In accordance
with 5 CFR 1320, the information collection is not approved at this
time. Prior to publication of the final rule, the agency should
provide to OMB a summary of all comments received on the proposed
information collection and identify any changes made in response to
these comments.
Inventory as of this Action
Requested
Previously Approved
04/30/2017
36 Months From Approved
04/30/2017
3,742
0
3,742
525,827
0
525,827
0
0
0
Section 3004(c) of the Patient
Protection and Affordable Care Act (ACA), (which added section
1814(i)(5) to the Social Security Act) ), authorized the Secretary
to establish a quality reporting program for hospices. Section
1814(i)(5)(A)(i) of the Social Security Act required 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. 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 National Quality Forum
(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. Hospices will continue to collect data for these
measures until December 31, 2013. Beginning on July, 1, 2014,
hospices shall begin to collect quality measure data using a newly
created set of data elements which are collectively titled as the
"Hospice Item Set." The Hospice Item Set, which was developed
specifically for use in the hospice setting, contains data elements
that are used to collect standardized, patient-level data. This
data can be used, at a later date, to calculate six NQF-endorsed
quality measures and a modification of one NQF-endorsed measure.
For more details about the Hospice Item Set, refer to Section 1 of
the Supporting Statement A.
The burden increase is
associated with the use of the HIS v2.00.0. We estimate that the
increase to each individual hospice will be approximately 21 hours,
or $5,296, and the total increase in burden across all 4,259
hospices will be approximately 160,803 hours, or $24,531,660. (See
Exhibit A, Appendix 4). We believe that this increase in burden can
be attributed to several factors. First, the burden calculation
used in the previous PRA package was based on the use of the HIS
v1.00.0. HIS v2.00.0 includes 17 additional items for response: 3
new items in the Admission assessment, and 14 new items in the
Discharge assessment.
$1,583,500
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.