata,
Acting Regional Administrator, Region IX.
[FR Doc. 2012–9077 Filed 4–17–12; 8:45 am]
BILLING CODE 6560–50–P
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 52
[EPA–R09–OAR–2012–0180; FRL–9652–3]
Revisions to the California State
Implementation Plan, Yolo-Solano Air
Quality Management District
Environmental Protection
Agency (EPA).
ACTION: Proposed rule.
AGENCY:
EPA is proposing to approve
revisions to the Yolo-Solano Air Quality
Management District portion of the
California State Implementation Plan
(SIP). These revisions concern
particulate matter (PM) emissions from
any source that emits visible air
contaminants. We are proposing to
approve and rescind local rules to
regulate these emission sources under
the Clean Air Act as amended in 1990
(CAA or the Act).
DATES: Any comments on this proposal
must arrive by May 18, 2012.
ADDRESSES: Submit comments,
identified by docket number EPA–R09–
OAR–2012–0180, by one of the
following methods:
1. Federal eRulemaking Portal:
www.regulations.gov. Follow the on-line
instructions.
mstockstill on DSK4VPTVN1PROD with PROPOSALS
SUMMARY:
VerDate Mar<15>2010
16:22 Apr 17, 2012
Jkt 226001
2. Email: steckel.andrew@epa.gov.
3. Mail or deliver: Andrew Steckel
(Air-4), U.S. Environmental Protection
Agency Region IX, 75 Hawthorne Street,
San Francisco, CA 94105–3901.
Instructions: All comments will be
included in the public docket without
change and may be made available
online at www.regulations.gov,
including any personal information
provided, unless the comment includes
Confidential Business Information (CBI)
or other information whose disclosure is
restricted by statute. Information that
you consider CBI or otherwise protected
should be clearly identified as such and
should not be submitted through
www.regulations.gov or email.
www.regulations.gov is an ‘‘anonymous
access’’ system, and EPA will not know
your identity or contact information
unless you provide it in the body of
your comment. If you send email
directly to EPA, your email address will
be automatically captured and included
as part of the public comment. If EPA
cannot read your comment due to
technical difficulties and cannot contact
you for clarification, EPA may not be
able to consider your comment.
Electronic files should avoid the use of
special characters, any form of
encryption, and be free of any defects or
viruses.
Docket: Generally, documents in the
docket for this action are available
electronically at www.regulations.gov
and in hard copy at EPA Region IX, 75
Hawthorne Street, San Francisco,
California. While all documents in the
docket are listed at
www.regulations.gov, some information
may be publicly available only at the
hard copy location (e.g., copyrighted
material, large maps), and some may not
be publicly available in either location
(e.g., CBI). To inspect the hard copy
materials, please schedule an
appointment during normal business
hours with the contact listed in the FOR
FURTHER INFORMATION CONTACT section.
FOR FURTHER INFORMATION CONTACT:
Christine Vineyard, EPA Region IX,
(415) 947–4125,
vineyard.christine@epa.gov.
SUPPLEMENTARY INFORMATION: This
proposal addresses the following local
rules: Rule 2.3, Ringelmann Chart; 2.4,
Exceptions (rescinded); Rule 2.7, Wet
Plumes (rescinded); Rule 2.11,
Particulate Matter Concentrations; and
Rule 2.12, Specific Contaminants. In the
Rules and Regulations section of this
Federal Register, we are approving
these local rules in a direct final action
without prior proposal because we
believe these SIP revisions are not
controversial. If we receive adverse
PO 00000
Frm 00033
Fmt 4702
Sfmt 4702
23193
comments, however, we will publish a
timely withdrawal of the direct final
rule and address the comments in
subsequent action based on this
proposed rule. Please note that if we
receive adverse comment on an
amendment, paragraph, or section of
this rule and if that provision may be
severed from the remainder of the rule,
we may adopt as final those provisions
of the rule that are not the subject of an
adverse comment.
We do not plan to open a second
comment period, so anyone interested
in commenting should do so at this
time. If we do not receive adverse
comments, no further activity is
planned. For further information, please
see the direct final action.
Dated: March 8, 2012.
Jared Blumenfeld,
Regional Administrator, Region IX.
[FR Doc. 2012–8948 Filed 4–17–12; 8:45 am]
BILLING CODE 6560–50–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 412, 413, and 495
[CMS–0044–CN]
RIN 0938–AQ84
Medicare and Medicaid Programs;
Electronic Health Record Incentive
Program—Stage 2; Corrections
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed rule; correction.
AGENCY:
This document corrects
technical errors and typographical
errors in the proposed rule entitled
‘‘Medicare and Medicaid Programs;
Electronic Health Record Incentive
Program—Stage 2’’ which appeared in
the March 7, 2012, Federal Register.
