81 FR 37175 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Correction

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 81, Issue 111 (June 9, 2016)

Page Range		37175-37176
FR Document		2016-13685

This document corrects technical and typographical errors in the proposed rule that appeared in the Federal Register on April 27, 2016 titled ``Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports.''

Federal Register, Volume 81 Issue 111 (Thursday, June 9, 2016)

[Federal Register Volume 81, Number 111 (Thursday, June 9, 2016)]
[Proposed Rules]
[Pages 37175-37176]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-13685]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 412, 413, and 485

[CMS-1655-CN]
RIN 0938-AS77


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; 
Quality Reporting Requirements for Specific Providers; Graduate Medical 
Education; Hospital Notification Procedures Applicable to Beneficiaries 
Receiving Observation Services; and Technical Changes Relating to Costs 
to Organizations and Medicare Cost Reports; Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule; correction.

-----------------------------------------------------------------------

SUMMARY: This document corrects technical and typographical errors in 
the proposed rule that appeared in the Federal Register on April 27, 
2016 titled ``Medicare Program; Hospital Inpatient Prospective Payment 
Systems for Acute Care Hospitals and the Long-Term Care Hospital 
Prospective Payment System and Proposed Policy Changes and Fiscal Year 
2017 Rates; Quality Reporting Requirements for Specific Providers; 
Graduate Medical Education; Hospital Notification Procedures Applicable 
to Beneficiaries Receiving Observation

[[Page 37176]]

Services; and Technical Changes Relating to Costs to Organizations and 
Medicare Cost Reports.''

FOR FURTHER INFORMATION CONTACT: Charles Padgett, (410) 786-2811.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2016-09120 of April 27, 2016 (81 FR 24946), there were a 
number of technical errors that are identified and corrected in the 
Correction of Errors section of this correcting document.

II. Summary of Errors

A. Summary of Errors in the Preamble

    On pages 24958, 24959, and 25255 we made an inadvertent technical 
and typographical errors in referencing several quality measure titles.
    On page 25121, we erroneously referenced the incorrect date for the 
end of the FY 2019 Hospital-acquired condition (HAC) Reduction Program 
performance period.
    On page 25173, we made an error in referencing the Long-Term Care 
Hospital Quality Reporting Program (LTCH QRP).
    On page 25223, we made an error in specifying the units for the 
dollar amount in reference to expenditures. We also inadvertently 
omitted full reference to ``Agency for Healthcare Research and Quality: 
Prevention Quality Indicators Overview. 2008'' in the footnote.
    On page 25247, we erroneously referenced incorrect year regarding 
the Spring version of the Clinical Quality Measure (CQM) electronic 
specifications.

B. Summary of Errors in the Addendum

    On page 25307, in table titled ``Estimated Proportion of Hospitals 
in the Worst-Performing Quartile (75th Percentile) of the Total HAC 
Score for the FY 2017 HAC Reduction Program'', we made technical errors 
in the entries for the ``By Teaching Status'' hospital characteristic.
    On page 25319, we made an inadvertent technical and typographical 
errors in referencing several quality measure titles.
    On pages 25322, we made an error in referencing the Long-Term Care 
Hospital Quality Reporting Program (LTCH QRP).

IV. Correction of Errors

    In FR Doc. 2016-09120 of April 27, 2016 (81 FR 24946), we are 
making the following corrections:

