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/.
EQRS will present a December 15, 2020 EQRS New User Training. Find more information and register at https://mycrownweb.org/pcw_lems/december-2020-new-user-training/.
EQRS will also present a December 17, 2020 Town Hall on Understanding the ESRD QIP Final Performance Score Report. Find more information and register at https://mycrownweb.org/pcw_community_events/december-2020-town-hall/.
EQRS has also published their December 2020 EQRS Newsletter, at https://mycrownweb.org/2020/11/december-2020-newsletter/. Contents include (1) Extension of the clinical submission deadline for September 2020 data to January 4, 2021. October data continues to be due by January 4, and November data by February 1, 2021, (2) Details on what services are available from the QualityNet Service Desk and the ESRD Networks, and how to access them, and (3) The useful list of valuable EQRS links and resources that you’ll recognize from CROWNWeb days.
CMS has scheduled a webinar on the PY2021 ESRD DFR/QIP process. We haven’t seen a timeline yet for the process, though there are rumors that the DFR data has become available.
The webinar is titled ESRD QIP: Previewing Your Facility’s PY2021 Performance Data. There are three sessions, each repeating the same material, so you need to attend only one of them. To register:
After you register, you will receive an e-mail containing a unique webinar link and audio details. Do not share the link, as it will be unique to you. If more than one staff member at your facility would like to attend, and you can maintain safe social distancing, you may join as a team. The webinar will cover:
- How to access and review your facility’s PSR and PLR.
- How CMS calculated your QIP performance scores.
- What your TPS means to your facility’s 2021 reimbursement.
- When and where to ask questions.
- Where to get help and additional information.
To learn more about the QIP and DFR (and DFC) Preview process, see https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/. It’s not updated for PY2021 yet, but will be soon.
For more information on the PY2021 process, see https://mycrownweb.org/2020/06/py-2021-esrd-qip-preview-period-webinar/. If you haven’t already made the conversion, note that you will need to use the new QIP User Interface in the updated version of EQRS; for details and instructions see https://mycrownweb.org/2020/06/esrd-qip-ui-phase1/.
For further assistance and to ask questions, use the CMS Quality Support ServiceNow Q&A Tool at https://cmsqualitysupport.servicenowservices.com/qnet_qa.
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.
CROWNWeb will hold their next Town Hall on December 19, 3019 on Understanding the Payment Year 2020 ESRD QIP Final Performance Score Report. Register at https://mycrownweb.org/pcw_community_events/december-2019-town-hall/.
The December CROWNWeb Newsletter is also now available, at https://mycrownweb.org/wp-content/uploads/2019/11/CROWNWeb-Newsletter-October-2019-2.png. The lead article reviews 2019 and previews 2020, and announces upcoming CROWNWeb modifications on medication reconciliation, ICH CAHPS, and Depression Screening/Followup. The Newsletter also includes its usual tables of Clinical Closing dates and extensive links to Resources, and a preview of CROWNWeb events in 2020, including (updated 12/31/19):
- New User Trainings will move to the third Tuesday of each month (January 21, 2020).
- CROWNWeb Town Halls will be held on the third Thursday of each month (except in January it will be the fourth Thursday, January 30, 2020).
- Training for Medication Reconciliation (January 9 and 23), ICH CAHPS and Depression Screening (January 16), and the new HARP (HCPIS Access Roles and Profile) account management application (at the January 30 Town Hall) will also be held in January.
- Training for 2744 will be held in Spring 2020, date tba.
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 email@example.com 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/.
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 firstname.lastname@example.org 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 email@example.com 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.