Note to OMB December 19

January 03, 2013

Note to OMB:

The Division of Chronic and Post-Acute Care (DCPAC) has been advised by OSORA and OMB to submit one PRA package to accomplish the following:

1. Request extension of the existing PRA package (#10409; OMB Control # 0938-1163) for the Long-Term Care Hospital (LTCH) Continuity Assessment Record Evaluation (CARE) Data Set, which is currently set to expire on April 30, 2013. This PRA package received a one-year approval conditional upon the expansion of the measure, Pressure Ulcers that are New or Have Worsened (NQF ID #0678), to the LTCH setting. The expansion of the pressure ulcer measure was board-ratified by the National Quality Forum (NQF) on August 1, 2012. I have attached NQF documentation of this approval of expansion (attachment labeled Appendix C). Additional information related to this measure is available on NQF’s website at www.qualityforum.org .

2. DCPAC is also submitting a new PRA package for the LTCH CARE Data Set, which was expanded to include new data items for collection by LTCH’s related to the measure, Patients Who Were Assessed and Appropriately Given the Influenza Vaccine (NQF ID 0680), which was finalized in the FY 2013 IPPS/LTCH PPS Final Rule published in the Federal Register on August 31, 2012 (Vol. 77, No. 170). LTCH’s will commence data collection/reporting on this measure beginning January 1, 2014. Providers will not be able to begin collection on the Influenza measure any earlier than January 1, 2014 as they typically need, at minimum, six months post OMB approval of this package in order to update their IT infrastructure with respect to the revisions made to the LTCH CARE Data Set outlined within this package. It is because of this that DCPAC is concurrently requesting the extension of the existing LTCH CARE Data Set PRA package deadline as described above.

Thank you for your consideration of this matter.

Respectfully,

Charles Padgett

Charles.padgett@cms.hhs.gov

(410) 763-2811