[Federal Register Volume 73, Number 18 (Monday, January 28, 2008)]
[Notices]
[Pages 4868-4869]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-1361]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10210]


Emergency Clearance: Public Information Collection Requirements 
Submitted to the Office of Management and Budget (OMB)

AGENCY: Center for Medicare and Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid 
Services (CMS), Department of Health and Human Services, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send comments regarding this burden 
estimate or any other aspect of this collection of information, 
including any of the following subjects: (1) The necessity and utility 
of the proposed information collection for the proper performance of 
the agency's functions; (2) the accuracy of the estimated burden; (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected; and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.
    We are, however, requesting an emergency review of the information 
collection referenced below. In compliance with the requirement of 
section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, we have 
submitted to the Office of Management and Budget (OMB) the following 
requirements for emergency review. We are requesting an emergency 
review because the collection of this information is needed before the 
expiration of the normal time limits under OMB's regulations at 5 CFR 
part 1320(a)(2)(ii). This is necessary to ensure compliance with an 
initiative of the Administration. We cannot reasonably comply with the 
normal clearance procedures because of an unanticipated event, as 
stated in 5 CFR 1320.13(a)(2)(ii).
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Additional 
Quality Measures and Procedures for Hospital Reporting of Quality Data 
for the FY 2009 IPPS Annual Payment Update (Surgical Care Improvement 
Project & Mortality Measures); Form Number: CMS-10210 (OMB: 
0938-1022); Use: The approval of this data collection process is 
essential to meet the requirements of Section 404 of the Medicare 
Prescription Drug and Modernization Act (MMA) of 2003 and its 
applicability to the hospital market basket. This section of the MMA 
requires the Secretary of Health and Human Services to, ``... establish 
a frequency for revising such [market basket] weights including the 
labor share, in such market basket to reflect the most current data 
available more frequently than every five years.''
    This information is used by Quality Improvement Organizations 
(QIOs) to

[[Page 4869]]

identify opportunities for improvement, and to effectively target 
quality improvement initiatives in order to meet the statutory 
requirements for QIOs. The information will be made available to 
hospitals for their use in internal quality improvement initiatives. 
The information is used by CMS to direct its contractors to focus on 
particular areas of improvement, and to develop quality improvement 
initiatives. Most importantly, this information is available to 
beneficiaries, as well as to the public in general, to provide hospital 
information to assist them in making decisions about their health care. 
CMS conducts focus groups or market testing prior to public reporting 
hospital quality data on the Hospital Compare Web site.
    For FY 2008, we propose to add the HCAHPS Survey to the measure 
set. For FY 2009, the set of measures for the RHQDAPU program will 
consist of measures previously approved through the PRA process, as 
well as additional measures identified through this rulemaking. We 
propose to add the following additional measures for FY 2009: Pneumonia 
30-day Mortality (Medicare patients); SCIP Infection 4: Cardiac Surgery 
Patients with Controlled 6AM Postoperative Serum Glucose; SCIP 
Infection 6: Surgery Patients with Appropriate Hair Removal.
    These three measures were recently endorsed by the National Quality 
Forum (NQF) and will be added to the set. All of these measures have 
been approved by the Hospital Quality Alliance (HQA) for inclusion in 
the national voluntary hospital reporting set, and are fully specified 
and included in The Joint Commission Specifications Manual for National 
Hospital Quality Measures. The measures offer important additions to 
our understanding of patient outcomes (mortality) and patient safety 
efforts, and could help encourage additional systems change in 
hospitals in the areas of pneumonia care and surgical services. 
Frequency: Recordkeeping, reporting, third-party disclosure--quarterly; 
Affected Public: Business or other for-profit, not-for-profit; Number 
of Respondents: 3,700; Total Annual Responses: 3,700; Total Annual 
Hours: 806,250.
    CMS is requesting OMB review and approval of this collection by 
February 29, 2008, with a 180-day approval period. Written comments and 
recommendations will be considered from the public if received by the 
individuals designated below by February 25, 2008.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.cms.hhs.gov/regulations/pra or E-mail 
your request, including your address, phone number, OMB number, and CMS 
document identifier, to [email protected], or call the Reports 
Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by February 27, 2008.
    1. Electronically. You may submit your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.
    2. By regular mail. You may mail written comments to the following 
address:

CMS, Office of Strategic Operations and Regulatory Affairs, Division of 
Regulations Development, Attention: Document Identifier/OMB Control 
Number ----------, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
     and,
OMB Human Resources and Housing Branch, Attention: Carolyn Lovett, New 
Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: January 18, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-1361 Filed 1-25-08; 8:45 am]
BILLING CODE 4120-01-P