Federal Register / Vol. 79, No. 144 / Monday, July 28, 2014 / Notices 43747 

Background and Brief Description 

The mission of the National Institute 

for Occupational Safety and Health 

(NIOSH) is to promote safety and health 

at work for all people through research 

and prevention. 

High rates of traumatic injury are 

associated with the use of older tractors 

that are not equipped with rollover 

protective structures (ROPS), which 

have been proven to reduce tractorrollovers, a leading cause of injury to 

agricultural workers. To reduce the 

incidence of traumatic injury among 

farm workers, NIOSH proposes to 

administer stated-preference 

questionnaires designed to assess 

preference among a group of tractorparts dealers in Pennsylvania, New 

York, New Hampshire and Vermont, 

who have membership in the Northeast 

Equipment Dealers’ Association 

(NEDA). NEDA is a trade group for 

tractor parts dealers and is active in 12 

States in the Northeast and Mid-Atlantic 

States. This information will be used to 

assess the impediments and barriers to 

adoption, as well as the incentives, for 

the distribution and sale of ROPS. 

ROPS are generally provided to end 

users by tractor parts dealers, who 

constitute distribution channel 

intermediaries between the 

manufacturer and the consumer. 

However, little is known about the 

decision processes that tractor parts 

dealers follow in deciding whether or 

not to provide ROPS to end users. The 

current project will generate ranking 

scores for the importance given to 

various items of concern to tractor parts 

dealers; these most-important items 

were previously developed through 

review of relevant research studies. 

CDC proposes to collect customized 

information, from 520 NEDA 

establishments, over a one-month 

period. This information will be of three 

kinds: 1. General screening information 

as to the appropriateness of 

administering a survey to the 

respondent organization; 2. Limited 

respondent perception of the 

demographic characteristics on the 

client base served by the NEDA 

establishment, and 3. Importance 

ranking of attributes of the process of 

providing ROPS, or the ROPS 

configuration itself. 

This information will allow CDC to 

compile a systematic, quantifiable 

inventory of preference data for a group 

that is considered representative of 

tractor parts dealers nationwide. It will 

also allow CDC to develop 

recommendations for overcoming the 

barriers that have compromised the 

effectiveness of occupational health and 

safety programs. 

The total estimated burden for the 

one-time retrospective data collection is 

43 hours as indicated in the table below. 

The average burden per response is 5 

minutes. There are no costs to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs) 

Tractor Parts Dealers ....................... ROPS Questionnaire for Tractor Parts Dealers ........... 520 1 5/60 

Leroy Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2014–17651 Filed 7–25–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3296–NC] 

RIN 0938–ZB14 

Medicare Program; Evaluation Criteria 

and Standards for Beneficiary and 

Family Centered Care Quality 

Improvement Organization Contract 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with comment period. 

SUMMARY: This notice with comment 

period describes the general criteria we 

intend to use to evaluate the 

effectiveness and efficiency of 

Beneficiary and Family Centered Care 

(BFCC) Quality Improvement 

Organizations (QIOs) that will enter into 

contracts with CMS under the 11th 

Statement of Work (SOW) in May 2014 

titled, ‘‘Beneficiary and Family Centered 

Care (BFCC) Quality Improvement 

Organization (QIO) Contract’’ (HHSM– 

500–2014–RFP–BFCC–QIO). This 

contract allows for a transition period 

from the incumbent QIOs to the 

successor QIOs. The activities for the 

BFCC–QIO SOW begin August 1, 2014. 

The evaluation of a BFCC–QIO’s 

performance related to the SOW will be 

based on evaluation criteria specified 

for the tasks set forth in Attachment J– 

10 of the BFCC–QIOs’ SOW contract. 

DATES: Effective Date: August 1, 2014 to 

July 31, 2019. 

Comment Date: To be assured 

consideration, comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

August 27, 2014. 

ADDRESSES: In commenting, refer to file 

code CMS–3296–NC. Because of staff 

and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the ‘‘Submit a comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–3296–NC, P.O. Box 8010, 

Baltimore, MD 21244–1850. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–3296–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. Alternatively, 

you may deliver (by hand or courier) 

your written comments ONLY to the 

following addresses: 

a. For delivery in Washington, DC— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Room 445–G, Hubert 

H. Humphrey Building, 200 

Independence Avenue SW., 

Washington, DC 20201 

(Because access to the interior of the Hubert 

H. Humphrey Building is not readily 

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43748 Federal Register / Vol. 79, No. 144 / Monday, July 28, 2014 / Notices 

available to persons without Federal 

government identification, commenters are 

encouraged to leave their comments in the 

CMS drop slots located in the main lobby of 

the building. A stamp-in clock is available for 

persons wishing to retain a proof of filing by 

stamping in and retaining an extra copy of 

the comments being filed.) 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

If you intend to deliver your 

comments to the Baltimore address, call 

telephone number (410) 786–9994 in 

advance to schedule your arrival with 

one of our staff members. 

