The March CROWNWeb Newsletter has been published, with articles on the 2744 Annual Facility Survey, 2744 Errors and Reports, Guidance for Submission of CMS-2728/CMS-2746, HARP Account Needed for EQRS Users, EQRS System Deadline Updates, and Clinical Closures, plus the usual collection of very useful links and notes. Find the Newsletter at https://mycrownweb.org/2020/02/march-2020-newsletter/. Noteworthy dates include:
The EQRS End-Stage Renal Disease Quality Reporting System will be unavailable due to system maintenance from 5pm PST on February 21, 2020 until 5am PST on February 24, 2020. Effective February 24, 2020, HARP (HCQIS Access Role and Profile) credentials will be required to access EQRS. Access EQRS at https://eqrs.cms.gov/globalapp. HARP resources including training materials, Quick Start Guides, Frequently Asked Questions, and instructional videos can be found at https://mycrownweb.org/harp-training/. The QualityNet Service Desk is available to provide assistance and answer questions, via email at firstname.lastname@example.org or telephone at 1-866-288-8912.
We include links to earlier issues at the end of this post. Most content is the same for both Networks, but not all. We’ve marked where they differ, and we’ve used blue type where information in one version also applies to the other Network. The Fall 2019 issue feature articles on:
2020 Quality Improvement Activities, which we expect to begin before Christmas.
Changes to the ESRD QIP, which include changes to measures for the Transplant Waitlist, Medication Reconciliation, Transfusions, and BSIs. We’ve scheduled a December 12, 2019 webinar to summarize these QIP changes (and the many other measures that aren’t changing).
Opioid Awareness and Pain Management.
Managing Patient Expectations to help create a calm and conflict-free environment.
The Dialysis Patient Depression Toolkit.
Patient Newsletters in English and Spanish for each Network.
The importance of Keeping Patient Information Up to Date, especially patient addresses, which are critical for tracking everyone in emergencies and disasters, for identifying home facilities and transplant centers near the patient, for receiving notices like the New ESRD Patient Orientation Packet, and for monitoring patient clusters so your organization can effectively plan where to locate new facilities.
A mini-lesson on how to admit a new patient into CROWNWeb if they do not have an SSN or MBI.
Fire Danger Power Shutoffs and Fire Resources in California (NW18 version).
The new ESRD Facility Emergency Preparedness Final Rule that went into effect on November 29, 2019 (NW18 version but also relevant to NW16).
New KCER document on Emergency Disconnect Procedure for In-Center Hemodialysis Patients (NW16 version but also relevant to NW18).
Notify the Network of any Interruptions in Service.
Notify the Network of any Personnel Changes.
We also list events of interest to Dialysis Facilities, Transplant Centers, and staff, on our Facility Calendar, via the link at the top of this page.
CMS has released an updated version of EQRS/CROWNWeb that supports QIP CY2020 data reporting requirements. It includes Medication Reconciliation (“MedRec”) fields on the CROWNWeb Manage Clinical screens. The QIP MedRec Reporting Measure requirement, which assesses evaluation of patients’ medication, begins with PY2022, and data reporting for it begins January 2020 for all HD and PD patients. Facilities don’t need to enter MedRec data into EQRS/CROWNWeb during 2019; however, the new release allows review of the MedRec fields in preparation for use in 2020. A draft of Version 5.0 of the CMS ESRD Measures Manual for the 2020 Performance Period includes a chapter on the MedRec Measure (pp. 147-151); find it at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/Measures-Manual-v50.pdf.