FOR FURTHER INFORMATION CONTACT:
Travis Broome, (214) 767–4450.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Background
In FR Doc. 2012–4443 of March 7,
2012 (77 FR 13698), the proposed rule
entitled ‘‘Medicare and Medicaid
Programs; Electronic Health Record
Incentive Program—Stage 2’’ there were
a number of technical errors and
typographical errors that are identified
and corrected in the Correction of Errors
section.
E:\FR\FM\18APP1.SGM
18APP1
23194
Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Proposed Rules
mstockstill on DSK4VPTVN1PROD with PROPOSALS
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 13698, in the ‘‘FOR FURTHER
INFORMATION CONTACT’’ section we made
an error in the contact listed for clinical
quality measures issues.
On pages 13700 and 13745, in our
discussion of reporting on clinical
quality measures, we made an error in
referencing the name of a national
committee.
On pages 13704 and 13731, in our
discussion of the objective for making
patient health information available
electronically, we inadvertently omitted
the term ‘‘transmit.’’
On pages 13706 and 13728, in our
reference to the Office of the National
Coordinator for Health Information
Technology (ONC) criteria for
certification of EHR technologies, we
inadvertently mischaracterized the
criteria as the Stage 2 criteria instead of
2014 certification criteria.
On page 13707, in our discussion
regarding eligible professionals (EPs)
who practice in multiple locations, we
inadvertently omitted the timeframe by
which the determination is made on
whether a practice/location is equipped
with Certified EHR Technology.
On page 13711, in our solicitation of
comments regarding the variations
among facility types for an electronic
prescribing measure, we inadvertently
stated an erroneous threshold
percentage.
On page 13723, we used the incorrect
term to describe when health
information should be shared in context
of transitions of care and referrals. In
our discussion in the preamble, we used
in one instance the term ‘‘discharged’’
instead of ‘‘transitioned.’’
On page 13725, in our listing of the
objectives that fall under public health,
we made technical errors in our
description of the objective to have the
capability to report to cancer registries.
On page 13746, in Table 6, we
erroneous included an additional
measure steward and its contact
information.
On pages 13749 through 13754 in
Table 8, we made errors in referencing
a national quality assurance program.
On pages 13760 through 13763, in
Table 9, we incorrectly listed some of
the measure stewards and their
respective contact information.
On pages 13743, 13759, 13766, 13769,
and 13803 through 13812, we made
technical and typographical errors,
which include the spelling out of
acronyms, errors in the order of bulleted
text, the omission of bullets, regulatory
VerDate Mar<15>2010
16:22 Apr 17, 2012
Jkt 226001
citations, and the number of section
headings.
B. Summary of Errors in the Regulations
Text
On page 13821, in § 495.6(l)(16)(ii),
we made an error in the regulations text
for the measure for the objective for
electronic medication administration
record (eMAR). In addition, in
§ 495.6(m)(1)(iii) we inadvertently
omitted the term ‘‘reporting period’’.
On page 13816, in § 495.6(d)(8)(ii)(C),
contains an incomplete reference to
another section of the regulation.
On page 13817 we made the following
errors:
• In § 495.6(f)(1)(ii)(B) and
§ 495.6(f)(7)(i)(E)(2), we used the word
‘‘Beginning’’ when referring to
regulations that would apply to only
1 year; therefore, we are replacing
‘‘Beginning’’ with ‘‘For’’.
• In § 495.6(f)(7)(ii)(B) and
§ 495.6(f)(7)(ii)(C), we only included the
new measure in the regulation text not
both the existing measure and the new
measure as indicated in the preamble.
The regulation text is corrected to
include both the existing and new
measure.
• In § 495.6(h)(2)(ii)(B), we included a
duplicative word in the regulation text.
The text is revised to remove the
duplicative word.
On page 13818, in § 495.6(j)(6)(ii)(B)
and on page 13820 in § 495.6
(l)(5)(ii)(B), the phrase used in the
regulation text for the measure does not
adequately reflect the discussion in the
preamble. The phrase ‘‘has enabled the
functionality’’ is replaced with ‘‘has
enabled and implemented the
functionality’’.
III. Correction of Errors
In FR Doc. 2012–4443 of March 7,
2012 (77 FR 13698), make the following
corrections:
A. Correction of Errors in the Preamble
1. On page 13698, third column, first
partial paragraph, lines 1 through 2, the
phrase, ‘‘or Maria Durham, (410) 786–
6978,’’ is removed.
2. On page 13700, third column, first
full paragraph, lines 13 through 15, the
phrase ‘‘National Council for Quality
Assurance (NCQA) for medical home
accreditation’’ is corrected to read
‘‘National Committee for Quality
Assurance (NCQA) for medical home
recognition’’.
3. On page 13745, first column, last
two lines through the second column,
first partial paragraph, line1, the phrase
‘‘National Council for Quality
PO 00000
Frm 00034
Fmt 4702
Sfmt 4702
Assurance (NCQA) for medical home
accreditation’’ is corrected to read
‘‘National Committee for Quality
Assurance (NCQA) for medical home
recognition’’.
