Quality Measures and Administrative Procedures for the Hospital-Acquired Condition Reduction Program (CMS-10668)
Revision of a currently approved collection
No
Regular
08/29/2024
Requested
Previously Approved
36 Months From Approved
11/30/2025
640
400
28,840
28,800
0
0
The Hospital-Acquired Condition (HAC) Reduction Program is established by section 1886(p) of the Social Security Act, as added by Section 3008 of the Affordable Care Act (Pub. L. 111-148), and requires the Secretary to reduce payments to subsection (d) hospitals in the worst-performing quartile of all subsection (d) hospitals by 1 percent effective beginning on October 1, 2014 and subsequent years.
For the FY 2025 program year we are proposing in the Fiscal Year (FY) 2023 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital (LTCH) PPS proposed rule to suppress all six measures in the HAC Reduction Program and not calculate measure scores or Total HAC Scores for any hospital such that no hospital will receive a payment reduction due to the significant impacts of the COVID-19 pandemic on the quality measures.
We previously requested and received approval for total annual burden estimates under this OMB control number for the FY 2025 program year of 28,800 hours at a total cost of $1,221,120. Accounting for updated wage rates, the total cost increases to $1,501,056 as shown in Table 2, a difference of $279,936.
While we are updating wage rates, we are not finalizing any policies in the FY 2025 IPPS/LTCH PPS final rule which result in a change to our estimated burden. However, we are accounting for the burden of 40 hours at a cost of $2,085 associated with completion of the Measure Exception Form. In aggregate, we estimate a total increase of 40 hours and $282,021 ($279,936 + $2,085). The burden hours are now 28,840 (28,800 hours + 40 hours).
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:
(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;
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.
Form CMS-10668 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation
CMS-10668 HACRP FY 2025 FR Supporting Statement B 8-28-24.docx
Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation