Federal Register / Vol. 78, No. 25 / Wednesday, February 6, 2013 / Notices 8535 

(12 CFR 225.28) or that the Board has 

determined by Order to be closely 

related to banking and permissible for 

bank holding companies. Unless 

otherwise noted, these activities will be 

conducted throughout the United States. 

Each notice is available for inspection 

at the Federal Reserve Bank indicated. 

The notice also will be available for 

inspection at the offices of the Board of 

Governors. Interested persons may 

express their views in writing on the 

question whether the proposal complies 

with the standards of section 4 of the 

BHC Act. 

Unless otherwise noted, comments 

regarding the applications must be 

received at the Reserve Bank indicated 

or the offices of the Board of Governors 

not later than February 22, 2013. 

A. Federal Reserve Bank of Atlanta 

(Chapelle Davis, Assistant Vice 

President) 1000 Peachtree Street, NE., 

Atlanta, Georgia 30309: 

1. HomeBancorp, Inc., Tampa, 

Florida; to acquire 100 percent of the 

voting shares of Mortgage Investors 

Corporation, St. Petersburg, Florida, and 

thereby engage in making, acquiring, 

brokering, or servicing loans or other 

extensions of credit, pursuant to 

sections 225.28(b)(1) of Regulation Y. 

Board of Governors of the Federal Reserve 

System, February 1, 2013. 

Margaret McCloskey Shanks, 

Deputy Secretary of the Board. 

[FR Doc. 2013–02600 Filed 2–5–13; 8:45 am] 

BILLING CODE 6210–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5506–N] 

Medicare Program: Comprehensive 

End-Stage Renal Disease Care Model 

Announcement 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces a 

request for applications from 

organizations to participate in the 

testing of the Comprehensive End-Stage 

Renal Disease (ESRD) Care Model, a 

new initiative from the Center for 

Medicare and Medicaid Innovation 

(Innovation Center), for a period 

beginning in 2013 and ending in 2016, 

with a possible extension into 

subsequent years. 

DATES: Letter of Intent Submission 

Deadline: Interested organizations must 

submit a non-binding letter of intent on 

or before March 15, 2013. 

Application Submission Deadline: 

Applications must be received on or 

before May 1, 2013. 

FOR FURTHER INFORMATION 

CONTACT: 

Daniel Farmer, (410) 786–5497 or 

Email ESRD–CMMI@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Center for Medicare and 

Medicaid Innovation (Innovation 

Center), within the Centers for Medicare 

& Medicaid Services (CMS), was created 

to develop and test innovative health 

care payment and service delivery 

models that show promise of reducing 

program expenditures, while preserving 

or enhancing the quality of care for 

Medicare, Medicaid, and Children’s 

Health Insurance Program (CHIP) 

beneficiaries. 

We are interested in identifying 

models designed to improve care for 

specific populations. One population is 

beneficiaries with end-stage renal 

disease (ESRD). This population has 

complex health care needs, typically 

with comorbid conditions and disease 

complications, which require extensive 

care coordination services. To promote 

seamless and integrated care for 

beneficiaries with ESRD, a 

comprehensive care delivery model 

would emphasize coordination of a fullrange of clinical and non-clinical 

services across providers, suppliers, and 

settings. This may be best achieved 

through the establishment of an 

interdisciplinary care team that is led by 

a nephrologist, comprised of dialysis 

facilities, health care professionals, 

paraprofessionals, and non-traditional 

health providers. 

Through the Comprehensive ESRD 

Care Model, we seek to identify ways to 

improve the coordination and quality of 

care for this population, while lowering 

total per-capita expenditures to the 

Medicare program. We anticipate that 

the Comprehensive ESRD Care Model 

would result in improved health 

outcomes for beneficiaries with ESRD 

regarding the functional status, quality 

of life, and overall well-being, as well as 

increased beneficiary and caregiver 

engagement, and lower costs to 

Medicare through improved care 

coordination. 

II. Provisions of the Notice 

Section 1115A of the Social Security 

Act (the Act), as added by section 3021 

of the Affordable Care Act, authorizes 

the Innovation Center to test innovative 

payment and service delivery models 

that reduce spending under Medicare, 

Medicaid or CHIP, while preserving or 

enhancing the quality of care. Under 

this authority, we seek to test whether 

establishing new incentives for dialysis 

facilities, nephrologists, and other 

healthcare providers and suppliers to 

improve the care delivered to Medicare 

beneficiaries living with ESRD will 

result in better outcomes through the 

implementation of the Comprehensive 

ESRD Care Model. 