4. On page 13704, third column, first
full paragraph, line 4, the phrase ‘‘view
online and download’’ is corrected to
read ‘‘view online, download, and
transmit.’’
5. On page 13706, first column,
second paragraph, lines 7 through 9, the
phrase ‘‘included in the ONC EHR
certification criteria as finalized for
Stage 2 of meaningful use.’’ is corrected
to read ‘‘included in the ONC 2014 EHR
certification criteria.’’
6. On page 13707, first column, first
full paragraph, lines 11 through 15, the
sentence ‘‘We have also received
requests for clarification on what it
means for a practice/location to be
equipped with Certified EHR
Technology.’’ is corrected to read ‘‘We
have also received requests for
clarification on what it means for a
practice/location to be equipped with
Certified EHR Technology at the
beginning of the EHR reporting period.’’
7. On page 13711, second column,
first partial paragraph, line 1, the phrase
‘‘50 percent’’ is corrected to read ‘‘65
percent’’.
8. On page 13723, second column,
seventh paragraph, line 5, the term
‘‘discharged’’ is corrected to read
‘‘transitioned’’.
9. On page 13725, first column, fourth
bulleted paragraph, line 3, the phrase
‘‘where authorized,’’ is corrected to read
‘‘except where prohibited,’’.
10. On page 13728, second column—
a. Third paragraph, line 9, the phrase
‘‘standards required under Stage 2’’ is
corrected to read ‘‘standards for
Certified EHR Technology’’.
b. Last paragraph, line 10, the phrase
‘‘standards required under Stage 2’’ is
corrected to read ‘‘standards for
Certified EHR Technology’’.
11. On page 13731, first column, first
full paragraph, line 7, the phrase ‘‘view
and download’’ is corrected to read
‘‘view online, download, and transmit’’.
12. On page 13743, second column,
first partial paragraph, line 14, ‘‘EHs/
CAHs’’ is corrected to read ‘‘eligible
hospitals and CAHs’’.
13. On page 13746 in Table 6—
Potential Core Clinical Quality Measure
Set To Be Reported by Eligible
Professionals Beginning in CY 2014,
Column 3 (Clinical Quality Measure
Steward & Contact Information) for the
following entry is corrected to read as
follows:
E:\FR\FM\18APP1.SGM
18APP1
23195
Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Proposed Rules
Measure No.
Clinical quality measure title and description
Clinical quality measure steward
and contact information
TBD ..............
Title: Closing the referral loop: receipt of specialist report ................
Description: Percentage of patients regardless of age with a referral
from a primary care provider for whom a report from the provider
to whom the patient was referred was received by the referring
provider.
Centers for Medicare and Medicaid Services (CMS) 1–888–
734–6433
or
https://
questions.cms.hhs.gov/app/ask/
p/21,26,1139.
14. On pages 13749 through 13754 in
Table 8—Clinical Quality Measures
Proposed for Medicare and Medicaid
Eligible Professionals Beginning With
CY 2014, column 4 (Other quality
measure programs that use the same
Domain
Care Coordination.
measure) is corrected for the following
entries:
TABLE 8—CLINICAL QUALITY MEASURES PROPOSED FOR MEDICARE AND MEDICAID ELIGIBLE PROFESSIONALS BEGINNING
WITH CY 2014
Measure No.
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
NQF
0004
0014
0031
0032
0033
0034
0043
0045
0046
0069
0070
0081
0097
0110
0271
0399
0400
0401
0405
0406
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
...........................
Other quality measure programs that use the same measure **
EHR PQRS, HEDIS, State use, ACA 2701, NCQA–PCMH Recognition.
EHR PQRS, NCQA–PCMH Recognition.
EHR PQRS, ACO, Group Reporting PQRS, ACA 2701, HEDIS, State use, NCQA–PCMH Recognition.
EHR PQRS, ACA 2701, HEDIS, State use, NCQA–PCMH Recognition, UDS.
EHR PQRS, CHIPRA, ACA 2701, HEDIS, State use, NCQA–PCMH Recognition.
EHR PQRS, ACO, Group Reporting PQRS, NCQA–PCMH Recognition.
EHR PQRS, ACO, Group Reporting PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
EHR PQRS, NCQA–PCMH Recognition.
EHR PQRS, Group Reporting PQRS, NCQA–PCMH Recognition.
ACO, Group Reporting PQRS, NCQA–PCMH Recognition.
NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
PQRS, NCQA–PCMH Recognition.
15. On page 13759, first column, third
paragraph, lines 10 through 16, the
bulleted list that begins ‘‘• Clinical
Process/Effectiveness.’’ and ends
‘‘• Population & Public Health.’’ is
corrected to read as follows:
‘‘• Patient & Family Engagement.
• Patient Safety.
• Care Coordination.
• Population & Public Health.
• Efficient Use of Healthcare
Resources.
• Clinical Process/Effectiveness.’’
