№ files_lp_3_process_9_32406
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Administrative justification and regulatory documentation outlining the legal basis, purpose, procedures, data elements, and burden estimates associated with revising Form CMS-1572 for surveying and certifying Home Health Agencies under Medicare and Medicaid requirements.
Document Type:
Information Collection Request Revision
Form Number:
CMS-1572
Form Title:
Home Health Agency Survey and Deficiencies Report
OMB Control Number:
0938-0355
Current OMB Approval Expiration Date:
07/31/2024
Responsible Agency:
Centers for Medicare & Medicaid Services (CMS)
Legal Authority:
Sections 1861(o), 1864, 1891, 1902(a)(33)(B) of the Social Security Act
Regulatory References:
42 CFR Part 484 Subparts A, B, C; 42 CFR 440.70(d); 42 CFR 488.26; 42 CFR 442.30
Programs Affected:
Medicare; Medicaid
Implementing Entities:
State Survey Agencies; CMS Regional Offices; State Medicaid Agencies
Purpose:
Collection of survey data and reporting of deficiencies for Home Health Agencies
System Used:
Automated Survey Processing Environment (ASPEN)
Survey Frequency:
At least every 36 months
Federal Register Notices:
87 FR 67036 (November 7, 2022); 88 FR 2930 (January 18, 2023)
Estimated Number of Providers:
11,500 Home Health Agencies
Estimated Annual Surveys:
3,833
Primary Data Collected:
Facility characteristics; ownership status; branch operations; change of ownership; services offered; staff credentials; patient census; patient population
Confidentiality Statement:
No pledge of confidentiality
Sensitive Questions:
None
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2016
Region / City:
Grand Island, NE
Topic:
Construction, Water System Repairs
Document Type:
Request for Information (RFI)
Agency:
Department of Veterans Affairs
Author:
Gregg R. Sutcliffe
Target Audience:
Construction service providers, contractors
Action Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Context:
Request for information for construction services to correct water deficiencies at the Grand Island VA Medical Center, including mechanical, electrical, and general construction work.
Year:
Not specified
Region / City:
Not specified
Topic:
Distribution system deficiencies, load forecasting, distribution planning
Document type:
Report
Organization / Institution:
Not specified
Author:
Not specified
Target audience:
Distribution system operators, energy planners
Period of validity:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Year:
2023
Region / City:
N/A
Topic:
Clinical Decision Support, EHR Documentation
Document Type:
Educational Activity
Institution:
N/A
Author:
N/A
Target Audience:
Healthcare Students
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Subject:
Forward Showing Deficiencies and Deficiency Charge Calculation
Forward Showing Years:
FS Year 1; FS Year 2
Seasons Covered:
Summer; Winter
Months Covered:
Jun; Jul; Aug; Sep; Nov; Dec; Jan; Feb; Mar
Estimated CONE Value:
91.81 $-kW Year
Total Program P50 Load - Summer (FS Year 1):
75,689
Total Program P50 Load - Winter (FS Year 1):
61,481
Total Program P50 Load - Summer (FS Year 2):
78,100
Total Program P50 Load - Winter (FS Year 2):
67,500
Maximum Monthly Summer Deficiency (FS Year 1):
22
Maximum Monthly Winter Deficiency (FS Year 1):
28
Maximum Monthly Summer Deficiency (FS Year 2):
30
Maximum Monthly Winter Deficiency (FS Year 2):
30
Total Deficiency Charge (FS Year 1):
$4,957,740.00
Total Deficiency Charge (FS Year 2):
$6,625,621.67
Currency:
USD
Type of Document:
Technical calculation example with tabulated data
Calculation Basis:
Seasonal deficits; Annual CONE factor; Monthly incremental charges
Year:
2014
Companies:
Mercy Hospital & Medical Center; Advanced Interventional Pain Ctr; Colorado Histo-Prep
Regulatory Authority:
Food and Drug Administration
Regulatory Framework:
21 CFR 56.115; 21 CFR 58.35
Subject:
Institutional Review Board record retention and documentation; Quality Assurance Unit oversight; protocol deviations; accuracy of final study reports