Under the Comprehensive ESRD Care 

Model, CMS will enter shared financial 

risk arrangements through 

‘‘Participation Agreements’’ with 

organizations comprised of dialysis 

facilities, nephrologists, and other 

Medicare providers and suppliers. 

Participating organizations will be 

clinically and financially accountable 

for care provided to a group of 

beneficiaries with ESRD that will be 

attributed to these organizations based 

on the beneficiaries’ historical and 

ongoing care patterns. Those 

organizations that are successful in 

improving beneficiary outcomes and 

lowering per capita Medicare Parts A 

and B expenditures will be able to share 

in Medicare savings generated. 

However, those organizations that do 

not improve outcomes and lower costs 

may be subject to losses. Final shared 

savings amounts and shared loss 

amounts will be based on the 

organization’s performance on specified 

quality measures. 

Organizations interested in applying 

to participate in the testing of the 

Comprehensive ESRD Care Model must 

submit a non-binding letter of intent 

and an application. Applications will 

not be accepted from organizations that 

did not submit a letter of intent. The 

letter of intent and application must be 

received by the dates specified in the 

DATES section of this notice. 

For additional information on the 

Comprehensive ESRD Care Model and 

how to apply, click on the Request for 

Applications located on the Innovation 

Center Web site at: innovation.cms.gov/ 

initiatives/comprehensive-ESRD-care. 

III. Collection of Information 

Requirements 

Section 1115A(d)(3) of the Act, as 

added by section 3021 of the Affordable 

Care Act, states that Chapter 35 of title 

44, United States Code (the Paperwork 

Reduction Act of 1995), shall not apply 

to the testing and evaluation of models 

or expansion of such models under this 

section. Consequently, it need not be 

reviewed by the Office of Management 

and Budget under the authority of the 

Paperwork Reduction Act of 1995. 

mstockstill on DSK4VPTVN1PROD with NOTICES

8536 Federal Register / Vol. 78, No. 25 / Wednesday, February 6, 2013 / Notices 

(No. 93.773 Medicare—Hospital Insurance 

Program; and No. 93.774, MedicareSupplementary Medical Insurance Program) 

Dated: January 25, 2013. 

Marilyn Tavenner, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2013–02194 Filed 2–4–13; 4:15 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Report of New 

System of Records 

AGENCY: Department of Health and 

Human Services (HHS), Centers for 

Medicare & Medicaid Services (CMS). 

ACTION: Notice of a new system of 

records. 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974, 

CMS is establishing a new system of 

records (SOR) titled, ‘‘Long Term Care 

Hospitals Quality Reporting Program 

(LTCH QRP),’’ System No. 09–70–0539. 

The new system will support a new 

quality reporting program for Long Term 

Care Hospitals (LTCH) created pursuant 

to Section 3004 of the Patient Protection 

and Affordable Care Act of 2010 (ACA) 

(Pub. L. 111–148), amending the Social 

Security Act (the Act) (42 U.S.C. 

1886(m)). 

DATES: Effective Dates: Effective 30 days 

after publication. Written comments 

should be submitted on or before the 

effective date. HHS/CMS/CCSQ may 

publish an amended SORN in light of 

any comments received. 

ADDRESSES: The public should address 

comments to: CMS Privacy Officer, 

Privacy Policy Compliance Group, 

Office of E-Health Standards & Services, 

Office of Enterprise Management, 

Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, MD 21244–1870, Mailstop: 

S2–24–25, Office: (410) 786–5357, 

Facsimile: (410) 786–1347, E-Mail: 

walter.stone@cms.hhs.gov. Comments 

received will be available for review at 

this location, by appointment, during 

regular business hours, Monday through 

Friday from 9:00 a.m.–3:00 p.m., Eastern 

Time zone. 

