Federal Register / Vol. 78, No. 124 / Thursday, June 27, 2013 / Proposed Rules 38679 

material that does not meet the criteria 

set forth in 40 CFR part 227 shall not be 

placed at the site. Disposal operations 

shall be conducted in accordance with 

requirements specified in a Site 

Management and Monitoring Plan 

developed by EPA and USACE, to be 

reviewed periodically, at least every 10 

years. 

(26) Sabine-Neches, TX Dredged 

Material Site D. 

(i) Location: 29°16′22′′ N., 93°43′29′′ 

W.; 29°16′22′′ N., 93°41′10′′ W.; 

29°14′24′′ N., 93°44′10′′ W.; 29°14′24′′ 

N., 93°43′29′′ W.; thence to point of 

beginning. 

(ii) Size: approximately 5.3 square 

miles. 

(iii) Depth: Ranges from 44 to 46 feet. 

(iv) Primary Use: Dredged material. 

(v) Period of Use: Continuing use. 

(vi) Restrictions: Disposal shall be 

limited to dredged material from the 

Sabine-Neches 13.2 mile Extension 

Channel that complies with EPA’s 

Ocean Dumping Regulations. Dredged 

material that does not meet the criteria 

set forth in 40 CFR part 227 shall not be 

placed at the site. Disposal operations 

shall be conducted in accordance with 

requirements specified in a Site 

Management and Monitoring Plan 

developed by EPA and USACE, to be 

reviewed periodically, at least every 10 

years. 

* * * * * 

[FR Doc. 2013–14911 Filed 6–26–13; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 412, 482, 485, and 489 

[CMS–1599–CN] 

RIN 0938–AR53 

Medicare Program; Hospital Inpatient 

Prospective Payment Systems for 

Acute Care Hospitals and the Long 

Term Care Hospital Prospective 

Payment System and Proposed Fiscal 

Year 2014 Rates; Quality Reporting 

Requirements for Specific Providers; 

Hospital Conditions of Participation; 

Corrections 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Proposed rule; correction. 

SUMMARY: This document corrects 

technical and typographical errors in 

the proposed rule that appeared in the 

May 10, 2013 Federal Register titled 

‘‘Medicare Program; Hospital Inpatient 

Prospective Payment Systems for Acute 

Care Hospitals and the Long Term Care 

Hospital Prospective Payment System 

and Proposed Fiscal Year 2014 Rates; 

Quality Reporting Requirements for 

Specific Providers; Hospital Conditions 

of Participation.’’ 

FOR FURTHER INFORMATION CONTACT: Tzvi 

Hefter (410) 786–4487, for corrections 

regarding MS–DRG classifications and 

new technology add-on payments. 

Eva Fung (410) 786–7539, for 

corrections regarding the Hospital 

Readmission Reduction Program 

Hospital and Hospital Inpatient Quality 

Reporting Program. 

William Lehrman (410) 786–1037, for 

corrections regarding the Hospital 

Consumer Assessment of Healthcare 

Providers and Systems (HCAHPS) 

requirements. 

Charles Padgett (410) 786–2811 for 

corrections regarding the Long-Term 

Care Quality Reporting Program. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2013–10234 of May 10, 

2013 (78 FR 27486), there were a 

number of technical errors that are 

identified and corrected in the 

Correction of Errors section of this 

correcting document. 

II. Summary of Errors 

A. Errors in the Preamble 

On page 27514, in our discussion of 

the proposed changes to specific 

Medicare severity diagnosis-related 

group (MS–DRG) classifications, we 

made a typographical error in a section 

heading. 

On page 27545, in our discussion of 

the fiscal year (FY) 2014 applications for 

new technology add-on payments, we 

made inadvertent technical and 

formatting errors in the table regarding 

differences between the Responsive 

Neurostimulator (RNS®) System and 

Deep Brain Stimulator (DBS) and Vagus 

Nerve Stimulator (VNS) Systems (the 

table is titled ‘‘KEY DIFFERENCES 

BETWEEN THE RNS SYSTEM AND 

DBS AND VNS SYSTEMS.’’) 

On pages 27595 and 27596, in our 

discussion of the FY 2014 proposals 

regarding the Hospital Readmission 

Reduction Program, we inadvertently 

provided the incorrect hyperlink to a 

readmissions report. 