Type of Document:
Regulatory compliance observations
Industry Sector:
Clinical research oversight and nonclinical laboratory studies
Affected Functions:
Institutional Review Board (IRB); Quality Assurance Unit (QAU); Pathology reporting
Compliance Areas:
Record retention; meeting minutes; research proposal documentation; protocol adherence; standard operating procedures; raw data verification
Year:
2020
Region / city:
India
Theme:
Medical education, Health care
Document type:
Research article
Author:
Dr. Shankar Prasad Bhattacharya
Target audience:
Medical professionals, educators, policymakers
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Keywords:
Competency-based curriculum, Globalization, Medical Council of India, National Medical Commission, Privatization, Regulatory body
Year:
2010
Region / City:
Bay Pines, FL
Subject:
Engineering Services
Document Type:
Notice of Sources Sought
Organization:
Department of Veterans Affairs Network Contracting Office 8
Author:
Chris LaShure
Target Audience:
Service Disabled Veteran Owned Small Businesses (SDVOSB)
Action Period:
Unknown
Approval Date:
2019-07-01
Modification Date:
Not specified
Year:
2016
Region / city:
Washington, DC
Topic:
Construction project for renovation and equipment installation
Document type:
Presolicitation Notice
Organization:
Department of Veterans Affairs
Author:
Flora Taylor, Contract Specialist
Target audience:
SDVOSB contractors
Period of validity:
From the issuance of the solicitation until contract completion
Approval date:
July 15, 2016
Modification date:
N/A
Year:
2010
Region / City:
Miami, FL
Subject:
Architect/Engineering (A/E) services for Life Safety deficiencies corrections
Organization:
Department of Veterans Affairs
Author:
Elissa Goodman
Target Audience:
Service-Disabled, Veteran-Owned Small Businesses (SDVOSB)
Period of Action:
March 2010
Approval Date:
03/2010
Date of Changes:
N/A
NAICS Code:
541310, 541330
Contracting Office Address:
1201 NW 16th Street, Miami, FL 33125
Postal Code:
33125
Country:
United States
General Information:
Firm fixed-price contract for A/E services for Life Safety deficiencies
Place of Performance:
Miami VA Healthcare System
Project Information:
Architectural and engineering services to correct deficiencies based on Life Safety Assessment
Contact Information:
Elissa Goodman, Contracting Officer, [email protected]
Description:
Firm fixed-price contract for design and cost estimate services related to life safety deficiencies at Miami VA Healthcare System
Year:
FY-20
Location:
VACIHCS Facility
Subject:
Mechanical Systems Upgrade and Repairs
Document Type:
Statement of Design Services
Organization:
Veterans Affairs Capital Investment and Health Care System (VACIHCS)
Author:
A/E Design Team
Target Audience:
VA Project Management, Construction Contractors
Project Scope:
Replacement of air handling units, ductwork corrections, water system upgrades, and improvement of air circulation in multiple buildings
Applicable Codes:
Latest VA construction codes and standards at the time of award
Design Software:
AutoCAD 2017 or later, Microsoft Word
Construction Cost Limitation:
$1,300,000 (FY-12 estimate)
Schedule:
Schematic design, design development, and construction documents delivery; post-construction services within 90 days of completion
Optional Services:
Construction period administration, site inspections, industrial hygienist visits
Coordination Requirements:
Phasing and startup operations with VA
Year:
2025
Region / City:
Statewide
Topic:
Assisted Living Facilities Regulations
Document Type:
Report
Organization:
State Health Department
Author:
N/A
Target Audience:
Healthcare Providers, Facility Managers
Period of Action:
July 1, 2025 – December 31, 2025
Approval Date:
N/A
Amendment Date:
N/A
Relevant Law or Regulation:
86.047 (28)(G), 86.047 (46), 86.047 (19), 86.047 (47)(A), 86.047 (35), 86.022 (10)(A), 86.032 (18), 86.032 (13), 86.032 (2), 86.047 (36), 86.045 (3)(A)6.A., 86.045 (3)(A)5., 86.045 (3)(A)6.C., 86.045 (4)(A), 86.045 (4)(F)