16. On page 13760 through 13763, in
Table 9—Clinical Quality Measures
Proposed for Eligible Hospitals and
Critical Access Hospitals Beginning
With FY 2014, the Measure Steward and
Contact Information, column 3 (Measure
steward and contact information) is
corrected for the following entries:
TABLE 9—CLINICAL QUALITY MEASURES PROPOSED FOR ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS
BEGINNING WITH FY 2014
mstockstill on DSK4VPTVN1PROD with PROPOSALS
NQF No.
0480
0495
0497
0132
0142
0137
0160
0164
0163
0639
0148
0147
0527
0528
0529
0300
0301
0453
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
....................................
VerDate Mar<15>2010
Measure steward and contact information
The Joint Commission (https://www.jointcommission.org.)
CMS/Oklahoma Foundation for Medical Quality (OFMQ) Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
CMS/OFMQ Qualitynet.org and click on ‘‘Questions & Answers’’.
16:22 Apr 17, 2012
Jkt 226001
PO 00000
Frm 00035
Fmt 4702
Sfmt 4702
E:\FR\FM\18APP1.SGM
18APP1
23196
Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Proposed Rules
TABLE 9—CLINICAL QUALITY MEASURES PROPOSED FOR ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS
BEGINNING WITH FY 2014—Continued
NQF No.
mstockstill on DSK4VPTVN1PROD with PROPOSALS
0136
0284
0218
0496
1653
1659
....................................
....................................
....................................
....................................
....................................
....................................
Measure steward and contact information
CMS/OFMQ
CMS/OFMQ
CMS/OFMQ
CMS/OFMQ
CMS/OFMQ
CMS/OFMQ
Qualitynet.org
Qualitynet.org
Qualitynet.org
Qualitynet.org
Qualitynet.org
Qualitynet.org
17. On page 13766, second column,
last paragraph, last line, the reference
‘‘§ 495.10’’ is corrected to read
‘‘§ 495.8’’.
18. On page 13769, second column—
a. First full paragraph, line 1, the
phrase ‘‘Except as provided’’ is
corrected to read ‘‘• Except as
provided’’.
b. Second full paragraph, line 1, the
phrase ‘‘We would create’’ is corrected
to read ‘‘• We would create’’.
19. On page 13803, third column,
after the first partial paragraph, the
section heading, ‘‘4. Medicare Incentive
Program Costs’’ is corrected to read ‘‘3.
Medicare Incentive Program Costs’’.
20. On page 13808, top half of the
page following Table 28, second
column, after the first partial paragraph,
the section heading, ‘‘5. Medicaid
Incentive Program Costs’’ is corrected to
read ‘‘4. Medicaid Incentive Program
Costs’’.
21. On page 13810, bottom half of the
page, after Table 34, first column, before
the first paragraph, the section heading
‘‘6. Benefits for All EPs and All Eligible
Hospitals’’ is corrected to read ‘‘5.
Benefits for All EPs and All Eligible
Hospitals’’.
22. On page 13811—
a. First column, after the first partial
paragraph, the section heading, ‘‘7.
Benefits to Society’’ is corrected to read
‘‘6. Benefits to Society’’.
b. Second column, after first partial
paragraph, the section heading, ‘‘8.
General Considerations’’ is corrected to
read ‘‘7. General Considerations’’.
c. Third column, before the last full
paragraph, the section heading, ‘‘9.
Summary’’ is corrected to read ‘‘8.
Summary’’.
23. On page 13812, bottom half of the
page, after Table 36, first column, before
the first full paragraph, the section
heading, ‘‘10. Explanation of Benefits
and Savings Calculations’’ is corrected
to read ‘‘9. Explanation of Benefits and
Savings Calculations’’.
B. Correction of Errors in the
Regulations Text
1. On page 13816, second column,
seventh full paragraph
VerDate Mar<15>2010
16:22 Apr 17, 2012
Jkt 226001
and
and
and
and
and
and
click
click
click
click
click
click
on
on
on
on
on
on
‘‘Questions
‘‘Questions
‘‘Questions
‘‘Questions
‘‘Questions
‘‘Questions
&
&
&
&
&
&
Answers’’.
Answers’’.
Answers’’.
Answers’’.
Answers’’.
Answers’’.
(§ 495.6(d)(8)(ii)(C)), line 2, the
reference ‘‘paragraph (d)(8)(ii)(B)’’ is
corrected to read ‘‘paragraph
(d)(8)(ii)(B)(1)’’.
2. On page 13817,
a. First column,
(1) Fourth full paragraph
(§ 495.6(f)(1)(ii)(B)), line 1, the phrase
‘‘Beginning 2013, subject to’’ is
corrected to read ‘‘For 2013, subject to’’.
(2) Sixth full paragraph
(§ 495.6(f)(7)(i)(E)(2)), line 1, ‘‘Beginning
2013, plot and display’’ is corrected to
read ‘‘For 2013, plot and display’’.
