81_FR_7373 81 FR 7345 - Medicare Program: Notice of Seven Membership Appointments to the Advisory Panel on Hospital Outpatient Payment

81 FR 7345 - Medicare Program: Notice of Seven Membership Appointments to the Advisory Panel on Hospital Outpatient Payment

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

Federal Register Volume 81, Issue 28 (February 11, 2016)

Page Range7345-7346
FR Document2016-02798

This notice announces seven new membership appointments to the Advisory Panel on Hospital Outpatient Payment (the Panel). The seven new appointments to the Panel will each serve a 4-year period. The new members have terms that begin in Calendar Year (CY) 2016 and end in CY 2020. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of the Centers for Medicare & Medicaid Services concerning the clinical integrity of the Ambulatory Payment Classification groups and their relative payment weights. The Panel also addresses and makes recommendations regarding supervision of hospital outpatient therapeutic services. The advice provided by the Panel will be considered as we prepare the annual updates for the hospital outpatient prospective payment system. The Secretary rechartered the Panel in 2014 for a 2-year period effective through November 6, 2016.

Federal Register, Volume 81 Issue 28 (Thursday, February 11, 2016)
[Federal Register Volume 81, Number 28 (Thursday, February 11, 2016)]
[Notices]
[Pages 7345-7346]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-02798]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1660-N]


Medicare Program: Notice of Seven Membership Appointments to the 
Advisory Panel on Hospital Outpatient Payment

AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of 
Health and Human Services (HHS).

ACTION: Notice.

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

SUMMARY: This notice announces seven new membership appointments to the 
Advisory Panel on Hospital Outpatient Payment (the Panel). The seven 
new appointments to the Panel will each serve a 4-year period. The new 
members have terms that begin in Calendar Year (CY) 2016 and end in CY 
2020. The purpose of the Panel is to advise the Secretary of the 
Department of Health and Human Services and the Administrator of the 
Centers for Medicare & Medicaid Services concerning the clinical 
integrity of the Ambulatory Payment Classification groups and their 
relative payment weights. The Panel also addresses and makes 
recommendations regarding supervision of hospital outpatient 
therapeutic services. The advice provided by the Panel will be 
considered as we prepare the annual updates for the hospital outpatient 
prospective payment system.
    The Secretary rechartered the Panel in 2014 for a 2-year period 
effective through November 6, 2016.

DATES: March 14, 2016.

ADDRESSES: Web site: For additional information on the Panel meeting 
dates, agenda topics, copy of the charter, and updates to the Panel's 
activities, we refer readers to our Web site at the following address: 
https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.

FOR FURTHER INFORMATION CONTACT: Designated Federal Official (DFO): 
Carol Schwartz, DFO, 7500 Security Boulevard, Mail Stop: C4-04-25, 
Woodlawn, MD 21244-1850. Phone: (410) 786-3985. Email: 
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    The Secretary of the Department of Health and Human Services (the 
Secretary) is required by section 1833(t)(9)(A) of the Social Security 
Act (the Act) (42 U.S.C. 1395l(t)(9)(A)) and section 222 of the Public 
Health Service Act (PHS Act) (42 U.S.C. 217a) to consult with an expert 
outside advisory panel on the clinical integrity of the Ambulatory 
Payment Classification groups and relative payment weights, which are 
major elements of the Medicare Hospital Outpatient Prospective Payment 
System (OPPS), and the appropriate supervision level for hospital 
outpatient therapeutic services. The Panel is governed by the 
provisions of the Federal Advisory Committee Act (FACA) (Pub. L. 92-
463), as amended (5 U.S.C. Appendix 2), which sets forth standards for 
the formation and use of advisory panels. The Panel Charter provides 
that the Panel shall meet up to 3 times annually. We consider the 
technical advice provided by the Panel as we prepare the proposed and 
final rules to update the OPPS for the following calendar year (CY).
    The Panel shall consist of a chair and up to 15 members who are 
full-time employees of hospitals, hospital systems, or other Medicare 
providers that are subject to the OPPS. The Secretary or a designee 
selects the Panel membership based upon either self-nominations or 
nominations submitted by Medicare providers and other interested 
organizations of candidates determined to have the required