On page 27622, in our discussion of 

the Hospital-Acquired Condition (HAC) 

Reduction Program for FY 2015, we 

made a typographical error in the text of 

a footnote. 

On pages 27625 and 27630, in our 

discussion of standardized infection 

ratio (SIR) and healthcare-association 

infections (HAI), we made several 

typographical and technical errors in 

describing the predicted number and 

how the predicted number of events is 

calculated. 

On page 27634, in our discussion of 

Hospital Inpatient Quality Reporting 

Program, we made errors regarding the 

clinical measures set and stratum. 

On page 27699, in our discussion of 

the Hospital Consumer Assessment of 

Healthcare Providers and Systems 

(HCAHPS) requirements, we made an 

error in the timeframe specified for 

obtaining and submitting completed 

surveys. 

On page 27700, in our discussion of 

the Hospital Consumer Assessment of 

Healthcare Providers and Systems 

(HCAHPS) requirements, we made a 

typographical error in referencing the 

Centers for Disease Control and 

Prevention’s National Healthcare Safety 

Network (NHSN). 

On page 27704, in our discussion of 

the HAI measures included in the 

current Hospital IQR validation process, 

we made errors in referencing the 

timeframe for updating the list of the 

common commensals and in the 

hyperlink for the CLABSI Validation 

Template. 

On page 27710, in our discussion of 

the PPS-Exempt Cancer Hospital 

Quality Reporting Program (PCHQR), we 

made a typographical error in 

referencing CDC’s NHSN. 

On page 27714, we inadvertently 

made technical errors in describing 

where the HCHAPS survey, 

methodology, and results can be found. 

On pages 27721, 27722, 27723, 27725, 

27726, 27729, 27730, 27731, 27752, and 

27755, in our discussion regarding the 

LTCHQR Program, we made 

typographical and technical errors in a 

hyperlink and several measure names 

and NQF measure identification 

numbers. We also made errors outlining 

the proposed timeline for submission of 

the LTCHQR quality data for the 

application of NQF #0674 and 

referencing CDC’s NHSN. 

B. Errors in the Addendum 

On page 27810, in our discussion of 

the effects of the proposed 

implementation of the HAC Reduction 

Program, we made inadvertent errors in 

the total number of hospitals that had 

submitted complete data. 

On page 27819, in our discussion of 

the effects of the FY 2014 LTCHQR 

Program, we made several typographical 

errors. 


TKELLEY on DSK3SPTVN1PROD with PROPOSALS
38680 Federal Register / Vol. 78, No. 124 / Thursday, June 27, 2013 / Proposed Rules 

III. Correction of Errors 

In FR Doc. 2013–10234 of May 10, 

2013 (78 FR 27486), make the following 

corrections: 

A. Corrections of Errors in the Preamble 

1. On page 27514, first column, 

paragraph 3, heading ‘‘a. Endoscopic 

Placement of a Bronchial Value’’ is 

corrected to read ‘‘a. Endoscopic 

Placement of a Bronchial Valve’’. 

2. On page 27545, the top of the page, 

the table titled ‘‘KEY DIFFERENCES 

BETWEEN THE RNS SYSTEM AND 

DBS AND VNS SYSTEMS’’ is corrected 

as follows: 

KEY DIFFERENCES BETWEEN THE RNS® SYSTEM AND DBS AND VNS SYSTEMS

RNS® system Deep brain stimulator 

(DBS) 

Vagus nerve stimulator 

(VNS) 

Type of stimulation ....................... Closed loop: responsive ......................................... Open loop: scheduled.

Stimulation time/day ..................... About 5 minutes ..................................................... Hours—Continuous. 

Stimulation target .......................... Cortical; varies according to seizure focus ............ Deep brain nuclei ............. Ascending vagus nerve. 

Neurostimulator ............................ Cranially implanted ................................................. Subcutaneously (pectorally) implanted. 

Programming changes ................. According to clinical and electrographic response According to clinical response. 

Information from device ................ Device data, detections, stimulations and 

electrocorticograms.

Device data. 

Physician data review ................... At time of programming as well as online access 

to stored data.

At time of programming. 

