Agency Information Collection Activities: Submission for OMB Review; Comment Request, 43584-43585 [2020-15540]
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Federal Register / Vol. 85, No. 138 / Friday, July 17, 2020 / Notices
particular placing restrictions on
interviewing staff in front of first line
supervisors.
++ Requiring additional training for
surveyors and making modifications
instructing surveyors regarding the level
of detail provided to the facility during
TJC’s daily briefing, to ensure it does
not change the integrity of the survey
process.
++ Requiring additional training for
TJC’s surveyors and adjusting TJC’s
survey processes as they relate to indepth review of medical records.
++ Making modifications to TJC’s
survey processes as they relate to the
‘‘Governing Body’’ Condition of
Participation (§ 482.12). Specifically:
— Clarifications to TJC’s governing body
Tracer and Leadership sessions, as
they relate to discussion-based
investigation techniques and record
reviews.
— Determinations of deficiencies and
TJC’s preliminary decision making
processes, such as determining the
severity of deficiencies, and TJC’s
process for citing the governing body
based on the deficiencies found at a
facility.
— Citing the governing body for
deficiencies within a facility’s
physical environment based on the
severity of deficiencies.
++ Clarifying timeframes for Plans of
Corrections to be submitted by the
facility to TJC and TJC’s performance of
Evidence of Standard Compliance (ESC)
processes, as well as onsite follow up
surveys as part of TJC’s ESC survey
activities.
++ Modifying TJC’s survey process
related to providing each patient in the
sample a unique identifier in deficiency
reports and for TJC surveyors to have
appropriate identifiable information on
a separate identifier list which can be
provided to the facility upon exit.
++ Clarifying and providing
additional training to surveyors related
to survey processes and procedures for
review of credentialing and human
resources and or personnel file reviews.
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B. Term of Approval
Based on our review and observations
described in section III. and section V.
of this final notice, we approve TJC as
a national accreditation organization for
hospitals that request participation in
the Medicare program. The decision
announced in this final notice is
effective July 15, 2020 through July 15,
2022 (2 years). In accordance with
§ 488.5(e)(2)(i) the term of the approval
will not exceed 6 years. This shorter
term of approval is based on our
concerns related to the comparability of
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18:12 Jul 16, 2020
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TJC’s survey processes to those of CMS,
as well as what CMS has observed of
TJC’s performance on the survey
observation. Some of these concerns
stem from the level of detail TJC
provides in the daily briefings it
provides to facilities, as well as TJC’s
processes surrounding its staff interview
practices. Additionally, we are
concerned about TJC’s review of
medical records and surveying off-site
locations, in particular for the Physical
Environment condition of participation.
Based on these observations and review
of TJC’s processes as discussed at
section V.A. (Differences Between TJC’s
Standards and Requirements for
Accreditation and Medicare Conditions
and Survey Requirements), we remain
concerned about the thoroughness of
review conducted within the facilities.
While TJC has taken action based on the
findings annotated in section V.A., as
authorized under § 488.8, we will
continue ongoing review of TJC’s survey
processes across all their approved
accrediting programs to ensure that all
our recommended changes have been
implemented. In keeping with CMS’s
initiative to increase AO oversight, and
ensure that our requested revisions by
TJC are complied with, CMS expects
more frequent review of TJC’s activities
to avoid any continued inconsistencies.
VI. Collection of Information and
Regulatory Impact Statement
This document does not impose
information collection requirements.
Consequently, there is no need for
review by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.). In accordance with
the provisions of Executive Order
12866, this regulation was not reviewed
by the Office of Management and
Budget.
The Administrator of the Centers for
Medicare & Medicaid Services (CMS),
Seema Verma, having reviewed and
approved this document, authorizes
Evell J. Barco Holland, who is the
Federal Register Liaison, to
electronically sign this document for
purposes of publication in the Federal
Register.
Dated: July 15, 2020.
Evell J. Barco Holland,
Federal Register Liaison, Department of
Health and Human Services.
[FR Doc. 2020–15599 Filed 7–15–20; 4:15 pm]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10396]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions, the accuracy of
the estimated burden, ways to enhance
the quality, utility, and clarity of the
information to be collected, and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by August 17, 2020.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ website address at
https://www.cms.gov/Regulations-andGuidance/Legislation/Paperwork
ReductionActof1995/PRA-Listing.html.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
SUMMARY:
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khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 85, No. 138 / Friday, July 17, 2020 / Notices
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
William Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Medication
Therapy Management Program
Improvements—Standardized Format;
Use: The Medicare Modernization Act
of 2003 (MMA) under title 42 CFR part
423, subpart D, establishes the
requirements that Part D sponsors, an
organization which has one or more
contract(s) with CMS to provide Part D
benefits to Medicare beneficiaries, must
meet with regard to cost control and
quality improvement including
requirements for medication therapy
management (MTM) programs. MTM is
a patient-centric and comprehensive
approach to improve medication use,
reduce the risk of adverse events, and
improve medication adherence. At
minimum, a Part D sponsors’ MTM
program must offer to its enrollees an
annual comprehensive medication
review with written summaries,
quarterly targeted medication reviews,
and follow-up interventions for both
beneficiaries and prescribers when
necessary.
Information collected by Part D MTM
programs as required by the
Standardized Format for the CMR
summary, which is used by
beneficiaries or their authorized
representatives, caregivers, and their
healthcare providers to improve
medication use and achieve better
healthcare outcomes. The Standardized
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Format must comply with applicable
industry standards for medication
therapy management and electronic data
interchange, and should enable CMR
data elements to be captured for
clinical, reporting or measurement
purposes.
