CMS will present an April 9, 2019 Quarterly Measures webinar on the ESRD QIP SHR Standardized Hospitalization Ratio measure. For details see https://register.gotowebinar.com/register/6298808943011603459.
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 published an MLN Matters bulletin on Implementation of Changes in the ESRD PPS and Payment for Dialysis Furnished for AKI in ESRD
Facilities for CY2019. Find it at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM11021.pdf.
CMS will host a 15 January, 2019 national call on the CY2019 ESRD PPS final rule and PY2021-22 QIP. Topics include legislative framework; updates to QIP measures, domain structure, and weights; and changes to NHSN data requirements and Validation Study. For details see https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2018-12-20-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc532966944.
NHSN has advised that in order to be applied to your PY2020 QIP scores, your NHSN data for July 1-September 30, 2018 must be submitted and corrected by December 31, 2018. NHSN recommends:
- Review the NHSN Dialysis Event Protocol at https://www.cdc.gov/nhsn/PDFs/pscManual/8pscDialysisEventcurrent.pdf to ensure all data were correctly reported to NHSN.
- Use 3 Steps to Review Dialysis Event Surveillance Data at https://www.cdc.gov/nhsn/pdfs/dialysis/3-steps-to-review-de-data-2014.pdf.
- Use the How to Create and Read an NHSN Report for CMS ESRD QIP guide at https://www.cdc.gov/nhsn/PDFs/dialysis/CMS-QIP-NHSN-report.pdf to verify your facility has met the minimum CMS reporting requirements.
- Refer to the How to Create and Read an NHSN Report for Bloodstream Infections guide at https://www.cdc.gov/nhsn/PDFs/dialysis/BSI-cheatsheet.pdf to review your facility’s bloodstream infection rates.
Contact the NHSN Helpdesk at firstname.lastname@example.org with subject line “Dialysis” if you have any questions.
The NHSN software was updated to Version 9.2 on December 8, 2018, with many additions and changes, including analysis updates. Please carefully review pages 1 and 7-8 of the Version 9.2 release notes at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/NHSN9.2.pdf for important details about these changes. To use any of the new analysis output options you must first Regenerate Datasets. Send any questions to the NHSN Helpdesk at NHSN@cdc.gov.
CMS has published a summary of CY2019 changes to the ESRD QIP and to reimbursement for AKI treatment, that were final on November 1, 2018. Find the summary at https://www.cms.gov/newsroom/fact-sheets/cy19-esrddme-nprm-cms-1691-f-and-dmepos-competitive-bidding-program-temporary-gap-period.
CMS has filed the CY2019 Final Rule for Medicare Program; ESRD PPS, Payment for Renal Dialysis Services Furnished to Individuals with AKI, ESRD QIP, DMEPOS CBP and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS. Find the CMS press release at https://www.cms.gov/newsroom/press-releases/cms-finalizes-policies-modernize-and-drive-innovation-durable-medical-equipment-dme-and-end-stage, the Final Rule at https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-24238.pdf, and a fact sheet at https://www.cms.gov/newsroom/fact-sheets/cy19-esrddme-nprm-cms-1691-f-and-dmepos-competitive-bidding-program-temporary-gap-period.