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.”
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 firstname.lastname@example.org or 866-288-8912, 5am-5pm PT, Monday-Friday.