After a CMR is performed, the sponsor
creates and sends a summary of the
CMR to the beneficiary that includes a
medication action plan and personal
medication list using the Standardized
Format. The information users are
beneficiaries or their authorized
representatives, caregivers, and their
healthcare providers as stated in this
section. Form Number: CMS–10396
(OMB control number: 0938–1154);
Frequency: Yearly; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 735; Total
Annual Responses: 2,173,254; Total
Annual Hours: 1,448,908. (For policy
questions regarding this collection
contact Victoria Dang at 410–786–3991.)
Dated: July 14, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2020–15540 Filed 7–16–20; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Realignment of the Office of the
Deputy Assistant Secretary for
Administration
Administration for Children
and Families, HHS.
ACTION: Notice; realignment of the Office
of the Deputy Assistant Secretary for
Administration.
AGENCY:
The Administration for
Children and Families (ACF) has
realigned functions under the Office of
the Deputy Assistant Secretary for
Administration (ODASA). This
realignment establishes the Office of
Transformation, Business, and
Management; establishes the Office of
Government Contracting Services;
realigns functions currently organized
under the Immediate Office, Office of
Workforce Planning and Development,
and Office of Financial Services; and
renames the Office of Financial Services
to the Office of Grants Policy.
FOR FURTHER INFORMATION CONTACT: Ben
Goldhaber, Deputy Assistant Secretary
for Administration, Office of
SUMMARY:
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43585
Administration, 330 C St. SW,
Washington, DC 20201, (202) 795–7790.
This
notice amends Part K of the Statement
of Organization, Functions, and
Delegations of Authority of the
Department of Health and Human
Services (HHS), Administration for
Children and Families (ACF) as follows:
Chapter KP, Office of the Deputy
Assistant Secretary for Administration
(ODASA), as last amended at 83 FR
24119–24122 (May 24, 2018):
I. Under Chapter KP, Office of the
Deputy Assistant Secretary for
Administration, delete section KP.10
Organization in its entirety and replace
with the following:
KP.10 Organization. The Office of the
Deputy Assistant Secretary for
Administration is headed by the Deputy
Assistant Secretary for Administration
(DASA) who reports to the Assistant
Secretary for Children and Families.
The office is organized as follows:
• Office of the Deputy Assistant
Secretary for Administration (KPA)
• Office of Transformation, Business,
and Management (KPA)
• Office of Grants Policy (KPC)
• Office of Grants Management (KPG)
• Office of Diversity Management and
Equal Employment Opportunity
(KPH)
• Office of the Chief Information Officer
(KPI)
• Office of Government Contracting
Services (KPA)
II. Under Chapter KP, Office of the
Deputy Assistant Secretary for
Administration, delete section KP.20
Functions, paragraph A in its entirety
and replace with the following:
KP.20 Functions. A. The Office of the
Deputy Assistant Secretary for
Administration (ODASA) directs and
coordinates all administrative activities
for the Administration for Children and
Families (ACF). The Deputy Assistant
Secretary for Administration serves as
ACF’s Chief Financial Officer; Chief
Grants Management Officer; Federal
Manager’s Financial Integrity Act
(FMFIA) Management Control Officer;
Deputy Ethics Counselor; Personnel
Security Representative; and Reports
Clearance Officer. The Deputy Assistant
Secretary for Administration serves as
the ACF liaison to the Office of the
General Counsel and, as appropriate,
initiates action in securing resolution of
legal matters relating to management of
the agency and represents the Assistant
Secretary on all administrative litigation
matters.
The Deputy Assistant Secretary for
Administration represents the Assistant
Secretary in HHS and with other federal
SUPPLEMENTARY INFORMATION:
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]]>Agencies
[Federal Register Volume 85, Number 138 (Friday, July 17, 2020)]
[Notices]
[Pages 43584-43585]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-15540]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10396]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by August 17, 2020.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
[[Page 43585]]
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Medication Therapy Management Program Improvements--Standardized
Format; Use: The Medicare Modernization Act of 2003 (MMA) under title
42 CFR part 423, subpart D, establishes the requirements that Part D
sponsors, an organization which has one or more contract(s) with CMS to
provide Part D benefits to Medicare beneficiaries, must meet with
regard to cost control and quality improvement including requirements
for medication therapy management (MTM) programs. MTM is a patient-
centric and comprehensive approach to improve medication use, reduce
the risk of adverse events, and improve medication adherence. At
minimum, a Part D sponsors' MTM program must offer to its enrollees an
annual comprehensive medication review with written summaries,
quarterly targeted medication reviews, and follow-up interventions for
both beneficiaries and prescribers when necessary.
Information collected by Part D MTM programs as required by the
Standardized Format for the CMR summary, which is used by beneficiaries
or their authorized representatives, caregivers, and their healthcare
providers to improve medication use and achieve better healthcare
outcomes. The Standardized Format must comply with applicable industry
standards for medication therapy management and electronic data
interchange, and should enable CMR data elements to be captured for
clinical, reporting or measurement purposes.
After a CMR is performed, the sponsor creates and sends a summary
of the CMR to the beneficiary that includes a medication action plan
and personal medication list using the Standardized Format. The
information users are beneficiaries or their authorized
representatives, caregivers, and their healthcare providers as stated
in this section. Form Number: CMS-10396 (OMB control number: 0938-
1154); Frequency: Yearly; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 735; Total Annual Responses:
2,173,254; Total Annual Hours: 1,448,908. (For policy questions
regarding this collection contact Victoria Dang at 410-786-3991.)
Dated: July 14, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2020-15540 Filed 7-16-20; 8:45 am]
BILLING CODE 4120-01-P