[[Page 7346]]

expertise. For supervision deliberations, the Panel shall also include 
members that represent the interests of Critical Access Hospitals 
(CAHs), who advice Centers for Medicare & Medicaid Services (CMS) only 
regarding the level of supervision for hospital outpatient therapeutic 
services.
    New appointments are made in a manner that ensures a balanced 
membership under the FACA guidelines.
    The Panel presently consists of the following members and a Chair.
    (Note: The asterisk [*] indicates the Panel members whose terms end 
during CY 2016, along with the month that the term ends.)
     E. L. Hambrick, M.D., J.D., Chair, a CMS Medical Officer.
     Karen Borman, M.D., F.A.C.S.*(January 2016)
     Dawn L. Francis, M.D., M.H.S.
     Ruth Lande
     Jim Nelson, M.B.A., C.P.A., F.H.F.M.A.*(January 2016)
     Leah Osbahr, M.A., M.P.H.* (January 2016)
     Jacqueline Phillips*(February 2016)
     Johnathan Pregler, M.D.
     Traci Rabine*(January 2016)
     Michael Rabovsky, M.D.
     Wendy Resnick, F.H.F.M.A.
     Michael K. Schroyer, R.N.
     Marianna V. Spanki-Varelas M.D., Ph.D., M.B.A.*(February 
2016)
     Norman Thomson, III, M.D.
     Gale Walker*(January 2016)
     Kris Zimmer

II. Provisions of the Notice

    We published a notice in the Federal Register on August 28, 2015, 
entitled ``Medicare Program; Solicitation of Nominations to the 
Advisory Panel on Hospital Outpatient Payment (80 FR 52294). The notice 
solicited nominations for up to seven new members to fill the vacancies 
on the Panel beginning in CY 2016. As a result of that notice, we are 
announcing seven new members to the Panel. The Panel consists of a 
Chair and 15 members. The seven new Panel member appointments are for 
4-year terms beginning March 1, 2016 and will assure that we continue 
to have a Chair and 15 members available to attend our scheduled 
meeting.

New Appointments to the Panel

    New members of the Panel will have terms beginning on March 1, 2016 
and continuing through February 28, 2020 as follows:
     Shelly Dunham, R.N.
     Kenneth Michael Flowe, M.D., M.B.A.
     Erika Hardy, R.H.I.A.
     Karen A. Lambert
     Scott Manaker, M.D., Ph.D.
     Agatha L. Nolen, Ph.D., D.Ph.
     Richard Nordahl, M.B.A.

III. 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 (44 U.S.C. 3501 et seq.).

    Dated: February 2, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2016-02798 Filed 2-10-16; 8:45 am]
BILLING CODE 4120-01-P



                                                                              Federal Register / Vol. 81, No. 28 / Thursday, February 11, 2016 / Notices                                                    7345

                                                  Background and Brief Description                        assess long term outcomes and quality                        resources, develop services, and,
                                                     Congenital heart defects (CHDs) are                  of life issues.                                              ultimately, improve long-term health of
                                                  the most common type of structural                        For this one-year project, we will use                     adults born with CHD.
                                                  birth defects, affecting approximately 1                data from U.S. state birth defect                               We estimate sending an introductory
                                                  in 110 live-born children. According to                 surveillance systems to identify a                           letter and survey to 6,675 individuals
                                                  previously published data, prior to the                 population-based sample of individuals                       with CHD in the birth defects
                                                  1970s, many CHDs were considered                        18 to 45 years of age born with CHD. We                      surveillance systems, and receiving
                                                  fatal during infancy or childhood, but                  will then use state databases and online                     completed surveys from 4,672
                                                  with tremendous advances in pediatric                   search engines to find current addresses                     individuals (70%). The survey takes
                                                  cardiology and cardiac surgery, at least                for those individuals and mail surveys                       approximately 20 minutes to complete.
                                                  85% of patients now survive to                          to them inquiring about their barriers to                    The Contact Information Form will be
                                                  adulthood. There are approximately 1.5                  health care, quality of life, social and                     provided in English and Spanish and
                                                  million adults with CHD in the United                   educational outcomes, and transition of                      should take approximately 2 minutes to
                                                  States today, and adults with CHD now                   care from childhood to adulthood. The                        read and complete. It is estimated that
                                                  outnumber children. With vast declines                  information collected from this                              the total burden hours are 2,254.
                                                  in mortality from pediatric heart disease               population-based survey will be used to                         There are no costs to participants
                                                  over the past 30 years, it is vital to                  inform current knowledge, allocate                           other than their time.

