Final Rule with Comment Period on Medicare OPPS - Ropes & Gray

74552 Federal Register / Vol. 76, No. 230 / Wednesday, November 30, 2011 / <strong>Rule</strong>s and Regulationsjlentini on DSK4TPTVN1PROD <strong>with</strong> RULES2BILLING CODE 4120–01–CWe will calculate the seven claimsbasedmeasures using Medicare FFSclaims data and do not requireadditional hospital data submissions.With the exception of OP–22, we areusing the same data submissionrequirements related to the chartabstractedquality measures that aresubmitted directly to CMS that we usedfor the CY 2011 and CY 2012 paymentdeterminations. For the four structuralmeasures, including the collection ofall-patient volume for selectedoutpatient procedures, hospitals willenter data into a Web-based collectiontool during a specified collection periodonce annually. Under the Hospital OQRProgram requirements, hospitals mustcomplete and submit a notice ofparticipation form for the Hospital OQRProgram if they have not already doneso or have <strong>with</strong>drawn fromparticipation. By submitting thisdocument, hospitals agree that they willallow CMS to publicly report themeasures for which they have submitteddata under the Hospital OQR Program.For the CY 2014 paymentdetermination, the burden associated<strong>with</strong> these requirements (includingthose previously adopted) is the timeand effort associated <strong>with</strong> completingthe notice of participation form,collecting and submitting the data onthe 26 measures. For the 15 chartabstractedmeasures (including thosemeasures for which data are data issubmitted directly to CMS, as well asthe OP–22 measure for which data willbe submitted via a Web-based toolrather than via an electronic file), weestimate that there will beapproximately 3,200 respondents peryear. For hospitals to collect and submitthe information on the chart-abstractedmeasures we estimate it will take 35minutes per sampled case. Based uponthe data submitted for the CY 2011payment determination and ourestimates for the additional proposedmeasures, we estimate there will be atotal of 1,947,429 cases per year,approximately 609 cases per year perrespondent. The estimated annualburden associated <strong>with</strong> the submissionrequirements for these chart-abstractedmeasures is 1,136,000 hours (1,947,429cases per year × 0.583 hours per case).VerDate Mar2010 17:08 Nov 29, 2011 Jkt 226001 PO 00000 Frm 00432 Fmt 4701 Sfmt 4700 E:\FR\FM\30NOR2.SGM 30NOR2For the structural measures, excludingthe proposed all-patient volume forselected surgical procedures measure,we estimate that each participatinghospital will spend 10 minutes per yearto collect and submit the required data,making the estimated annual burdenassociated <strong>with</strong> these measures 1,600hours (3,200 hospitals × 0.167 hours permeasure × 3 structural measures perhospital).For the collection of all-patientvolume for selected outpatient surgicalprocedures, because hospitals mustdetermine their populations for datareporting purposes and most hospitalsare voluntarily reporting population andsampling data for Hospital OQRProgram purposes, we believe the onlyadditional burden associated <strong>with</strong> thisproposed requirement would be thereporting of the data using the Webbasedtool. We estimate that eachparticipating hospital will spend 10minutes per year to collect and submitthe data, making the estimated annualburden associated <strong>with</strong> this measure533 hours (3,200 hospitals × 0.167 hoursER30NO11.150