Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices 53137 

Dated: August 19, 2011. 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–21738 Filed 8–24–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Board of Scientific Counselors, 

National Center for Health Statistics, 

(BSC, NCHS) 

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 following meeting of the 

aforementioned committee: 

Times and Dates: 

11 a.m.–5:30 p.m., September 22, 2011. 

8:30 a.m.–2 p.m., September 23, 2011. 

Place: NCHS Headquarters, 3311 Toledo 

Road, Hyattsville, Maryland 20782. 

Status: This meeting is open to the public; 

however, visitors must be processed in 

accordance with established federal policies 

and procedures. For foreign nationals or nonUS citizens, pre-approval is required (please 

contact Althelia Harris, (301)458–4261, 

adw1@cdc.gov or Virginia Cain, 

vcain@cdc.gov at least 10 days in advance for 

requirements). All visitors are required to 

present a valid form of picture identification 

issued by a state, federal or international 

government. As required by the Federal 

Property Management Regulations, Title 41, 

Code of Federal Regulation, Subpart 101– 

20.301, all persons entering in or on Federal 

controlled property and their packages, 

briefcases, and other containers in their 

immediate possession are subject to being xrayed and inspected. Federal law prohibits 

the knowing possession or the causing to be 

present of firearms, explosives and other 

dangerous weapons and illegal substances. 

The meeting room accommodates 

approximately 100 people. 

Purpose: This committee is charged with 

providing advice and making 

recommendations to the Secretary, 

Department of Health and Human Services; 

the Director, CDC; and the Director, NCHS, 

regarding the scientific and technical 

program goals and objectives, strategies, and 

priorities of NCHS. 

Matters To Be Discussed: The agenda will 

include welcome remarks by the Director, 

NCHS; update on the Health Indicators 

Warehouse; update on program reviews; 

discussion of the NHANES program, plans 

for the NHIS for 2012 and beyond and an 

open session for comments from the public. 

Requests to make oral presentations should 

be submitted in writing to the contact person 

listed below. All requests must contain the 

name, address, telephone number, and 

organizational affiliation of the presenter. 

Written comments should not exceed five 

single-spaced typed pages in length and must 

be received by September 12, 2011. 

The agenda items are subject to change as 

priorities dictate. 

Contact Person for More Information: 

Virginia S. Cain, PhD, Director of Extramural 

Research, NCHS/CDC, 3311 Toledo Road, 

Room 7208, Hyattsville, Maryland 20782, 

Telephone (301) 458–4500, Fax (301) 458– 

4020. 

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. 

Date: August 17, 2011. 

Elizabeth Millington, 

Acting Director, Management Analysis and 

Services Office, Centers for Disease Control 

and Prevention. 

[FR Doc. 2011–21742 Filed 8–24–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5504–N] 

Bundled Payments for Care 

Improvement Initiative: Request for 

Applications 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces a 

request for applications for 

organizations to participate in one or 

more of the initial four models under 

the Bundled Payments for Care 

Improvement initiative beginning in 

2012. 

DATES: Letter of Intent Submission 

Deadlines: Interested organizations must 

submit a nonbinding letter of intent by 

September 22, 2011 for Model 1 and 

November 4, 2011 for Models 2 through 

4 as described on the CMS Innovation 

Center Web site http:// 

www.innovations.cms.gov/areas-offocus/patient-care-models/bundledpayments-for-care-improvement.html. 

For applicants wishing to receive 

historical Medicare claims data in 

preparation for Models 2 through 4, a 

separate research request packet and 

data use agreement must be filed in 

conjunction with the Letter of Intent. 

Application Submission Deadlines: 

Applications must be received on or 

before October 21, 2011 for Model 1 and 

March 15, 2012 for Models 2 through 4. 

ADDRESSES: Letter of Intents and 

Applications should be submitted 

electronically in searchable PDF format 

via encrypted e-mail to the following email address by the date specified in the 

DATES section of this notice: 

BundledPayments@cms.hhs.gov. 

