82_FR_51844 82 FR 51630 - Agency Information Collection Activities: Proposed Collection; Comment Request

82 FR 51630 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 82, Issue 214 (November 7, 2017)

Page Range51630-51631
FR Document2017-24134

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Federal Register, Volume 82 Issue 214 (Tuesday, November 7, 2017)
[Federal Register Volume 82, Number 214 (Tuesday, November 7, 2017)]
[Notices]
[Pages 51630-51631]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-24134]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10656 and CMS-10455]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

ACTION: Notice.

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

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments must be received by January 8, 2018.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number _________, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10656 Evaluation of the Partnership for Patients (PfP) 3.0
CMS-10455 Report of a Hospital Death Associated with Restraint or 
Seclusion

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: New collection of 
information request; Title of Information Collection: Evaluation of the 
Partnership for Patients (PfP) 3.0; Use: In the summer of 2015, the 
Centers for Medicare & Medicaid Services (CMS) Administrator approved 
the plans for integration of the Partnership for Patients (PfP) 
Hospital Engagement Network (HEN) model test with the Quality 
Improvement Network-Quality Improvement Organization (QIN-QIO) program. 
This is consistent

[[Page 51631]]

with the Agency's intention for further integration to maximize the 
strengths of the QIO program and PfP HENs to sustain and expand current 
national reductions in in-patient harm and 30-day readmissions. The 
alignment of the two programs permits the systematic use of innovative 
patient safety practices at a national scale.
    Under this initiative, CMS has awarded multiple contracts to 
Hospital Improvement Innovation Networks (HIINs), formerly known as 
HENs, to engage the hospital, provider, and broader caregiver 
communities to implement well-tested and measured best practices. The 
end result of the overall initiative is the anticipated reduction in 
preventable hospital-based harm and readmissions for patients.
    The PfP initiative is a public-private partnership dedicated to the 
improvement of health care quality, safety, and affordability. CMS, 
working with hospitals, providers, and the broader caregiver community, 
aims to implement and disseminate best practices on a national scale to 
reduce hospital acquired conditions (HACs) and all-cause readmissions. 
Through the PfP model, which was initiated in April 2011, CMS fostered 
rapid learning among a nationwide community of practice, resulting in 
major strides in patient safety and engagement by patients and 
families.
    A mixed methods approach to answering the PfP HIIN evaluation 
questions includes three primary data collection activities, as 
follows: Hospital Survey on Prevention of Adverse Events and Reduction 
of Readmissions, HIIN Data Quality Assurance (QA) Survey and 
Qualitative Discussions with HIIN leaders and Other Support 
Contractors. The data collected will provide us feedback to focus 
efforts to improve the effectiveness and efficiency of the HIIN 
initiative. As we draft future HIIN and QIO contracts, information from 
hospitals about HIIN influence on their care processes will be used 
together with follow-up input from stakeholders about the survey 
results. Form Number: CMS-10656 (OMB Control Number: 0938-NEW); 
Frequency: Annually; Affected Public: Private Sector: Business or other 
for-profits and Not-for-profit institutions; Number of Respondents: 
835; Total Annual Responses: 854; Total Annual Hours: 392. (For policy 
questions regarding this collection contact Israel Cross at 410-786-
0619.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Report of a 
Hospital Death Associated with Restraint or Seclusion; Use: The 
regulation that was published on May, 16, 2012 (77 FR 29074) included a 
reduction in the reporting requirement related to hospital deaths 
associated with the use of restraint or seclusion, Sec.  482.13(g). 
Hospitals must use Form CMS-10455 to report those deaths associated 
with restraint and/or seclusion directly to the Centers for Medicare & 
Medicaid Services (CMS) Regional Office (RO). This requirement also 
applies to rehabilitation or psychiatric distinct part units (DPUs) in 
Critical Access Hospitals (CAHs). The RO must provide hospitals with 
instructions for submitting the form fax and/or email, based on RO 
preference. Hospitals are no longer required to report to CMS those 
deaths where there was no use of seclusion and the only restraint was 
2-point soft wrist restraints beginning in May 9, 2014. This reporting 
requirement change resulted in no necessary edits to the form CMS-10455 
as soft wrist restraints may be used in combination with other types of 
restraints. It was estimated that this would reduce the volume of 
reports that must be submitted by 90 percent for hospitals. In 
addition, the final rule replaced the previous requirement for 
reporting via telephone to CMS, which proved to be cumbersome for both 
CMS and hospitals, with a requirement that allows submission of reports 
via telephone, facsimile or electronically, as determined by CMS.
    Form CMS-10455 is being revised in order to obtain the necessary 
information for the ROs to make a determination whether or not to 
authorize an on-site investigation related to the details surrounding 
the death of individuals associated with restraint and/or seclusion. 
Form Number: CMS-10455 (OMB control number: 0938-1210); Frequency: 
Occasionally; Affected Public: Private Sector; Number of Respondents: 
6,389; Number of Responses: 6,389; Total Annual Hours: 2,619. (For 
policy questions regarding this collection contact Karina Meushaw at 
410-786-1000.)

