8202 Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Notices 

to collect patient safety work product 

from providers in a standardized 

manner that permits valid comparisons 

of similar cases among similar 

providers. (42 U.S.C. 299b–24(b)(1)(F)). 

The Patient Safety Act also authorizes 

the development of data standards, 

known as the Common Formats, to 

facilitate the aggregation and analysis of 

non-identifiable patient safety data 

collected by PSOs and reported to the 

network of patient safety databases 

(NPSD). (42 U.S.C. 299b–23(b)). The 

Patient Safety Act and Patient Safety 

Rule can be accessed at: http://

www.pso.ahrq.gov/legislation/. 

AHRQ has issued Common Formats 

for Event Reporting (CFER) for three 

settings of care—hospitals, nursing 

homes, and community pharmacies. 

AHRQ has also issued Common Formats 

for Event Reporting—Diagnostic Safety 

(CFER–DS) designed for use in all 

healthcare settings. 

Federally listed PSOs can meet the 

requirement to collect patient safety 

work product in a standardized manner 

to the extent practical and appropriate 

by using AHRQ’s Common Formats. The 

Common Formats are also available in 

the public domain to encourage their 

widespread adoption. An entity does 

not need to be listed as a PSO or 

working with one to use the Common 

Formats. However, the Federal privilege 

and confidentiality protections only 

apply to information developed as 

patient safety work product by 

providers and PSOs working under the 

Patient Safety Act. 

Agenda, Registration, and Other 

Information About the Meeting 

The Agency for Healthcare Research 

and Quality (AHRQ) will be hosting this 

fully virtual meeting to discuss 

implementation of the Common Formats 

with members of the public, including 

software developers and other interested 

parties. Agenda topics will include 

recent enhancement to the NPSD 

dashboards and data submission to the 

PSO Privacy Protection Center 

(PSOPPC). Active participation and 

discussion by meeting participants is 

encouraged. 

AHRQ requests that interested 

persons send an email to SDMeetings@

infinityconferences.com for registration 

information. Before the meeting, an 

agenda and logistical information will 

be provided to registrants. 

Dated: January 31, 2024. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2024–02257 Filed 2–5–24; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10552] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), Federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and the use 

of automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by March 7, 2024. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), Federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires Federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Implementation 

of Medicare Programs;—Medicare 

Promoting Interoperability Program; 

Use: The Centers for Medicare & 

Medicaid Services (CMS) is requesting 

approval to collect information from 

eligible hospitals and critical access 

hospitals (CAHs). We have finalized 

changes to this program as discussed in 

the FY 2024 Inpatient Prospective 

Payment System (IPPS)/Long-term Care 

Hospital Prospective Payment System 

(LTCH PPS) final rule. This is a revision 

of the information collection request. 

The American Recovery and 

Reinvestment Act of 2009 (Recovery 

Act) (Pub. L. 111–5) was enacted on 

February 17, 2009. Title IV of division 

B of the Recovery Act amended titles 

XVIII and XIX of the Social Security Act 

(the Act) by establishing incentive 

payments to eligible professionals (EPs), 

eligible hospitals and CAHs, and 

Medicare Advantage (MA) organizations 

participating in the Medicare and 

Medicaid programs that adopt and 

successfully demonstrate meaningful 

use of certified EHR technology 

(CEHRT). These Recovery Act 

provisions, together with title XIII of 

division A of the Recovery Act, may be 

cited as the ‘‘Health Information 

Technology for Economic and Clinical 

Health Act’’ or the ‘‘HITECH Act.’’ 

The HITECH Act created incentive 

programs for EPs, eligible hospitals 

including CAHs, and MA organizations 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Notices 8203 

in the Medicare Fee-for-Service (FFS), 

and Medicaid programs that 

successfully demonstrated meaningful 

use of CEHRT. In their first payment 

year, Medicaid EPs, eligible hospitals 

including MA organizations and CAHs 

could adopt, implement, or upgrade to 

certified EHR technology. It also 

allowed for negative payment 

adjustments in the Medicare FFS and 

MA programs starting in 2015 for EPs, 

eligible hospitals including MA 

organizations and CAHs participating in 

Medicare that are not meaningful users 

of CEHRT. The Medicaid Promoting 

Interoperability Program did not 

authorize negative payment 

adjustments, but its participants were 

eligible for incentive payments until 

December 31, 2021, when the program 

ended. 

