9468 Federal Register / Vol. 80, No. 35 / Monday, February 23, 2015 / Notices 

progress in accordance with the original 

or revised treatment plan. 

• Section 482.61(e), requiring that 

each patient who has been discharged 

has a documented discharge summary. 

• Section 482.62(c), requiring that, if 

medical and surgical diagnostic and 

treatment services are not available 

within the institution, the institution 

have an agreement with an outside 

source of these services to ensure that 

they are immediately available or a 

satisfactory agreement must be 

established for transferring patients to a 

general hospital that participates in the 

Medicare program. 

• Section 482.62(g)(1), requiring that 

therapeutic activities be appropriate to 

the needs and interests of patients and 

be directed toward restoring and 

maintaining optimal levels of physical 

and psychosocial functioning. 

In addition, we determined that the 

Joint Commission is in the process of, or 

has completed, revising its accreditation 

survey processes in order to ensure that 

they meet the following regulatory 

requirements: 

• Section 488.4(a)(3), regarding the 

sample sizes required for medical record 

reviews and the minimum number of 

medical records to be reviewed during 

the survey process. 

• Section 488.8(a)(2)(v), requiring that 

complaint data submitted to CMS be 

accurate. 

• Section 488.8(a)(2)(ii), requiring 

that a process be in place to conduct 

routine second level survey 

documentation review to assure that 

deficiency citations are made at the 

appropriate level when no ‘‘flags’’ have 

been placed on the survey report 

through the automated process of the 

electronic scoring system or the 

surveyor; that surveyors are adequately 

equipped and trained to appropriately 

identify circumstances posing an 

immediate threat to life and safety; that 

medical records and credentialing 

records are sampled appropriately, 

based on services provided and types of 

staff employed; and that medical 

records and credentialing records are 

reviewed thoroughly, in a uniform and 

complete manner by surveyors. 

• Section 488.9, requiring the Joint 

Commission to consistently provide 

CMS access to observe its entire survey 

process, including surveyors’ use of 

resources provided outside of the 

accreditation standards manual (for 

example, discussions with its Standards 

Interpretation Group, as outlined in the 

application). 

• Section 488.26(b), regarding 

surveyors’ abilities to— 

—Accurately and completely 

document instances of non-compliance 

at the appropriate level of citation 

[condition versus standard level 

citations]; 

—Ensure that all instances of 

observed non-compliance are 

documented in the survey report; and, 

—Ensure that surveyors do not 

minimize the importance of compliance 

with regulations. 

B. Term of Approval 

Based on our review and observations 

described in section III of this final 

notice, we approve the Joint 

Commission as a national accrediting 

organization for psychiatric hospitals 

that request participation in the 

Medicare program, effective February 

25, 2015 through February 25, 2019. 

To verify the Joint Commission’s 

continued compliance with the 

provisions of this final notice, CMS will 

conduct a follow-up corporate on-site 

visit and survey observation within 18 

months of the publication date of this 

notice. 

V. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995. 

Dated: February 13, 2015. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2015–03559 Filed 2–20–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[Docket No. USCG–2015–0023] 

Lower Mississippi River Waterway 

Safety Advisory Committee; Meeting 

AGENCY: Coast Guard, DHS. 

ACTION: Notice of Federal Advisory 

Committee Meeting. 

SUMMARY: The Lower Mississippi River 

Waterway Safety Advisory Committee 

will meet to discuss safe transit of 

vessels and cargoes to and from the 

ports of the Lower Mississippi River. 

This meeting will be open to the public. 

DATES: The Committee will meet on 

Wednesday, March 11, 2015, from 9 

a.m. to 12:00 p.m. Written comments for 

distribution to committee members and 

for inclusion on the Lower Mississippi 

River Waterway Safety Advisory 

Committee Web site must be submitted 

on or before March 2, 2015. Please note 

that this meeting may close early if all 

business is finished. 

ADDRESSES: The Committee will meet at 

the New Orleans Yacht Club, 403 North 

Roadway Street, New Orleans, LA 70124 

http://noyc.org/wordpress/. 

For information on facilities or 

services for individuals with disabilities 

or to request special assistance, please 

contact Lieutenant Junior Grade Colin 

Marquis as indicated in the FOR FURTHER

INFORMATION CONTACT paragraph below. 