                                                                                                         ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                        Average
                                                                                                                                                                                          Number
                                                                                                                                                                       Number of                      burden per
                                                               Type of respondents                                            Form name                                               responses per
                                                                                                                                                                      respondents                      response
                                                                                                                                                                                        respondent     (in hours)

                                                  Individuals aged 18–45 years who were born             Survey questionnaire .....................................          6,675                1          20/60
                                                    with a congenital heart defect.
                                                  English-speaking mothers of respondents .....          Contact Information Form—English ...............                     757                 1           2/60
                                                  Spanish-speaking mothers of respondents ....           Contact Information Form—Spanish ..............                      133                 1           2/60



                                                  Leroy A. Richardson,                                    Medicare & Medicaid Services                                 Secretary) is required by section
                                                  Chief, Information Collection Review Office,            concerning the clinical integrity of the                     1833(t)(9)(A) of the Social Security Act
                                                  Office of Scientific Integrity, Office of the           Ambulatory Payment Classification                            (the Act) (42 U.S.C. 1395l(t)(9)(A)) and
                                                  Associate Director for Science, Office of the           groups and their relative payment                            section 222 of the Public Health Service
                                                  Director, Centers for Disease Control and               weights. The Panel also addresses and                        Act (PHS Act) (42 U.S.C. 217a) to
                                                  Prevention.                                             makes recommendations regarding                              consult with an expert outside advisory
                                                  [FR Doc. 2016–02765 Filed 2–10–16; 8:45 am]             supervision of hospital outpatient                           panel on the clinical integrity of the
                                                  BILLING CODE 4163–18–P                                  therapeutic services. The advice                             Ambulatory Payment Classification
                                                                                                          provided by the Panel will be                                groups and relative payment weights,
                                                                                                          considered as we prepare the annual                          which are major elements of the
                                                  DEPARTMENT OF HEALTH AND                                updates for the hospital outpatient                          Medicare Hospital Outpatient
                                                  HUMAN SERVICES                                          prospective payment system.                                  Prospective Payment System (OPPS),
                                                                                                            The Secretary rechartered the Panel in                     and the appropriate supervision level
                                                  Centers for Medicare & Medicaid                         2014 for a 2-year period effective
                                                  Services                                                                                                             for hospital outpatient therapeutic
                                                                                                          through November 6, 2016.                                    services. The Panel is governed by the
                                                  [CMS–1660–N]                                            DATES: March 14, 2016.                                       provisions of the Federal Advisory
                                                                                                          ADDRESSES: Web site: For additional                          Committee Act (FACA) (Pub. L. 92–
                                                  Medicare Program: Notice of Seven                       information on the Panel meeting dates,                      463), as amended (5 U.S.C. Appendix 2),
                                                  Membership Appointments to the                          agenda topics, copy of the charter, and                      which sets forth standards for the
                                                  Advisory Panel on Hospital Outpatient                   updates to the Panel’s activities, we                        formation and use of advisory panels.
                                                  Payment                                                 refer readers to our Web site at the                         The Panel Charter provides that the
                                                  AGENCY:  Centers for Medicare &                         following address: https://                                  Panel shall meet up to 3 times annually.
                                                  Medicaid Services (CMS), Department                     www.cms.gov/Regulations-and-                                 We consider the technical advice
                                                  of Health and Human Services (HHS).                     Guidance/Guidance/FACA/Advisory                              provided by the Panel as we prepare the
                                                                                                          PanelonAmbulatoryPayment                                     proposed and final rules to update the
                                                  ACTION: Notice.
                                                                                                          ClassificationGroups.html.                                   OPPS for the following calendar year
                                                  SUMMARY:   This notice announces seven                  FOR FURTHER INFORMATION CONTACT:                             (CY).
                                                  new membership appointments to the                      Designated Federal Official (DFO): Carol                        The Panel shall consist of a chair and
                                                  Advisory Panel on Hospital Outpatient                   Schwartz, DFO, 7500 Security                                 up to 15 members who are full-time
                                                  Payment (the Panel). The seven new                      Boulevard, Mail Stop: C4–04–25,                              employees of hospitals, hospital
                                                                                                          Woodlawn, MD 21244–1850. Phone:
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                                                  appointments to the Panel will each                                                                                  systems, or other Medicare providers
                                                  serve a 4-year period. The new members                  (410) 786–3985. Email: APCPanel@                             that are subject to the OPPS. The
                                                  have terms that begin in Calendar Year                  cms.hhs.gov.                                                 Secretary or a designee selects the Panel
                                                  (CY) 2016 and end in CY 2020. The                       SUPPLEMENTARY INFORMATION:                                   membership based upon either self-
                                                  purpose of the Panel is to advise the                                                                                nominations or nominations submitted
                                                  Secretary of the Department of Health                   I. Background                                                by Medicare providers and other
                                                  and Human Services and the                                 The Secretary of the Department of                        interested organizations of candidates
                                                  Administrator of the Centers for                        Health and Human Services (the                               determined to have the required