In CY 2017, we began collecting data 

from eligible hospitals and CAHs to 

determine the application of the 

Medicare payment adjustments. This 

information collection was also used to 

make incentive payments to eligible 

hospitals in Puerto Rico from 2016 

through 2021. At this time, Medicare 

eligible professionals no longer reported 

to the EHR Incentive Program, as they 

began reporting under the Merit-based 

Incentive Payment System’s (MIPS) 

Promoting Interoperability Performance 

Category. In 2019, the EHR Incentives 

Program for eligible hospitals and CAHs 

was subsequently renamed the Medicare 

Promoting Interoperability Program. In 

subsequent years, we have focused on 

balancing reporting burden for eligible 

hospitals and CAHs while also 

implementing changes designed to 

incentivize the advanced use of CEHRT 

to support health information exchange, 

interoperability, advanced quality 

measurement, and maximizing clinical 

effectiveness and efficiencies. 

In the FY 2024 IPPS/LTCH PPS final 

rule, we finalized the following policy 

changes for eligible hospitals and CAHs 

that attest to CMS under the Medicare 

Promoting Interoperability Program. 

None of the policies we finalized will 

affect the information collection burden: 

(i) to adopt three electronic clinical 

quality measures (eCQMs) beginning 

with the CY 2025 reporting period: (1) 

Hospital Harm—Pressure Injury eCQM; 

(2) Hospital Harm—Acute Kidney Injury 

eCQM; and (3) Excessive Radiation Dose 

or Inadequate Image Quality for 

Diagnostic Computed Tomography 

(CMT) in Adults eCQM; (ii) to modify 

the Safety Assurance Factors for EHR 

Resilience (SAFER) Guides measure to 

require eligible hospitals and CAHs to 

submit a ‘‘yes’’ attestation to fulfill the 

measure beginning with the EHR 

reporting period in CY 2024; and (iii) to 

establish an EHR reporting period of a 

minimum of any continuous 180-day 

period in CY 2025. Form Number: 

CMS–10552 (OMB control number: 

0938–1278); Frequency: Annually; 

Affected Public: State, Local or Private 

Government; Business and for-profit 

and Not-for-profit; Number of 

Respondents: 4,500; Total Annual 

Responses: 4,500; Total Annual Hours: 

29,625. (For policy questions regarding 

this collection, contact Jessica Warren at 

410–786–7519.) 

William N. Parham, III, 

Director, Division of Information Collections 

and Regulatory Impacts, Office of Strategic 

Operations and Regulatory Affairs. 

[FR Doc. 2024–02306 Filed 2–5–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3454–PN] 

Medicare and Medicaid Programs; 

Application by DNV Healthcare USA 

Inc. (DNV) for Continued CMS 

Approval of Its Psychiatric Hospital 

Accreditation Program 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Proposed notice. 

SUMMARY: This proposed notice 

acknowledges the receipt of a deeming 

application from DNV Healthcare USA 

Inc. (DNV) for continued Centers for 

Medicare & Medicaid Services (CMS) 

approval of its psychiatric hospital 

accreditation program. The statute 

requires that within 60 days of receipt 

of an organization’s complete 

application, CMS must publish a notice 

that identifies the national accrediting 

body making the request, describes the 

nature of the request, and provides at 

least a 30-day public comment period. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, by March 

7, 2024. 

ADDRESSES: In commenting, refer to file 

code CMS–3454–PN. 

Comments, including mass comment 

submissions, must be submitted in one 

of the following three 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–3454–PN, P.O. Box 8010, 

Baltimore, MD 21244–8010. 

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–3454–PN, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Joann Fitzell, (410) 786–4280. 

Lillian Williams, (410) 786–8636. 

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 

website as soon as possible after they 

have been received: http://

www.regulations.gov. Follow the search 

instructions on that website to view 

public comments. CMS will not post on 

Regulations.gov public comments that 

make threats to individuals or 

institutions or suggest that the 

commenter will take actions to harm an 

individual. CMS continues to encourage 

individuals not to submit duplicative 

comments. We will post acceptable 

comments from multiple unique 

commenters even if the content is 

identical or nearly identical to other 

comments. 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive covered 

services from a psychiatric hospital 

provided certain requirements are met. 

Section 1861(f) of the Social Security 

Act (the Act), establishes distinct 

criteria for facilities seeking designation 

as a psychiatric hospital. Regulations 

concerning provider agreements are at 

42 CFR part 489 and those pertaining to 

activities relating to the survey and 

certification of facilities are at 42 CFR 

part 488. The regulations at 42 CFR 482 

subpart E specify the minimum 

conditions that a psychiatric hospital 

must meet to participate in the Medicare 

program, the scope of covered services, 

and the conditions for Medicare 

payment for psychiatric hospitals. 


ddrumheller on DSK120RN23PROD with NOTICES1