(3) Seventh full paragraph
(§ 495.6(f)(7)(ii)(B)), the paragraph
beginning with the phrase ‘‘For 2013,
subject to paragraph (c)’’ and ending
with the phrase ‘‘recorded as structured
data.’’ is corrected to read as follows:
‘‘(B) For 2013—(1) Subject to
paragraph (c) of this section, more than
50 percent of all unique patients
admitted to the eligible hospital’s or
CAH’s inpatient or emergency
department (POS 21 or 23) during the
EHR reporting period have blood
pressure (for patients age 3 and over
only) and height/length and weight (for
all ages) recorded as structured data; or
(2) The measure specified in
paragraph (f)(7)(ii)(A) of this section.’’
(4) Eighth full paragraph
(§ 495.6(f)(7)(ii)(C)), line 2, the phrase
‘‘in paragraph (f)(7)(ii)(B)’’ is corrected
to read ‘‘in paragraph (f)(7)(ii)(B)(1)’’.
b. Third column, sixth full paragraph
(§ 495.6(h)(2)(ii)(B)), line 14, the phrase
‘‘must meet the remaining the’’ is
corrected to read ‘‘must meet the
remaining’’.
3. On page 13818, second column, last
paragraph (§ 495.6(j)(6)(ii)(B)), the
phrase ‘‘has enabled the’’ is corrected to
read ‘‘has enabled and implemented
the’’.
4. On page 13820, second column,
ninth paragraph (§ 495.6(l)(5)(ii)(B)), the
phrase ‘‘has enabled the’’ is corrected to
read ‘‘has enabled and implemented
the’’.
5. On page 13821, third column—
a. First full paragraph
(§ 495.6(l)(16)(ii)), lines 3 through 6, the
sentence ‘‘(ii) Measure. eMAR is
implemented and in use for the entire
PO 00000
Frm 00036
Fmt 4702
Sfmt 4702
EHR reporting period in at least one
ward/unit of the hospital.’’ is corrected
to read ‘‘(ii) Measure. More than 10
percent of medication orders created by
authorized providers of the eligible
hospital’s or CAH’s inpatient or
emergency department (POS 21 or 23)
during the EHR reporting period are
tracked using eMAR.’’.
b. Fifth full paragraph
(§ 495.6(m)(1)(iii)), last line, the phrase
‘‘the EHR’’ is corrected to read ‘‘the EHR
reporting period.’’
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program) (Catalog of Federal Domestic
Assistance Program No. 93.773, Medicare—
Hospital Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: April 12, 2012.
Jennifer M. Cannistra,
Executive Secretary to the Department.
[FR Doc. 2012–9331 Filed 4–17–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF THE INTERIOR
Office of the Secretary
43 CFR Part 10
[NPS–WASO–NAGPRA–8611; 2200–1100–
665]
RIN 1024–AD99
Native American Graves Protection
and Repatriation Act Regulations
Office of the Secretary, Interior.
Proposed rule.
AGENCY:
ACTION:
The Secretary of the Interior
(Secretary) is responsible for
implementation of the Native American
Graves Protection and Repatriation Act,
including the issuance of appropriate
regulations implementing and
interpreting its provisions. Minor
inaccuracies or inconsistencies in the
regulations have been identified by or
brought to the attention of the
Department. These proposed
amendments revise the rules
implementing the Native American
SUMMARY:
E:\FR\FM\18APP1.SGM
18APP1
]]>Agencies
[Federal Register Volume 77, Number 75 (Wednesday, April 18, 2012)]
[Proposed Rules]
[Pages 23193-23196]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-9331]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 412, 413, and 495
[CMS-0044-CN]
RIN 0938-AQ84
Medicare and Medicaid Programs; Electronic Health Record
Incentive Program--Stage 2; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule; correction.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors and typographical
errors in the proposed rule entitled ``Medicare and Medicaid Programs;
Electronic Health Record Incentive Program--Stage 2'' which appeared in
the March 7, 2012, Federal Register.
FOR FURTHER INFORMATION CONTACT: Travis Broome, (214) 767-4450.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2012-4443 of March 7, 2012 (77 FR 13698), the proposed
rule entitled ``Medicare and Medicaid Programs; Electronic Health
Record Incentive Program--Stage 2'' there were a number of technical
errors and typographical errors that are identified and corrected in
the Correction of Errors section.
[[Page 23194]]
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 13698, in the ``For Further Information Contact'' section
we made an error in the contact listed for clinical quality measures
issues.
On pages 13700 and 13745, in our discussion of reporting on
clinical quality measures, we made an error in referencing the name of
a national committee.
On pages 13704 and 13731, in our discussion of the objective for
making patient health information available electronically, we
inadvertently omitted the term ``transmit.''
On pages 13706 and 13728, in our reference to the Office of the
National Coordinator for Health Information Technology (ONC) criteria
for certification of EHR technologies, we inadvertently
mischaracterized the criteria as the Stage 2 criteria instead of 2014
certification criteria.
On page 13707, in our discussion regarding eligible professionals
(EPs) who practice in multiple locations, we inadvertently omitted the
timeframe by which the determination is made on whether a practice/
location is equipped with Certified EHR Technology.
