Federal Register / Vol. 76, No. 185 / Friday, September 23, 2011 / Notices 59133 

ESTIMATED ANNUALIZED BURDEN TABLE—Continued 

Instrument 

Annual 

number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden hours 

per response 

Total annual 

burden hours 

Average 

hourly wage of 

respondents 

Total annual 

burden cost 

Focus group guide for youth participants (10) .................................... 100 1 1 .5 150 NA 0 

Totals ....................................... 310 ........................ .......................... 420 ........................ $5,300 

Keith Tucker, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–24443 Filed 9–22–11; 8:45 am] 

BILLING CODE 4150–30–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Disease, Disability, and Injury 

Prevention and Control Special 

Emphasis Panel (SEP): Initial Review 

The meeting announced below 

concerns Human Immunodeficiency 

Virus (HIV) Prevention Projects for 

Young Men of Color Who Have Sex with 

Men and Young Transgender Persons of 

Color, Funding Opportunity 

Announcement (FOA) PS11–1113, 

initial review. 

In accordance with Section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC) 

announces the aforementioned meeting: 

Time and Date: 1 p.m.–3 p.m., October 3, 

2011 (Closed). 

Place: CDC, Corporate Square, Building 8, 

Room 3015, Atlanta, Georgia 30329, 

Telephone: (877) 691–5831. 

Status: The meeting will be closed to the 

public in accordance with provisions set 

forth in Section 552b(c)(4) and (6), Title 5 

U.S.C., and the Determination of the Director, 

Management Analysis and Services Office, 

CDC, pursuant to Public Law 92–463. 

Matters To Be Discussed: The meeting will 

include the initial review, discussion, and 

evaluation of an application received in 

response to ‘‘HIV Prevention Projects for 

Young Men of Color Who Have Sex with Men 

and Young Transgender Persons of Color, 

FOA PS11–1113.’’ This meeting will be 

subsequent to the July 10–13, 2011, and the 

July 22, 2011, meetings published in the 

Federal Register on February 22, 2011, 

Volume 76, Number 35, Pages 9785–9786 

and July 7, 2011, Volume 76, Number 130, 

Page 39879. An application submitted via 

http://www.grants.gov within the specified 

timeframe was not reviewed during the 

initial review period; therefore, the 

application requires review. 

Contact Person for More Information: 

Harriette Lynch, Public Health Analyst, 

Extramural Programs, National Center for 

HIV, Hepatitis and Sexually Transmitted 

Diseases Prevention, CDC, 1600 Clifton Road, 

NE., Mailstop E–60, Atlanta, Georgia 30333, 

Telephone: (404) 498–2726, E-mail: 

HLynch@cdc.gov. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities, for 

both the Centers for Disease Control and 

Prevention, and the Agency for Toxic 

Substances and Disease Registry. 

Dated: September 20, 2011. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2011–24667 Filed 9–22–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Subcommittee on Dose 

Reconstruction Reviews (SDRR), 

Advisory Board on Radiation and 

Worker Health (ABRWH or the 

Advisory Board), National Institute for 

Occupational Safety and Health 

(NIOSH); Notice of Cancellation 

This notice was published in the 

Federal Register on September 8, 2011, 

Volume 76, Number 174, page 55678. 

This meeting, scheduled to convene on 

September 29, 2011, is canceled due to 

scheduling conflict arising for the 

Subcommittee chair. Notice will be 

provided when the meeting is 

rescheduled in accordance with section 

10(a)(2) of the Federal Advisory 

Committee Act (Pub. L. 92–463). 

Contact Person for More Information: 

Theodore M. Katz, M.P.A., Designated 

Federal Officer, NIOSH, CDC, 1600 

Clifton Road, NE. Mailstop: E–20, 

Atlanta, Georgia 30333, Telephone: 

(513) 533–6800, Toll Free: 1–800–CDC– 

INFO, E-mail: ocas@cdc.gov. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities, for both the 

Centers for Disease Control and 

Prevention, and the Agency for Toxic 

Substances and Disease Registry. 

Dated: September 16, 2011. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2011–24541 Filed 9–22–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10102] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

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 & Medicaid 

Services (CMS) 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. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: National 

Implementation of Hospital Consumer 


sroberts on DSK5SPTVN1PROD with NOTICES
59134 Federal Register / Vol. 76, No. 185 / Friday, September 23, 2011 / Notices 

Assessment of Healthcare Providers and 

Systems (HCAHPS); Use: The HCAHPS 

(Hospital Consumer Assessment of 

Healthcare Providers and Systems) 

survey is the first national, 

standardized, publicly reported survey 

of patients’ perspectives of hospital 

care. HCAHPS (pronounced ‘‘H-caps’’), 

also known as the CAHPS® Hospital 

Survey, is a survey instrument and data 

collection methodology for measuring 

patients’ perceptions of their hospital 

experience. While many hospitals have 

collected information on patient 

satisfaction for their own internal use, 

until HCAHPS there was no national 

standard for collecting and publicly 

reporting information about patient 

experience of care that allowed valid 

comparisons to be made across hospitals 

locally, regionally and nationally. 

