CMS will present a February 22, 2018 conference call on ESRD QIP: Final Rule for CY 2018. Topics include the ESRD QIP legislative framework; measures, standards, scoring method, and payment reduction scale for PY 2021; modifications to PY 2019 and PY 2020 policies; and a question and answer session. The target audience includes dialysis clinics and organizations, nephrologists, hospitals with dialysis units, billers/coders, and QI experts. For details and registration see https://blh.ier.intercall.com/details/f4ba4fb2628b47e98092bbf25f947707, and for a copy of the Final Rule, see https://www.gpo.gov/fdsys/pkg/FR-2017-11-01/pdf/2017-23671.pdf.
The February CROWNWeb Newsletter has been published, including articles on the new CROWNWeb Data Submission Stopwatch and reminder emails, a report on Data Quality Improvement, announcement of a February 22, 2018 CROWNWeb Town Hall, and reminders of the February 28, 2018 CROWNWeb and QIP submission deadlines for FEMA Disaster Area and non-disaster area Clinical Months, ICH CAHPS Attestation, Pain Assessment, and Depression Screening. Find a copy at http://mycrownweb.org/wp-content/uploads/2018/01/February_Newsletter_508.pdf.
CMS has created a web page to answer questions anyone has about the ESRD QIP. Find the page at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960 and a training video for it at https://cms-ocsq.custhelp.com/euf/assets/others/ESRD_QIP_QA_Intro.html. The new page is also introduced on the QualityNet home page at https://www.qualitynet.org/.
CMS will continue using the ESRD QIP Mailbox to receive and process Extraordinary Circumstances Exception (ECE) requests and supporting documents, payment questions, and facility-specific information. Likewise, facilities should continue to use their accounts on the QualityNet Secure Portal to pose formal inquiries and clarification questions during all preview periods.
Facilities and the public should not use any of these channels to submit Protected Health Information (PHI) or Personally Identifiable Information (PII) to CMS.
To meet the CMS ESRD QIP NHSN reporting requirements for PY2019, facilities must submit their final third quarter 2017 (July 1 through September 30, 2017) Dialysis Event data by January 31, 2018. New or revised third quarter data entered into NHSN after January 31 will not be sent to CMS and will not be credited to your QIP scores.
Separately, for BSI monitoring required by Network contracts, your Network asks that facilities enter NHSN data during the month following the events; that is, December 2017 NHSN data should be entered before January 31, 2018.
While you can find everything you need to know about NHSN for dialysis at https://www.cdc.gov/nhsn/dialysis/event/index.html, CDC recommends these shortcuts to making sure your data is finalized for the QIP:
- Review the Protocol to make sure you’re on the right page: https://www.cdc.gov/nhsn/PDFs/pscManual/8pscDialysisEventcurrent.pdf
- Review your data: https://www.cdc.gov/nhsn/pdfs/dialysis/3-steps-to-review-de-data-2014.pdf
- Verify that you’ve met the QIP requirements: https://www.cdc.gov/nhsn/PDFs/dialysis/CMS-QIP-NHSN-report.pdf
- Review your facility’s BSI rates: https://www.cdc.gov/nhsn/PDFs/dialysis/BSI-cheatsheet.pdf
Contact the NHSN Helpdesk at firstname.lastname@example.org using subject line “Dialysis” with any questions.
The CROWNWeb training session on Attestation, and the new clinical measures for Ultrafiltration, and Number of Dialysis Sessions, has been rescheduled for February 1, 2018. Find more information and register at http://mycrownweb.org/pcw_lems/february-1st-attestation-ultrafiltration-and-number-of-dialysis-sessions-training-event/.
CMS has announced that new data on the care quality of dialysis facilities is now available on Dialysis Facility Compare (DFC), the website that allows patients and health centers to view and compare quality data about dialysis facilities. CMS uses this data, organized into a series of measures, to create a 5-Star Rating system that can help patients make educated decisions about where to get their dialysis treatments, as well as to assist them in speaking with their healthcare team regarding their care.
The January revision has updated information for Standardized Transfusion Ratios, Standardized Mortality Ratios, Standardized Hospitalization Ratios, Standardized Readmission Ratios, vascular access types (fistula and catheter), bloodstream infections, hemoglobin management, and the CAHPS survey on in-center hemodialysis patient experience. The July 2017 DFC data for dialysis adequacy, hypercalcemia, serum phosphorus, and the facility Star Ratings will remain until the next update.
Find DFC at https://www.medicare.gov/dialysisfacilitycompare/#.
If you’re computer-savvy, you can download supplementary DFC data from https://data.medicare.gov/data/dialysis-facility-compare.
The January 23, 2018 CROWNWeb training webinar on Attestation, and the new clinical measures for Ultrafiltration, and Number of Dialysis Sessions has been cancelled, to be rescheduled at a later date. However, the slides for the webinar are available, at http://mycrownweb.org/wp-content/uploads/2018/01/CROWNWeb_5.1.3_Whats_NewVersion-2_508.pdf. The deadline to Attest Exemption from the 2017 ICH-CAHPS Survey is February 28, 2018. Clinical Depression Screening Reporting for 2017 must be Attested by January 31, 2018.