A. Corrections of Errors in the Preamble

    1. On page 24958, first column, last paragraph, line 11, the phrase 
``PAC LTCH QRP.'' is corrected to read ``LTCH QRP.''.
    2. On page 24959, third column, last paragraph, line 8, the phrase 
``Issues-PAC'' is corrected to read ``Issues-PAC LTCH QRP''.
    3. On page 25121, third column, first full paragraph, line 18, the 
phrase ``September 30'' is corrected to read ``June 30''.
    4. On page 25173, third column, fifth bulleted paragraph, lines 3 
and 4, the phrase ``(LTCH QRP) (also referred to as the LTCHQR 
Program);'' is corrected to read as ``(LTCH QRP);''.
    5. On page 25223:
    a. Second column, first full paragraph, line 29, the figure 
``$4.3B'' is corrected as ``$4.3 billion''.
    b. Third column, third footnote (footnote 232), line 1, the phrase 
``National Quality Forum:'' is corrected to read ``Agency for 
Healthcare Research and Quality:''.
    6. On page 25247, first column, sixth paragraph, line 19, the 
phrase ``Spring 2017'' is corrected to read ``Spring 2016''.
    7. On page 25255, first column, first partial paragraph, lines 7 
through 14, the sentence ``We refer readers to section VIII.C.9.d. of 
the preamble of this this proposed rule for further details on the 
proposed expansion of data collection for this measures (NQF #0680), 
including data collection timeframes and associated submission 
deadlines.'' is corrected to read ``We refer readers to section 
VIII.C.9.d. of the preamble of this proposed rule for further details 
on the proposed expansion of data collection for this measure, Percent 
of Residents or Patients Who Were Assessed and Appropriately Given the 
Seasonal Influenza Vaccine (Short Stay) (NQF #0680), including data 
collection timeframes and associated submission deadlines.''.

B. Corrections of Errors in the Addendum

    1. On page 25307, in the table titled ``ESTIMATED PROPORTION OF 
HOSPITAL IN THE WORST-PERFORMING QUARTILE (75TH PERCENTILE) OF THE 
TOTAL HAC SCORE FOR THE FY 2017 HAC REDUCTION PROGRAM,'' the entries 
for the hospital characteristic ``By Teaching Status'' are corrected to 
read as follows:

----------------------------------------------------------------------------------------------------------------
                                                                                     Number of      Percent of
                                                                                   hospitals in    hospitals in
                     Hospital characteristic                         Number of      the worst-      the worst-
                                                                   hospitals \a\    performing      performing
                                                                                   quartile \b\    quartile \c\
----------------------------------------------------------------------------------------------------------------
By Teaching Status: \f\
    Non-teaching................................................           2,189             398            18.2
    Fewer than 100 residents....................................             777             230            29.6
    100 or more residents.......................................             245             136            55.5
----------------------------------------------------------------------------------------------------------------

    2. On page 25319, first column, first partial paragraph, line 13, 
the phrase ``this measures (NQF #0680),'' is corrected to read ``this 
measure, Percent of Residents or Patients Who Were Assessed and 
Appropriately Given the Seasonal Influenza Vaccine (Short Stay) (NQF 
#0680),''.
    3. On 25322, second column, second full paragraph, line 12, the 
phrase ``LTCHQR Program'' is corrected to read ``LTCH QRP''.

    Dated: June 6, 2016.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
 [FR Doc. 2016-13685 Filed 6-6-16; 4:15 pm]
 BILLING CODE 4120-01-P

Federal Register / Vol. 81, No. 111 / Thursday, June 9, 2016 / Proposed Rules 37175