3. On page 27595, 

a. Second column, first partial 

paragraph, lines 4 through 8, the 

hyperlink, ‘‘http://www.cms.gov/ 

Medicare/Quality-Initiatives-PatientAssessment-Instruments/ 

Hospital_QualityInits/MeasureMethodology.html.’’ is corrected to read 

‘‘http://www.cms.gov/Medicare/QualityInitiatives-Patient-AssessmentInstruments/HospitalQualityInits/ 

Measure-Methodology.html.’’. 

b. Third column, third full paragraph, 

lines 10 through 13, the hyperlink, 

‘‘http://www.cms.gov/Medicare/QualityInitiatives-Patient-AssessmentInstruments/Hospital_QualityInits/ 

Measure-Methodology.html.’’ is 

corrected to read ‘‘http://www.cms.gov/ 

Medicare/Quality-Initiatives-PatientAssessment-Instruments/ 

HospitalQualityInits/MeasureMethodology.html.’’. 

4. On page 27596, first column, first 

partial paragraph, lines 10 through 14, 

the parenthetical hyperlink, ‘‘(http:// 

www.cms.gov/Medicare/QualityInitiatives-Patient-AssessmentInstruments/Hospital_QualityInits/ 

Measure-Methodology.html).’’ is 

corrected to read ‘‘(http://www.cms.gov/ 

Medicare/Quality-Initiatives-PatientAssessment-Instruments/ 

HospitalQualityInits/MeasureMethodology.html).’’ 

5. On page 27622, second column, last 

paragraph (footnote 53), line 8, the 

parenthetical figure, ‘‘(140.9).’’ is 

corrected to read ‘‘(140.6).’’. 

6. On page 27625, 

a. Second column, first full paragraph, 

(1) Line 22, the phrase, ‘‘based on 

quarterly reporting.’’ is corrected to read 

‘‘based on quarterly and annual 

reporting.’’ 

(2) Line 45, the figure, ‘‘1.000’’ is 

corrected to read ‘‘1,000’’. 

b. Third column, first partial 

paragraph, line 1, the phrase ‘‘predicted 

HAI events to reduce’’ is corrected to 

read ‘‘predicted HAI events to produce’’. 

7. On page 27630, first column, first 

full paragraph, 

a. Lines 2 and 3, the phrase ’’ the 

facility have >1 predicted HAI event’’ is 

corrected to read ‘‘the facility to have a 

≥ 1 predicted HAI event’’. 

b. Lines 5 and 6, the phrase, ‘‘national 

HAI rate and the observed number of 

the specific HAIs.’’ is corrected to read 

‘‘national HAI rates and denominator 

counts (that is, number of device days, 

procedure days, or patient days 

depending on the HAI).’’. 

8. On page 27634, first column, first 

partial paragraph, 

a. Lines 15 through 17, the phrase 

‘‘chart-abstracted information for the 

full 41⁄2 months following the last 

discharge date in a calendar quarter.’’ is 

corrected to read, ‘‘the chart-abstracted 

information for the full 41⁄2 months 

following the end of a calendar 

quarter.’’. 

b. Lines 18 and 19, the phrase ‘‘the 

first discharge day of any reporting 

quarter.’’ is corrected to read ‘‘the first 

day of any reporting quarter.’’ 

c. Lines 32 and 33, the phrase 

‘‘denominator, and percentage of total 

for each Clinical Measure Set and 

Stratum.’’ is corrected to read 

‘‘denominator, and calculated SIR for 

each HAI stratum.’’. 

d. Lines 35 and 36, the phrase, 

‘‘performance on each measure set/ 

stratum ’’ is corrected to read 

‘‘performance on each HAI stratum’’. 

e. Lines 41 through 45, the phrase, 

‘‘view their percentage of total, or 

measure rate, on each Clinical Measure 

Set/Strata for use in both the Hospital 

IQR Program and the HAC Reduction 

Program.’’ is corrected to read ‘‘view 

their calculated SIR on each HAI 

stratum for use in both the Hospital IQR 

Program and the HAC Reduction 

Program.’’. 

f. Lines 55 through 59, the phrase, 

‘‘measure rates for chart-abstracted 

measures as specified, they would have 

no further opportunity to correct such 

data or measure rates.’’ is corrected to 

read ‘‘measure SIRs for chart-abstracted 

measures as specified, they would have 

no further opportunity to correct such 

data or measure SIRs.’’. 

9. On page 27699, third column, last 

paragraph, lines 5 and 6, the phrase, 

‘‘rolling quarter period.’’ is corrected to 

read ‘‘rolling four quarter period.’’. 