    Dated: November 1, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-24134 Filed 11-6-17; 8:45 am]
 BILLING CODE 4120-01-P



                                               51630                      Federal Register / Vol. 82, No. 214 / Tuesday, November 7, 2017 / Notices

                                               the accomplishments of the committee’s                  DEPARTMENT OF HEALTH AND                                To obtain copies of a supporting
                                               objectives. The Administrator is seeking                HUMAN SERVICES                                        statement and any related forms for the
                                               nominations for members fulfilling the                                                                        proposed collection(s) summarized in
                                               following categories:                                   Centers for Medicare & Medicaid                       this notice, you may make your request
                                                                                                       Services                                              using one of following:
                                                  • Environmental medicine or
                                                                                                                                                               1. Access CMS’ Web site address at
                                               Environmental health specialist;                        [Document Identifier CMS–10656 and CMS–               http://www.cms.hhs.gov/
                                                  • Epidemiologist;                                    10455]
                                                                                                                                                             PaperworkReductionActof1995.
                                                  • Occupational physician who has                     Agency Information Collection                           2. Email your request, including your
                                               experience treating WTC rescue and                      Activities: Proposed Collection;                      address, phone number, OMB number,
                                               recovery workers;                                       Comment Request                                       and CMS document identifier, to
                                                                                                                                                             Paperwork@cms.hhs.gov.
                                                  • Occupational physician;                            AGENCY: Centers for Medicare &                          3. Call the Reports Clearance Office at
                                                  • Representative of WTC responders;                  Medicaid Services.                                    (410) 786–1326.
                                               and                                                     ACTION: Notice.                                       FOR FURTHER INFORMATION CONTACT:
                                                  • Toxicologist.                                                                                            William Parham at (410) 786–4669.
                                                                                                       SUMMARY:    The Centers for Medicare &                SUPPLEMENTARY INFORMATION:
                                                  Candidates should submit the                         Medicaid Services (CMS) is announcing
                                               following items:                                        an opportunity for the public to                      Contents
                                                  D Current curriculum vitae, including                comment on CMS’ intention to collect                    This notice sets out a summary of the
                                               complete contact information                            information from the public. Under the                use and burden associated with the
                                               (telephone numbers, mailing address,                    Paperwork Reduction Act of 1995 (the                  following information collections. More
                                               email address);                                         PRA), federal agencies are required to                detailed information can be found in
                                                  D The category of membership                         publish notice in the Federal Register                each collection’s supporting statement
                                               (environmental medicine or                              concerning each proposed collection of                and associated materials (see
                                                                                                       information (including each proposed                  ADDRESSES).
                                               environmental health specialist,
                                                                                                       extension or reinstatement of an existing             CMS–10656 Evaluation of the
                                               occupational physician, pulmonary
                                                                                                       collection of information) and to allow                    Partnership for Patients (PfP) 3.0
                                               physician, representative of WTC
                                                                                                       60 days for public comment on the                     CMS–10455 Report of a Hospital Death
                                               responders, certified-eligible WTC                      proposed action. Interested persons are
                                               survivor representative, industrial                                                                                Associated with Restraint or
                                                                                                       invited to send comments regarding our                     Seclusion
                                               hygienist, toxicologist, epidemiologist,                burden estimates or any other aspect of
                                               or mental health professional) that the                 this collection of information, including               Under the PRA (44 U.S.C. 3501–
                                               candidate is qualified to represent);                   the necessity and utility of the proposed             3520), federal agencies must obtain
                                                  D A summary of the background,                       information collection for the proper                 approval from the Office of Management