Three broad goals have shaped 

HCAHPS. First, the survey is designed 

to produce data about patients’ 

perspectives of care that allow objective 

and meaningful comparisons of 

hospitals on topics that are important to 

consumers. Second, public reporting of 

the survey results creates new 

incentives for hospitals to improve 

quality of care. Third, public reporting 

serves to enhance accountability in 

health care by increasing transparency 

of the quality of hospital care provided 

in return for the public investment. 

With these goals in mind, the Centers 

for Medicare & Medicaid Services (CMS) 

has taken substantial steps to assure that 

the survey is credible, useful, and 

practical. Hospitals implement HCAHPS 

under the auspices of the Hospital 

Quality Alliance (HQA), a private/ 

public partnership that includes major 

hospital and medical associations, 

consumer groups, measurement and 

accrediting bodies, government, and 

other groups that share an interest in 

improving hospital quality. Both the 

HQA and the National Quality Forum 

have endorsed HCAHPS. 

The enactment of the Deficit 

Reduction Act of 2005 created an 

additional incentive for acute care 

hospitals to participate in HCAHPS. 

Since July 2007, hospitals subject to the 

Inpatient Prospective Payment System 

(IPPS) annual payment update 

provisions (‘‘subsection (d) hospitals’’) 

must collect and submit HCAHPS data 

in order to receive their full IPPS annual 

payment update. IPPS hospitals that fail 

to publicly report the required quality 

measures, which include the HCAHPS 

survey, may receive an annual payment 

update that is reduced by 2.0 percentage 

points. Non-IPPS hospitals, such as 

Critical Access Hospitals, may 

voluntarily participate in HCAHPS. 

The Patient Protection and Affordable 

Care Act of 2010 (Pub. L. 111–148) 

includes HCAHPS among the measures 

to be used to calculate value-based 

incentive payments in the Hospital 

Value-Based Purchasing program, 

beginning with discharges in October 

2012. 

Currently the HCAHPS survey asks 

discharged patients 27 questions about 

their recent hospital stay. The survey 

contains 18 core questions about critical 

aspects of patients’ hospital experiences 

(communication with nurses and 

doctors, the responsiveness of hospital 

staff, the cleanliness and quietness of 

the hospital environment, pain 

management, communication about 

medicines, discharge information, 

overall rating of hospital, and would 

they recommend the hospital). The 

survey also includes four items to direct 

patients to relevant questions, three 

items to adjust for the mix of patients 

across hospitals, and two items that 

support Congressionally-mandated 

reports. 

This revision is being submitted in 

order to add five new items to the 

survey: Three items that comprise a 

Care Transitions composite; one item 

that asks whether the patient was 

admitted through the emergency room; 

and one item that asks about the 

patient’s overall mental health. This 

marks the first addition of items to the 

HCAHPS Survey since its national 

implementation in 2006. Form Number: 

CMS–10102 (OCN: 0938–0981); 

Frequency: Occasionally; Affected 

Public: Individuals or Households, 

Private Sector—Business or other forprofits and not-for-profit institutions. 

Number of Respondents: 2,713,812; 

Total Annual Responses: 2,713,812; 

Total Annual Hours: 365,136. (For 

policy questions regarding this 

collection contact William Lehrman at 

410–786–1037. 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 Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, 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 November 22, 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: September 20, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–24522 Filed 9–22–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2375–FN] 

Medicare and Medicaid Programs; 

Approval of the Joint Commission’s 

Continued Deeming Authority for 

Critical Access Hospitals 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final notice. 

SUMMARY: This notice announces our 

decision to approve the Joint 

Commission for continued recognition 

as a national accreditation program for 

critical access hospitals (CAHs) seeking 

to participate in the Medicare or 

Medicaid programs. 

DATES: Effective Date: This final notice 

is effective November 21, 2011 through 

November 21, 2017. 

FOR FURTHER INFORMATION CONTACT: 

L. Tyler Whitaker, (410) 786–5236. 

Patricia Chmielewski, (410) 786–6899. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive covered 

services in a critical access hospital 

(CAH) provided certain requirements 

are met. Sections 1820(c)(2)(B) and 

1861(mm) of the Social Security Act 

(the Act) establish distinct criteria for 

facilities seeking designation as a CAH. 

The minimum requirements that a CAH 

must meet to participate in Medicare are 

set forth in regulations at 42 CFR part 


sroberts on DSK5SPTVN1PROD with NOTICES