10. On page 27700, in the table, the 

phrase, ‘‘CDC/NHSN’’ is corrected to 

read ‘‘CDC’s NHSN’’. 

11. On page 27704, second column, 

first partial paragraph, 

a. Lines 1 through 3, the phrase ‘‘list 

is frequently updated, but the link 

containing updates is currently out of 

date.’’ is corrected to read ‘‘list is 

updated annually.’’. 

b. Lines 8 through 10, the sentence 

‘‘At present that list may be found at: 

http://www.cdc.gov/nhsn/acute-careVerDate Mar<15>2010 16:41 Jun 26, 2013 Jkt 229001 PO 00000 Frm 00073 Fmt 4702 Sfmt 4702 E:\FR\FM\27JNP1.SGM 27JNP1

TKELLEY on DSK3SPTVN1PROD with PROPOSALS
Federal Register / Vol. 78, No. 124 / Thursday, June 27, 2013 / Proposed Rules 38681 

hospital/clabsi/index.html.’’ is corrected 

to read ‘‘The current list may be found 

at: http://www.cdc.gov/nhsn/XLS/ 

master-organism-Com-CommensalsLists.xlsx.’’. 

12. On 27710, second column, second 

full paragraph, lines 5 and 6, the phrase, 

‘‘two CDC/NHSN-based’’ is corrected to 

read ‘‘two of the CDC’s NHSN-based’’. 

13. On 27714, third column, second 

full paragraph, lines 10 through 12, the 

sentence, ‘‘The survey, its methodology 

and the results it produces are available 

on Hospital Compare.’’ is corrected to 

read ‘‘The survey and its methodology 

are available on the HCAHPS On-Line 

Web site located at: http:// 

www.hcahpsonline.org and the survey 

results are available on the Hospital 

Compare Web site at http:// 

www.hospitalcompare.hhs.gov.’’. 

14. On page 27721, lower third of the 

page, third column, partial paragraph, 

lines 5 and 6, the hyperlink ‘‘http:// 

www.cdc.gov/flu/about/season/fluseason-2012–2013.htm’’ is corrected to 

read ‘‘http://www.cdc.gov/flu/ 

pastseasons/1213season.htm.’’ 

15. On page 27723, top of the page, 

lines 2 and 3, in the table heading that 

begins ‘‘PROPOSED TIMELINE FOR 

SUBMISSION OF LTCHQR,’’ the phrase 

‘‘ASSESSED AND APPROPRIATELY 

GIVE’’ is corrected to read ‘‘ASSESSED 

AND APPROPRIATELY GIVEN’’. 

16. On page 27725, first column, first 

full paragraph, 

a. Lines 1 and 2 the phrase ‘‘CDC/ 

NHSN’’ is corrected to read ‘‘CDC’s 

NHSN.’’. 

b. Lines 5 and 6, the phrase ‘‘CDC/ 

NHSN’’ is corrected to read ‘‘CDC’s 

NHSN.’’ 

c. Line 27 the phrase ‘‘CDC/NHSN’’ is 

corrected to read ‘‘CDC’s NHSN.’’ 

17. On page 27726, first column, 

a. First partial paragraph, lines 3 and 

4, the phrase ‘‘CDC/NHSN’’ is corrected 

to read ‘‘CDC’s NHSN.’’ 

b. First full paragraph, 

(1) Lines 1and 2 the phrase, ‘‘CDC/ 

NHSN’’ is corrected to read ‘‘CDC’s 

NHSN’’. 

(2) Lines 6 and 7, the phrase, ‘‘CDC/ 

NHSN’’ is corrected to read ‘‘CDC’s 

NHSN’’. 

(3) Line 30, the phrase, ‘‘CDC/NHSN’’ 

is corrected to read ‘‘CDC’s NHSN’’. 

18. On page 27729, second column, 

fourth paragraph, lines 3 and 4, the 

phrase ‘‘Percent of Nursing Home 

Residents Experiencing’’ is corrected to 

read ‘‘Percent of Residents 

Experiencing’’. 

19. On page 27730, lower third of the 

page, third column, partial paragraph 

(between the tables), line 3, the phrase 

‘‘CDC/NHSN’’ is corrected to read 

‘‘CDC’s NHSN.’’ 

20. On page 27731, 

a. First column, first paragraph, 

(1) Line 28, the term ‘‘subseqeuent’’ is 

corrected to read ‘‘subsequent.’’ 

