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Federal Register / Vol. 86, No. 154 / Friday, August 13, 2021 / Rules and Regulations
between $82.40 2.25 hours $36.62 and $137.33 3.75 hours $36.62 in total over the shortened period to complete this task.
Thereafter, 12 months of data are required annually 12 months 1 hour per month with quarterly data submission deadlines.
IPPS subsection d hospitals would incur an additional annual burden between 9 hours 0.75 hours 12 months and 15 hours 1.25
hours 12 months per hospital and between 29,700 hours 9 hours 3,300 IPPS hospitals and 49,500 hours 15 hours 3,300 IPPS
hospitals for all hospitals. Each hospital would incur an estimated cost of between $329.58 9 hours $36.62 and $549.30
annually 15 hours $36.62. The estimated cost across all 3,300 IPPS hospitals would be between $271,920 $82.40 3,300 IPPS
hospitals and $453,189 $137.33 3,300
IPPS hospitals for the shortened CY 2021
reporting period. The estimated cost across all 3,300 IPPS hospitals would be between $1,087,614 $329.58 3,300 IPPS hospitals and $1,812,690 $549.30 3,300 IPPS
hospitals annually thereafter. We recognize that many healthcare facilities are also reporting other COVID19 data to HHS. We believe the benefits of reporting data on the COVID19 Vaccination Coverage among HCP
measure to monitor, track, and provide transparency for the public on this important tool to combat COVID19 outweigh the costs of reporting. We welcomed comments on the estimated time to collect data and enter it into NHSN.
Historically, 100 hospitals, on average, that participate in the Hospital IQR Program do not receive the full annual percentage increase in any fiscal year due to the failure to meet all requirements of this Program. We anticipate that the number of hospitals not receiving the full annual percentage increase will be approximately the same as in past years.
We did not receive any public comments regarding the estimated time to collect data and enter it into the NHSN.

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L. Effects of Requirements for the PPSExempt Cancer Hospital Quality Reporting PCHQR Program In section IX.D. of the preamble of this final rule, we discuss our proposed and finalized policies for the quality data reporting program for PPS-exempt cancer hospitals PCHs, which we refer to as the PPS-Exempt Cancer Hospital Quality Reporting PCHQR Program. The PCHQR
Program is authorized under section 1866k of the Act, which was added by section 3005
of the Affordable Care Act. There is no financial impact to PCH Medicare reimbursement if a PCH does not submit data.
In section IX.D.4. of the preamble of this final rule, we are finalizing the removal of the Oncology: Plan of Care for PainMedical Oncology and Radiation Oncology NQF
0383/PCH15 measure beginning with the FY 2024 program year, adopting the COVID
19 Vaccination Coverage among Healthcare Personnel HCP measure beginning with the FY 2023 program year, with reporting for the FY 2023 program year from October 1
through December 31, 2021, followed by
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quarterly reporting periods 1397 beginning with the FY 2024 program year, and codifying existing program policies. As stated in section XII.B.7. of the preamble of this final rule, we estimated the total burden reduction associated with the removal of PCH15 beginning with the FY 2024 program year to be 2.75 hours 0.25 hours 11 PCHs with a total cost reduction of $113 2.75
hours $41.00/hour.
In section IX.D.5. of the preamble of this final rule, we are finalizing our proposal to adopt a COVID19 Vaccination Coverage among HCP measure beginning with a shortened reporting period from October 1 to December 31, 2021, affecting the FY 2023
program year followed by quarterly reporting 1398 beginning with the FY 2024
program year and subsequent years. PCHs will submit data through the CDC NHSN. The NHSN is a secure, internet-based system maintained by the CDC and provided free.
Currently, the CDC does not estimate burden for COVID19 vaccination reporting under the CDC PRA package approved under OMB
control number 09201317 because the agency has been granted a waiver under section 321 of the National Childhood Vaccine Injury Act NCVIA.1399
Although the burden associated with the COVID19 Vaccination Coverage among HCP
measure is not accounted for under the CDC
PRA 09201317 or 09200666, the cost and burden information are included in this section. We estimate that it would take each PCH, on average, approximately 1 hour per month to collect data for the COVID19
Vaccination Coverage among HCP measure and enter it into NHSN. We have estimated the time to complete this entire activity, since it could vary based on provider systems and staff availability. This burden is comprised of administrative hours and wages. We believe it would take an Administrative Assistant 1400 between 45
minutes and 1 hour and 15 minutes to enter this data into NHSN. For the shortened CY
2021 reporting period consisting of October 1, 2021 through December 31, 2021, 3
months would be required. For the CY 2021
reporting period/FY 2023 program year, PCHs would incur an additional burden of between 2.25 hours 0.75 hours 3 months and 3.75 hours 1.25 hours 3 months per PCH. For all 11 PCHs, the total burden would 1397 We note that the proposed rule incorrectly read annual reporting periods however the section of the proposed rule on data submission IX.D.5.c. correctly described the data submission process and timelines.