FOR FURTHER INFORMATION CONTACT: 

Caroline Gallaher, Nurse Consultant, 

CMS, Centers for Clinical Standards and 

Quality, Quality Measurement & Health 

Assessment Group, Division of Chronic 

& Post-Acute Care, 7500 Security 

Boulevard, Mail Stop S3–02–01, 

Baltimore, MD 21244–1850. Office: 410– 

786–8705, Facsimile: (410) 786–8532, 

Email address: 

caroline.gallaher@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background on the LTCH QRP 

System 

The ACA directs the Secretary of HHS 

to compile, and eventually publish, 

quality measure data, measuring the 

quality of care provided to patients in 

LTCHs. The quality measure data is 

required to be valid, meaningful, and 

feasible to collect, and to address 

symptom management, patient 

preferences and avoidable adverse 

events. Although CMS administers the 

LTCH QRP, information is also collected 

on LTCH patients who may not be 

Medicare beneficiaries. 

CMS created the LTCH QRP System 

(the System) to house the data sets 

needed for the Program. The first quality 

measure for which CMS has begun 

compiling data under the Program is 

‘‘the Percent of Patient Residents with 

Pressure Ulcers That Are New or 

Worsened.’’ CMS developed the ‘‘LTCH 

Continuity Assessment Record & 

Evaluation (CARE) Data Set’’ (LTCH 

CARE Data Set) as the vehicle by which 

the System will collect pressure ulcer 

quality measure data from LTCH 

patients and LTCH providers, after 

determining that there were no existing 

suitable data sets that could be 

leveraged to supply quality measure 

data about pressure ulcers in the LTCH 

setting. As additional quality measures 

are added to the Program, data items 

will be added the LTCH CARE data set 

to compile quality measure data about 

other conditions. 

II. Personally Identifiable Information 

in LTCH 

Most of the personally identifiable 

information (PII) in LTCH will be about 

LTCH patients; however, certain 

information may be collected about 

providers who work in LTCHs that may 

be considered to be PII (i.e., National 

Provider Identifier (NPI), personal 

contact information, and Social Security 

Number (SSN), if used for business 

purposes). At this time, the LTCH CARE 

Data Set includes these components: (1) 

Condition (i.e., pressure ulcer) 

documentation; (2) selected covariates 

related to the condition; and (3) patient 

demographic information. The PII in 

LTCH, and how it may be used and 

disclosed, is more fully described in the 

System of Records Notice (SORN), 

below. LTCH data when published on 

the Internet will be in aggregate form 

and will not contain any personally 

identifiable data elements. 

III. The Privacy Act 

The Privacy Act (5 U.S.C. 552a) 

governs the means by which the United 

States Government collects, maintains, 

and uses personally identifiable 

information (PII) in a system of records. 

A ‘‘system of records’’ is a group of any 

records under the control of a Federal 

agency from which information about 

individuals is retrieved by name or 

other personal identifier. The Privacy 

Act requires each agency to publish in 

the Federal Register a system of records 

notice (SORN) identifying and 

describing each system of records the 

agency maintains, including the 

purposes for which the agency uses PII 

in the system, the routine uses for 

which the agency discloses such 

information outside the agency, and 

how individual record subjects can 

exercise their rights under the Privacy 

Act (e.g., to determine if the system 

contains information about them). 

SYSTEM NUMBER: 

09–70–0539 

SYSTEM NAME: 

‘‘Long Term Care Hospitals Quality 

Reporting Program (LTCH QRP)’’ HHS/ 

CMS/CCSQ. 

SECURITY CLASSIFICATION: 

Unclassified. 

SYSTEM LOCATION: 

CMS Data Center, 7500 Security 

Boulevard, North Building, First Floor, 

Baltimore, Maryland 21244–1850, and 

at various LTCHs and contractor sites. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

The system will contain personally 

identifiable information (PII) about the 

following categories of individuals who 

participate in or are involved with the 

LTCH QRP: LTCH patients and 

Medicare beneficiaries, who receive 

health care services coordinated and 

managed by LTCHs; any providers and 

or any contact persons for a LTCH who 

provide home or personal contact 

information. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

This system will include the 

following categories of records, 

containing, but not necessarily limited 

to, the following PII data elements: 

Patient/beneficiary condition, selected 

covariates about the condition, and 

patient/beneficiary demographic records 

containing the patient/beneficiary’s 

name, gender, beneficiary’s Health 

Insurance Claim Number (HICN) or 

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