• is not a significant regulatory action administrative and equipment changes withdraw the direct final rule and will
subject to Executive Order 13211 (66 FR at the facility. The name of the facility address all public comments received in
28355, May 22, 2001); has changed to BAE Technology Center. a subsequent final rule based on this
• is not subject to requirements of The revision will result in a significant proposed rule. EPA will not institute a
Section 12(d) of the National decrease in SO2 emissions and will second comment period. Any parties
Technology Transfer and Advancement support the continued attainment and interested in commenting on this action
Act of 1995 (15 U.S.C. 272 note) because maintenance of the SO2 national should do so at this time. Please note
it does not involve technical standards; ambient air quality standard in the Twin that if EPA receives adverse comment
and Cities area. on an amendment, paragraph, or section
• does not provide the EPA with the DATES: Comments must be received on of this rule, and if that provision can be
discretionary authority to address, as or before July 11, 2016. severed from the remainder of the rule,
appropriate, disproportionate human ADDRESSES: Submit your comments, EPA may adopt as final those provisions
health or environmental effects, using identified by Docket ID No. EPA–R05– of the rule that are not the subject of an
practicable and legally permissible OAR–2016–0136 at http:// adverse comment. For additional
methods, under Executive Order 12898 www.regulations.gov or via email to information, see the direct final rule
(59 FR 7629, February 16, 1994). blakley.pamela@epa.gov. For comments which is located in the Rules section of
In addition, the SIP is not approved submitted at Regulations.gov, follow the this Federal Register.
to apply on any Indian reservation land online instructions for submitting Dated: May 31, 2016.
or in any other area where the EPA or comments. Once submitted, comments Robert A. Kaplan
an Indian tribe has demonstrated that a cannot be edited or removed from Acting Regional Administrator, Region 5.
tribe has jurisdiction. In those areas of Regulations.gov. For either manner of
[FR Doc. 2016–13603 Filed 6–8–16; 8:45 am]
Indian country, the rule does not have submission, EPA may publish any
tribal implications as specified by BILLING CODE 6560–50–P
comment received to its public docket.
Executive Order 13175 (65 FR 67249, Do not submit electronically any
November 9, 2000), nor will it impose information you consider to be
substantial direct costs on tribal Confidential Business Information (CBI) DEPARTMENT OF HEALTH AND
governments or preempt tribal law. or other information whose disclosure is HUMAN SERVICES
restricted by statute. Multimedia
List of Subjects in 40 CFR Part 52 Centers for Medicare & Medicaid
submissions (audio, video, etc.) must be
Environmental protection, Air accompanied by a written comment. Services
pollution control, Incorporation by The written comment is considered the
reference, Intergovernmental relations, official comment and should include 42 CFR Parts 405, 412, 413, and 485
Particulate matter, Reporting and discussion of all points you wish to [CMS–1655–CN]
recordkeeping requirements, Sulfur make. EPA will generally not consider
oxides. comments or comment contents located RIN 0938–AS77
Authority: 42 U.S.C. 7401 et seq. outside of the primary submission (i.e.
on the web, cloud, or other file sharing Medicare Program; Hospital Inpatient
Dated: May 26, 2016. Prospective Payment Systems for
system). For additional submission
Dennis J. McLerran, methods, please contact the person Acute Care Hospitals and the Long-
Regional Administrator, Region 10. identified in the FOR FURTHER Term Care Hospital Prospective
[FR Doc. 2016–13693 Filed 6–8–16; 8:45 am] INFORMATION CONTACT section. For the Payment System and Proposed Policy
BILLING CODE 6560–50–P full EPA public comment policy, Changes and Fiscal Year 2017 Rates;
information about CBI or multimedia Quality Reporting Requirements for
submissions, and general guidance on Specific Providers; Graduate Medical
ENVIRONMENTAL PROTECTION making effective comments, please visit Education; Hospital Notification
AGENCY http://www2.epa.gov/dockets/ Procedures Applicable to Beneficiaries
commenting-epa-dockets. Receiving Observation Services; and
40 CFR Part 52 Technical Changes Relating to Costs
FOR FURTHER INFORMATION CONTACT:
[EPA–R05–OAR–2015–0136; FRL–9947–49– Charles Hatten, Environmental to Organizations and Medicare Cost
Region 5] Engineer, Control Strategies Section, Air Reports; Correction
Programs Branch (AR–18J), AGENCY: Centers for Medicare &
Air Plan Approval; Minnesota; Sulfur Environmental Protection Agency,
Dioxide Medicaid Services (CMS), HHS.
Region 5, 77 West Jackson Boulevard, ACTION: Proposed rule; correction.
AGENCY: Environmental Protection Chicago, Illinois 60604, (312) 886–6031,
Agency (EPA). hatten.charles@epa.gov. SUMMARY: This document corrects
ACTION: Proposed rule. SUPPLEMENTARY INFORMATION: In the technical and typographical errors in
Final Rules section of this Federal the proposed rule that appeared in the
SUMMARY: The Environmental Protection Register, EPA is approving Minnesota’s Federal Register on April 27, 2016 titled
Agency (EPA) is proposing to approve a SO2 SIP submittal as a direct final rule ‘‘Medicare Program; Hospital Inpatient
revision to the Minnesota sulfur dioxide without prior proposal because the Prospective Payment Systems for Acute
rmajette on DSK2TPTVN1PROD with PROPOSALS