On page 13711, in our solicitation of comments regarding the
variations among facility types for an electronic prescribing measure,
we inadvertently stated an erroneous threshold percentage.
On page 13723, we used the incorrect term to describe when health
information should be shared in context of transitions of care and
referrals. In our discussion in the preamble, we used in one instance
the term ``discharged'' instead of ``transitioned.''
On page 13725, in our listing of the objectives that fall under
public health, we made technical errors in our description of the
objective to have the capability to report to cancer registries.
On page 13746, in Table 6, we erroneous included an additional
measure steward and its contact information.
On pages 13749 through 13754 in Table 8, we made errors in
referencing a national quality assurance program.
On pages 13760 through 13763, in Table 9, we incorrectly listed
some of the measure stewards and their respective contact information.
On pages 13743, 13759, 13766, 13769, and 13803 through 13812, we
made technical and typographical errors, which include the spelling out
of acronyms, errors in the order of bulleted text, the omission of
bullets, regulatory citations, and the number of section headings.
B. Summary of Errors in the Regulations Text
On page 13821, in Sec. 495.6(l)(16)(ii), we made an error in the
regulations text for the measure for the objective for electronic
medication administration record (eMAR). In addition, in Sec.
495.6(m)(1)(iii) we inadvertently omitted the term ``reporting
period''.
On page 13816, in Sec. 495.6(d)(8)(ii)(C), contains an incomplete
reference to another section of the regulation.
On page 13817 we made the following errors:
In Sec. 495.6(f)(1)(ii)(B) and Sec.
495.6(f)(7)(i)(E)(2), we used the word ``Beginning'' when referring to
regulations that would apply to only 1 year; therefore, we are
replacing ``Beginning'' with ``For''.
In Sec. 495.6(f)(7)(ii)(B) and Sec. 495.6(f)(7)(ii)(C),
we only included the new measure in the regulation text not both the
existing measure and the new measure as indicated in the preamble. The
regulation text is corrected to include both the existing and new
measure.
In Sec. 495.6(h)(2)(ii)(B), we included a duplicative
word in the regulation text. The text is revised to remove the
duplicative word.
On page 13818, in Sec. 495.6(j)(6)(ii)(B) and on page 13820 in
Sec. 495.6 (l)(5)(ii)(B), the phrase used in the regulation text for
the measure does not adequately reflect the discussion in the preamble.
The phrase ``has enabled the functionality'' is replaced with ``has
enabled and implemented the functionality''.
III. Correction of Errors
In FR Doc. 2012-4443 of March 7, 2012 (77 FR 13698), make the
following corrections:
A. Correction of Errors in the Preamble
1. On page 13698, third column, first partial paragraph, lines 1
through 2, the phrase, ``or Maria Durham, (410) 786-6978,'' is removed.
2. On page 13700, third column, first full paragraph, lines 13
through 15, the phrase ``National Council for Quality Assurance (NCQA)
for medical home accreditation'' is corrected to read ``National
Committee for Quality Assurance (NCQA) for medical home recognition''.
3. On page 13745, first column, last two lines through the second
column, first partial paragraph, line1, the phrase ``National Council
for Quality Assurance (NCQA) for medical home accreditation'' is
corrected to read ``National Committee for Quality Assurance (NCQA) for
medical home recognition''.
4. On page 13704, third column, first full paragraph, line 4, the
phrase ``view online and download'' is corrected to read ``view online,
download, and transmit.''
5. On page 13706, first column, second paragraph, lines 7 through
9, the phrase ``included in the ONC EHR certification criteria as
finalized for Stage 2 of meaningful use.'' is corrected to read
``included in the ONC 2014 EHR certification criteria.''
6. On page 13707, first column, first full paragraph, lines 11
through 15, the sentence ``We have also received requests for
clarification on what it means for a practice/location to be equipped
with Certified EHR Technology.'' is corrected to read ``We have also
received requests for clarification on what it means for a practice/
location to be equipped with Certified EHR Technology at the beginning
of the EHR reporting period.''
7. On page 13711, second column, first partial paragraph, line 1,
the phrase ``50 percent'' is corrected to read ``65 percent''.
8. On page 13723, second column, seventh paragraph, line 5, the
term ``discharged'' is corrected to read ``transitioned''.
9. On page 13725, first column, fourth bulleted paragraph, line 3,
the phrase ``where authorized,'' is corrected to read ``except where
prohibited,''.
10. On page 13728, second column--
a. Third paragraph, line 9, the phrase ``standards required under
Stage 2'' is corrected to read ``standards for Certified EHR
Technology''.
b. Last paragraph, line 10, the phrase ``standards required under
Stage 2'' is corrected to read ``standards for Certified EHR
Technology''.
11. On page 13731, first column, first full paragraph, line 7, the
phrase ``view and download'' is corrected to read ``view online,
download, and transmit''.