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                                                  7346                        Federal Register / Vol. 81, No. 28 / Thursday, February 11, 2016 / Notices

                                                  expertise. For supervision deliberations,                 •   Karen A. Lambert                                OHS and OCC and is proposing a new
                                                  the Panel shall also include members                      •   Scott Manaker, M.D., Ph.D.                      organizational structure that will not
                                                  that represent the interests of Critical                  •   Agatha L. Nolen, Ph.D., D.Ph.                   only retain the autonomy of the Head
                                                  Access Hospitals (CAHs), who advice                       •   Richard Nordahl, M.B.A.                         Start and Child Care programs and
                                                  Centers for Medicare & Medicaid                         III. Collection of Information                        retain the best parts of how they provide
                                                  Services (CMS) only regarding the level                 Requirements                                          services, but will also demonstrate a
                                                  of supervision for hospital outpatient                                                                        clear message to the field about the
                                                  therapeutic services.                                     This document does not impose                       alignment of the Head Start and Child
                                                     New appointments are made in a                       information collection requirements,                  Care program offices, the unified focus
                                                  manner that ensures a balanced                          that is, reporting, recordkeeping or                  of ensuring children receive quality
                                                  membership under the FACA                               third-party disclosure requirements.                  services regardless of their program
                                                  guidelines.                                             Consequently, there is no need for                    option, and a common message about
                                                     The Panel presently consists of the                  review by the Office of Management and                the quality and expectations for services
                                                  following members and a Chair.                          Budget under the authority of the                     to children and families.
                                                     (Note: The asterisk [*] indicates the                Paperwork Reduction Act of 1995 (44                      Internally, the proposed
                                                  Panel members whose terms end during                    U.S.C. 3501 et seq.).                                 reorganization will generate a more
                                                  CY 2016, along with the month that the                    Dated: February 2, 2016.                            integrated alignment of standards
                                                  term ends.)                                             Andrew M. Slavitt,                                    through Head Start and Child Care
                                                     • E. L. Hambrick, M.D., J.D., Chair, a               Acting Administrator, Centers for Medicare            programs, the development of a unified
                                                  CMS Medical Officer.                                    & Medicaid Services.                                  training and technical assistance
                                                     • Karen Borman, M.D.,                                [FR Doc. 2016–02798 Filed 2–10–16; 8:45 am]           system, consistent access to resources at
                                                  F.A.C.S.*(January 2016)                                                                                       the ACF level for both programs, and a
                                                     • Dawn L. Francis, M.D., M.H.S.
                                                                                                          BILLING CODE 4120–01–P
                                                                                                                                                                shared use of research resources and
                                                     • Ruth Lande                                                                                               agenda. Additionally, the proposed
                                                     • Jim Nelson, M.B.A., C.P.A.,                        DEPARTMENT OF HEALTH AND                              reorganization will result in greater
                                                  F.H.F.M.A.*(January 2016)                               HUMAN SERVICES                                        collaborative efforts among both offices
                                                     • Leah Osbahr, M.A., M.P.H.*                                                                               thereby leveraging best practices across
                                                  (January 2016)                                          Administration for Children and                       both offices (monitoring, program
                                                     • Jacqueline Phillips*(February 2016)                Families                                              outreach, content development, etc.).
                                                     • Johnathan Pregler, M.D.                                                                                  Moreover, both staffs will gain a broader
                                                     • Traci Rabine*(January 2016)                        Office of the Assistant Secretary,                    understanding of the early childhood
                                                     • Michael Rabovsky, M.D.                             Office of the Deputy Assistant                        field and the inter-dependencies
                                                     • Wendy Resnick, F.H.F.M.A.                          Secretary for Early Childhood                         between programs.
                                                     • Michael K. Schroyer, R.N.                          Development, Office of Head Start,
                                                     • Marianna V. Spanki-Varelas M.D.,                                                                            Within OHS, this reorganization
                                                                                                          Office of Child Care; Statement of                    eliminates the Education and
