Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250)

Forms and Documents

Document Name	Status
Form CMS-10250 Hospital Outpatient Quality Reporting Form and Instruction	Modified
CMS-10250.HOQR CY 2025 Supporting Statement Part B_final.docx Supporting Statement B	2024-10-10
CMS-10250.HOQR CY 2025 Supporting Statement Part A_final.docx Supporting Statement A	2024-10-10

IC Document Collections

IC ID	Document Title	Status
217995	Hospital Outpatient Quality Reporting Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1109	ICR Reference No: 202410-0938-014
Status: Received in OIRA	Previous ICR Reference No: 202401-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/10/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2026
Responses	968,150	968,150
Time Burden (Hours)	54,189,977	276,148
Cost Burden (Dollars)	0	0

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Abstract: Section 109(a) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(t) of the Social Security Act by adding a new subsection (17) that affects the payment rate update applicable to Outpatient Prospective Payment System (OPPS) payments for services furnished by hospitals in outpatient settings on or after January 1, 2009. Section 1833(t)(17)(A) of the Social Security Act, which applies to hospitals as defined under section 1886(d)(1)(B) of the Social Security Act, requires that hospitals that fail to report data required for quality measures selected by the Secretary in the form and manner required by the Secretary under section 1833(t)(17)(B) of the Social Security Act will incur a reduction in their annual payment update (APU) factor to the hospital outpatient department fee schedule by 2.0 percentage points. Hospital OQR Program payment determinations are made based on Hospital OQR Program quality measure data reported and supporting forms submitted by hospitals as specified through rulemaking. To reduce burden, a variety of different data collection mechanisms are employed, with every consideration taken to employ existing data and data collection systems.

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Authorizing Statute(s): PL: Pub.L. 109 - 432 109(a) Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services
   PL: Pub.L. 111 - 148 3014 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV35	Proposed rulemaking	89 FR 59437	07/22/2024

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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
Hospital Outpatient Quality Reporting	CMS-10250.OQR_Withdraw Form, CMS-10250, CMS-10250, CMS-10250	Web Based Data Collection Tool ,   CMS-10250.OQR_Withdraw Form ,   CMS-10250.HOQR ProgramValidationReconForm ,   CMS.10250.Extraordinary Circumstances Exemption Request Form

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	968,150	968,150	0	0	0	0
Annual Time Burden (Hours)	54,189,977	276,148	0	53,913,829	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: For the CY 2025 reporting period/CY 2027 payment determination, based on the policy proposals in the CY 2025 OPPS/ASC proposed rule, we estimate a total burden of 16,855,645 hours at a cost of $420,225,865 (an increase of 16,576,356 and $406,169,218 from our estimate in the CY 2024 OPPS/ASC final rule). This burden estimate also represents an increase of 16,593,108 and $406,542,452 from the currently approved burden estimate of 262,537 hours and $13,683,413 for the CY 2024 reporting period/CY 2026 payment determination. The proposed adoption of the HCHE measure would result in a total estimated burden increase of 533 hours at a cost of $29,518 beginning with the CY 2027 payment determination. The proposed adoption of the Screening for SDOH and Screen Positive Rate for SDOH measures would result in a total estimated burden increase of 16,462,369 hours at a cost of $403,179,882 and 533 hours at a cost of $29,518, respectively, when mandatory reporting begins for the CY 2028 payment determination. The proposed adoption of the Information Transfer PRO-PM would result in a total estimated burden increase of 49,884,885 hours at a cost of $1,221,697,298 when mandatory reporting begins for the CY 2028 payment determination. Accounting for the impact of the proposals in the CY 2025 OPPS/ASC proposed rule, our updated estimate of the number of HOPDs results in an annual burden decrease of 11,723 hours and $649,408 beginning with the CY 2027 payment determination. The aggregate increase due to these policies and adjustments as reflected in our burden estimates for the CY 2030 payment determination is 66,336,597 hours (-11,723 + 533 + 16,462,369 + 533 + 49,884,885) and $1,624,286,808 (-649,408 + $29,518 + $403,179,882 + $29,518 + $1,221,697,298) as shown in Tables 7 and 8.

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Annual Cost to Federal Government: $10,228,911

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 10/10/2024

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