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OMB Control No: 0938-1059	ICR Reference No: 200912-0938-007
Status: Historical Inactive	Previous ICR Reference No: 200902-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Physician Quality Reporting Initiative
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 07/29/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/12/2009
Terms of Clearance: Withdrawn and continued per CMS request 7/29/10 to address technical issues with the submission. OMB notes that CMS intends to resubmit shortly. Prior terms remain in effect: Since the PQRI reporting requirements tend to change annually with each annual physician fee rule, this ICR is approved until January 2010. Because this ICR is associated with rulemaking, CMS agrees to coordinate the publication of the 60 & 30 day Federal Register Notices with the issuance of the proposed and final physician fee rule. In order to comment meaningfully on the burden and utility of these reporting requirements, the public needs access to all technical specifications on how each performance measure will be calculated (e.g. the denominators and numerators). Therefore, all such technical specifications need to be submitted with the ICR in order for the ICR package to be considered complete. These technical specifications must also match up with the year in question (i.e. the 2008 specifications should not be submitted for the 2009 measures). Incomplete submissions will be returned to the agency as "improper submissions." Finally, CMS agrees to include this ICR in the next ICB as a "bootleg" collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	07/31/2010
Responses	8,787,000	0	8,787,000
Time Burden (Hours)	1,125,935	0	1,125,935
Cost Burden (Dollars)	0	0	0

Abstract: The data on PQRI quality measures and/or the electronic prescribing measure collected from eligible professionals or group practices in 2010 will be used by CMS to: (1) determine whether an eligible professional or group practice meets the criteria for satisfactory reporting of quality measures data for the 2010 PQRI and/or the criteria for successful electronic prescribers for the 2010 E-Prescribing Incentive Program, (2) to calculate and make incentive payments in 2010 to eligible professionals and group practices who meet the criteria for satisfactory reporting of quality measures data and/or eligible professionals and group practices who are successful electronic prescribers, and (3) publicly post the names of eligible professionals and group practices who satisfactorily report PQRI quality measures data and/or who are successful electronic prescribers on the CMS Web site. The information collected from registries through the registry self-nomination process will be used by CMS to determine whether the registry meets the PQRI registry requirements for 2010 and is qualified to submit quality measures results and numerator and denominator data on PQRI individual quality measures, measures groups, and the electronic prescribing measure on behalf of eligible professionals. The information collected from EHR vendors through the EHR self-nomination process will be used by CMS to determine whether the vendor's EHR product(s) meet the PQRI EHR requirements for 2010 and can be designated as qualified for the purpose of an eligible professional using clinical data extracted from the EHR to submit data on a subset of the PQRI measures and the electronic prescribing measure.

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to: Changing Regulations

Short Statement: The changes are due to the following: o Original submission estimated $50/hour for practice staff time. Due to increases in salary and fringes since 2006, new estimate is $55/hour. o Original submission estimated that there would be 101,000 individual eligible professionals participating in the PQRI and E-Prescribing Incentive Program. Based on the final number of eligible professionals who participated in the 2007 PQRI and the assumption that all eligible professionals who participate in PQRI will also participate in the E-Prescribing Incentive Program, the new estimate is 110,000 individual eligible professionals participating in both PQRI and the E-Prescribing Incentive Program. o Original submission estimated 87 responses per respondent with 27 PQRI responses and 60 E-Prescribing Incentive Program responses. Due to changes in the criteria for being a successful electronic prescriber in 2010, the new estimate is 70 responses per respondent, with 27 PQRI responses and 25 E-Prescribing Incentive Program responses. o As required by MIPPA, we are implementing a group practice reporting option for the 2010 PQRI and E-Prescribing Incentive Program. Assuming that this new statutory requirement does not have any impact on the number of individual eligible professionals who choose to participate in PQRI and/or the E-Prescribing Incentive Program, the revised submission includes 200 additional respondents, 31,384 additional annual burden hours, and $1,374,000 in additional annual burden cost for these new statutory requirements. o We are including a new, EHR-based reporting mechanism in the 2010 PQRI. The revised submission includes burden estimates for EHR vendors associated with the self-nomination process to have one or more their products designated as a qualified EHR product. The revised submission also includes burden estimates for registries associated with the self-nomination process to be designated as a qualified registry.

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