[Federal Register Volume 82, Number 214 (Tuesday, November 7, 2017)]
[Notices]
[Pages 51630-51631]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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.

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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