                                                                                                       performance of the agency’s functions,                and Budget (OMB) for each collection of
                                               experience, and qualifications that
                                                                                                       the accuracy of the estimated burden,                 information they conduct or sponsor.
                                               demonstrates the nominee’s suitability
                                                                                                       ways to enhance the quality, utility, and             The term ‘‘collection of information’’ is
                                               for the nominated membership category;
                                                                                                       clarity of the information to be                      defined in 44 U.S.C. 3502(3) and 5 CFR
                                               and                                                                                                           1320.3(c) and includes agency requests
                                                  D At least one letter of                             collected, and the use of automated
                                                                                                       collection techniques or other forms of               or requirements that members of the
                                               recommendation from person(s) not                                                                             public submit reports, keep records, or
                                                                                                       information technology to minimize the
                                               employed by the U.S. Department of                                                                            provide information to a third party.
                                                                                                       information collection burden.
                                               Health and Human Services.                                                                                    Section 3506(c)(2)(A) of the PRA
                                               (Candidates may submit letter(s) from                   DATES: Comments must be received by                   requires federal agencies to publish a
                                               current HHS employees if they wish,                     January 8, 2018.                                      60-day notice in the Federal Register
                                               but at least one letter must be submitted               ADDRESSES: When commenting, please                    concerning each proposed collection of
                                               by a person not employed by an HHS                      reference the document identifier or                  information, including each proposed
                                               agency (e.g., CDC, NIH, FDA, etc.).                     OMB control number. To be assured                     extension or reinstatement of an existing
                                                                                                       consideration, comments and                           collection of information, before
                                                  Nominations may be submitted by the                  recommendations must be submitted in                  submitting the collection to OMB for
                                               candidate him- or herself, or by the                    any one of the following ways:                        approval. To comply with this
                                               person/organization recommending the                      1. Electronically. You may send your                requirement, CMS is publishing this
                                               candidate.                                              comments electronically to http://                    notice.
                                                  The Director, Management Analysis                    www.regulations.gov. Follow the
                                               and Services Office, has been delegated                 instructions for ‘‘Comment or                         Information Collection
                                               the authority to sign Federal Register                  Submission’’ or ‘‘More Search Options’’                 1. Type of Information Collection
                                               notices pertaining to announcements of                  to find the information collection                    Request: New collection of information
                                               meetings and other committee                            document(s) that are accepting                        request; Title of Information Collection:
                                               management activities for both CDC and                  comments.                                             Evaluation of the Partnership for
                                               the Agency for Toxic Substances and                       2. By regular mail. You may mail                    Patients (PfP) 3.0; Use: In the summer of
                                               Disease Registry.                                       written comments to the following                     2015, the Centers for Medicare &
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                                                                                                       address: CMS, Office of Strategic                     Medicaid Services (CMS) Administrator
                                               Elaine L. Baker                                         Operations and Regulatory Affairs,                    approved the plans for integration of the
                                               Director, Management Analysis and Services              Division of Regulations Development,                  Partnership for Patients (PfP) Hospital
                                               Office, Centers for Disease Control and                 Attention: Document Identifier/OMB                    Engagement Network (HEN) model test
                                               Prevention.                                             Control Number _________, Room C4–                    with the Quality Improvement Network-
                                               [FR Doc. 2017–24155 Filed 11–6–17; 8:45 am]             26–05, 7500 Security Boulevard,                       Quality Improvement Organization
                                               BILLING CODE 4163–18–P                                  Baltimore, Maryland 21244–1850.                       (QIN–QIO) program. This is consistent


