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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:
201706-0938-007
Status:
Historical Inactive
Previous ICR Reference No:
201605-0938-020
Agency/Subagency:
HHS/CMS
Agency Tracking No:
19270
Title:
(CMS-10409) Long Term Care Hospital (LCTH) Quality Reporting Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Comment filed on proposed rule and continue
Conclusion Date:
08/07/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/05/2017
Terms of Clearance:
OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2020
36 Months From Approved
03/31/2020
Responses
405,270
0
405,270
Time Burden (Hours)
392,861
0
392,861
Cost Burden (Dollars)
0
0
0
Abstract:
In the FY 2018 IPPS/LTCH PPS proposed rule, CMS is proposing to adopt three measures beginning with the FY 2020 LTCH QRP and remove two measures. The proposed measures are Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury, Compliance with Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay, and Ventilator Liberation Rate. The proposed measures for removal are Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678) and the All-Cause Unplanned Readmission Measure for 30 Days Post Discharge from Long-Term Care Hospitals (NQF #2512). We are also proposing to characterize the data elements, as described in section IX.C.10 of the FY 2018 IPPS/LTCH PPS proposed rule, as standardized patient assessment data under section 1899B(b)(1)(B) of the Act, that must be reported by LTCHs under the LTCH QRP through the LTCH CARE Data Set. Authorizing Statute(
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 3004
Name of Law: Quality reporting for LTCHs, inpatient rehabilitation hospitals, and hospice programs
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 148 3004 Name of Law: Quality reporting for LTCHs, inpatient rehabilitation hospitals, and hospice programs
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AS98
Proposed rulemaking
82 FR 19796
04/28/2017
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Long Term Care Data Set
CMS-10409, CMS-10409, CMS-10409, CMS-10409
LTCH Care Data Set Admissions
,
LTCH Care Data Set Expired
,
LTCH Care Data Set Planned Discharge
,
LTCH Care Data Set Unplanned Discharge
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
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 432 to 426 and discharges have significantly decreased from 202,635 in calendar year 2015 to 146,592 in fiscal year 2016. As a result, the annual burden hours decreased from 196,474 to 165,884. We note that an arithmetic error in the previous PRA package inflated the annual burden hours from 196,474 to an erroneous figure of 392,861 (This is put in as a change due to agency estimate). The number of questions increased from V 3.00 to V 4.00 due to the addition of new measures and standardized patient assessment data elements.
Annual Cost to Federal Government:
$3,146,409
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Denise King 410 786-1013 Denise.King@cms.hhs.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
07/05/2017
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