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65740 Federal Register / Vol. 72, No.

225 / Friday, November 23, 2007 / Notices

opportunity to validate proper DEPARTMENT OF HEALTH AND ADDRESSES: Meeting Location: The
application of the standards. HUMAN SERVICES meeting will be held in the main
• In order to meet the requirements of auditorium of the central building of the
Centers for Medicare & Medicaid Centers for Medicare & Medicaid
§ 488.8(a)(2)(v), AOA has agreed to
Services Services, 7500 Security Boulevard,
provide CMS with timely electronic
Baltimore, MD 21244–1850.
data for effective validation and [CMS–1377–N]
Registration and Special
assessment of the organization’s survey
Medicare Program; Listening Session Accommodations: Persons interested in
process; and attending the meeting or listening by
on Hospital-Acquired Conditions and
• To comply with the Medicare Present on Admission Indicator teleconference must register by
requirements of conducting Reporting, December 17, 2007 completing the on-line registration at
unannounced certification and http://registration.intercall,com/go/
recertification surveys, AOA revised its AGENCY: Centers for Medicare & cms2. Individuals who need special
survey procedures to prohibit any Medicaid Services, HHS. accommodations should contact Colette
advance mailings of surveyor materials ACTION: Notice of meeting. Shatto (410) 786–6932, or via e-mail at
to the facility prior to the survey and
will not permit the hospital to mail back SUMMARY: This notice announces a Written Comments or Statements:
the surveyor findings to AOA after listening session being conducted as Written comments may be sent by e-
completion of the survey. part of the selection of Hospital- mail. Please e-mail comments to
Acquired Conditions (HAC) and
B. Term of Approval implementation of Present on
Admission (POA) Indicator Reporting,
Based on the review and observations as authorized by section 5001(c) of the Further information regarding the
described in section III of this final Deficit Reduction Act of 2005 (DRA). December 17, 2007 listening session
notice, we have determined that AOA’s The purpose of this listening session is will be posted on the HAC & POA
requirements for CAHs meet or exceed to solicit informal comments in section of the CMS Web site at http://
our requirements. Therefore, we preparation for the fiscal year 2009
approve the AOA as a national inpatient prospective payment system 01_Overview.asp. You may also contact
accreditation organization for CAHs that (IPPS) rulemaking process. Hospitals, Colette Shatto,, in
request participation in the Medicare hospital associations, representatives of the Medicare Feedback Group. Press
consumer purchasers, payors of health inquiries are handled through the CMS
program, effective December 28, 2007
care services, and all interested parties Press Office at 202–690–6145.
through December 28, 2013.
are invited to attend and make I. Background
V. Collection of Information comments in person or in writing. It
Requirements On February 8, 2006, the President
will also be possible to listen to the
signed the Deficit Reduction Act of 2005
This document does not impose session by teleconference. However,
(Pub. L. 109–171) (DRA). Section
because of time constraints, telephone
information collection and 5001(c) of the DRA requires the
participants will not be able to make
recordkeeping requirements. Secretary to identify, by October 1,
verbal comments. Informal written
Consequently, it need not be reviewed 2007, at least two conditions that: (1)
comments will be accepted. This
by the Office of Management and Are high cost or high volume or both;
meeting is open to the public, but
Budget under the authority of the (2) result in the assignment of a case to
registration is required due to limited
Paperwork Reduction Act of 1995 (44 a DRG that has a higher payment when
space and security requirements to enter
U.S.C. 35). present as a secondary diagnosis; and
the meeting location. This Listening
(3) could reasonably have been
Authority: Section 1865 of the Social Session is being held as a joint
prevented through the application of
Security Act (42 U.S.C. 1395bb). partnership between the Centers for
evidence-based guidelines.
(Catalog of Federal Domestic Assistance Medicare & Medicaid Services and
For discharges occurring on or after
Program No. 93.778, Medical Assistance Centers for Disease Control and
October 1, 2008, hospitals will not
Program; No. 93.773 Medicare—Hospital Prevention.
receive additional payment for cases in
Insurance Program; and No. 93.774, DATES: Meeting Date: The listening which one of the selected conditions
Medicare-Supplemental Medical Insurance session will be held on Monday, occurring during hospitalization was
Program) December 17, 2007 from 10 a.m. until 5 not present on admission. That is, the
Dated: October 11, 2007. p.m., e.s.t. case would be paid as though the
Kerry Weems, Deadline for Meeting Registration and secondary diagnosis was not present.
Submitting Requests for Special Section 5001(c) of the DRA provides
Acting Administrator, Centers for Medicare
& Medicaid Services.
Accommodations: Registration must be that we can revise the list of conditions
completed no later than 5 p.m., e.s.t. on from time to time, as long as it contains
[FR Doc. E7–22628 Filed 11–21–07; 8:45 am]
Monday, December 10, 2007. Requests at least two conditions. In addition,
BILLING CODE 4120–01–P for special accommodations must be CMS Change Request (CR) 5499
received no later than 5 p.m., e.s.t. on required hospitals to begin reporting the
Monday, December 10, 2007. Present On Admission (POA) indicator
Deadline for Presentations and for all diagnoses on claims beginning
mstockstill on PROD1PC66 with NOTICES

Written Comments: Written comments October 1, 2007.

may be sent electronically to the address
specified in the ADDRESSES section of II. Listening Session Format
this notice and must be received by 5 The December 17, 2007 listening
p.m., e.s.t. on Monday, December 31, session will begin at 10 a.m., e.s.t. with
2007. an overview of the objectives for the

