CW January New User Training, Newsletter

CROWNWeb has published their January Newsletter, at https://mycrownweb.org/2020/01/january-2020-newsletter/.  It includes articles on

  • Medication Reconciliation and its January 9 and 23, 2020 training sessions
  • PY2020 PSRs and PSCs (see also https://nwrnbulletins.wordpress.com/2019/12/03/py2020-qip-final-psr-and-psc-released/)
  • ICH CAHPS CY2019 exemption attestation (deadline March 2, 2020)
  • CY2020 Clinical Depression Screening requirements
  • January 16, 2020 training for ICH CAHPS and Depression Screening reporting requirements
  • Clinical data submission deadlines (if your Network doesn’t require earlier submission)

Plus announcement of the January 21, 2020 New User Training, and the usual lists of always-useful resources and links.

Find information and register for the January 30, 2020 CROWNWeb Town Hall on signing up for HCQIS HARP at https://mycrownweb.org/pcw_community_events/january-2020-town-hall/.

CROWNWeb January Trainings & Town Hall

The January CROWNWeb Town Hall will take place on January 30, 2020 and cover the new HCQIS Access Roles and Profile (HARP) registration process and the ESRD Quality Reporting System (EQRS).  Find out more and register at https://mycrownweb.org/pcw_community_events/january-2020-town-hall/.

CROWNWeb Training on data entry for the new Medication Reconciliation Reporting Measure will be held on January 9, 2020 and repeated on January 23; see https://mycrownweb.org/2019/12/medrec-training-announce/.

Training on the ICH CAHPS and Clinical Depression Screening Reporting Requirements will be held on January 16, 2020; find details and register for this training at https://mycrownweb.org/pcw_lems/ich-cahps-and-clinical-depression-training-2/.

12/12+ Fall 2019 Provider Newsletter and Archive

We’ve published the Fall 2019 ESRD Network 16/18 Provider Newsletters.  Find them at:

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:

  • Quality Improvement:
    • 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.
    • Diabetes Self-Management.
  • Patient Services:
    • 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.
  • Data:
    • 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.
  • Emergency Preparedness:
    • 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.
    • KCER Newsletter.
  • Notify the Network of any Personnel Changes.
  • Upcoming Events!

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.

Find previous issues at:

2020 QIP Medication Reconciliation Measure

While reviewing the QIP Medication Reconciliation Reporting Measure for CY2020 (see https://nwrnbulletins.wordpress.com/2019/12/02/1-1-medrec-qip-measure-in-eqrs-cw/), we’ve encountered some possible confusion about which patients to include, which we’d like to clarify.  The the clearest definition we’ve found is in the CMS National Quality Forum document on the MedRec Measure, at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/NQF-2988-Patients-Receiving-Care-at-Dialysis-Facilities.pdf, p.8:

  • “DENOMINATOR STEP 1.  Identify all in-center and home hemodialysis and peritoneal dialysis patients permanently assigned to the dialysis facility in the given calculation month.
  • “DENOMINATOR STEP 2.  For all patients included in the denominator in the given calculation month in ‘Denominator Step 1,’ identify and remove all in-center hemodialysis patients who received < 7 dialysis treatments in the calculation month.
  • “DENOMINATOR STEP 3.  Repeat ‘Denominator Step 1’ and ‘Denominator Step 2’ for each month of the one-year reporting period.”

1/1 MedRec QIP Measure in EQRS/CW

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.

For assistance with EQRS/CROWNWeb or the ESRD QIP, contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.service-now.com/qnet_qa.  If you have questions or concerns on use of the ESRD QIP application, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912, 5am-5pm PT, Monday-Friday.