[Federal Register Volume 75, Number 199 (Friday, October 15, 2010)]
[Notices]
[Pages 63482-63484]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-25943]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10304 and CMS-10315]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(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: New collection; Title of 
Information Collection: Information

[[Page 63483]]

Collection Requirements and Supporting Information for Chronic Kidney 
Disease Surveys under the 9th Scope of Work; Form Number: CMS-10304 
(OMB <greek-i>: 0938-New); Use: The Centers for Medicare & Medicaid 
Services (CMS) and the U.S. Department of Health and Human Services 
(DHHS) are requesting OMB clearance for the Chronic Kidney Disease 
(CKD) Partner Survey and the Chronic Kidney Disease (CKD) Provider 
Survey. The Prevention CKD Theme is a component of the Prevention Theme 
of the Quality Improvement Organization (QIO) Program's 9th Scope of 
Work (SOW). The statutory authority for this scope of work is found in 
Part B of Title XI of the Social Security Act (the Act) as amended by 
the Peer Review Improvement Act of 1982. The Act established the 
Utilization and Quality Control Peer Review Organization Program, now 
known as the Quality Improvement Organization (QIO) Program.
    The goal of the Prevention CKD Theme is to detect the incidence, 
decrease the progression of CKD, and improve care among Medicare 
beneficiaries through provider adoption of timely and effective quality 
of care interventions; participation in quality incentive initiatives; 
beneficiary education; and key linkages and collaborations for system 
change at the state and local level. In addition to improving the 
quality of care for the elderly and frail-elderly, this Theme aims to 
reduce the rate of Medicare entitlement by disability through the delay 
and prevention of end-stage renal disease (ESRD); thus resulting in 
higher quality care and significant savings to the Medicare Trust Fund.
    The CKD Partner Survey constitutes a new information collection to 
be used by CMS to obtain information on how QIO collaboration with 
partners facilitates systems change within the QIO's respective state. 
The CKD Partner Survey will be a census administered to 350 
collaborative partners in the 9th SOW. The CKD Partner Survey will be 
administered via telephone. Responses will be entered into a pre-
programmed Computer-Assisted Telephone Interviewing (CATI) interface. 
The results of the survey shall be used for inpatient quality 
indicators (IQI) by the QIO. CMS will also use the results to assess 
how partner organizations and their perspective of the QIO's role are 
implementing system change.
    Similarly, the CKD Provider Survey constitutes a new information 
collection to be used by CMS to obtain information on how QIO 
collaboration with physician practices facilitates systems change 
within the QIO's respective state. The CKD Provider Survey will be 
administered via telephone and the Web. Responses collected by phone 
will be entered into a pre-programmed Computer-Assisted Telephone 
Interviewing (CATI) interface. Responses collected by Web will be 
housed on a secure server and database. The results of the survey shall 
be used for inpatient quality indicators (IQI) by the QIO. CMS will 
also use the results to assess how physicians' practices and their 
perspective of the QIO's role are implementing system change. 
Frequency: Yearly; Affected Public: Private Sector--Business or other 
for-profits and Not-for profit institutions; Number of Respondents: 
1,350; Total Annual Responses: 1,350; Total Annual Hours: 337.5. (For 
policy questions regarding this collection contact Robert Kambic at 
410-786-1515. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Patient Safety Survey Under the 9th Scope of 
Work: Nursing Home in Need (NHIN) Use: The Centers for Medicare & 
Medicaid Services (CMS) is requesting OMB clearance for the Nursing 
Homes in Need (NHIN) Survey. The NHIN is a component of the Patient 
Safety Theme of the Quality Improvement Organization (QIO) Program's 
9th Scope of Work (SOW). The statutory authority for this scope of work 
is found in Part B of Title XI of the Social Security Act (the Act) as 
amended by the Peer Review Improvement Act of 1982. The Act established 
the Utilization and Quality Control Peer Review Organization Program, 
now known as the Quality Improvement Organization (QIO) Program.
    The QIO in each State will provide special technical assistance to 
a small number of nursing homes in need of assistance with quality 
improvement efforts. This special technical assistance will be for the 
QIO to conduct a root cause analysis (RCA) with one nursing home in its 
state per year (three over three years). Under this component, it is 
expected that within the first quarter of the contract period, CMS will 
assign one nursing home to each QIO. The determination of which nursing 
homes are eligible under this component will be made by CMS. Some of 
these facilities may meet criteria for Special Focus Facilities (SFF). 
The intent of this component is that each State QIO will work with 
three nursing homes over the three-year contract period; these 
assignments are expected to be spaced out so that each State QIO will 
get one nursing home assigned approximately every 12 months.
    The NHIN Survey is a new information collection to be used by CMS 
to obtain information on nursing home satisfaction with technical 
assistance strategies delivered as a component of the NHIN. The NHIN 
Survey will be a census of 53 nursing homes working with their 
respective QIOs. The survey will be conducted one time for each of the 
nursing homes assisted in the first two years under the 9th SOW and it 
will be conducted twice with nursing homes assisted in the third year. 
The information collected through this survey will allow CMS to help 
focus the NHIN task to maximize the benefit to participating nursing 
homes. The NHIN Survey will be administered via telephone by trained 
and experienced interviewers. Responses will be entered into a pre-
programmed Computer-Assisted Telephone Interviewing (CATI) interface.
    The NHIN Survey will include questions to determine if the QIO has 
conducted a root cause analysis and developed an action plan. These 
will be followed by questions about their satisfaction with the QIO and 
their perceived value of the QIO's assistance. The NHIN Survey will 
address the following:
    <bullet> Background information;
    <bullet> Current work--information and assessment;
    <bullet> Satisfaction with QIOs;
    <bullet> Value of QIO assistance;
    <bullet> Sources of information; and
    <bullet> Respondent comments.
    All survey protocol and correspondence will be translated into 
Spanish and bi-lingual telephone interviewers will be used as needed. 
Form Number: CMS-10315 (OMB <greek-i>: 0938-New); Frequency: 
Occasionally; Affected Public: Businesses and other for-profit and not-
for-profit institutions; Number of Respondents: 53; Total Annual 
Responses: 106; Total Annual Hours: 17.5 hours (years 1 and 2), 35 
hours (year 3). (For policy questions regarding this collection contact 
Bob Kambic 410-786-1515. 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 
e-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#9eceffeefbece9f1ecf5defdf3edb0f6f6edb0f9f1e8"><span class="__cf_email__" data-cfemail="a0f0c1d0c5d2d7cfd2cbe0c3cdd38ec8c8d38ec7cfd6">[email protected]</span></a>, or call the 
Reports Clearance Office on (410) 786-1326.

[[Page 63484]]

    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 November 15, 
2010.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, e-mail: <a href="/cdn-cgi/l/email-protection#1d52544f5c426e687f70746e6e7472735d72707f3378726d337a726b"><span class="__cf_email__" data-cfemail="e3acaab1a2bc9096818e8a90908a8c8da38c8e81cd868c93cd848c95">[email protected]</span></a>.

    Dated: October 8, 2010.
Martique Jones,
Director, Regulations Development Division--B, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2010-25943 Filed 10-14-10; 8:45 am]
BILLING CODE 4120-01-P


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