Comments erroneously mailed to the 

addresses indicated as appropriate for 

hand or courier delivery may be delayed 

and received after the comment period. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Alfreda Staton, (410) 786–4194. 

SUPPLEMENTARY INFORMATION: 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http://

www.regulations.gov. Follow the search 

instructions on that Web site to view 

public comments. 

Comments received timely will also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

Section 1153(h)(2) of the Social 

Security Act (the Act) requires the 

Secretary of the Department of Health 

and Human Services to publish in the 

Federal Register the general criteria and 

standards that will be used to evaluate 

the effective and efficient performance 

of contract obligations by the Quality 

Improvement Organizations (QIOs) and 

to provide the opportunity for public 

comment with respect to these criteria 

and standards. This notice describes the 

general criteria that will be used to 

evaluate the performance of Beneficiary 

and Family Centered Care (BFCC) 

Quality Improvement Organizations 

(QIOs) under the 11th Statement of 

Work (SOW) contract beginning August 

1, 2014. 

II. Provisions of the Notice With 

Comment Period 

The purpose of the BFCC–QIO 

contract is to improve healthcare 

services for Medicare beneficiaries 

through BFCC performance of numerous 

statutory and regulatory review 

functions, including, but not limited to 

the following: 

• Quality of care reviews, including 

beneficiary complaint reviews and 

general quality of care reviews; 

• Beneficiary appeals of hospital 

discharges and terminations of service 

decisions, commonly referred to as 

Grijalva, BIPA, and Weichardt appeals. 

• Medical necessity reviews; 

• Appropriateness of setting reviews; 

• Diagnosis Related Group (DRG) 

reviews; 

• Readmission reviews; 

• Reviews under Emergency Medical 

Treatment and Active Labor Act 

(EMTALA); 

• Sanctions; and 

• Monitoring of Physician 

Acknowledgement Statements under 

section 1156(a) of the Act and our 

regulations at 42 CFR 412.46. 

The BFCC–QIO contract also imposes 

other BFCC–QIO responsibilities: 

Coordinating and collaborating with 

other QIOs; developing and making 

recommendations to promote 

responsiveness to beneficiary and 

family needs; providing opportunities 

for listening to and addressing 

beneficiary and family concerns; and 

providing resources for beneficiaries 

and caregivers in decision making. 

These QIO beneficiary and family 

centered efforts align with the National 

Quality Strategy, which encourages 

patient and family engagement. (See the 

BFCC–QIO Statement of Work, 

Solicitation Number: HHSM–500–2014– 

RFP–BFCC–QIO, which was posted on 

December 5, 2013 and is available at 

https://www.fbo.gov/index?s=

opportunity&mode=form&id=6a3ac

f7d9bd34efb1268e120a13b22e8.) 

III. Evaluation of the Tasks (See 

Sections C.6, H.2, H.5 and J–10 of the 

BFCC–QIO SOW) 

We will conduct monitoring activities 

throughout the course of the contract 

and will act upon findings as necessary. 

Information used for these monitoring 

purposes includes but is not limited to: 

• Deliverables submitted by the 

BFCC–QIO to CMS in accordance with 

the Section F ‘‘Deliverables or 

Performance.’’ 

• Provider/facility surveys and/or 

productivity measures, including cost 

benefit analysis. 

• Data for measures indicated in 

Attachments J–4 and J–10 of the BFCC– 

QIO SOW. 

• Data from the BFCC–QIO’s Internal 

Quality Control Program. 

• Other data submitted by BFCC– 

QIOs as required by CMS. 

• Additional information gathered by 

email, telephone, video or in-person 

visits. 

BFCC–QIOs must cooperate with the 

Contracting Officer Representative 

(COR) on all our monitoring processes 

and address any concerns identified by 

the COR. We will take appropriate 

contract action (for example, providing 

warning for the need for adjustment, 

instituting a formal correction plan, 

terminating an activity, or 

recommending early termination of a 

contract because of failure to meet 

contract timelines or performance as 

specified in the contract). This means 

that the BFCC–QIO must comply with 

the Contract, Tasks, Schedules of 

Deliverables, Evaluation Measures 

Tables, and any subsequent 

modifications (including Health Care 

Quality Improvement System and 

Transmission of Policy Memorandums) 

issued by CMS. 

Additionally, there will be multiple 

periods of more formal evaluation under 

this contract. The first evaluation will 

occur at the end of the 12th month of 

the contract. Subsequent evaluations 

will occur at the end of the 24, 36, 48 

and 54th month of the contract. The 

evaluations will be based on the most 

recent data available to us. The 

performance results of the evaluation at 

each evaluation period (that is, 12, 24, 

36, 48 and 54th months) will be used, 

in addition to ongoing monitoring 

activities, to determine the BFCC–QIO’s 

performance on the overall contract. 

