Section 1814(i)(5) of the Social
Security Act added by section 3004 of the Patient Protection and
Affordable Care Act, Pub. L. 111 148, enacted on March 23, 2010
(Affordable Care Act), authorizes the Secretary to establish a
quality reporting program for hospices. Section 1814(i)(5)(A)(i) of
the Social Security Act requires that the Secretary, beginning with
FY 2014, reduce the market basket update by 2 percentage points for
any hospice that does not submit quality data submission for a
fiscal year. CMS established the Hospice Quality Reporting Program
(HQRP) in the FY 2012 Hospice Wage Index final rule (76 FR 47318
through 47324, and 47325 through 47326) pursuant to Section 3004 of
the Affordable Care Act. In this rule, CMS set forth the initial
framework for the HQRP and established that the first "mandatory"
reporting period would take place from October 1, 2012 through
December 31, 2012. During the first "mandatory" reporting period,
hospices were required to gather data pertaining to two quality
measures: (1) a structural measure titled "Participation in a
Quality Assessment and Performance Improvement (QAPI) Program that
Includes at Least Three Quality Indicators Related to Patient Care"
and; (2) the NQF-endorsed #0209 pain measure. Hospice providers
were then required to report their data between 01/01/2012 and
04/01/2012 In the CY 2013 HH PPS final rule (77 FR 67132 through
67136) CMS retained the two measures that had previously been
adopted in the FY 2012 rule. For FY 2016 data submission
requirements, CMS is proposing that beginning July 1, 2014,
hospices collect a newly created set of data elements, the Hospice
Item Set, as part of the HQRP instead of the previous two
measures.
The first reporting period in
which the new IRC will be implemented will begin on July, 1, 2014
and end on December 31, 2014. This IRC form will be used in
subsequent reporting periods thereafter. There will be a change in
the burden caused by the revision of the currently existing ICR as
well as changes in the measures used with the Hospice Quality
Reporting Program
$250,000
No
No
Yes
No
No
Uncollected
Denise King 410 786-1013
Denise.King@cms.hhs.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.