(2) Line 32, the phrase ‘‘CDC/NHSN’’ 

is corrected to read ‘‘CDC’s NHSN.’’ 

b. Third column, 

(1) In the first table titled ‘‘TIMELINE 

FOR DATA COLLECTION OF LTCHQR 

PROGRAM QUALITY DATA FOR THE 

FY 2016 PAYMENT 

DETERMINATION,’’ the listed entries 

for Column 1 (NQF measure ID) are 

corrected to read as follows: 

NQF measure ID 

NQF #0680** 

NQF #0431** 

(2) In the last table titled ‘‘PROPOSED 

TIMELINE FOR SUBMISSION OF 

LTCHQR PROGRAM QUALITY DATA 

FOR THE FY 2016 PAYMENT 

DETERMINATION AND SUBSEQUENT 

PAYMENT DETERMINATIONS: NQF 

#0680 PERCENTAGE OF RESIDENTS 

OR PATIENTS WHO WERE ASSESSED 

AND APPROPRIATELY GIVEN THE 

SEASONAL INFLUENZA VACCINE 

(SHORT STAY), the table is corrected to 

read as follows: 

PROPOSED TIMELINE FOR SUBMISSION

OF LTCHQR PROGRAM QUALITY

DATA FOR THE FY 2016 PAYMENT

DETERMINATION AND SUBSEQUENT

PAYMENT DETERMINATIONS: NQF 

#0680 PERCENTAGE OF RESIDENTS

OR PATIENTS WHO WERE ASSESSED

AND APPROPRIATELY GIVEN THE

SEASONAL INFLUENZA VACCINE

(SHORT STAY) 

Data collection 

timeframe Submission deadline 

Q2 (April–June 2014) August 15, 2014. 

Q3 (July–September 

2014).

November 15, 2014. 

Q4 (October–December 2014).February 15, 2015. 

21. On page 27733, first column, first 

table, in the table titled ‘‘PROPOSED 

TIMELINE FOR SUBMISSION OF 

LTCHQR PROGRAM QUALITY DATA 

FOR THE FY 2018 PAYMENT 

DETERMINATION—Continued,’’ first 

column of the table (NQF measure ID), 

last line, the entry ‘‘NQF #0674’’ is 

corrected to read ‘‘Application of NQF 

#0674’’. 

22. On page 27752, first column, 

a. First partial paragraph, line 15, the 

term ‘‘subseqeuent’’ is corrected to read 

‘‘subsequent’’. 

b. First full paragraph, line 6 and 7, 

the phrase ‘‘CDC/NHSN’’ is corrected to 

read ‘‘CDC’s NHSN’’. 

23. On page 27755, first column, 

a. Second full paragraph, line 2, the 

phrase ‘‘NQF #0674 Percent of’’ is 

corrected to read ‘‘Application of NQF 

#0674 Percent of’’. 

b. Third full paragraph, 

(1) Line 6, the parenthetical phrase 

‘‘(NQF #0674)’’ is corrected to read 

‘‘(Application of NQF #0674)’’. 

(2) Lines 11 and 12, the phrase ‘‘the 

inclusion of the Percent of Residents’’ is 

corrected to read ‘‘the inclusion of the 

Application of the Percent of 

Residents’’. 

B. Corrections of Errors in the 

Addendum 

1. On page 27810, first column, 

second full paragraph, 

a. Line 1, the figure ‘‘3,435’’ is 

corrected to read ‘‘3,445’’. 

b. Line 3, the figure ‘‘3,435’’ is 

corrected to read ‘‘3,445’’. 

2. On page 27819, 

a. Second column, third full 

paragraph, line 27, the term 

‘‘sunsequent’’ is corrected to read 

‘‘subsequent’’. 

b. Third column, first paragraph, lines 

3 and 4, the hyperlink ‘‘(http:// 

www.qualityforum.org/projects/patient 

safety measures.aspx)’’ is corrected to 

read ‘‘(http://www.qualityforum.org/ 

projects/patient_safety

_measures.aspx)’’. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: June 21, 2013. 

Jennifer M. Cannistra, 

Executive Secretary to the Department, 

Department of Health and Human Services. 

[FR Doc. 2013–15321 Filed 6–21–13; 4:15 pm] 

BILLING CODE 4120–01–P 


TKELLEY on DSK3SPTVN1PROD with PROPOSALS