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Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations COVID19 among their healthcare workers and to help sustain the ability of IPFs to continue serving their communities throughout the PHE and beyond outweigh the costs of reporting.
In our proposed rule, we welcomed comments on the time to collect data and enter it into the NHSN. While we did receive some comments addressing the burden of NHSN reporting, which we address in section IV.E.2 of this rule, we did not receive any public comments on the estimated time to collect and submit such data.
We further note that as described in section IV.E.3 of this preamble, we will calculate the FAPH measure using Medicare Part A and Part B claims that IPFs and other providers specifically outpatient providers who provide the follow-up care submit for payment.
Since this is a claims-based measure, there is no additional burden outside of submitting the claim. The claim submission is approved by OMB under control number 09380050 CMS2552
10. This rule does not warrant any changes under that control number.

2 Updates Due to Final Measure Removals In section IV.F. of this preamble, we are finalizing our proposals to remove the following two measures for the FY
2024 payment determination and subsequent years:
Timely Transmission of Transition Record Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of Care; and FUHFollow-Up After Hospitalization for Mental Illness NQF
0576.
We note that we are not finalizing our proposals to remove the following two measures:
SUB2Alcohol Use Brief Intervention Provided or Offered and the subset measure SUB2a Alcohol Use Brief Intervention Provided; and TOB2Tobacco Use Treatment Provided or Offered and the subset measure TOB2a Tobacco Use Treatment.
For the FY 2024 payment determination, data on CY 2022
performance would be reported during the summer of 2023. Therefore, we are applying the burden reduction that would occur to the FY 2023 burden
42669

calculation. One of the measures we are removing the Timely Transmission of Transition Record Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of Care measure falls under our previously finalized global sample 80 FR 46717 through 46718
and, therefore, would require abstraction of 609 records. We estimate that removing this measure would result in a decrease in burden of 152.25 hours per facility 609 cases per facility 0.25
hours per case, or 248,776.5 hours 152.25 hours/facility 1,634 facilities across all IPFs. Therefore, the decrease in costs for each measure is approximately $6,242.25 per IPF
$41.00/hr 152.25 hours, or $10,199,836.50 across all IPFs $6,242.25/facility 1,634 facilities.
We have previously estimated that the FUH NQF 0576 measure does not have any reporting burden because it is calculated from Medicare FFS claims.
Therefore, we do not anticipate a reduction in facility burden associated with the removal of this measure. Table 15 describes our estimated reduction in burden associated with removing these two measures.

0576

FUH

0648

NIA

Follow-Up After Hospitalization for Mental Illness Timely Transmission of Transition Record Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of
0

0

0

1,634

0

0

609

0.25

152.25

1,634

248,776.5

10,199,836.5050

CMS will collect these data using Medicare Part A and Part B claims; therefore, these measures will not require facilities to submit data on any cases.
We note that the previously approved number ofIPFs is 1,679; however we adjusted that in Table 12 based on updated data.
At $41.00/hr
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TABLE 15: Burden Updates Due to Final Measure Removals