Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-1163	ICR Reference No: 201605-0938-020
Status: Historical Active	Previous ICR Reference No: 201304-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No: 19270
Title: (CMS-10409) Long Term Care Hospital (LCTH) Quality Reporting Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/06/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/31/2016
Terms of Clearance: This information collection request is approved as an extension, consistent with CMS' categorization in ROCIS and discussion in the supporting statement. However, OMB notes that the burden change for this collection was erroneously reported in ROCIS as a program change. In future submissions of all information collection requests, CMS needs to be mindful to report burden changes associated with extensions in the adjustment category. Failure to do so can result in it being sent back to the agency as "improperly submitted." OMB further notes that CMS states it plans to display the expiration date associated with this collection. The expiration date and OMB control number must be displayed on all paper and electronic versions of the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved	03/31/2017
Responses	405,270	0	403,988
Time Burden (Hours)	392,861	0	212,160
Cost Burden (Dollars)	0	0	0

Abstract: Section 3004 of The Affordable Care Act authorizes the establishment of a new quality reporting program for Long Term Care Hospitals (LTCHs). The LTCH Quality Reporting Program (QRP) was implemented in section VII.C. of the FY 2012 IPPS/LTCH PPS final rule (76 FR 51743 through 51756) pursuant to Section 3004 of the Patient Protection and Affordable Care Act of 2010. Beginning in FY 2014, LTCHs that fail to submit quality measures data to CMS on three quality measures (NQF #0678, NQF #0138, NQF #0139), may be subject to a 2 percentage point reduction in their annual payment update. In the FY 2013 IPPS/LTCH PPS final rule (76 FR 53614 through 53637 and 53667 through 53672), CMS retained three measures and adopted two new measures (NQF #0680 and NQF #0431) for the FY 2016 payment determination. In the FY 2014 IPPS/LTCH PPS final rule (78 FR 50853 through 50887 and 50959 through 50964), CMS retained five measures and adopted two additional measures (NQF #1716 and NQF #1717) for the FY 2017 payment determination. In the FY 2015 IPPS/LTCH PPS final rule (79 FR 50286 through 50318 and 50348 through 50349) , CMS retained seven measures and adopted one additional measure (NQF #2512) for the FY 2017 payment determination and four additional measures (application of NQF #0674, NQF #2631, NQF #2632, and non-NQF endorsed NHSN VAE) for the FY 2018 payment determination. In the FY 2016 IPPS/LTCH PPS final rule (80 FR 49723 through 49756 and 49764 through 49766), CMS retained twelve measures and adopted 3 measures to meet the requirements of the IMPACT Act (NQF #0678, application of NQF #2631, and application of NQF #0674) for FY 2018 payment determination and 1 measure (NQF #2512) to reflect NQF endorsement status for FY 2018 payment determination.

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	405,270	403,988	1,282
Annual Time Burden (Hours)	392,861	212,160	180,701
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of Medicare-certified LTCHs have declined from 442 to 432; however, discharges remained steady (202,050 vs. 202,635). The annual burden hours increased from 212,160 to 392,861. Second, the number of questions increased from V2.01 to V3.00 due to the addition of new measures.