CMS has discovered an error in the calculation of the Standardized Readmission Ratio (SRR) that affects most facilities. The measure has been recalculated and is available for preview in your facility’s
- DFC: Quarterly DFC Preview for October Report
- DFR: FY 2017 Dialysis Facility Report
on https://www.DialysisData.org . The footer of these Reports will note the August 2016 production date.
Some planned readmissions were inadvertently excluded. In the recalculation, 11% of facilities nationwide show an absolute difference in SRR of more than 0.05. About 100 facilities changed SRR category on DFC. Use the Comments & Inquiries tab on https://www.DialysisData.org if you have questions on the SRR recalculation.
Because of this error, the Preview Period will be extended to August 19 at 5 PM ET to allow review of the updated Reports. The SRR information is the only change to the Reports. Refer to https://nwrnbulletins.wordpress.com/2016/07/15/815-dfcdfr-comments-due/ for more instructions if necessary.
QDFC-Preview for October 2016 reports and FY2017 DFRs will be available to Networks and facilities beginning July 15, 2016 on the secure website, https://www.DialysisData.org . Facilities can preview reports and submit questions about the data reported in their QDFC preview report and DFR, including comments for State Surveyors, until August 15, 2016. All comments, inquiries, and questions must be submitted using the required comment forms:
- DFC Comment for CMS
- DFR Comment for State Surveyor
- DFR Comment for UM-KECC
Via https://www.DialysisData.org . Only authenticated users who have been granted permission to submit DFC and DFR comments by their dialysis data website Master Account Holder will be able to perform this action.
CROWNWeb and QIP 1.0.0 will not be accessible between 5 pm PST Wednesday March 16, 2016 and 9 pm PST Monday March 21, due to extended system maintenance.
In addition, until future notice CROWNWeb will not be available for about an hour, starting at 6 pm PST, on Mondays, Wednesdays, and Fridays, and from 5 pm till 6:30 pm on Tuesdays. The System Restarts taking place at these times are intended to resolve delays in CROWNWeb response time.
Please plan accordingly, as these outages may affect your timelines for completing CROWNWeb activities. In addition to your usual data entry and correction:
- Reviewed and corrected 2744 forms are due at Network offices by April 1, 2016
- If your facility was selected for CROWNWeb Data Validation, your response is due within sixty days after the date of your January participation letter
See http://mycrownweb.org/news/ for the latest CROWNWeb news bulletins.
CMS has extended the deadline for public comment on proposed changes to comorbidity adjustments in the Standardized Mortality Ratio (SMR) and Standardized Hospitalization Ratio (SHR) from February 22 to February 29, 2016. See https://nwrnbulletins.wordpress.com/2016/02/09/222-dfr-changes-comment-period-expiration/ .
They are now also seeking public comment on revisions to the Standardized Transfusion Ration (STrR) and to the DFC Star Ratings. Comments on the STrR may be submitted between February 19 and March 4, 2016, and on the DFC Star Ratings until March 16, 2016. For more information see:
CMS is evaluating potential changes to the way comorbidity is used to adjust the Standardized Hospitalization Ratio (SHR) and Standardized Mortality Ratio (SMR), and has invited public comment between February 8 and February 29, 2016. Find more information and comment instructions at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/CallforPublicComment.html and https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/CallforPublicComment.html#16 .
CMS has placed a summary of DFR and DFC events and deadlines for much of 2016 on the DialysisData website at https://dialysisdata.org/sites/default/files/content/FAQs/Timeline_010816.pdf. These include:
- Updates to the CMS DFC website: January 28, April 14, and July 14, 2016
- QDFC Previews available for review and comment: February 1, May 1, July 15, and November 1, 2016
- Comment Period deadline for QDFC: February 15, May 15, August 15, and November 15, 2016
- 2016 DFRs available: July 15, 2016
We’ve added these dates to our Facility Calendar at https://nwrnbulletins.wordpress.com/staff-education-calendar/ .
CMS is convening a Technical Expert Panel to evaluate the inclusion of prevalent comorbidities in the risk adjustment models for the Standardized Hospitalization and Standardized Mortality Ratio used in various CMS reports and programs. The SHR and SMR already include incident comorbidities. CMS is accepting nominations for members of the TEP until June 18, 2015. For details see https://www.nwrn.org/files/N/SHR.TEP.pdf , which is excerpted from http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html .