CMS has issued the January EQRS News, featuring articles on the specifications required for computers used to access EQRS, PY2021 PSRs and PSCs, the lack of PART verification in EQRS, the ICH CAHPS Attestation, Clinical Closure deadlines, and the usual useful links to more information about EQRS and its environment, including the announcement of New User Training on January 19, 2021. If it’s required, the ICH CAHPS Attestation must be completed by March 1, 2021. Clinical Closure deadlines for September, October, and November 2020 have been extended to February 1, 2021. Find the January issue at https://mycrownweb.org/2020/12/january-2021-newsletter/, and a compendium of online EQRS, HARP, and QIP training resources at https://mycrownweb.org/education/.
CMS will present an 11am PST January 12, 2021 webinar on the CY2021 (PY2023 and 2024) ESRD QIP Final Rule, and has promised to send out registration and login information next week. For more information on the CY2021 QIP, see https://www.cms.gov/files/document/esrd-qip-cy-2021-proposed-rule-final.pdf and https://www.federalregister.gov/documents/2020/11/09/2020-24485/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis.
CMS is in the process of deciding which new measures to add to its Quality programs. For the ESRD QIP, measures under consideration include in-center patient Coronavirus vaccination coverage, health care personnel Coronavirus vaccination coverage, and Standardized Hospitalization Ratio. For details see https://www.cms.gov/files/document/measures-under-consideration-list-2020-report.pdf – suggested new ESRD measures are summarized on p.82. Measures under consideration are being sent to the National Quality Forum’s Measure Applications Partnership (https://www.qualityforum.org/map/). After the “MAP” has evaluated them, measures still under consideration will be published in the Federal Register for public comment sometime after February 1, 2021.
CMS has reported via their “[ESRD-qip-notify]” email list, without reference to a validating web source, that the deadline for dialysis facilities to submit NHSN BSI and NHSN Dialysis Event data for the ESRD QIP has been extended from December 31, 2020 to February 1, 2021.
PY 2021 Final PSR
The PY 2021 Final PSR documents your facility’s performance during 2019 and any payment reduction that CMS will impose for reimbursement on 2021 claims. The Final PSR reflects any applicable revisions to your facility’s performance scores from those displayed during the Preview Period.
Post Your PY 2021 PSC Before December 24, 2020
Each facility is required to download, print, and post both the English and Spanish versions of the PSC in a prominent patient area within 15 business days of their availability; facilities also must ensure that these documents remain posted throughout 2021.
Save Your Facility’s Documents
PY 2021 Final PSRs and PSCs will only be available on EQRS until December 31, 2020. We encourage each facility to save an electronic copy of their Final PSR and PSC for reference, reprinting, and reposting throughout the year should the need arise. Facilities who fail to save a copy by December 31, 2020 can request an additional copy by email from the QualityNet Help Desk but should expect a delay in receiving the requested documentation.
If You Have Questions
For further information on how to access and understand your reports, please refer to the PY 2021 supporting documents available on the ESRD QIP Resources page at https://qualitynet.cms.gov/esrd/esrdqip/resources#tab2. For assistance regarding the information contained in this message, please contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.servicenowservices.com/qnet_qa. If you have questions or concerns regarding use of EQRS, please contact the QualityNet Help Desk at firstname.lastname@example.org or 866-288-8912 (5am-5pm PST Monday-Friday).
EQRS will present a December 15, 2020 EQRS New User Training. Find more information and register at https://mycrownweb.org/pcw_lems/december-2020-new-user-training/.
EQRS will also present a December 17, 2020 Town Hall on Understanding the ESRD QIP Final Performance Score Report. Find more information and register at https://mycrownweb.org/pcw_community_events/december-2020-town-hall/.
EQRS has also published their December 2020 EQRS Newsletter, at https://mycrownweb.org/2020/11/december-2020-newsletter/. Contents include (1) Extension of the clinical submission deadline for September 2020 data to January 4, 2021. October data continues to be due by January 4, and November data by February 1, 2021, (2) Details on what services are available from the QualityNet Service Desk and the ESRD Networks, and how to access them, and (3) The useful list of valuable EQRS links and resources that you’ll recognize from CROWNWeb days.
Making its debut December 1, 2020, Dialysis Facility Compare (DFC) has been expanded and combined with other Medicare quality comparison websites, and will now be called Care Compare. Find it at https://www.medicare.gov/care-compare/. Find an introduction to Care Compare at https://www.cms.gov/newsroom/press-releases/cms-care-compare-empowers-patients-when-making-important-health-care-decisions.
CMS is granting exceptions under Medicare quality reporting and value-based purchasing programs to renal dialysis facilities located in areas affected by the Oregon Wildfires and designated as emergency disaster areas by FEMA, including Benton, Clackamas, Columbia, Coos, Deschutes, Douglas, Jackson, Jefferson, Josephine, Klamath, Lake, Lane, Lincoln, Linn, Marion, Multnomah, Tillamook, Wasco, Washington, and Yamhill Counties.
Impacted facilities in other areas may request exceptions for CMS review on a case-by-case basis.
Request exceptions using the Extraordinary Circumstances Exception (ECE) form at https://qualitynet.cms.gov/files/5d0d36e1764be766b0100cad?filename=HQR_ECE_Req_FormFeb2019.pdf. The ECE form must be signed by the dialysis facility CEO or designee and be submitted via email to the ESRD QIP Mailbox at email@example.com. This form and corresponding evidence must be submitted within 90 days of the Extraordinary Circumstances event for the ESRD QIP. For further assistance contact the CMS ESRD QIP at firstname.lastname@example.org.
CMS will publish the Final Rule for the CY2021 ESRD PPS, Payment for … AKI, and ESRD QIP in the Federal Register on November 9, 2020. A pre-publication copy can be found at https://www.federalregister.gov/public-inspection/2020-24485/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis.
On November 17, 2020 at 11am PST, CMS will hold a Stakeholder Call to discuss the QIP. Call details will be announced next week.
CROWNWeb has announced an August 18, 2020 New User Training and an August 27 Town Hall, and published an August CROWNWeb News newsletter:
- Find more information and register for the August 18 New User training at https://mycrownweb.org/pcw_lems/august-2020-new-user-training/.
- Find more information and register for the August 27 Town Hall at https://mycrownweb.org/pcw_community_events/august-2020-town-hall/. It will focus on EQRS and CW data management requirements, late-breaking news, and deadline reminders.
- Find the August CROWNWeb News at https://mycrownweb.org/2020/07/august-2020-newsletter-2/.
The August News features articles on:
- The PY2021 QIP Preview Period that runs through August 31, 2020 (see https://nwrnbulletins.wordpress.com/2020/07/17/8-31-py2021-qip-preview-period-ends/ for details),
- How to access the EQRS QIP User Interface,
- CW data management guidelines,
- How to route questions to CW,
- The third-quarter Clinical Closure schedule, and
- The usual extensive list of links to useful CW resources.
The CROWNWeb Clinical Closure deadlines are August 31, 2020 for July data, November 2 for August data, and November 30 for September data, but your Network may require earlier data submission.