CMS has issued the January EQRS News, featuring articles on the specifications required for computers used to access EQRS, PY2021 PSRs and PSCs, the lack of PART verification in EQRS, the ICH CAHPS Attestation, Clinical Closure deadlines, and the usual useful links to more information about EQRS and its environment, including the announcement of New User Training on January 19, 2021. If it’s required, the ICH CAHPS Attestation must be completed by March 1, 2021. Clinical Closure deadlines for September, October, and November 2020 have been extended to February 1, 2021. Find the January issue at https://mycrownweb.org/2020/12/january-2021-newsletter/, and a compendium of online EQRS, HARP, and QIP training resources at https://mycrownweb.org/education/.
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/.
CMS has released the PY2020 ESRD QIP Final Performance Score Reports (PSR) and Performance Score Certificates (PSC). Find their announcement at https://www.qualitynet.org/news/5de54e86a63d67002379772e. Authorized facility staff may log onto the EQRS QIP system at https://www.qualitynet.org/ to download and save these documents as soon as possible.
PY 2020 Final PSR: The PY2020 Final PSR documents your facility’s performance during 2018 and any payment reduction that CMS will impose for reimbursement on 2020 claims. The Final PSR reflects any applicable revisions to your facility’s performance scores from those displayed during the Preview Period.
PY 2020 PSC: Each facility is required to download, print, and post both the English and Spanish versions of the PSC in a prominent patient area within fifteen business days of their availability; facilities also must ensure that these documents remain posted throughout 2020.
Save Your Facility’s Documents: PY 2020 Final PSRs and PSCs will only be available on EQRS until December 31, 2019. CMS encourages each facility to save an electronic copy of their Final PSR and PSC for reference, reprinting, and, should the need arise, re-posting throughout the year. Facilities who do not save a copy by December 31 can request an additional copy by e-mail from the QualityNet Help Desk, but should expect a delay in receiving it.
If You Have Questions: Find more information on how to access and understand your reports in the PY2020 supporting documents on the ESRD QIP Resources page at https://qualitynet.org/esrd/esrdqip/resources#tab2. For questions about the information in this post, contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cmsqualitysupport.service-now.com/qnet_qa. For questions about EQRS or CROWNWeb, contact the QualityNet Help Desk at firstname.lastname@example.org or 866-288-8912, 5am-5pm PT, Monday-Friday.
CMS has released the PY2019 ESRD QIP Final PSRs and PSCs, which are now available on EQRS.
The PY 2019 Final PSR provides information on your facility’s performance during 2017 and any payment reduction that CMS will impose for reimbursement on 2019 claims. The Final PSR reflects any applicable revisions applied to your facility’s performance scores during the review and correction period and may differ from those displayed during the Preview Period.
Each facility is required to download, print, and post both the English and Spanish versions of the PSC in a prominent patient area within fifteen (15) business days of their availability; facilities also must ensure that these documents remain posted throughout 2019.
PY2019 Final PSRs and PSCs will only be available on EQRS until summer of 2019, when the PY2020 Preview Period will begin. We encourage each facility to save an electronic copy of its Final PSR and PSC for reference, reprinting, and reposting throughout the year should the need arise. Facilities that do not save a copy can request an additional copy from the QualityNet Helpdesk (see below), but should expect a delay in receiving it.
For further assistance regarding the information contained in this message, please contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960. If you have questions or concerns regarding use of the ESRD QIP system, please contact the QualityNet Help Desk at email@example.com or 866-288-8912, 5am-5pm PST, M-F.
CROWNWeb has announced that their next New User Training session will be held on December 11, 2018. Find details and register at http://mycrownweb.org/pcw_lems/dec-2018-crownweb-new-user-training/.
The December 2018 CROWNWeb Newsletter is also available, at http://mycrownweb.org/wp-content/uploads/2018/12/December_2018_Newsletter_V1.7-508.pdf. This issues includes articles on:
- The schedule for release of the PY2019 QIP reports and certificates:
- December 14, 2018 – PSRs and PSCs will be available to facility POCs on the ESRD QIP System at https://www.qualitynet.org/. PSCs must be prominently displayed in both English and Spanish within fifteen days of their availability and remain posted throughout the entire 2019 calendar year. Facilities without POCs are directed to call the QualityNet Help Desk at 866-288-8912.
CMS expects to post the Performance Score Summary Report to DFC in January 2019, and to their Public Reporting & Certificates web page at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/08_ReportandCert.html by December 29, 2018.
- Questions may be directed to the QualityNet ESRD QIP Q&A tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.
- A summary of the November CROWNWeb Town Hall featuring the
Kidney Community Emergency Response Coalition’s (KCER) role in emergency preparedness and disaster response coordination, and their coordination with EQRS and CROWNWeb. Slides of the meeting can be found at http://mycrownweb.org/wp-content/uploads/2018/11/November_Town_Hall_Version_2.3_508-Compliant.pdf. More information on KCER can be found at https://www.kcercoalition.com/.
- A Clinical FAQ on Post-Weight Dialysis Assessment date.
