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OMB Control No: 0938-1171	ICR Reference No: 201310-0938-011
Status: Historical Active	Previous ICR Reference No: 201209-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: 20794
Title: Inpatient Psychiatric Facility 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: Approved without change	Conclusion Date: 02/14/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	12/31/2015
Responses	596,200	0	471,811
Time Burden (Hours)	2,279,200	0	1,415,433
Cost Burden (Dollars)	0	0	0

Abstract: Section 10322 of the Affordable Care Act authorizes the establishment of a new quality reporting program for Inpatient Psychiatric Facilities (IPFs). It builds on a voluntary Inpatient Psychiatric Facilities Quality Reporting (IPFQR) program which remains in effect. The IPFQR began with an initial set of 6 measures for FY 2014 and FY 2015 and for the IPPS 2016 and subsequent years; will add an additional 4 for a total of 10 IPFQR measures.IPFs failing to submit the quality measures will receive a 2% reduction in their Annual Payment Update (APU). In an effort to minimize burden and maximize efficiency, CMS has leveraged existing systems within CMS to collect aggregated and calculated measure rates from the IPFs, in a form, manner and time as specified by CMS, via a secure portal known as the QualityNet Web site beginning of October 1, 2012 for FY2014 payment determination year. These procedural requirements involve submitting necessary forms (e.g. Notice of Participation Form, Reconsideration Request Form, Disaster Waiver Form, etc.) to comply with the IPFQR Program and align with current CMS reporting requirements for other hospital quality reporting programs. When adding new measures, the law requires CMS, when "feasible and practical" to select measures put forward by "one or more national consensus building entities". Section 3013 of the Affordable Care Act (ACA) modified by Section 931 of the Public Health Service Act requires CMS to perform a gap analysis for needed quality measures every three years. Section 3014 of the ACA modified Section 1890(b) of the Social Security Act requires CMS to develop quality and efficiency measures through a "consensus-based entity". Consequently, the Measure Applications Partnership (MAP), convened by the National Quality Forum (NQF), was formed to develop measures consistent with these requirements.

Authorizing Statute(s): PL: Pub.L. 111 - 148 10322 Name of Law: Affordable Care Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AR15	Final or interim final rulemaking	78 FR 50497	08/19/2013

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	596,200	471,811	124,389
Annual Time Burden (Hours)	2,279,200	1,415,433	863,767
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: 1,900 IPFs that fall under the program. This has been changed in the information under section 12 from 1,741 IPFs. Also, this program has increased the number of measures included in its data collection requirements. The CMS program reduces the reporting burden for quality of care information collected by allowing hospitals to abstract data directly into electronic systems in lieu of submitting paper charts, or to utilize electronic data that they already report to the Joint Commission (JCO) for accreditation. The long-term vision for the IPFQR program is to allow hospitals to submit data directly from their electronic health records, which we anticipate will reduce burden substantially.

Annual Cost to Federal Government: $41,600

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

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