Applications and appendices will only 

be accepted via e-mail. 

FOR FURTHER INFORMATION CONTACT: 

BundledPayments@cms.hhs.gov for 

questions regarding the application 

process of the Bundled Payments for 

Care Improvement initiative. 

SUPPLEMENTARY INFORMATION: 

I. Background 

We are committed to achieving the 

three-part aim of better health, better 

health care, and reduced expenditures 

through continuous improvement for 

Medicare, Medicaid and Children’s 

Health Insurance Program (CHIP) 

beneficiaries. Beneficiaries can 

experience improved health outcomes 

and patient experience when health care 

providers work in a coordinated and 

patient-centered manner. To this end, 

we are interested in partnering with 

providers who are working to redesign 

patient care to deliver these aims. 

Episode payment approaches that 

reward providers who take 

accountability for the three-part aim at 

the level of individual patient care for 

an episode are potential mechanisms for 

developing these partnerships. 

In order to provide a flexible and farreaching approach towards episodebased care improvement, we are seeking 

proposals from health care providers 

who wish to align incentives between 

hospitals, physicians, and nonphysician 

practitioners in order to better 

coordinate care throughout an episode 

of care. This Bundled Payment for Care 

Improvement initiative request for 

applications (RFA) will test episodebased payment for acute care and 

associated post-acute care, using both 

retrospective and prospective bundled 

payment methods. The RFA requests 

applications to test models centered 

around acute care; these models will 

inform the design of future models, 

including care improvement for chronic 

conditions. For more details, see the 

RFA which is available on the 

Innovation Center Web site at http:// 

www.innovations.cms.gov/areas-offocus/patient-care-models/bundledpayments-for-care-improvement.html. 

II. Provisions of the Notice 

Consistent with its authority under 

section 1115A of the Social Security Act 

(of the Act), as added by section 3021 

of the Affordable Care Act, to test 


srobinson on DSK4SPTVN1PROD with NOTICES
53138 Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices 

innovative payment and service 

delivery models that reduce spending 

under Medicare, Medicaid, or CHIP, 

while preserving or enhancing the 

quality of care, the Innovation Center 

aims to achieve the following goals 

through implementation of the Bundled 

Payments for Care Improvement 

initiative: 

• Improve care coordination, patient 

experience, and accountability in a 

patient centered manner. 

• Support and encourage providers 

who are interested in continuously 

reengineering care to deliver better care, 

better health, at lower costs through 

continuous improvement. 

• Create a virtuous cycle that leads to 

continually decreasing the cost of an 

acute or chronic episode of care while 

fostering quality improvement. 

• Develop and test payment models 

that create extended accountability for 

better care, better health at lower costs 

for acute and chronic medical care. 

• Shorten the cycle time for adoption 

of evidence-based care. 

• Create environments that stimulate 

rapid development of new evidencebased knowledge. 

The models to be tested based on 

applications to the RFA are as follows: 

• Model 1: Retrospective payment 

models around the acute inpatient 

hospital stay only. 

• Model 2: Retrospective bundled 

payment models for hospitals, 

physicians, and post-acute providers for 

an episode of care consisting of an 

inpatient hospital stay followed by postacute care. 

• Model 3: Retrospective bundled 

payment models for post-acute care 

where the episode does not include the 

acute inpatient hospital stay. 

• Model 4: Prospectively 

administered bundled payment models 

for the acute inpatient hospital stay 

only, such as prospective bundled 

payment for hospitals and physicians 

for an inpatient hospital stay 

Organizations are invited to submit 

proposals that define episodes of care in 

one or more of these four models. 

Proposals should demonstrate care 

improvement processes and 

enhancements such as reengineered care 

pathways using evidence-based 

medicine, standardized care using 

checklists, and care coordination. All 

models must encourage close 

partnerships among all of the providers 

caring for patients through the episode. 