- Scheduled CROWNWeb Clinical Closure Dates; note that your Network may require earlier data entry in some situations.
- Announcement of a December 20, 2018 CROWNWeb Town Hall on 2018: A Retrospective Review. See http://mycrownweb.org/pcw_community_events/crownweb-town-hall-2018-a-retrospective-review/ for details and registration.
CMS has released PY2018 ESRD QIP Final PSRs and PSCs. Please download and save these documents from the ESRD QIP system as soon as possible.
The PY2018 Final PSR documents your facility’s performance during CY2016 and any payment reduction that may result. It also reflects any revisions to your facility’s performance scores from the Preview Period. We encourage facilities to save an electronic copy of their PSRs for reference and reprinting. The PY2018 PSRs will be available in the ESRD QIP system until the PY2019 Preview Period begins in summer 2018.
Each facility is required to download, print, and post both the English and Spanish versions of their PSC in a prominent patient area before December 30, 2017, and ensure that these documents remain posted throughout CY2018. CMS also encourages facilities to save an electronic copy of their PSCs for reference, reprinting, and re-posting throughout the year as the need arises.
Please allow some time for your reports to process. If you do not receive your report within 24 hours, submit a help desk ticket to the QualityNet Helpdesk at firstname.lastname@example.org or 866-288-8912. If you have any questions about the information in this memorandum, please contact the ESRD QIP Team at ESRDQIP@cms.hhs.gov.
CMS has proposed a new rule that modifies the QIP for PY2019-21. Comments on the rule will be accepted until August 28, 2017. The proposed rule includes updates to reimbursement rates, the ESRD QIP Extraordinary Circumstances Exception Policy (ECE), PSC, NHSN dialysis event data validation sampling methodology, and quality measures. The rule also requests comments on how to include individuals with AKI in the ESRD QIP, and on the feasibility and appropriateness of accounting for social risk factors in the program. Find an advance copy of the proposed rule at https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-13908.pdf . The proposed rule is scheduled for the July 5, 2017 Federal Register. A copy of the CMS press release on the proposed rule can be found at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-06-29.html .
A CMS Fact Sheet summarizes the various changes and proposals in the rule, and also introduces a planned CMS RFI that will welcome continued feedback on the Medicare program with the aim of increasing efficiency, transparency, flexibility, program simplicity, and innovation. Find the Fact Sheet at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-06-29.html .
Prepare for ESRD QIP PY 2017 Reporting Documents by Updating your Account
More than 200 outpatient dialysis facilities have not designated a Facility Point of Contact (FPOC) in the ESRD QIP system. Facilities should maintain their accounts and make sure that FPOCs have access to reporting documents. CMS is preparing ESRD QIP end-of-year documents for release in December, including the Payment Year 2017 Final Performance Score Reports and the Performance Score Certificate, which facilities are required to post for public review. For help with the ESRD QIP system, including reviving a deactivated account, contact the QualityNet Help Desk at email@example.com or 866-288-8912.
CMS has published a 5-page Frequently-Answered-Questions brochure that covers PSC posting, ICH CAHPS eligibility and exemption attestation, Depression Screening, and Pain Assessment. Find a copy at http://mycrownweb.org/wp-content/uploads/2016/01/CROWNWeb-and-the-ESRD-QIP-QA.pdf .
We’ve also put a summary of QIP and CROWNWeb (CW) deadlines and events on the Network 16 website at https://www.nwrn.org/files/DataBulletin0116.pdf. They include:
- New CW Data Management Guidelines took effect on January 1, 2016
- CW 4.9 was released on January 5, 2016
- Post your 2015 PSC in your facility by January 22, 2016
- New: CROWNWeb call on “System Progression and Things to Come,” January 28, 2016; register at http://mycrownweb.org/pcw_community_events/crownweb-system-progression-and-things-to-come/ .
- Enter ICH CAHPS attestations for QIP exemptions into CW by January 31, 2016
- Close your facility’s November clinical data in CW before January 31, 2016
- Generate your facility’s CMS-2744 for review and cleanup before February 15, 2016
- Submit your facility’s balanced CMS-2744, with comments, to your Network before April 1, 2016
The summary also includes links to general 2744 and CW resources, and national phone numbers for when you need help. If you need help from your Network, in Southern California call 888-268-1539, and in the Northwest or Alaska call 206-935-3994.
Keep up with ongoing CROWNWeb events at http://mycrownweb.org/events/ .
PY 2016 Performance Score Reports (PSR) and Certificates (PSC) were released on December 30, 2015. Since facilities are required to post their PSCs in a prominent patient area within 15 business days of their release, your facility’s PSC must be posted on or before January 22, 2016. Your PSR is a backup report that you don’t need to post, but which will help educate your staff so they can answer any questions that patients may have about your posted PSC. To find step-by-step instructions for logging onto the QualityNet website and downloading your PSR and PSC, review the PY 2016 Preview Period National Provider Call slides, which are available on the CMS website at https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2015-12-09-ESRD-Presentation.pdf. An audio recording and written transcript of the Call are also available under December 9, 2015 at https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html.