1398 We note that the proposed rule incorrectly read annual reporting periods however the section of the proposed rule on data submission IX.D.5.c. correctly described the data submission process and timelines.
1399 Section 321 of the National Childhood Vaccine Injury Act NCVIA provides the PRA
waiver for activities that come under the NCVIA, including those in the NCVIA at section 2102 of the Public Health Service Act 42 U.S.C. 300aa2.
Section 321 is not codified in the U.S. Code, but can be found in a note at 42 U.S.C. 300aa1.
1400 https www.bls.gov/oes/current/
oes436013.htm accessed on March 30, 2021. The hourly rate of $36.62 includes an adjustment of 100
percent of the mean hourly wage to account for the cost of overhead, including fringe benefits.

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range from 24.75 hours 2.25 hours 11
hospitals and 41.25 hours 3.75 hours 11
hospitals. Each PCH would incur an estimated cost of between $27.47 0.75 hour $36.62/hr and $45.78 1.25 hours 36.62/
hour monthly and between $82.40 2.25
hours $36.62/hr and $137.33 3.75 hours $36.62/hour in total over the shortened period to complete this task. Thereafter, 12
months of data would be required annually.
Therefore, PCHs would incur an additional annual burden between 9 hours 0.75 hours/
month 12 months and 15 hours 1.25
hours/month 12 months per PCH and between 99 hours 9 hours/hospital 11
hospitals and 165 hours 15 hours/hospital 11 hospitals for all PCHs. Each PCH would incur an estimated cost of between $329.58
9 hours $36.62/hour and $549.30
annually 15 hours $36.62/hour. The estimated cost across all 11 PCHs would be between $906.40 $82.40/hospital 11
hospitals and $1,510.63 $137.33/hospital
11 hospitals for the shortened CY 2021
reporting period. The estimated cost across all 11 PCHs would be between $3,625.38
$329.58/hospital 11 hospitals and $6,042.30 $549.30/hospital 11 hospitals annually thereafter. We recognize that many healthcare facilities are also reporting other COVID19 data to HHS. We believe the benefits of reporting data on the COVID19
Vaccination Coverage among HCP measure to monitor, track, and provide transparency for the public on this important tool to combat COVID19 outweigh the costs of reporting.
We welcomed comments on the estimated time to collect data and enter it into the NHSN.
We did not receive any public comments regarding the estimated time to collect data and enter it into the NHSN.
M. Effects of Requirements for the Long-Term Care Hospital Quality Reporting Program LTCH QRP
In section IX.E.4. of the preamble of this final rule,, we are finalizing our proposal to adopt one measure under the Long-Term Care Hospital LTCH Quality Reporting Program QRP, the COVID19 Vaccination Coverage among Healthcare Personnel HCP
measure beginning with the FY 2023 LTCH
QRP. We are finalizing our proposal to update a measure adopted in the FY 2020
IPPS/LTCH final rule 84 FR 42044, the Transfer of Health TOH Information to the PatientPost-Acute Care PAC measure beginning with the FY 2023 LTCH QRP. We are also finalizing our proposals to begin publicly displaying data for the quality measures Compliance with Spontaneous Breathing Trial SBT by Day 2 of the LTCH
Stay and the Ventilator Liberation Rate for the Post-Acute Care PAC Long-Term Care Hospital LTCH Quality Reporting Program QRP on Care Compare and PDC, and to publicly report the COVID19 Vaccination Coverage among HCP measure on Care Compare. In addition, we are finalizing our proposal to publicly report LTCH QRP
measures using fewer quarters of data than previously finalized due to an exemption we granted the LTCHs under our regulations at 42 CFR 412.560c4. Finally, we sought information on two issues: CMS future plans
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