12. On page 13743, second column, first partial paragraph, line 14,
``EHs/CAHs'' is corrected to read ``eligible hospitals and CAHs''.
13. On page 13746 in Table 6--Potential Core Clinical Quality
Measure Set To Be Reported by Eligible Professionals Beginning in CY
2014, Column 3 (Clinical Quality Measure Steward & Contact Information)
for the following entry is corrected to read as follows:
[[Page 23195]]
----------------------------------------------------------------------------------------------------------------
Clinical quality
Measure No. Clinical quality measure title and measure steward and Domain
description contact information
----------------------------------------------------------------------------------------------------------------
TBD.................. Title: Closing the referral loop: Centers for Medicare Care Coordination.
receipt of specialist report. and Medicaid
Description: Percentage of patients Services (CMS) 1-
regardless of age with a referral 888-734-6433 or
from a primary care provider for https://
whom a report from the provider to questions.cms.hhs.g
whom the patient was referred was ov/app/ask/p/
received by the referring provider. 21,26,1139.
----------------------------------------------------------------------------------------------------------------
14. On pages 13749 through 13754 in Table 8--Clinical Quality
Measures Proposed for Medicare and Medicaid Eligible Professionals
Beginning With CY 2014, column 4 (Other quality measure programs that
use the same measure) is corrected for the following entries:
Table 8--Clinical Quality Measures Proposed for Medicare and Medicaid Eligible Professionals Beginning With CY
2014
----------------------------------------------------------------------------------------------------------------
Other quality measure programs that use the same measure
Measure No. **
----------------------------------------------------------------------------------------------------------------
NQF 0004............................................ EHR PQRS, HEDIS, State use, ACA 2701, NCQA-PCMH
Recognition.
NQF 0014............................................ EHR PQRS, NCQA-PCMH Recognition.
NQF 0031............................................ EHR PQRS, ACO, Group Reporting PQRS, ACA 2701, HEDIS,
State use, NCQA-PCMH Recognition.
NQF 0032............................................ EHR PQRS, ACA 2701, HEDIS, State use, NCQA-PCMH
Recognition, UDS.
NQF 0033............................................ EHR PQRS, CHIPRA, ACA 2701, HEDIS, State use, NCQA-PCMH
Recognition.
NQF 0034............................................ EHR PQRS, ACO, Group Reporting PQRS, NCQA-PCMH
Recognition.
NQF 0043............................................ EHR PQRS, ACO, Group Reporting PQRS, NCQA-PCMH
Recognition.
NQF 0045............................................ PQRS, NCQA-PCMH Recognition.
NQF 0046............................................ PQRS, NCQA-PCMH Recognition.
NQF 0069............................................ PQRS, NCQA-PCMH Recognition.
NQF 0070............................................ EHR PQRS, NCQA-PCMH Recognition.
NQF 0081............................................ EHR PQRS, Group Reporting PQRS, NCQA-PCMH Recognition.
NQF 0097............................................ ACO, Group Reporting PQRS, NCQA-PCMH Recognition.
NQF 0110............................................ NCQA-PCMH Recognition.
NQF 0271............................................ PQRS, NCQA-PCMH Recognition.
NQF 0399............................................ PQRS, NCQA-PCMH Recognition.
NQF 0400............................................ PQRS, NCQA-PCMH Recognition.
NQF 0401............................................ PQRS, NCQA-PCMH Recognition.
NQF 0405............................................ PQRS, NCQA-PCMH Recognition.
NQF 0406............................................ PQRS, NCQA-PCMH Recognition.
----------------------------------------------------------------------------------------------------------------
15. On page 13759, first column, third paragraph, lines 10 through
16, the bulleted list that begins `` Clinical Process/
Effectiveness.'' and ends `` Population & Public Health.'' is
corrected to read as follows:
`` Patient & Family Engagement.
Patient Safety.
Care Coordination.
Population & Public Health.
Efficient Use of Healthcare Resources.
Clinical Process/Effectiveness.''
16. On page 13760 through 13763, in Table 9--Clinical Quality
Measures Proposed for Eligible Hospitals and Critical Access Hospitals
Beginning With FY 2014, the Measure Steward and Contact Information,
column 3 (Measure steward and contact information) is corrected for the
following entries:
Table 9--Clinical Quality Measures Proposed for Eligible Hospitals and Critical Access Hospitals Beginning With
FY 2014
----------------------------------------------------------------------------------------------------------------
NQF No. Measure steward and contact information
----------------------------------------------------------------------------------------------------------------
0480................................................ The Joint Commission (https://www.jointcommission.org.)
0495................................................ CMS/Oklahoma Foundation for Medical Quality (OFMQ)
Qualitynet.org and click on ``Questions & Answers''.
0497................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0132................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0142................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0137................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0160................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0164................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0163................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0639................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0148................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0147................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0527................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0528................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0529................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0300................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0301................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0453................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
[[Page 23196]]
0136................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0284................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0218................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
0496................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
1653................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
1659................................................ CMS/OFMQ Qualitynet.org and click on ``Questions &
Answers''.
