(CMS-10530) Ambulatory Surgical Center Quality Reporting Program

Forms and Documents

Document Name	Status
Form CMS-10530 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction	Modified
CMS-10530 ASCQR PRA Package Supporting Statement A clean.docx Supporting Statement A	2016-07-20

IC Document Collections

IC ID	Document Title	Status
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1270	ICR Reference No: 201607-0938-013
Status: Historical Inactive	Previous ICR Reference No: 201502-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-10530) Ambulatory Surgical Center Quality Reporting Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 09/22/2016
	Date Received in OIRA: 07/21/2016
Terms of Clearance: OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	10/31/2017
Responses	744,816	0	744,816
Time Burden (Hours)	444,790	0	444,790
Cost Burden (Dollars)	0	0	0

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Abstract: Section 1833(i) of the Social Security Act authorizes, but does not require, the establishment of a quality reporting program for ambulatory surgical centers. For CY 2017 and subsequent calendar years, it is proposed that ambulatory surgical centers will be required to collect and submit eleven quality measures to CMS. Measures are added to the Ambulatory Surgical Center Quality Reporting (ASCQR) Program in order to measure meaningful outcomes for the most important areas of service furnished by ASCs. This information is publicly reported and can be used for informed decision-making and quality improvement in the ASC setting.

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Authorizing Statute(s): US Code: 42 USC 1395 Name of Law: Social Security Act
   PL: Pub.L. 109 - 432 109(b) Name of Law: Tax Relief and Health Care Act of 2006
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AS82	Proposed rulemaking	81 FR 45603	07/14/2016

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Ambulatory Surgical Center Quality Reporting (ASCQR) Program	CMS-10530, CMS-10530	Extroadinary Circumstance Online Form ,   Reconsideration Request Online Form

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: ASCs are already submitting 11 of the 18 measures to CMS, and five of the proposed new measures (ASC-15a – ASC-15e) are calculated using data collected and submitted in the OAS CAHPS Survey.

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Annual Cost to Federal Government: $9,500,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/21/2016

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