New CROWNWeb Release EQRS 1.2 With CROWNWeb Outreach, Communication, and Training (OCT)

New CROWNWeb Release EQRS 1.2 With CROWNWeb Outreach, Communication, and Training (OCT) April 26, 2018 2pm to 3pm EDT

Submitting Questions Type questions in the Q&A section, located in the top right corner of your screen. Send all Q&A questions to All Panelists Note: Some questions may require additional research. Unanswered questions may be submitted to CRAFT@MyCROWNWeb.org. 2

Today s Host Janis Grady, RHIT, CPHQ Contract Officer s Representative (COR) CROWNWeb Outreach, Communication, and Training (OCT) Centers for Medicare & Medicaid Services, Division of Quality Measurement (DQM) 3

Today s Presenters Oniel Delva, BA, CTT+ Communications Manager Michael Seckman, CTT+ Training Manager Kirsten Keating Project Coordinator 4

Latest News and Reminders

Clinical Closures Clinical Month(s) February 2018 March 2018 April 2018 Date of Closure for Clinical Submissions April 30, 2018 at 11:59 p.m. ET May 31, 2018 at 11:59 p.m. ET June 30, 2018 at 11:59 p.m. ET Clinical closures apply to all Collection Types. Clinical data submission applies to all submission methods. 6 O

FEMA Disaster Areas: Clinical Extension CLINICAL MONTH CLINICAL CLOSURE REPORTING PERIOD EXTENSION TO REPORT December 2017 February 28, 2018 April 30, 2018 January 2018 March 31, 2018 April 30, 2018 February 2018 April 30, 2018 None 7

CROWNWeb and the MBI The Medicare Beneficiary Identifier (MBI) is now active on all patient screens in CROWNWeb 8

Dates of Death in CROWNWeb Background: The CROWN Data Discrepancy Support (CDDS) Team has completed entering missing Dates of Death in CROWNWeb from 2012-2017 using data from the REMIS system. Outcome: Facilities will see the death date populated, but will NOT be responsible for completing a CMS-2746 Form. Special Note: All 2746 forms for 2018 should be completed within 14 days of death date as per the CROWNWeb Data Management Guidelines. 9

EQRS 1.2 Updates in CROWNWeb

Today s Presenter: Ahmar Wazir Ahmar Wazir is a member of the EQRS Product Management team. He has over 10 years of business and systems analysis experience, as well as project management experience with helping organizations achieve their full potential. Ahmar studied IT Project Management from University of Maryland University College. He is a certified Scrum Master, Scrum Product Owner, and Lean Six Sigma Green Belt. He has worked on the ESRD program for over 6 years. 11

EQRS 1.2 - Admit Date Question: We know that when a patient is admitted to a facility a Treatment Record is generated on that same date. How is CROWNWeb changing with the EQRS 1.2 release? 12

EQRS 1.2 - Admit Date Question: We know that when a patient is admitted to a facility a Treatment Record is generated on that same date. How is CROWNWeb changing with the EQRS 1.2 release? Answer: With EQRS 1.2, facilities will not be able to change the Admit Date to a date that is different than the Treatment Record date. That will ensure that they both agree. 13

EQRS 1.2 - Treatment Information and the Question: CMS-2728 Form How will CROWNWeb handle a Treatment Record that is associated with an existing 2728? 14

EQRS 1.2 - Treatment Information and the CMS-2728 Form Question: How will CROWNWeb handle a Treatment Record that is associated with an existing 2728? Answer: Up until this release, yes, the facility could inadvertently delete a Treatment Record. However, as of the EQRS 1.2 release, a Treatment Record associated with a 2728 in either a Saved or Submitted status will not be able to be deleted. 15

EQRS 1.2 - Notification Alerts Question: Will facilities continue to receive notification alerts when a patient receives their Medicare Claim Number? 16

EQRS 1.2 - Notifications in CROWNWeb Question: Will facilities continue to receive notifications when a patient receives their Medicare Claim Number? Answer: With the upcoming EQRS 1.2 release, a notification alert that a Medicare Claim Number exists for a patient in another external database such as REMIS, but not in CROWNWeb, will be autoaccepted. The patient attributes screen will automatically display the Medicare Claim Number. Users will not need to accept the notification and will not even see it. 17

CROWNWeb Screen: Patient Attributes 18

EQRS 1.2 Medicare Claim Number Alerts Question: If the Medicare Claim Number is auto- accepted, will there be any other patient related changes introduced? 19

EQRS 1.2 Medicare Claim Number Alerts Question: When the Medicare Claim Number is auto-accepted, will there be any other patient related changes introduced? Answer: When a Medicare Claim Number is auto-accepted for a patient, the Medicare Enrollment will be auto-updated to Currently Enrolled in Medicare Coverage. The Effective Date will be set as well. 20

CROWNWeb Screen: Effective Date 21

EQRS 1.2 - MBI and Medicare Enrollment Question: We know that the (Medicare Beneficiary Identifier) MBI number is auto-accepted as well, what other patient data will be updated when the MBI number is populated on the patient attributes screen? 22

EQRS 1.2 - MBI and Medicare Enrollment Question: We know that the (Medicare Beneficiary Identifier) MBI number is auto-accepted as well, what other patient data will be updated when the MBI number is populated on the patient attributes screen? Answer: Just as we described earlier with the Medicare Claim Number, when an MBI number is auto-accepted, the Medicare Enrollment will also be auto-updated to Currently Enrolled in Medicare Coverage. 23