(SO2) State Implementation Plan (SIP) Agency views this as a noncontroversial Care Hospitals and the Long-Term Care
for ELT Minneapolis, LLC’s River Road submittal and anticipates no adverse Hospital Prospective Payment System
Industrial Center located in Fridley, comments. A detailed rationale for the and Proposed Policy Changes and Fiscal
Anoka County, Minnesota. The revision, approval is set forth in the direct final Year 2017 Rates; Quality Reporting
submitted by the Minnesota Pollution rule. If EPA does not receive adverse Requirements for Specific Providers;
Control Agency on February 24, 2016, comments in response to this rule, no Graduate Medical Education; Hospital
updates information updates further activity is contemplated. If EPA Notification Procedures Applicable to
information to reflect both receives adverse comments, EPA will Beneficiaries Receiving Observation

VerDate Sep<11>2014 14:19 Jun 08, 2016 Jkt 238001 PO 00000 Frm 00010 Fmt 4702 Sfmt 4702 E:\FR\FM\09JNP1.SGM 09JNP1

37176 Federal Register / Vol. 81, No. 111 / Thursday, June 9, 2016 / Proposed Rules

Services; and Technical Changes B. Summary of Errors in the Addendum b. Third column, third footnote
Relating to Costs to Organizations and On page 25307, in table titled (footnote 232), line 1, the phrase
Medicare Cost Reports.’’ ‘‘Estimated Proportion of Hospitals in ‘‘National Quality Forum:’’ is corrected
FOR FURTHER INFORMATION CONTACT: the Worst-Performing Quartile (75th to read ‘‘Agency for Healthcare Research
Charles Padgett, (410) 786–2811. Percentile) of the Total HAC Score for and Quality:’’.
SUPPLEMENTARY INFORMATION: the FY 2017 HAC Reduction Program’’, 6. On page 25247, first column, sixth
we made technical errors in the entries paragraph, line 19, the phrase ‘‘Spring
I. Background for the ‘‘By Teaching Status’’ hospital 2017’’ is corrected to read ‘‘Spring
In FR Doc. 2016–09120 of April 27, characteristic. 2016’’.
2016 (81 FR 24946), there were a On page 25319, we made an
7. On page 25255, first column, first
number of technical errors that are inadvertent technical and typographical
errors in referencing several quality partial paragraph, lines 7 through 14,
identified and corrected in the the sentence ‘‘We refer readers to
Correction of Errors section of this measure titles.
On pages 25322, we made an error in section VIII.C.9.d. of the preamble of
correcting document. this this proposed rule for further
referencing the Long-Term Care
II. Summary of Errors Hospital Quality Reporting Program details on the proposed expansion of
(LTCH QRP). data collection for this measures (NQF
A. Summary of Errors in the Preamble #0680), including data collection
On pages 24958, 24959, and 25255 we IV. Correction of Errors timeframes and associated submission
made an inadvertent technical and In FR Doc. 2016–09120 of April 27, deadlines.’’ is corrected to read ‘‘We
typographical errors in referencing 2016 (81 FR 24946), we are making the refer readers to section VIII.C.9.d. of the
several quality measure titles. following corrections: preamble of this proposed rule for
On page 25121, we erroneously further details on the proposed
A. Corrections of Errors in the Preamble
referenced the incorrect date for the end expansion of data collection for this
of the FY 2019 Hospital-acquired 1. On page 24958, first column, last measure, Percent of Residents or
condition (HAC) Reduction Program paragraph, line 11, the phrase ‘‘PAC Patients Who Were Assessed and
performance period. LTCH QRP.’’ is corrected to read ‘‘LTCH Appropriately Given the Seasonal
QRP.’’. Influenza Vaccine (Short Stay) (NQF
On page 25173, we made an error in
2. On page 24959, third column, last #0680), including data collection
referencing the Long-Term Care
paragraph, line 8, the phrase ‘‘Issues- timeframes and associated submission
Hospital Quality Reporting Program PAC’’ is corrected to read ‘‘Issues-PAC
(LTCH QRP). deadlines.’’.
LTCH QRP’’.
On page 25223, we made an error in 3. On page 25121, third column, first B. Corrections of Errors in the
specifying the units for the dollar full paragraph, line 18, the phrase Addendum
amount in reference to expenditures. ‘‘September 30’’ is corrected to read
We also inadvertently omitted full ‘‘June 30’’. 1. On page 25307, in the table titled
reference to ‘‘Agency for Healthcare 4. On page 25173, third column, fifth ‘‘ESTIMATED PROPORTION OF
Research and Quality: Prevention bulleted paragraph, lines 3 and 4, the HOSPITAL IN THE WORST-
Quality Indicators Overview. 2008’’ in phrase ‘‘(LTCH QRP) (also referred to as PERFORMING QUARTILE (75TH
the footnote. the LTCHQR Program);’’ is corrected to PERCENTILE) OF THE TOTAL HAC
On page 25247, we erroneously read as ‘‘(LTCH QRP);’’. SCORE FOR THE FY 2017 HAC
referenced incorrect year regarding the 5. On page 25223: REDUCTION PROGRAM,’’ the entries
Spring version of the Clinical Quality a. Second column, first full paragraph, for the hospital characteristic ‘‘By
Measure (CQM) electronic line 29, the figure ‘‘$4.3B’’ is corrected Teaching Status’’ are corrected to read
specifications. as ‘‘$4.3 billion’’. as follows:

