[Federal Register Volume 75, Number 48 (Friday, March 12, 2010)]
[Notices]
[Pages 11890-11892]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-5428]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-2744, CMS-10304 and CMS-10282]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
In compliance with the requirement of section 3506(c)(2)(A) of the
[[Page 11891]]
Paperwork Reduction Act of 1995, the Centers for Medicare & 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 function; (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.
1. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: End Stage Renal Disease (ESRD) Medical Information Facility
Survey; Form Number: CMS-2744 (OMB: 0938-0447); Use: The End
Stage Renal Disease (ESRD) Medical Information Facility Survey form
(CMS-2744) is completed annually by Medicare-approved providers of
dialysis and transplant services. The CMS-2744 is designed to collect
information concerning treatment trends, utilization of services and
patterns of practice in treating ESRD patients. The information is used
to assess and evaluate the local, regional and national levels of
medical and social impact of ESRD care and is used extensively by
researchers and suppliers of services for trend analysis. The
information is available on the CMS Dialysis Facility Compare Web site
and will enable patients to make informed decisions about their care by
comparing dialysis facilities in their area. Frequency: Yearly;
Affected Public: Business or other for-profit, not-for-profit
institutions; Number of Respondents: 5,465; Total Annual Responses:
5,465; Total Annual Hours: 43,720. (For policy questions regarding this
collection contact Connie Cole at 410-786-0257. For all other issues
call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Information Collection Requirements and
Supporting Information for Chronic Kidney Disease Surveys under the 9th
Scope of Work; Form Number: CMS-10304 (OMB: 0938-New); Use:
The Centers for Medicare & Medicaid Services (CMS) and the U.S.
Department of Health and Human Services (DHHS) are requesting OMB
clearance for the Chronic Kidney Disease (CKD) Partner Survey and the
Chronic Kidney Disease (CKD) Provider Survey. The Prevention CKD Theme
is a component of the Prevention Theme of the Quality Improvement
Organization (QIO) Program's 9th Scope of Work (SOW). The statutory
authority for this scope of work is found in Part B of Title XI of the
Social Security Act (the Act) as amended by the Peer Review Improvement
Act of 1982. The Act established the Utilization and Quality Control
Peer Review Organization Program, now known as the Quality Improvement
Organization (QIO) Program.
The goal of the Prevention CKD Theme is to detect the incidence,
decrease the progression of CKD, and improve care among Medicare
beneficiaries through provider adoption of timely and effective quality
of care interventions; participation in quality incentive initiatives;
beneficiary education; and key linkages and collaborations for system
change at the state and local level. In addition to improving the
quality of care for the elderly and frail-elderly, this Theme aims to
reduce the rate of Medicare entitlement by disability through the delay
and prevention of end-stage renal disease (ESRD); thus resulting in
higher quality care and significant savings to the Medicare Trust Fund.
The CKD Partner Survey constitutes a new information collection to
be used by CMS to obtain information on how QIO collaboration with
partners facilitates systems change within the QIO's respective state.
The CKD Partner Survey will be a census administered to 350
collaborative partners in the 9th SOW. The CKD Partner Survey will be
administered via telephone. Responses will be entered into a pre-
programmed Computer-Assisted Telephone Interviewing (CATI) interface.
The results of the survey shall be used for inpatient quality
indicators (IQI) by the QIO. CMS will also use the results to assess
how partner organizations and their perspective of the QIO's role are
implementing system change.
Similarly, the CKD Provider Survey constitutes a new information
collection to be used by CMS to obtain information on how QIO
collaboration with physician practices facilitates systems change
within the QIO's respective state. The CKD Provider Survey will be
administered via telephone and the Web. Responses collected by phone
will be entered into a pre-programmed Computer-Assisted Telephone
Interviewing (CATI) interface. Responses collected by Web will be
housed on a secure server and database. The results of the survey shall
be used for inpatient quality indicators (IQI) by the QIO. CMS will
also use the results to assess how physicians' practices and their
perspective of the QIO's role are implementing system change.
Frequency: Yearly; Affected Public: Private Sector--business or other
for-profits and not-for profit institutions; Number of Respondents:
1,350; Total Annual Responses: 1,350; Total Annual Hours: 337.5. (For
policy questions regarding this collection contact Robert Kambic at
410-786-1515. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: New collection; Title of
Information Collection: Conditions of Participation for Comprehensive
Outpatient Rehabilitation Facilities (CORFs) and supporting regulations
in 485.50, 485.51, 485.54, 485.56, 485.58, 485.60, 485.62, 485.64,
485.66, 485.70, and 485.74.; Form Number: CMS-10282 (OMB:
0938-New); Use: The Conditions of Participation (CoPs) and accompanying
requirements specified in the regulations are used by our surveyors as
a basis for determining whether a comprehensive outpatient
rehabilitation facility (CORF) qualifies to be awarded a Medicare
provider agreement. CMS believes the health care industry practice
demonstrates that the patient clinical records and general content of
records are necessary to ensure the well-being and safety of patients
and that professional treatment and accountability are a normal part of
industry practice. Frequency: Yearly; Affected Public: Business or
other for-profit, not-for-profit institutions; Number of Respondents:
446; Total Annual Responses: 446; Total Annual Hours: 30,105. (For
policy questions regarding this collection contact Monique Howard 410-
786-3869. For all other issues call 410-786-1326.)
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/PaperworkReductionActof1995, 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.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on April 12, 2010:
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk
[[Page 11892]]
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: March 8, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-5428 Filed 3-11-10; 8:45 am]
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