----------------------------------------------------------------------------------------------------------------
17. On page 13766, second column, last paragraph, last line, the
reference ``Sec. 495.10'' is corrected to read ``Sec. 495.8''.
18. On page 13769, second column--
a. First full paragraph, line 1, the phrase ``Except as provided''
is corrected to read `` Except as provided''.
b. Second full paragraph, line 1, the phrase ``We would create'' is
corrected to read `` We would create''.
19. On page 13803, third column, after the first partial paragraph,
the section heading, ``4. Medicare Incentive Program Costs'' is
corrected to read ``3. Medicare Incentive Program Costs''.
20. On page 13808, top half of the page following Table 28, second
column, after the first partial paragraph, the section heading, ``5.
Medicaid Incentive Program Costs'' is corrected to read ``4. Medicaid
Incentive Program Costs''.
21. On page 13810, bottom half of the page, after Table 34, first
column, before the first paragraph, the section heading ``6. Benefits
for All EPs and All Eligible Hospitals'' is corrected to read ``5.
Benefits for All EPs and All Eligible Hospitals''.
22. On page 13811--
a. First column, after the first partial paragraph, the section
heading, ``7. Benefits to Society'' is corrected to read ``6. Benefits
to Society''.
b. Second column, after first partial paragraph, the section
heading, ``8. General Considerations'' is corrected to read ``7.
General Considerations''.
c. Third column, before the last full paragraph, the section
heading, ``9. Summary'' is corrected to read ``8. Summary''.
23. On page 13812, bottom half of the page, after Table 36, first
column, before the first full paragraph, the section heading, ``10.
Explanation of Benefits and Savings Calculations'' is corrected to read
``9. Explanation of Benefits and Savings Calculations''.
B. Correction of Errors in the Regulations Text
1. On page 13816, second column, seventh full paragraph (Sec.
495.6(d)(8)(ii)(C)), line 2, the reference ``paragraph (d)(8)(ii)(B)''
is corrected to read ``paragraph (d)(8)(ii)(B)(1)''.
2. On page 13817,
a. First column,
(1) Fourth full paragraph (Sec. 495.6(f)(1)(ii)(B)), line 1, the
phrase ``Beginning 2013, subject to'' is corrected to read ``For 2013,
subject to''.
(2) Sixth full paragraph (Sec. 495.6(f)(7)(i)(E)(2)), line 1,
``Beginning 2013, plot and display'' is corrected to read ``For 2013,
plot and display''.
(3) Seventh full paragraph (Sec. 495.6(f)(7)(ii)(B)), the
paragraph beginning with the phrase ``For 2013, subject to paragraph
(c)'' and ending with the phrase ``recorded as structured data.'' is
corrected to read as follows:
``(B) For 2013--(1) Subject to paragraph (c) of this section, more
than 50 percent of all unique patients admitted to the eligible
hospital's or CAH's inpatient or emergency department (POS 21 or 23)
during the EHR reporting period have blood pressure (for patients age 3
and over only) and height/length and weight (for all ages) recorded as
structured data; or
(2) The measure specified in paragraph (f)(7)(ii)(A) of this
section.''
(4) Eighth full paragraph (Sec. 495.6(f)(7)(ii)(C)), line 2, the
phrase ``in paragraph (f)(7)(ii)(B)'' is corrected to read ``in
paragraph (f)(7)(ii)(B)(1)''.
b. Third column, sixth full paragraph (Sec. 495.6(h)(2)(ii)(B)),
line 14, the phrase ``must meet the remaining the'' is corrected to
read ``must meet the remaining''.
3. On page 13818, second column, last paragraph (Sec.
495.6(j)(6)(ii)(B)), the phrase ``has enabled the'' is corrected to
read ``has enabled and implemented the''.
4. On page 13820, second column, ninth paragraph (Sec.
495.6(l)(5)(ii)(B)), the phrase ``has enabled the'' is corrected to
read ``has enabled and implemented the''.
5. On page 13821, third column--
a. First full paragraph (Sec. 495.6(l)(16)(ii)), lines 3 through
6, the sentence ``(ii) Measure. eMAR is implemented and in use for the
entire EHR reporting period in at least one ward/unit of the
hospital.'' is corrected to read ``(ii) Measure. More than 10 percent
of medication orders created by authorized providers of the eligible
hospital's or CAH's inpatient or emergency department (POS 21 or 23)
during the EHR reporting period are tracked using eMAR.''.
b. Fifth full paragraph (Sec. 495.6(m)(1)(iii)), last line, the
phrase ``the EHR'' is corrected to read ``the EHR reporting period.''
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program) (Catalog of Federal Domestic Assistance Program
No. 93.773, Medicare--Hospital Insurance; and Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: April 12, 2012.
Jennifer M. Cannistra,
Executive Secretary to the Department.
[FR Doc. 2012-9331 Filed 4-17-12; 8:45 am]
BILLING CODE 4120-01-P