Applicants must demonstrate robust 

quality monitoring and protocols to 

ensure beneficiary quality protection. 

Under all models, applicants must 

provide Medicare with a discount on 

Medicare fee-for-service expenditures. 

Bundled Payments for Care 

Improvement agreements will include a 

performance period of 3 years, with the 

possibility of extending an additional 2 

years, beginning with the respective 

program date. The program start date 

may be as early as the first quarter of CY 

2012 for awardees in Model 1. 

III. Collection of Information 

Requirements 

Section 1115A(d) of the Act waives 

the requirements of the Paperwork 

Reduction Act of 1995 for the 

Innovation Center for purposes of 

testing new payment and service 

delivery models. 

Authority: 44 U.S.C. 3101. 

Dated: August 17, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–21707 Filed 8–23–11; 11:15 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Substance Abuse and 

Mental Health Services Administration 

(SAMHSA) will publish a summary of 

information collection requests under 

OMB review, in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

documents, call the SAMHSA Reports 

Clearance Officer on (240) 276–1243. 

Project: National Child Traumatic 

Stress Initiative (NCTSI) Evaluation— 

(OMB No. 0930–0276)—Revision 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA), Center for Mental Health 

Services (CMHS), will conduct the 

National Child Traumatic Stress 

Initiative (NCTSI) Evaluation. This 

evaluation serves multiple practical 

purposes: (1) To collect and analyze 

descriptive, outcome, and service 

experience information about the 

children and families served by the 

NCTSI centers; (2) to assess the NCTSI’s 

impact on access to high-quality, 

trauma-informed care; (3) to evaluate 

NCTSI centers’ training and 

consultation activity designed to 

promote evidence-based, traumainformed services and the impact of 

such activity on child-serving systems; 

and (4) to assess the sustainability of the 

grant-funded activities to improve 

access to and quality of care for traumaexposed children and their families 

beyond the grant period. 

Data will be collected from caregivers 

and youth served by NCTSI centers, 

NCTSI and non-NCTSI administrators, 

NCTSI trainers, service providers 

trained by NCTSI centers and other 

training participants, administrators of 

mental health and non-mental health 

professionals from state and national 

child-serving organizations, and 

administrators of affiliate centers. Data 

collection will take place in all 

Community Treatment and Services 

Programs (CTS) and Treatment and 

Service Adaptation Centers (TSA) active 

during the three-year approval period. 

Currently, there are 45 CTS centers and 

17 TSA centers active (i.e., 62 active 

centers). After the first year, in 

September 2011, the 15 grantees funded 

in 2007 will reach the end of their data 

collection. At that point, additional 

centers may be funded or funded again. 

Because of this variability, the estimate 

of 62 centers is used to calculate 

burden. 

The NCTSI Evaluation is composed of 

four distinct study components, each of 

which involves data collection, which 

are described below. 

Descriptive and Clinical Outcomes 

In order to describe the children 

served, their trauma histories and their 

clinical and functional outcomes, nine 

instruments will be used to collect data 

from children and adolescents who are 

receiving services in the NCTSI, and 

from caregivers of all children who are 

receiving NCTSI services. Data will be 

collected when the child/youth enters 

services and during subsequent followup sessions at three-month intervals 

over the course of one year. This study 

relies upon the use of data already being 

collected as a part of the Core Data Set, 

and includes the following instruments: 

• The Core Clinical Characteristics 

Form, which collects demographic, 

psychosocial and clinical information 

about the child being served including 

information about the child’s domestic 

environment and insurance status, 

indicators of the severity of the child’s 

problems, behaviors and symptoms, and 

use of non-Network services; 

• The Trauma Information/Detail 

Form, which collects information on the 

history of trauma(s) experienced by the 

child served by the NCTSI center 

including the type of trauma 

experienced, the age at which the 

trauma was experienced, type of 

exposure, whether or not the trauma is 

chronic, and the setting and 


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