                                                  Ph.D., M.B.A.*(February 2016)                           Organization, Functions, and
                                                     • Norman Thomson, III, M.D.                                                                                Comprehensive Services Division and
                                                                                                          Delegations of Authority                              moves some of the functions to the
                                                     • Gale Walker*(January 2016)
                                                     • Kris Zimmer                                        AGENCY: Administration for Children                   newly created Division of
                                                                                                          and Families, HHS.                                    Comprehensive Services and Training
                                                  II. Provisions of the Notice                                                                                  and Technical Assistance and the
                                                                                                          ACTION: Notice.
                                                    We published a notice in the Federal                                                                        Division of Research, Analysis, and
                                                  Register on August 28, 2015, entitled                   SUMMARY:   Statement of organization,                 Communications within ODAS–ECD. It
                                                  ‘‘Medicare Program; Solicitation of                     functions, and delegations of authority.              eliminates the Policy and Planning
                                                  Nominations to the Advisory Panel on                    The Administration for Children and                   Division in OHS and moves some of
                                                  Hospital Outpatient Payment (80 FR                      Families (ACF) has reorganized the                    those functions to the newly created
                                                  52294). The notice solicited                            Office of the Deputy Assistant Secretary              Division of Policy and Budget within
                                                  nominations for up to seven new                         for Early Childhood Development                       ODAS–ECD and to a new OHS Division
                                                  members to fill the vacancies on the                    (ODAS–ECD) within the Office of the                   of Planning, Oversight, and Policy. It
                                                  Panel beginning in CY 2016. As a result                 Assistant Secretary (OAS), the Office of              eliminates the State Initiatives Division
                                                  of that notice, we are announcing seven                 Head Start (OHS), and the Office of                   in OHS and moves some of those
                                                  new members to the Panel. The Panel                     Child Care (OCC). This reorganization                 functions to each of the newly created
                                                  consists of a Chair and 15 members. The                 will transfer reporting authority of OCC              Division of Interagency and Special
                                                  seven new Panel member appointments                     and OHS in their entirety from OAS to                 Initiatives and the Division of
                                                  are for 4-year terms beginning March 1,                 the ODAS–ECD. This reorganization                     Comprehensive Services and Training
                                                  2016 and will assure that we continue                   creates within ODAS–ECD the Division                  and Technical Assistance within
                                                  to have a Chair and 15 members                          of Policy and Budget; the Division of                 ODAS–ECD. It also deletes the Grants
                                                  available to attend our scheduled                       Comprehensive Services and Training                   and Contracts Division in OHS and
                                                  meeting.                                                and Technical Assistance; the Division                moves the functions to two newly
                                                                                                          of Research, Analysis, and                            created and separate Divisions within
                                                  New Appointments to the Panel                           Communications; and the Division of                   OHS—the Division of Contracts and the
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                    New members of the Panel will have                    Interagency and Special Initiatives.                  Division of Grants. It combines the
                                                  terms beginning on March 1, 2016 and                    Additionally, this reorganization will                previous OHS Quality Assurance
                                                  continuing through February 28, 2020 as                 realign and combine several functions                 Division and OHS Policy and Planning
                                                  follows:                                                currently separately managed within                   Division to create the OHS Division of
                                                    • Shelly Dunham, R.N.                                 OHS, OCC, and ODAS–ECD.                               Planning, Oversight, and Policy. The
                                                    • Kenneth Michael Flowe, M.D.,                          The ODAS–ECD reviewed the                           OHS Program Operations Division
                                                  M.B.A.                                                  programmatic and administrative                       remains the OHS Division of Program
                                                    • Erika Hardy, R.H.I.A.                               similarities and differences between                  Operations.


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Document Created: 2016-02-11 00:03:44
Document Modified: 2016-02-11 00:03:44
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesMarch 14, 2016.
ContactDesignated Federal Official (DFO): Carol Schwartz, DFO, 7500 Security Boulevard, Mail Stop: C4-04-25, Woodlawn, MD 21244-1850. Phone: (410) 786-3985. Email: [email protected]
FR Citation81 FR 7345 

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