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                                                                          Federal Register / Vol. 82, No. 214 / Tuesday, November 7, 2017 / Notices                                              51631

                                               with the Agency’s intention for further                 regulation that was published on May,                 DEPARTMENT OF HEALTH AND
                                               integration to maximize the strengths of                16, 2012 (77 FR 29074) included a                     HUMAN SERVICES
                                               the QIO program and PfP HENs to                         reduction in the reporting requirement
                                               sustain and expand current national                     related to hospital deaths associated                 Food and Drug Administration
                                               reductions in in-patient harm and 30-                   with the use of restraint or seclusion,               [Docket No. FDA–2012–D–0529]
                                               day readmissions. The alignment of the                  § 482.13(g). Hospitals must use Form
                                               two programs permits the systematic                     CMS–10455 to report those deaths                      Recommended Statement for Over-the-
                                               use of innovative patient safety                        associated with restraint and/or                      Counter Aspirin-Containing Drug
                                               practices at a national scale.                          seclusion directly to the Centers for                 Products Labeled With Cardiovascular-
                                                  Under this initiative, CMS has                                                                             Related Imagery; Guidance for
                                                                                                       Medicare & Medicaid Services (CMS)
                                               awarded multiple contracts to Hospital                                                                        Industry; Availability
                                               Improvement Innovation Networks                         Regional Office (RO). This requirement
                                               (HIINs), formerly known as HENs, to                     also applies to rehabilitation or                     AGENCY:   Food and Drug Administration,
                                               engage the hospital, provider, and                      psychiatric distinct part units (DPUs) in             HHS.
                                               broader caregiver communities to                        Critical Access Hospitals (CAHs). The                 ACTION:   Notice of availability.
                                               implement well-tested and measured                      RO must provide hospitals with
                                                                                                       instructions for submitting the form fax              SUMMARY:   The Food and Drug
                                               best practices. The end result of the
                                                                                                       and/or email, based on RO preference.                 Administration (FDA or Agency) is
                                               overall initiative is the anticipated
                                                                                                       Hospitals are no longer required to                   announcing the availability of a
                                               reduction in preventable hospital-based
                                                                                                       report to CMS those deaths where there                guidance for industry entitled
                                               harm and readmissions for patients.
                                                  The PfP initiative is a public-private                                                                     ‘‘Recommended Statement for Over-the-
                                                                                                       was no use of seclusion and the only
                                               partnership dedicated to the                                                                                  Counter Aspirin-Containing Drug
                                                                                                       restraint was 2-point soft wrist restraints           Products Labeled With Cardiovascular-
                                               improvement of health care quality,                     beginning in May 9, 2014. This
                                               safety, and affordability. CMS, working                                                                       Related Imagery.’’ The guidance is
                                                                                                       reporting requirement change resulted                 intended to promote the safe use of
                                               with hospitals, providers, and the                      in no necessary edits to the form CMS–
                                               broader caregiver community, aims to                                                                          nonprescription (also referred to as
                                                                                                       10455 as soft wrist restraints may be                 over-the-counter or OTC) aspirin drug
                                               implement and disseminate best                          used in combination with other types of
                                               practices on a national scale to reduce                                                                       products by encouraging drug
                                                                                                       restraints. It was estimated that this                manufacturers, packagers, and labelers
                                               hospital acquired conditions (HACs)
                                                                                                       would reduce the volume of reports that               marketing aspirin drug products with
                                               and all-cause readmissions. Through the
                                               PfP model, which was initiated in April                 must be submitted by 90 percent for                   cardiovascular-related imagery to
                                               2011, CMS fostered rapid learning                       hospitals. In addition, the final rule                include a statement that reminds
                                               among a nationwide community of                         replaced the previous requirement for                 consumers to talk to their health care
