QIP News: PSSRs, NHSN Deadline, Pain Assessment

PSSRs: CMS has announced that PY2019 Performance Score Summary Reports or PSSRs are now available.  The PSSR is a spreadsheet containing the performance values of each facility for PY2019.  It provides information about facility performance on each ESRD QIP measure as well as the Total Performance Score.  Find the PSSRs at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY2019-Performance-Score-Summary-Report-.XLSX.  It’s a 12+ megabyte file, so it may take several minutes to download and open.

NHSN: CMS has also announced an extension to the NHSN data entry deadline for the ESRD QIP fourth reporting quarter of 2018 (data for October 1 – December 31, 2018) from March 31, 2019 to April 1, 2019.

Assistance regarding PSSRs or the NHSN deadline can be obtained by contacting the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.  For questions or concerns regarding use of the ESRD QIP system, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912 between 5am and 7pm PT Monday-Friday.

Pain Assessment data submission into CROWNWeb will no longer be required by CMS starting March 1, 2019.  The Pain Assessment screen will remain active for facilities to review previously reported data.  For details see http://mycrownweb.org/2019/02/pain-assessment-submission/.

PSRs and PSCs Now Available

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 qnetsupport-esrd@hcqis.org or 866-288-8912, 5am-5pm PST, M-F.

CW New User Training, QIP, Newsletter

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:

  • 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.

<12/30 PY2018 QIP PSRs and PSCs

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 qnetsupport-esrd@hcqis.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.

NW18 Extended CW Deadlines for Orange County

The November CROWNWeb Newsletter is now available, at http://mycrownweb.org/news/newsletters/ .  The feature article gives Orange County facilities an extra two months to complete their CROWNWeb data entry, since Orange County is a FEMA-designated disaster area.  New deadlines are:

  • For Clinical Month August 2017 – December 31, 2017
  • For Clinical Month September 2017 – January 31, 2018
  • For Clinical Month October 2017 – February 28, 2018
  • For Clinical Month November 2017 – March 31, 2018
  • For Clinical Month December 2017 – April 30, 2018

CMS asks, however, that facilities do their best to file their Forms 2728 as early as possible in order to avoid delays in coverage for beneficiaries.

The Newsletter also includes an article for facilities affected by wildfires or other emergencies, whether or not they are located in a FEMA-designated disaster area (and any facility needing an additional exception), on how to file an Extraordinary Circumstance Exception (ECE) request, and how their PY2019 QIP Final Performance Score will be calculated as a result.

An article on using the Facility Dashboard rounds out this issue of the CROWNWeb Newsletter.  The issue also announces a CROWNWeb Town Hall on November 30, 2017.

QIP Account Update

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 qnetsupport@hcqis.org or 866-288-8912.