[Federal Register: November 23, 2007 (Volume 72, Number 225)]
[Notices]
[Page 65740-65741]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr23no07-79]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1377-N]
Medicare Program; Listening Session on Hospital-Acquired
Conditions and Present on Admission Indicator Reporting, December 17,
2007
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice of meeting.
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SUMMARY: This notice announces a listening session being conducted as
part of the selection of Hospital-Acquired Conditions (HAC) and
implementation of Present on Admission (POA) Indicator Reporting, as
authorized by section 5001(c) of the Deficit Reduction Act of 2005
(DRA). The purpose of this listening session is to solicit informal
comments in preparation for the fiscal year 2009 inpatient prospective
payment system (IPPS) rulemaking process. Hospitals, hospital
associations, representatives of consumer purchasers, payors of health
care services, and all interested parties are invited to attend and
make comments in person or in writing. It will also be possible to
listen to the session by teleconference. However, because of time
constraints, telephone participants will not be able to make verbal
comments. Informal written comments will be accepted. This meeting is
open to the public, but registration is required due to limited space
and security requirements to enter the meeting location. This Listening
Session is being held as a joint partnership between the Centers for
Medicare & Medicaid Services and Centers for Disease Control and
Prevention.
DATES: Meeting Date: The listening session will be held on Monday,
December 17, 2007 from 10 a.m. until 5 p.m., e.s.t.
Deadline for Meeting Registration and Submitting Requests for
Special Accommodations: Registration must be completed no later than 5
p.m., e.s.t. on Monday, December 10, 2007. Requests for special
accommodations must be received no later than 5 p.m., e.s.t. on Monday,
December 10, 2007.
Deadline for Presentations and Written Comments: Written comments
may be sent electronically to the address specified in the ADDRESSES
section of this notice and must be received by 5 p.m., e.s.t. on
Monday, December 31, 2007.
ADDRESSES: Meeting Location: The meeting will be held in the main
auditorium of the central building of the Centers for Medicare &
Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.
Registration and Special Accommodations: Persons interested in
attending the meeting or listening by teleconference must register by
completing the on-line registration at http://registration.intercall
,com/go/cms2. Individuals who need special
accommodations should contact Colette Shatto (410) 786-6932, or via e-
mail at MFG@cms.hhs.gov.
Written Comments or Statements: Written comments may be sent by e-
mail. Please e-mail comments to hacpoa@cms.hhs.gov.
FOR FURTHER INFORMATION CONTACT: Further information regarding the
December 17, 2007 listening session will be posted on the HAC & POA
section of the CMS Web site at http://www.cms.hhs.gov/HospitalAcqCond/01_Overview.asp.
You may also contact Colette Shatto, MFG@cms.hhs.gov,
in the Medicare Feedback Group. Press inquiries are handled through the
CMS Press Office at 202-690-6145.
I. Background
On February 8, 2006, the President signed the Deficit Reduction Act
of 2005 (Pub. L. 109-171) (DRA). Section 5001(c) of the DRA requires
the Secretary to identify, by October 1, 2007, at least two conditions
that: (1) Are high cost or high volume or both; (2) result in the
assignment of a case to a DRG that has a higher payment when present as
a secondary diagnosis; and (3) could reasonably have been prevented
through the application of evidence-based guidelines.
For discharges occurring on or after October 1, 2008, hospitals
will not receive additional payment for cases in which one of the
selected conditions occurring during hospitalization was not present on
admission. That is, the case would be paid as though the secondary
diagnosis was not present. Section 5001(c) of the DRA provides that we
can revise the list of conditions from time to time, as long as it
contains at least two conditions. In addition, CMS Change Request (CR)
5499 required hospitals to begin reporting the Present On Admission
(POA) indicator for all diagnoses on claims beginning October 1, 2007.
II. Listening Session Format
The December 17, 2007 listening session will begin at 10 a.m.,
e.s.t. with an overview of the objectives for the
[[Page 65741]]
session and a presentation on Hospital Acquired Conditions (HAC) and
POA background. A brief overview regarding the implementation strategy
for selecting the hospital-acquired conditions will then be presented.
Next, a review of the conditions included in the FY 2008 hospital
inpatient prospective payment systems (IPPS) final rule with comment
period will be presented followed by a public comment session. There
will be a lunch break from approximately 1 to 2 p.m., e.s.t. Following
lunch, there will be presentations on the following: (1) The role of
providers in documentation; (2) POA Indicator Reporting; and (3) HAC &
POA Outreach and Education. An additional public comment period will
follow the presentations. The meeting will conclude by 5 p.m., e.s.t.
III. Registration Instructions
For security reasons, any persons wishing to attend this meeting
must register by the date listed in the DATES section of this notice.
Persons interested in attending the meeting or listening by
teleconference must register by completing the on-line registration
located at http://registration.intercall.com/go/cms2. The on-line
registration system will generate a confirmation page to indicate the
completion of your registration. Please print this page as your
registration receipt.
Individuals may also participate in the listening session by
teleconference. Registration is required as the number of call-in lines
will be limited. The call-in number will be provided upon confirmation
of registration.
An audio download of the listening session will be available
through the CMS HAC and POA Indicator Web site at http://www.cms.hhs.gov/HospitalAcqCond/01_Overview.asp
after the listening
session.
IV. Security, Building, and Parking Guidelines
This meeting will be held in a Federal government building;
therefore, Federal security measures are applicable. In planning your
arrival time, we recommend allowing additional time to clear security.
The on-site check-in for visitors will begin at 9 a.m., e.s.t. Please
allow sufficient time to complete security checkpoints.
Security measures include the following:
Presentation of government-issued photographic
identification to the Federal Protective Service or Guard Service
personnel.
Interior and exterior inspection of vehicles (this
includes engine and trunk inspection) at the entrance to the grounds.
Parking permits and instructions will be issued after the vehicle
inspection.
Passing through a metal detector and inspection of items
brought into the building. We note that all items brought to CMS,
whether personal or for the purpose of demonstration or to support a
demonstration, are subject to inspection.
We cannot assume responsibility for coordinating the receipt,
transfer, transport, storage, set-up, safety, or timely arrival of any
personal belongings or items used for demonstration or to support a
demonstration.
Note: Individuals who are not registered in advance will not be
permitted to enter the building and will be unable to attend the
meeting. The public may not enter the building earlier than 30 to 45
minutes prior to the convening of the meeting.
All visitors must be escorted in areas other than the lower and
first floor levels in the Central Building. Seating capacity is
limited to the first 550 registrants.
Authority: Section 5001(c) The Deficit Reduction Act (DRA) of
2005.
Dated: November 16, 2007.
Kerry Weems,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 07-5801 Filed 11-21-07; 8:45 am]
BILLING CODE 4120-01-P