[Federal Register: November 9, 2007 (Volume 72, Number 217)]
[Notices]
[Page 63612-63613]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09no07-75]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10243]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: New collection; Title of
Information Collection: Data Collection for Administering the Medicare
Continuity Assessment Record and Evaluation (CARE) Instrument; Use: The
Medicare Continuity Assessment Record and Evaluation (CARE) is a
uniform patient assessment instrument designed to measure differences
in patient severity, resource utilization, and outcomes for patients in
acute and post-acute care settings. This tool will be used to (1)
standardize program information on Medicare beneficiaries' acuity at
discharge from acute hospitals, (2) document medical severity,
[[Page 63613]]
functional status and other factors related to outcomes and resource
utilization at admission, discharge, and interim times during post
acute treatment, and (3) understand the relationship between severity
of illness, functional status, social support factors, and resource
utilization. The CARE instrument will be used in the Post-Acute Care
(PAC) Payment Reform Demonstration program mandated by Section 5008 of
the Deficit Reduction Act of 2005 to develop payment groups that
reflect patient severity and related cost and resource use across post
acute settings. Specifically, the data collected using the CARE
instrument during the Post-Acute Care Payment Demonstration will be
used by CMS to develop a setting neutral post-acute care payment model
as mandated by the Congress. The data will be used to characterize
patient severity of illness and level of function in order to predict
resource use, post-acute care discharge placement, and beneficiary
outcomes. CMS will use the data from the CARE instrument to examine the
degree to which the items on the instrument can be used to predict
beneficiary resource use and outcomes.
CMS made over 150 changes and improvements to the CARE instrument
following the 60 day public comment period. Many revisions were minor
word changes or clarifications to item-coding instructions. A
significant number of changes were made to delete unnecessary items and
to add skip patterns to allow respondents to skip over items/sections
that do not apply to a particular condition. The revised version of
CARE retains its clinical integrity while allowing for greater response
specificity. Form Number: CMS-10243 (OMB: 0938-NEW);
Frequency: Reporting--Daily; Affected Public: Private Sector--Business
or other for-profit and Not-for-profit institutions; Number of
Respondents: 388; Total Annual Responses: 244,292; Total Annual Hours:
179,341.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on December 10,
2007. OMB Human Resources and Housing Branch, Attention: Carolyn
Lovett, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: November 2, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E7-21989 Filed 11-8-07; 8:45 am]
BILLING CODE 4120-01-P