                                               practice, resulting in major strides in                 reporting via telephone to CMS, which                 provider before using aspirin for their
                                               patient safety and engagement by                        proved to be cumbersome for both CMS                  heart.
                                               patients and families.                                  and hospitals, with a requirement that                DATES: The announcement of the
                                                  A mixed methods approach to                          allows submission of reports via                      guidance is published in the Federal
                                               answering the PfP HIIN evaluation                       telephone, facsimile or electronically, as            Register on November 7, 2017.
                                               questions includes three primary data                   determined by CMS.                                    ADDRESSES: You may submit either
                                               collection activities, as follows: Hospital                Form CMS–10455 is being revised in                 electronic or written comments on
                                               Survey on Prevention of Adverse Events                  order to obtain the necessary                         Agency guidances at any time as
                                               and Reduction of Readmissions, HIIN                                                                           follows:
                                                                                                       information for the ROs to make a
                                               Data Quality Assurance (QA) Survey
                                                                                                       determination whether or not to                       Electronic Submissions
                                               and Qualitative Discussions with HIIN
                                               leaders and Other Support Contractors.                  authorize an on-site investigation                      Submit electronic comments in the
                                               The data collected will provide us                      related to the details surrounding the                following way:
                                               feedback to focus efforts to improve the                death of individuals associated with                    • Federal eRulemaking Portal:
                                               effectiveness and efficiency of the HIIN                restraint and/or seclusion. Form                      https://www.regulations.gov. Follow the
                                               initiative. As we draft future HIIN and                 Number: CMS–10455 (OMB control                        instructions for submitting comments.
                                               QIO contracts, information from                         number: 0938–1210); Frequency:                        Comments submitted electronically,
                                               hospitals about HIIN influence on their                 Occasionally; Affected Public: Private                including attachments, to https://
                                               care processes will be used together                    Sector; Number of Respondents: 6,389;                 www.regulations.gov will be posted to
                                               with follow-up input from stakeholders                  Number of Responses: 6,389; Total                     the docket unchanged. Because your
                                               about the survey results. Form Number:                  Annual Hours: 2,619. (For policy                      comment will be made public, you are
                                               CMS–10656 (OMB Control Number:                          questions regarding this collection                   solely responsible for ensuring that your
                                               0938–NEW); Frequency: Annually;                         contact Karina Meushaw at 410–786–                    comment does not include any
                                               Affected Public: Private Sector: Business               1000.)                                                confidential information that you or a
                                               or other for-profits and Not-for-profit                                                                       third party may not wish to be posted,
                                                                                                          Dated: November 1, 2017.
                                               institutions; Number of Respondents:                                                                          such as medical information, your or
                                               835; Total Annual Responses: 854; Total                 William N. Parham, III,                               anyone else’s Social Security number, or
                                               Annual Hours: 392. (For policy                          Director, Paperwork Reduction Staff, Office           confidential business information, such
                                               questions regarding this collection                     of Strategic Operations and Regulatory                as a manufacturing process. Please note
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                                               contact Israel Cross at 410–786–0619.)                  Affairs.                                              that if you include your name, contact
                                                  2. Type of Information Collection                    [FR Doc. 2017–24134 Filed 11–6–17; 8:45 am]           information, or other information that
                                               Request: Revision of a currently                        BILLING CODE 4120–01–P                                identifies you in the body of your
                                               approved collection; Title of                                                                                 comments, that information will be
                                               Information Collection: Report of a                                                                           posted on https://www.regulations.gov.
                                               Hospital Death Associated with                                                                                  • If you want to submit a comment
                                               Restraint or Seclusion; Use: The                                                                              with confidential information that you


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Document Created: 2018-10-25 10:26:44
Document Modified: 2018-10-25 10:26:44
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.
DatesComments must be received by January 8, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 51630 

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