Federal Register / Vol. 76, No. 104 / Tuesday, May 31, 2011 / Notices 31339 

use in consumer and plan reports and 

for quality improvement purposes for 

MA, MA PD, and Stand Alone PDP 

plans. CMS will continue to collect the 

Medicare FFS CAHPS data from surveys 

at the state and some sub-state levels. 

This revision to a currently approved 

collection is to add questions focusing 

on care coordination. Form Number: 

CMS–R–246 (OCN: 0938–0732) 

Frequency: Yearly; Affected Public: 

Private sector—business or other forprofits; Number of Respondents: 

598,200; Number of Responses: 598,200; 

Total Annual Hours: 216,555. (For 

policy questions regarding this 

collection, contact Sarah Gaillot at 410– 

786–4637. 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 

at http://www.cms.gov/ 

PaperworkReductionActof1995/PRAL/ 

list.asp#TopOfPage or e-mail your 

request, including your address, phone 

number, OMB number, and CMS 

document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office at 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 August 1, 2011: 

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. 

Dated: May 25, 2011. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2011–13328 Filed 5–27–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10136 and CMS– 

10303] 

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 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare 

Demonstration Ambulatory Care Quality 

Measure Performance Assessment Tool 

(‘‘PAT’’); Use: This request is to cover a 

modification of an existing, approved 

data collection effort with a new secure 

web based system. This system will also 

provide a platform for developing tools 

to collect clinical quality data for future 

demonstrations and programs. There is 

no increase in burden. In fact, because 

all of the practices submitting data will 

have Electronic Health Records (EHRs), 

it is likely that the originally estimated 

burden will decrease over the coming 

years of the demonstration. CMS is 

requesting an extension of the currently 

approved tool for the collection of 

ambulatory care clinical performance 

measure data. 

The data will be used to continue 

implementation of two Congressionally 

mandated demonstration projects (the 

Physician Group Practice (PGP) 

Demonstration and the Medicare Care 

Management Performance (MCMP) 

Demonstration); also the support data 

collection under the new EHR 

Demonstration. Each of these 

demonstrations, test new payment 

methods for improving the quality and 

efficiency of health care services 

delivered to Medicare fee-for-service 

beneficiaries, especially those with 

chronic conditions that account for a 

disproportionate share of Medicare 

expenditures. In addition, the MCMP 

and EHR demonstration specifically 

encourage the adoption of electronic 

health records systems as a vehicle for 

improving how health care is delivered. 

Form Number: CMS–10136 (OMB# 

0938–0941); Frequency: Yearly; Affected 

Public: Business or other for-profits and 

not-for-profit institutions; Number of 

Respondents: 400; Total Annual 

Responses: 400; Total Annual Hours: 

9600. (For policy questions regarding 

this collection contact Jodie Blatt at 

410–786–6921. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information: 

Medicare Gainsharing Demonstration 

Evaluation: Physician Focus Groups; 

Use: The proposed physician focus 

groups are part of the evaluation of the 

Centers for Medicare and Medicaid 

Services (CMS)’s Medicare Physician 

Hospital Collaboration Demonstration. 

The Congress, under Section 646 of the 

Medicare Modernization Act (MMA) of 

2003 permitted CMS to conduct 

demonstrations to test methods for the 

provision of incentives for improving 

the quality and safety of care and 

achieving the efficient allocation of 

resources. The primary goal of the 

demonstration is to evaluate gainsharing 

as means to align physician and hospital 

incentives to improve quality and 

efficiency. This demonstration plans to 

use the physician focus group protocols 

approved by OMB for the DRA 5007 

Gainsharing Demonstration. Form 

Number: CMS–10303 (OMB#: 0938– 

1103); Frequency: Once; Affected 

Public: Private sector, business or other 

for profits; Number of Respondents: 288; 

Total Annual Responses: 144; Total 

Annual Hours: 144 (For policy 

questions regarding this collection 

contact William Buczko at 410–786– 

6593. For all other issues call 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 June 30, 2011. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, E-mail: 

oira_submission@omb.eop.gov. 

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31340 Federal Register / Vol. 76, No. 104 / Tuesday, May 31, 2011 / Notices 

Dated: May 25. 2011. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2011–13330 Filed 5–27–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1587–N] 

Medicare Program; Notification of 

Closure of St. Vincent’s Medical Center 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

closure of St. Vincent’s Medical Center 

and the initiation of an application 

process for hospitals to apply to the 

Centers for Medicare & Medicaid 

Services (CMS) to receive St. Vincent’s 

Medical Center’s full time equivalent 

(FTE) resident cap slots. 

DATES: We will consider applications 

received no later than 5 p.m. (e.s.t) 

September 28, 2011 Applications must 

be received, not postmarked, by this 

date. 