To facilitate public participation, we 

are inviting public comment on the 

issues to be considered by the 

committee as listed in the ‘‘Agenda’’ 

section below. Written comments must 

be identified by the Docket No. USCG– 

2015–0023 and submitted by one of the 

following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. 

Follow the instructions for submitting 

comments (preferred method to avoid 

delays in processing). 

• Fax: 202–493–2251. 

• Mail: Docket Management Facility 

(M–30), U.S. Department of 

Transportation, West Building Ground 

Floor, Room W12–140, 1200 New Jersey 

Avenue SE., Washington, DC 20590– 

0001. 

• Hand Delivery: Same as mail 

address above, between 9 a.m. and 5 

p.m., Monday through Friday, except 

Federal Holidays. The telephone 

number for the Docket Management 

Facility is 202–366–9329. 

Instructions: All submissions must 

include the words ‘‘Department of 

Homeland Security’’ and the docket 

number for this action. Comments 

received will be posted without 

alteration at http://

www.regulations.gov., including any 

personal information provided. You 

may review a Privacy Act notice 

regarding our public dockets in the 

January 17, 2008, issue of the Federal 

Register (73 FR 3316). 

Docket: For access to the docket to 

read documents or comments related to 

this notice, go to http://

www.regulations.gov, enter the docket 

number in the ‘‘Search’’ field and follow 

the instructions on the Web site. 

FOR FURTHER INFORMATION CONTACT: 

Lieutenant Junior Grade Colin Marquis, 

Alternate Designated Federal Officer of 

the Lower Mississippi River Waterway 

Safety Advisory Committee, telephone 

504–365–2280, or at Colin.L.Marquis@

uscg.mil. If you have any questions on 

reviewing or submitting material to the 


Rmajette on DSK2VPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 35 / Monday, February 23, 2015 / Notices 9469 

docket, call Cheryl Collins, Program 

Manager, Docket Operations, telephone 

202–366–9826 or 1–800–647–5527. 

SUPPLEMENTARY INFORMATION: Notice of 

this meeting is given under the Federal 

Advisory Committee Act (Public Law 

92–463, 5 U.S.C. Appendix). The Lower 

Mississippi River Waterway Advisory 

Committee is an advisory committee 

authorized in Section 19 of the Coast 

Guard Authorization Act of 1991, 

(Public Law 102–241), as amended by 

section 621(d) of the Coast Guard 

Authorization Act of 2010, (Public Law 

111–281) and chartered under the 

provisions of Federal Advisory 

Committee Act. The Lower Mississippi 

River Waterway Advisory Committee 

provides advice and recommendations 

to the Department of Homeland Security 

on matters relating to communications, 

surveillance, traffic management, 

anchorages, development and operation 

of the New Orleans Vessel Traffic 

Service, and other related topics dealing 

with navigation safety on the Lower 

Mississippi River as required by the 

U.S. Coast Guard. 

Agenda 

The agenda for the March 11, 2015, 

Committee meeting is as follows: 

(1) Opening Remarks. 

(2) Introduction; 

(3) Roll call of committee members 

and determination of a quorum; 

(4) Approval of the April 2014 

minutes. 

(5) Old Business: 

(a) Status of Action Items from April 

2014 Meeting. 

(6) Agency Updates: 

(a) Southeast Louisiana Flood 

Protection Authority—East and West 

i. Procedures used by Flood 

Protection Authority—West for Bayou 

Segnette and Western Closure Complex 

Gate Closures including Routine 

Exercises and Response to Tropical 

Events. 

(b) National Oceanic and Atmospheric 

Association 

i. Move to Electronic Navigation 

Charts. 

ii. Digital Accessibility of National 

Oceanic and Atmosphere Association 

Chart Data for Navigation, Restoration 

and Coastal Planning, and Spill and 

Incident Response. 

iii. National Oceanic and Atmosphere 

Association Physical Oceanographic 

Real-Time System. 

iv. National Oceanic and Atmosphere 

Association Northern Gulf Operational 

Forecast System Grid Model 

Improvements. 

v. Surveying and Chart Updates to 

Navigation Hazards in and around the 

Southern Bird-foot Delta. 

vi. Recognition of Electronic Displays 

on Tow Boats and Cruise Ships. 

vii. Support to the Inner Harbor 

Navigation Canal Alternate Route 

Establishment. 