The BFCC–QIO measures for the 11th 

SOW are as follows: 

• Quality of Review: Inter-Rater 

Reliability. 

• 4-day Data Entry Compliance. 

• Timeliness of Beneficiary 

Complaints and Other Quality of Care 

Reviews. 

• Timeliness of Discharge/Service 

Termination Reviews. 

• Timeliness of EMTALA and Higher 

Weighted Diagnosis-Related Group 

Reviews. 

• Complainant Agreement to 

Complete Survey. 

• Beneficiary Experience with 

Quality of Care Complaints. 

• Beneficiary Experience with Appeal 

Reviews. 

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Federal Register / Vol. 79, No. 144 / Monday, July 28, 2014 / Notices 43749 

Annual and 54th Month Evaluation 

Annual and 54th month evaluation 

criteria are specifically defined in 

Attachment J–10, ‘‘Annual and 54th 

Month Evaluation Criteria Measures 

Table,’’ of the BFCC–QIO SOW; the 

criteria for evaluating each deliverable 

are identified in Section F 

(‘‘Deliverables or Performance’’) of the 

11th SOW. Further, the Contracting 

Officer will use the Contractor 

Performance Assessment Reporting 

System (CPARS) criteria in performing 

evaluations: Quality, Schedule/ 

Timeliness, Cost/Price Control, Business 

Relations, Management, and Small 

Business. Performance on the evaluation 

criteria defined in Attachment J–10 will 

be considered for assessment of the 

Quality sub-factor for the CPARS 

assessment. 

Overall Contract Evaluation 

The results of the annual (12, 24, 36, 

48th month) and 54th month evaluation 

periods, in addition to ongoing 

monitoring activities, will be used to 

determine how the contractor performed 

on the overall contract. If we choose, we 

may notify the BFCC–QIO of our 

intention not to renew the BFCC–QIO 

contract and inform the BFCC–QIO of 

their rights under the current statute. 

Any failure at one or more of the 

annual or 54th month evaluations for 

any Task may result in the BFCC–QIO 

receiving an adverse past performance 

evaluation. Further, failure may impact 

on the BFCC–QIO’s ability to continue 

similar work in or eligibility for future 

QIO Program awards. 

We reserve the right at any point, 

prior to the notification of our intent not 

to renew the contract, to revise 

measures or adjust the expected 

minimum thresholds for satisfactory 

performance or remove criteria from a 

Task evaluation protocol for any reason, 

including, but not limited to, data 

gathered based on experience with the 

amount of improvement achieved 

during the contract cycle or in pilot 

projects currently in progress, 

information gathered through evaluation 

of the BFCC–QIO performance overall, 

or any unforeseen circumstances. 

Further, in accordance with standard 

contract procedures, we reserve the 

right at any time to discontinue all or 

part of one or more Tasks for one or 

more states or territories in the QIO area 

or any other part of this contract, 

regardless of BFCC–QIO performance on 

the Task. 

IV. 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. 

V. Response to Comments 

Because of the large number of public 

comments we normally receive on 

Federal Register documents, we are not 

able to acknowledge or respond to them 

individually. We will consider all 

comments we receive by the date and 

time specified in the DATES section of 

this preamble, and, when we proceed 

with a subsequent document, we will 

respond to the comments in the 

preamble to that document. 

VI. Regulatory Impact Statement 

In accordance with the provisions of 

Executive Order 12866, this notice was 

not reviewed by the Office of 

Management and Budget. 

Dated: June 3, 2014. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2014–17625 Filed 7–25–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Temporary Assistance for Needy 

Families/National Directory of New 

Hires Match Results Report. 

OMB No.: 0970–0311. 

Description 

Section 453(j)(3) of the Social Security 

Act (the Act) allows for matching 

between the National Directory of New 

Hires (maintained by the Federal Office 

of Child Support Enforcement (OCSE)) 

and State TANF Agencies for purposes 

of carrying out responsibilities under 

programs funded under part A of Title 

IV of the Act. To assist OCSE and the 

Office of Family Assistance (OFA) in 

measuring savings to the TANF program 

attributable to the use of NDNH data 

matches, the State TANF Agencies have 

agreed to provide OCSE with a written 

description of the performance outputs 

and outcomes attributable to the State 

TANF Agency’s use of NDNH match 

results. This information will help 

OCSE demonstrate how the NDNH 

supports the OCSE’s mission and 

strategic goals. 

Respondents 

State TANF Agencies 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

TANF/NDNH Match Results Report ................................................................ 40 4 0.17 27.20 

Estimated Total Annual Burden 

Hours: 27.20. 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade, SW., Washington, DC 

20447, Attn: ACF Reports Clearance 

Officer. Email address: inforcollection@

acf.hhs.gov. All requests should be 

identified by the title of the information 

collection. 

The Department specifically requests 

comments on: (a) whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

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