FOR FURTHER INFORMATION CONTACT: 

Renate Dombrowski, (410) 786–4645. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 5506 of the Patient Protection 

and Affordable Care Act (Pub. L. 111– 

148), as amended by the Health Care 

and Education Reconciliation Act of 

2010 (Pub. L. 111–152) (collectively, the 

‘‘Affordable Care Act’’), ‘‘Preservation of 

Resident Cap Positions from Closed 

Hospitals,’’ authorizes the Secretary to 

redistribute residency slots after a 

hospital that trained residents in an 

approved medical residency program(s) 

closes. Specifically, section 5506 of the 

Affordable Care Act, amended the 

Social Security Act (the Act), by adding 

subsection (vi) to section 1886(h)(4)(H) 

of the Act and modifying language at 

section 1886(d)(5)(B)(v) of the Act, to 

instruct the Secretary to establish a 

process to increase the full time 

equivalent (FTE) resident caps for other 

hospitals based upon the FTE resident 

caps in teaching hospitals that closed 

‘‘on or after a date that is 2 years before 

the date of enactment’’ (that is, March 

23, 2008). In the November 24, 2010 CY 

2011 Outpatient Prospective Payment 

System (OPPS) final rule (75 FR 72212), 

we established regulations and an 

application process for qualifying 

hospitals to apply to CMS to receive 

direct graduate medical education 

(GME) and indirect medical education 

(IME) FTE resident cap slots from the 

hospital that closed. The procedures we 

established apply both to teaching 

hospitals that closed on or after March 

23, 2008 and on or before August 3, 

2010 and to teaching hospitals that 

closed after August 3, 2010. For 

teaching hospitals that closed on or after 

March 23, 2008 and on or before August 

3, 2010, we established an application 

deadline of April 1, 2011, for a hospital 

to request cap slots from the closed 

hospital(s). We also stated in the 

November 24, 2010 FY 2011 OPPS final 

rule that hospitals that close at any 

point after August 3, 2010 will fall into 

the second category of applications, for 

which we will provide a separate notice 

with a future application deadline (75 

FR 72215). 

II. Provisions of the Notice 

CMS has learned of the closure of 

another teaching hospital that occurred 

after August 3, 2010. The purpose of 

this notice is to notify the public of the 

closure of St. Vincent’s Medical Center, 

provider number 33–0290, in New York 

City. The hospital’s direct GME FTE 

resident cap is 321.11 and the IME FTE 

resident cap is 295.86. St. Vincent’s 

Medical Center was located in corebased statistical area (CBSA) 35644. The 

official date of the termination of the 

Medicare provider agreement, and 

therefore, the date of the closure, is 

October 31, 2010. 

In the November 24, 2010 CY 2011 

OPPS final rule, we stated that the 

application deadline for future hospital 

closures would be 4 months following 

the issuance of that notice to the public 

(75 FR 72215). Therefore, hospitals 

wishing to apply for and receive slots 

from St. Vincent’s Medical Center’s FTE 

resident caps must submit applications 

to the CMS New York Regional Office 

and to the CMS Central Office no later 

than September 28, 2011. Applications 

must be received, not postmarked, by 

this date. 

We refer readers to http:// 

www.cms.gov/AcuteInpatientPPS/ 

06_dgme.asp#TopOfPage to download a 

copy of the CMS Evaluation Form 5506, 

which is the application form that 

hospitals are to use to apply for slots 

under section 5506 of the Affordable 

Care Act. We also refer readers to this 

Web site to access a copy of the CY 2011 

OPPS November 24, 2010 final rule, for 

an explanation of the policy and 

procedures for applying for slots and the 

redistribution of the slots under sections 

1886(h)(4)(H)(vi) and 1886(d)(5)(B)(v) of 

the Act, as provided by section 5506 of 

the Affordable Care Act. The mailing 

addresses for the CMS New York 

Regional Office and to the CMS Central 

Office are included in this application 

form. 

In the November 24, 2010 CY 2011 

OPPS final rule, we did not establish a 

deadline by when CMS would issue the 

final determinations to hospitals that 

receive slots under section 5506 of the 

Affordable Care Act. However, we will 

review all applications received by the 

September 28, 2011 deadline and notify 

applicants of our determinations as soon 

as possible. 

III. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). 

(Catalog of Federal Domestic Assistance 

Program No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: May 19, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–13478 Filed 5–27–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Measurement Development: 

Quality of Caregiver-Child Interactions 

for Infants and Toddlers (Q–CCIIT). 

OMB No.: New collection. 

Description: The Office of Planning, 

Research and Evaluation (OPRE), 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS), is 

proposing to develop a new observation 

measure to assess the quality of child 

care settings, specifically the quality of 

caregiver-child interaction for infants 

and toddlers in nonparental care. The 

measure will be appropriate for use 

across child care settings, center-based 

and family child care settings as well as 

single- and mixed-age classrooms. 

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