54150 Federal Register / Vol. 75, No. 171 / Friday, September 3, 2010 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier: CMS–10219, CMS– 

10317, CMS–10069, CMS–10068, CMS–2728 

and CMS–R–13] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare and 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506I(2)(A) of the Paperwork 

Reduction Act of 1995, the Centers for 

Medicare & Medicaid Services (CMS), 

Department of Health and Human 

Services, 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 function; 

(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: Healthcare 

Effectiveness Data and Information Set 

(HEDIS®) Data Collection for Medicare 

Advantage; Use: Medicare Advantage 

Organizations (MAOs) and section 1876 

cost contracting managed care are 

required to submit HEDIS® data to CMS 

on an annual basis. Sections 422.152 

and 422.516 of Volume 42 of the Code 

of Federal Regulations (CFR) specify 

that Medicare Advantage organizations 

must submit performance measures as 

specified by the Secretary of the 

Department of Health and Human 

Services and by CMS. These 

performance measures include HEDIS®. 

HEDIS® is a widely used set of health 

plan performance measures utilized by 

both private and public health care 

purchasers to promote accountability 

and to assess the quality of care 

provided by managed care 

organizations. HEDIS® is designed for 

private and public health care 

purchasers to promote accountability 

and to assess the quality of care 

provided by managed care 

organizations. CMS is committed to the 

implementation of health care quality 

assessment in the Medicare Advantage 

program. In January 1997, CMS began 

requiring Medicare managed care 

organizations (MCOs) (these 

organizations are now called Medicare 

Advantage organizations or MAOs) to 

collect and report performance 

measures from HEDIS® relevant to the 

Medicare managed care beneficiary 

population. The data are used by CMS 

staff to monitor MAO performance and 

inform audit strategies, and inform 

beneficiary choice through their display 

in CMS’ consumer-oriented public 

compare tools and Web sites. Medicare 

Advantage organizations use the data for 

quality assessment and as part of their 

quality improvement programs and 

activities. Quality Improvement 

Organizations (QIOs), and CMS 

contractors, use HEDIS® data in 

conjunction with their statutory 

authority to improve quality of care, and 

consumers who are making informed 

health care choices. Form Number: 

CMS–10219 (OMB#: 0938–1028); 

Frequency: Yearly; Affected Public: 

Business or other for-profits and not-forprofit institutions; Number of 

Respondents: 483 Total Annual 

Responses: 483; Total Annual Hours: 

154,560 (For policy questions regarding 

this collection contact Lori Teichman at 

410–786–6684. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: The Medicare 

Acute Care Episode Demonstration; Use: 

Medicare’s Acute Care Episode (ACE) 

Demonstration is authorized under 

Section 646 of the MMA (Pub. L. 108– 

173) that amends title XVIII (42 U.S.C. 

1395) of the Social Security Act. The 

ACE Demonstration stems from a 

longstanding need for improved quality 

of care and decreased costs. 

As costs have risen over time, ideas to 

improve Medicare payment systems and 

efficiency have been developed. Moving 

from a cost based payment arrangement 

to a hospital prospective payment 

system has dramatically simplified 

billing and coding procedures and 

generated important impacts on 

Medicare savings and quality of care 

measures. While prospective hospital 

payments based on diagnosis related 

group (DRGs) for acute care was the 

innovation of the 1980s, the Federal 

government has taken interest in valuebased purchasing (VBP) in recent years. 

The VBP strategy rests on linking 

hospital performance to financial 

incentives. VBP has been heralded as a 

method to increase efficiency and 

quality of care while decreasing cost. In 

addition to its use as a payment system, 

the VBP strategy allows for performance 

scoring of hospitals based on the 

designated VBP quality measures. 

In the case of the ACE Demonstration, 

the test has been designed to address the 

use of a global payment for an episode 

of care as an alternative approach to 

payment under traditional Medicare. 

The episode of care is defined as the 

bundle of Part A and Part B services 

provided during an inpatient stay for 

Medicare FFS beneficiaries for included 

Medicare severity-based diagnosisrelated groups (MS–DRGs). The ACE 

Demonstration is limited to health care 

groups (i.e., physician-hospital 

organizations—PHOs) with at least one 

physician group and at least one 

hospital and that routinely provide care 

for at least one group of selected 

orthopedic or cardiac procedures: 

• Hip/knee replacement or revision 

surgery; and/or 

• Coronary artery bypass graft (CABG) 

surgery or cardiac intervention 

procedure (pace-maker and stent 

placement). 

