[Federal Register Volume 77, Number 209 (Monday, October 29, 2012)]
[Rules and Regulations]
[Pages 65495-65496]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-26505]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 412, 413, 424, and 476
[CMS-1588-CN3]
RIN 0938-AR12
Medicare Program; Hospital Inpatient Prospective Payment Systems
for Acute Care Hospitals and the Long Term Care Hospital Prospective
Payment System and Fiscal Year 2013 Rates; Hospitals' Resident Caps for
Graduate Medical Education Payment Purposes; Quality Reporting
Requirements for Specific Providers and for Ambulatory Surgical
Centers; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
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SUMMARY: This document corrects technical errors that appeared in the
final rule that appeared in the August 31, 2012 Federal Register
entitled ``Medicare Program; Hospital Inpatient Prospective Payment
Systems for Acute Care Hospitals and the Long Term Care Hospital
Prospective Payment System and Fiscal Year 2013 Rates; Hospitals'
Resident Caps for Graduate Medical Education Payment Purposes; Quality
Reporting Requirements for Specific Providers and for Ambulatory
Surgical Centers.''
DATES: Effective Date: October 26, 2012.
FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2012-19079 of August 31, 2012 (77 FR 53258) (hereinafter
referred to as the FY 2013 IPPS/LTCH PPS final rule), there were
technical and typographical errors that are identified and corrected in
the Correction of Errors section of this correcting document. We note
that in the October 3, 2012 Federal Register (77 FR 60315), we
corrected a number of the errors in the FY 2013 IPPS/LTCH PPS final
rule including an error in the table regarding the final performance
standards for the FY 2015 Hospital Value-Based Purchasing (HVBP)
program. (For more detailed information, see sections II.A. and
IV.A.11. of the October 3, 2012 correcting document).
II. Summary of Errors
A. Errors in the Preamble
On pages 53601 and 53602, we have determined that there were also
errors in the achievement thresholds and benchmark values presented in
the Clinical Process of Care measures section of the final performance
standards for the FY 2015 HVBP Program table. The omission of the label
for the HF-1 measure resulted in the performance standards for all
subsequent measures being shifted up one line each. The table now
reflects the corrections for all finalized Clinical Process of Care
measures.
B. Errors in the Addendum
On page 53695, we made typographical errors in the charge inflation
factor for the FY 2013 IPPS outlier threshold.
III. Waiver of Proposed Rulemaking and Delay of Effective Date
We ordinarily publish a notice of proposed rulemaking in the
Federal Register to provide a period for public comment before the
provisions of a rule take effect in accordance with section 553(b) of
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we
can waive this notice and comment procedure if the Secretary finds, for
good cause, that the notice and comment process is impracticable,
unnecessary, or contrary to the public interest, and incorporates a
statement of the finding and the reasons therefore in the notice.
Section 553(d) of the APA ordinarily requires a 30-day delay in
effective date of final rules after the date of their publication in
the. This 30-day delay in effective date can be waived, however, if an
agency finds for good cause that the delay is impracticable,
unnecessary, or contrary to the public interest, and the agency
incorporates a statement of the findings and its reasons in the rule
issued.
In our view, this correcting document does not constitute a rule
that would be subject to the APA notice and comment or delayed
effective date requirements. This correcting document corrects
technical and typographical errors in the preamble and addendum, but
does not make substantive changes to the policies or payment
methodologies that
[[Page 65496]]
were adopted in the final rule. As a result, this correcting document
is intended to ensure that the preamble and addendum, accurately
reflects the policies adopted in that final rule.
In addition, even if this were a rule to which the notice and
comment and delayed effective date requirements applied, we find that
there is good cause to waive such requirements. Undertaking further
notice and comment procedures to incorporate the corrections in this
document into the final rule or delaying the effective date would be
contrary to the public interest. Furthermore, such procedures would be
unnecessary, as we are not altering the policies that were already
subject to comment and finalized in our final rule. Therefore, we
believe we have good cause to waive the notice and comment and
effective date requirements.
IV. Correction of Errors
In FR Doc. 2012-19079 of August 31, 2012 (77 FR 53258), make the
following corrections:
A. Corrections of Errors in the Preamble
1. On pages 53601 and 53602, the table entitled ``FINAL PERFORMANCE
STANDARDS FOR THE FY 2015 HOSPITAL VBP PROGRAM CLINICAL PROCESS OF
CARE, OUTCOME, AND EFFICIENCY DOMAINS,'' the entries for the clinical
process of care measures are corrected as follows:
Clinical Process of Care Measures
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Achievement
Measure ID Description threshold Benchmark
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AMI-7a................................. Fibrinolytic Therapy Received Within 30 0.80000 1.00000
Minutes of Hospital Arrival.
AMI-8a................................. Primary PCI Received Within 90 Minutes 0.95349 1.00000
of Hospital Arrival.
HF-1................................... Discharge Instructions................. 0.94118 1.00000
PN-3b.................................. Blood Cultures Performed in the 0.97783 1.00000
Emergency Department Prior to Initial
Antibiotic Received in Hospital.
PN-6................................... Initial Antibiotic Selection for CAP in 0.95918 1.00000
Immunocompetent Patient.
SCIP-Card-2............................ Surgery Patients on Beta-Blocker 0.97175 1.00000
Therapy Prior to Arrival Who Received
a Beta-Blocker During the
Perioperative Period.
SCIP-Inf-1............................. Prophylactic Antibiotic Received Within 0.98639 1.00000
One Hour Prior to Surgical Incision.
SCIP-Inf-2............................. Prophylactic Antibiotic Selection for 0.98637 1.00000
Surgical Patients.
SCIP-Inf-3............................. Prophylactic Antibiotics Discontinued 0.97494 1.00000
Within 24 Hours After Surgery End Time.
SCIP-Inf-4............................. Cardiac Surgery Patients With 0.95798 0.99767
Controlled 6AM Postoperative Serum
Glucose.
SCIP-Inf-9............................. Urinary Catheter Removed on 0.94891 0.99991
Postoperative Day 1 or Postoperative
Day 2.
SCIP-VTE-2............................. Surgery Patients Who Received 0.97403 0.99998
Appropriate Venous Thromboembolism
Prophylaxes Within 24 Hours Prior to
Surgery to 24 Hours After Surgery.
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B. Correct of Errors in the Addendum
1. On page 53695, third column, first paragraph, line 2, the
figures ``8.94 percent (1.0866203)'' are corrected to read ``8.66
percent (1.0866203)''.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: October 18, 2012.
Oliver Potts,
Deputy Executive, Secretary to the Department, Department of Health and
Human Services.
[FR Doc. 2012-26505 Filed 10-26-12; 8:45 am]
BILLING CODE 4120-01-P