9/10 QIP CY2019 Proposed Rule Call

Today’s conference call on the CY2019 ESRD PPS Proposed Rule, impacting PY2021-24, was recorded.  The audio will appear on https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2018-08-14-ESRD-QIP.html in about two weeks, though the comment period for this proposed rule will expire two weeks after that, on September 10, 2018.  The slides from the call are thorough and available now, from https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2018-08-14-ESRD-QIP-Presentation.pdf.

A proposal we haven’t mentioned before, is that new facilities will begin QIP reporting in their fourth month of operation rather than their first month (slide 31).  The slides also include timelines and resources.  The call did not include questions, as listeners were directed to use the Federal Register comment process, which is detailed on the slides.  For more information on the Proposed Rule, see https://nwrnbulletins.wordpress.com/2018/08/07/9-10-qip-py2021-24-correction/ and the chain of previous posts that it links to.

9/10 QIP PY2021-24 Correction

CMS has announced a correction to their bulletin about proposed PY2021-24 QIP performance measure changes, which we forwarded as https://nwrnbulletins.wordpress.com/2018/08/06/9-10-qip-py2021-24/Depression Screening is NOT proposed to be eliminated in PY2021, and Pain Assessment IS proposed to be eliminated in PY2021.  We’ve corrected our earlier bulletin.  Comments on the proposed changes are due by September 10, 2018.

9/6 QIP Preview Period Open

The ESRD QIP PY2019 Preview Period opened August 6, 2018.  It will close on September 6, 2018.  During this Period facilities can review their PSR and submit clarification questions and if necessary a formal inquiry.  CMS advises that clarification questions should be submitted by August 21, 2018, to allow time for questions to be answered before the end of the Period.  For more information about the QIP Preview process, see https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic/Page/QnetTier3&cid=1228776130396.  For questions about the QIP, see https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.

9/10 QIP PY2021-24

CMS has released the proposed ESRD QIP Technical Specifications for PY2021, 2022, and 2024.  Proposed changes include:

  • Elimination of Pain Assessment (NOT Depression Screening as indicated earlier), NHSN Healthcare Personnel Vaccination, Anemia Management, and Serum Phosphorous in PY2021.
  • New measures for Medication Reconciliation Reporting and Existing-Patient Transplant Waitlist for PY2022.
  • A new measure for Incident-Patient Transplant Waitlist in PY2024.
The proposed Technical Specifications can be found at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/061_TechnicalSpecifications.html.  Comments on the proposals are due by September 10, 2018.  For more information see https://nwrnbulletins.wordpress.com/2018/07/11/cy2019-esrd-pps-proposed-rule/.

8/9+ CW Newsletter, EQRS Training, Town Hall

The August issue of the CROWNWeb Newsletter is now available at http://mycrownweb.org/wp-content/uploads/2018/08/August_2018_Newsletter_Version_3.4.pdf.  This issue features:

  • Introduction to EQRS
  • August 6-September 5, 2018 QIP Preview Period (including links to handy tools)
  • August 9-10, 2018 EQRS 2.0 training
  • Facility Security Officials
  • May-August 2018 Clinical Closure deadlines
  • August 23, 2018 CROWNWeb Town Hall
  • The usual list of links to important CROWNWeb tools

8/9+ CW & EQRS Training, Resources

EQRS 2.0 will be installed during regular overnight maintenance on August 9, 2018, and training on EQRS 2.0 will be offered on August 9 and repeated on August 10, 2018.  For more information see http://mycrownweb.org/education_/training-calendar/ for August.

The same calendar announces a New User Training on August 14, 2018.

Slides and recordings of CROWNWeb Town Halls can be found at http://mycrownweb.org/events/.  The July 26, 2018 Town Hall included a review of Pain Assessment and Depression Screening.

7/26 CW Town Hall re EQRS

CROWNWeb has announced the topic for their July 26, 2018 Town Hall meeting: The Journey From CROWNWeb to EQRS.  The head of the EQRS program, P. Nicole Crenshaw, will discuss the vision for EQRS, as well as the transition from CROWNWeb, ESRD QIP and REMIS to EQRS.  Additionally, the call will provide an overview of completing the Pain Assessments and Depression Screenings in CROWNWeb.  Register at http://mycrownweb.org/pcw_community_events/crownweb-town-hall-event-the-journey-from-crownweb-to-eqrs/.