Evaluation of ACE will reveal whether 

the use of a bundled payment system 

will produce savings for Medicare for 

episodes of care involving the included 

DRGs. In addition to cost savings, the 

evaluation will assess changes to quality 

of care at the demonstration sites; 

whether or not the payment system 

creates better collaboration between 

physicians and facilities leading to 

higher quality patient care. Form 

Number: CMS–10317 (OMB#: 0938– 

New); Frequency: Occasionally; 

Affected Public: Individuals or 

households; Number of Respondents: 

509 Total Annual Responses: 509; Total 

Annual Hours: 763.5 (For policy 

questions regarding this collection 

contact Jesse Levy at 410–786–6600. For 

all other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: Extension of a currently 

approval collection; Title of Information 

Collection: Medicare Waiver 

Demonstration Application; Use: The 

currently approved application has been 

used for several congressionally 

mandated and Administration high 

priority demonstrations. The 

standardized proposal format is not 

controversial and will reduce burden on 

applicants and reviewers. Responses are 

strictly voluntary. The standard format 

will enable CMS to select proposals that 

meet CMS objectives and show the best 

potential for success. Form Number: 

CMS–10069 (OMB#: 0938–0880); 

Frequency: Once; Affected Public: 

Private Sector: Business or other forprofits and Not-for-profit institutions; 

Number of Respondents: 75 Total 

Annual Responses: 75; Total Annual 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 171 / Friday, September 3, 2010 / Notices 54151 

Hours: 6,000 (For policy questions 

regarding this collection contact Diane 

Ross at 410–786–1169. For all other 

issues call 410–786–1326.) 

4. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Beneficiary 

Customer Service Feedback Survey; 

Use: The Centers for Medicare and 

Medicaid Services (CMS) stresses a 

continuing need for setting customer 

service goals that include providing 

accurate, timely, and relevant 

information to its customers. With these 

goals in mind, the Division of Medicare 

Ombudsman Assistance (DMOA) needs 

to periodically survey its customers that 

correspond with CMS to ensure that the 

needs of Medicare beneficiaries are 

being met. This survey will be used to 

measure overall satisfaction of the 

customer service that the DMOA 

provides to Medicare beneficiaries and 

their representatives. The need for this 

previously OMB approved information 

collection is to further meet the 

customer service goals that the CMS has 

established and to continue to create a 

rapport within the Medicare 

community. Form Number: CMS–10068 

(OMB#: 0938–0894); Frequency: 

Quarterly; Affected Public: Individuals 

and Households; Number of 

Respondents: 2,242 Total Annual 

Responses: 2,242; Total Annual Hours: 

224. (For policy questions regarding this 

collection contact Nancy Conn at 410– 

786–8374. For all other issues call 410– 

786–1326.) 

5. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: End Stage Renal 

Disease Medical Evidence Report 

Medicare Entitlement and/or Patient 

Registration; Use: The End Stage Renal 

Disease (ESRD) Medical Evidence 

Report is completed for all ESRD 

patients either by the first treatment 

facility or by a Medicare-approved 

ESRD facility when it is determined by 

a physician that the patient’s condition 

has reached that stage of renal 

impairment that a regular course of 

kidney dialysis or a kidney transplant is 

necessary to maintain life. The data 

reported on the CMS–2728 is used by 

the Federal Government, ESRD 

Networks, treatment facilities, 

researchers and others to monitor and 

assess the quality and type of care 

provided to end stage renal disease 

beneficiaries. The data collection 

captures the specific medical 

information required to determine the 

Medicare medical eligibility of End 

Stage Renal Disease claimants. Form 

Number: CMS–2728 (OMB#: 0938– 

0046); Frequency: Occasionally; 

Affected Public: Individuals or 

households; Number of Respondents: 

100,000; Total Annual Responses: 

100,000; Total Annual Hours: 75,000. 

(For policy questions regarding this 

collection contact Connie Cole at 410– 

786–0257. For all other issues call 410– 

786–1326.) 

6. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Conditions of 

Coverage for Organ Procurement 

Organizations and Supporting 

Regulations in 42 CFR, Sections 

486.301–.348; Use: Section 1138(b) of 

the Social Security Act, as added by 

section 9318 of the Omnibus Budget 

Reconciliation Act of 1986 (Pub. L. 99– 

509), sets forth the statutory 

qualifications and requirements that 

OPOs must meet in order for the costs 

of their services in procuring organs for 

transplant centers to be reimbursable 

under the Medicare and Medicaid 

programs. An OPO must be certified and 

designated by the Secretary as an OPO 

and must meet performance-related 

standards prescribed by the Secretary. 

The corresponding regulations are 

found at 42 CFR Part 486 (Conditions 

for Coverage of Specialized Services 

Furnished by Suppliers) under subpart 

G (Requirements for Certification and 

Designation and Conditions for 

Coverage: Organ Procurement 

Organizations). 

Since each OPO has a monopoly on 

organ procurement within its donation 

service area, CMS must hold OPOs to 

high standards. Collection of this 

information is necessary for CMS to 

assess the effectiveness of each OPO and 

determine whether it should continue to 

be certified as an OPO and designated 

for a particular donation service area by 

the Secretary or replaced by an OPO 

that can more effectively procure organs 

within the donation service area. Form 

Number: CMS–R–13 (OMB#: 0938– 

0688); Frequency: Occasionally; 

Affected Public: Not-for-profit 

institutions; Number of Respondents: 

79; Total Annual Responses: 79; Total 

Annual Hours: 15,178. (For policy 

questions regarding this collection 

contact Diane Corning at 410–786–8486. 

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. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on October 4, 2010. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: August 26, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–21721 Filed 9–2–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–10–10GX] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–5960 and 

send comments to Maryam I. Daneshvar, 

Ph.D., CDC Reports Clearance Officer, 

1600 Clifton Road, MS–D74, Atlanta, 

GA 30333 or send an e-mail to 

omb@cdc.gov. 

Comments are invited 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) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 


srobinson on DSKHWCL6B1PROD with NOTICES