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Federal Register / Vol. 72, No. 225 / Friday, November 23, 2007 / Notices 65741

session and a presentation on Hospital inspection) at the entrance to the We propose to modify existing routine
Acquired Conditions (HAC) and POA grounds. Parking permits and use number 2 that permits disclosure to
background. A brief overview regarding instructions will be issued after the agency contractors and consultants to
the implementation strategy for vehicle inspection. include disclosure to CMS grantees who
selecting the hospital-acquired • Passing through a metal detector perform a task for the agency. CMS
conditions will then be presented. Next, and inspection of items brought into the grantees, charged with completing
a review of the conditions included in building. We note that all items brought projects or activities that require CMS
the FY 2008 hospital inpatient to CMS, whether personal or for the data to carry out that activity, are
prospective payment systems (IPPS) purpose of demonstration or to support classified separately from CMS
final rule with comment period will be a demonstration, are subject to contractors and/or consultants. The
presented followed by a public inspection. modified routine use will remain as
comment session. There will be a lunch We cannot assume responsibility for routine use number 1. We will delete
break from approximately 1 to 2 p.m., coordinating the receipt, transfer, routine use number 3 authorizing
e.s.t. Following lunch, there will be transport, storage, set-up, safety, or disclosure to support constituent
presentations on the following: (1) The timely arrival of any personal requests made to a congressional
role of providers in documentation; (2) belongings or items used for representative. If an authorization for
POA Indicator Reporting; and (3) HAC demonstration or to support a the disclosure has been obtained from
& POA Outreach and Education. An demonstration. the data subject, then no routine use is
additional public comment period will Note: Individuals who are not registered in needed. The Privacy Act allows for
follow the presentations. The meeting advance will not be permitted to enter the disclosures with the ‘‘prior written
will conclude by 5 p.m., e.s.t. building and will be unable to attend the consent’’ of the data subject.
meeting. The public may not enter the Finally, we will delete the section
III. Registration Instructions building earlier than 30 to 45 minutes prior titled ‘‘Additional Circumstances
For security reasons, any persons to the convening of the meeting. Affecting Routine Use Disclosures,’’ that
wishing to attend this meeting must All visitors must be escorted in areas other addresses ‘‘Protected Health Information
register by the date listed in the DATES than the lower and first floor levels in the (PHI)’’ and ‘‘small cell size.’’ The
Central Building. Seating capacity is limited requirement for compliance with HHS
section of this notice. Persons interested
to the first 550 registrants.
in attending the meeting or listening by regulation ‘‘Standards for Privacy of
teleconference must register by Authority: Section 5001(c) The Deficit Individually Identifiable Health
completing the on-line registration Reduction Act (DRA) of 2005. Information’’ does not apply because
located at http:// this system does not collect or maintain
Dated: November 16, 2007. The PHI. In addition, our policy to prohibit
Kerry Weems, release if there is a possibility that an
on-line registration system will generate
Acting Administrator, Centers for Medicare individual can be identified through
a confirmation page to indicate the
& Medicaid Services. ‘‘small cell size’’ is not applicable to the
completion of your registration. Please
[FR Doc. 07–5801 Filed 11–21–07; 8:45 am] data maintained in this system.
print this page as your registration
receipt. BILLING CODE 4120–01–P We are modifying the language in the
Individuals may also participate in remaining routine uses to provide a
the listening session by teleconference. proper explanation as to the need for the
Registration is required as the number of DEPARTMENT OF HEALTH AND routine use and to provide clarity to
call-in lines will be limited. The call-in HUMAN SERVICES CMS’s intention to disclose individual-
number will be provided upon specific information contained in this
Centers for Medicare & Medicaid system. The routine uses will then be
confirmation of registration. Services
An audio download of the listening prioritized and reordered according to
session will be available through the their usage. We will also take the
Privacy Act of 1974; Report of a
CMS HAC and POA Indicator Web site opportunity to update any sections of
Modified or Altered System of Records
at the system that were affected by the
HospitalAcqCond/01_Overview.asp after AGENCY: Department of Health and recent reorganization or because of the
the listening session. Human Services (HHS), Centers for impact of the Medicare Prescription
Medicare & Medicaid Services (CMS). Drug, Improvement, and Modernization
IV. Security, Building, and Parking ACTION: Notice of a Modified or Altered Act of 2003 (MMA) (Pub. L. 108–173)
Guidelines System of Records (SOR). provisions and to update language in
This meeting will be held in a Federal the administrative sections to
government building; therefore, Federal SUMMARY: In accordance with the correspond with language used in other
security measures are applicable. In requirements of the Privacy Act of 1974, CMS SORs.
planning your arrival time, we we are proposing to modify or alter an The primary purpose of the SOR is to
recommend allowing additional time to SOR, ‘‘Employee Building Pass File issue and control United States
clear security. The on-site check-in for (EBP) System, System No. 09–70–3002,’’ Government building passes issued to
visitors will begin at 9 a.m., e.s.t. Please last published at 67 FR 40937 (June 14, all CMS employees and non-CMS
allow sufficient time to complete 2002). We propose to assign a new CMS employees who require continuous
security checkpoints. identification number to this system to access to CMS buildings in Baltimore
Security measures include the simplify the obsolete and confusing and other CMS and HHS facilities.
following: numbering system originally designed Information retrieved from this SOR
mstockstill on PROD1PC66 with NOTICES

• Presentation of government-issued to identify the Bureau, Office, or Center will be used to: (1) Support regulatory
photographic identification to the that maintained information in the and policy functions performed within
Federal Protective Service or Guard Health Care Financing Administration the Agency or by a contractor,
Service personnel. systems of records. The new assigned consultant, or grantee; (2) assist other
• Interior and exterior inspection of identifying number for this system Federal agencies with activities related
vehicles (this includes engine and trunk should read: System No. 09–70–0529. to this system; and (3) support litigation

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