(c) Army Corps of Engineers 

i. Water Resources Reform and 

Development Act impacts to Flood 

Control Structures and Dredging 

Operations. 

(d) Coast Guard 

i. Establishment of the Inner Harbor 

Navigation Canal Alternate Route. 

ii. Status of Sensors at 81 Mile Point. 

iii. Proposed Liquefied Natural Gas 

Terminals and Waterway Impacts. 

(7) New Business, to include 

discussion of: 

(a) Mile Marker 73 Memorandum of 

Understanding. 

(b) Anchorage Establishment and 

Amendments. 

(c) Systematic Port Planning. 

(d) Lower Mississippi River Waterway 

Safety Advisory Committee Vacancy 

Notice. 

(8) Public comment period. 

(9) Adjournment. 

There will be a comment period for 

the Lower Mississippi River Waterway 

Safety Advisory Committee and 

comment period for the public after 

each deliberation and voting, but before 

each recommendation is formulated. 

The Committee will review the 

information presented on each issue, 

deliberate on any recommendations 

presented, and formulate 

recommendations for the Department’s 

consideration. Please note that the 

public oral comment period may end 

before the prescribed ending time 

following the last call for comments. 

Speakers are requested to limit their 

comments to 3 minutes. Please contact 

Lieutenant Junior Grade Colin Marquis 

listed in the FOR FURTHER INFORMATION

CONTACT section to register as a speaker. 

This notice may be viewed in our online 

docket, USCG–2015–0023, at http://

www.regulations.gov. 

Dated: February 10, 2015. 

Kevin S. Cook, 

Rear Admiral, U.S. Coast Guard, Commander, 

Eighth Coast Guard District. 

[FR Doc. 2015–03542 Filed 2–20–15; 8:45 am] 

BILLING CODE 9110–04–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Docket ID FEMA–2014–0022] 

Technical Mapping Advisory Council 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Committee Management; Notice 

of Federal Advisory Committee Meeting. 

SUMMARY: The Federal Emergency 

Management Agency (FEMA) Technical 

Mapping Advisory Council (TMAC) will 

meet in person on March 10–11, 2015, 

in Reston, Virginia. The meeting will be 

open to the public. 

DATES: The TMAC will meet on Tuesday 

and Wednesday, March 10–11 2015, 

from 1:00 p.m.–6:00 p.m. Eastern 

Daylight Savings Time (EDT). Please 

note that the meeting will close early if 

the TMAC has completed its business. 

ADDRESSES: The meeting will be held in 

the auditorium of the United States 

Geological Survey headquarters 

building located at 12201 Sunrise Valley 

Drive Reston, VA 20192. Members of the 

public who wish to attend the meeting 

must send an email to FEMA-TMAC@

fema.dhs.gov (attention Mark Crowell) 

by 11 p.m. EDT on Thursday, March 5, 

2015. Members of the public must check 

in at the Visitor’s entrance security 

desk; photo identification is required. 

For information on facilities or 

services for individuals with disabilities 

or to request special assistance at the 

meeting, contact the person listed in 

‘‘FOR FURTHER INFORMATION CONTACT’’ 

below as soon as possible. 

To facilitate public participation, 

members of the public are invited to 

provide written comments on the issues 

to be considered by the TMAC, as listed 

in the ‘‘Supplementary Information’’ 

section below. Associated meeting 

materials will be available at 

www.fema.gov/TMAC for review by 

February 23, 2015. Written comments to 

be considered by the committee at the 

time of the meeting must be submitted 

and received by Thursday, March 5, 

2015, identified by Docket ID FEMA– 

2014–0022, and submitted by one of the 

following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Email: Address the email to: FEMA– 

RULES@fema.dhs.gov and CC: FEMA– 

TMAC@fema.dhs.gov. Include the 

docket number in the subject line of the 

message. Include name and contact 

detail in the body of the email. 


Rmajette on DSK2VPTVN1PROD with NOTICES