Number of Percent of
hospitals in hospitals in
Number of
Hospital characteristic the worst- the worst-
hospitals a performing performing
quartile b quartile c

By Teaching Status: f
Non-teaching ........................................................................................................................ 2,189 398 18.2
Fewer than 100 residents ..................................................................................................... 777 230 29.6
100 or more residents .......................................................................................................... 245 136 55.5

2. On page 25319, first column, first Seasonal Influenza Vaccine (Short Stay) Dated: June 6, 2016.
partial paragraph, line 13, the phrase (NQF #0680),’’. Madhura Valverde,
‘‘this measures (NQF #0680),’’ is 3. On 25322, second column, second Executive Secretary to the Department,
corrected to read ‘‘this measure, Percent full paragraph, line 12, the phrase Department of Health and Human Services.
rmajette on DSK2TPTVN1PROD with PROPOSALS

of Residents or Patients Who Were ‘‘LTCHQR Program’’ is corrected to read [FR Doc. 2016–13685 Filed 6–6–16; 4:15 pm]
Assessed and Appropriately Given the ‘‘LTCH QRP’’. BILLING CODE 4120–01–P

VerDate Sep<11>2014 19:16 Jun 08, 2016 Jkt 238001 PO 00000 Frm 00011 Fmt 4702 Sfmt 9990 E:\FR\FM\09JNP1.SGM 09JNP1

Document Created: 2018-02-08 07:33:29
Document Modified: 2018-02-08 07:33:29

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Proposed Rules
Action		Proposed rule; correction.
Contact		Charles Padgett, (410) 786-2811.
FR Citation		81 FR 37175
RIN Number		0938-AS77
CFR Citation		42 CFR 405 42 CFR 412 42 CFR 413 42 CFR 485

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 81, Issue 111 (June 9, 2016)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services