EQRS 1.2 - Missing CMS-2728 Forms and the Dashboard Question: Currently, missing 2728s are displayed on the Facility Dashboard for the previous year. Are there any changes to that for the EQRS 1.2 release? 24

EQRS 1.2 - Missing CMS-2728 Forms and the Dashboard Question: Currently, missing 2728s are displayed on the Facility Dashboard for the previous year. Are there any changes to that for the EQRS 1.2 release? Answer: All missing 2728s will now be displayed on the Facility Dashboard for patients who were admitted as a New ESRD Patient or had a Re-Entitlement 2728 beginning January 1, 2013. 25

EQRS 1.2 - Supplemental CMS-2728 Forms Question: Sometimes it is difficult to understand exactly when a supplemental 2728 form is required. Can you clarify how the EQRS 1.2 release will support the Supplemental form trigger? 26

EQRS 1.2 - Supplemental CMS-2728 Forms Question: Sometimes it is difficult to understand exactly when a Supplemental 2728 form is required. Can you clarify how the EQRS 1.2 release will support the Supplemental form trigger? Answer: When a patient is admitted and requires training within the first 90 days of initial dialysis or restarting dialysis, a Supplemental 2728 form will be triggered in CROWNWeb. 27

Update Prevent treatment deletion that is associated to an existing 2728 Admit Date Validation Description CROWNWeb will prohibit deletion of a treatment record if it is associated to either a saved or submitted form 2728 Users are prevented in both the SUI & EDI from editing the Admit Date to be after any associated Treatment Start Dates Auto-Accept Updates to HICNUM The CROWNWeb system auto accepts both New and Updated Health Insurance Claim Numbers (HICNUM). Medicare Certified Status automatically updating when HICNUM is accepted Medicare Certified Status automatically updating when MBI is accepted Allow the missing 2728 forms to display more than a year back Modify Supplemental CMS-2728 Form Triggers for all Cases EQRS 1.2 Updates When a patient is assigned a new HICNUM (via notification), their Medicare Enrollment Status is auto changed from No Coverage to Currently Enrolled in Medicare. The Effective Date will be set as well. When a patient is assigned a new MBI (via notification), their Medicare Enrollment Status is auto changed from No Coverage to Currently Enrolled in Medicare. The Effective Date will be set as well. Update the Facility Dashboard to count all missing forms not submitted to CROWNWeb as of 1-1-2013(Admission date for Initial 2728 and Re- Entitlement 2728 or Treatment Start Date for Supplemental 2728) up to current. CROWNWeb was modified to trigger supplemental 2728 forms regardless of the admit reason (except for acute scenarios). Previously 28 the form was not being triggered for Restart admissions.

CRAFT Email Questions: Ultrafiltration Edition

Poll Question Number of Treatments My patient was scheduled for 14 treatments during this month. However, they were hospitalized during one scheduled treatment. How many treatments should I enter for this patient? A. 12 B. 13 C. 14 30

Counting Total Number of Dialysis Sessions (all scheduled treatments)

Counting Total Number of Dialysis Sessions (missed treatment)

Poll Question Ultrafiltration A Monday/Wednesday/Friday patient has Kt/V labs drawn on Wednesday. What other treatment days during that week do I need to enter in the Ultrafiltration section? A. Monday B. Friday C. Both Monday and Friday 33

Number of Sessions and Ultrafiltration Question: A Monday/Wednesday/Friday patient has Kt/V labs drawn on Wednesday. What other treatment days during that week do I need to enter in the Ultrafiltration section? Answer: Monday and Friday You need to enter ultrafiltration data for treatments at your facility during the week of Kt/V lab draws. Note: If the patient has Kt/V labs drawn again during the month, repeat the process. Enter the additional Kt/V lab date in the adequacy field, and then enter data from other sessions during the week in the Ultrafiltration fields. 34

Labs Drawn January 17

Labs Drawn January 19

Missed Treatments Question: A Monday/Wednesday/Friday patient has Kt/V labs drawn on Wednesday BUT missed their Friday session. What other treatment days during that week do I need to enter in the Ultrafiltration section? Answer: Monday You need to enter ultrafiltration data for any treatments at your facility during the week of Kt/V lab draws. If a patient does not attend any scheduled treatment at your facility during that week, do not enter that data enter only the data from treatments at your facility. 37

Poll Question If labs are drawn the first week of the month but the first session that week fell in a previous month, should that information be entered in Ultrafiltration? A. Yes even if it s in a different reporting month B. No only enter data for the current reporting month 38

Lab Draw Dates Question: A clinic labs drawn during the last week of January (29 th and 31st) for UFR reporting. Do we enter the UFR treatment on February 2? Answer: Yes, you can enter the February 2 date since it was the same week that labs were drawn. You would enter this information for January clinical data, since the Kt/V lab was drawn in January. 39

Labs Drawn January 29

Poll Question How do we adjust the treatment length if the patient scheduled for 240 minutes signs off one hour early? A. Enter the entire time of the scheduled session (240 minutes) B. Only enter the amount of time the patient was dialyzing (180 minutes) 41

Length of Session and Ultrafiltration Question: How do we adjust the treatment length if the patient scheduled for 240 minutes signs off one hour early? Answer: If the patient ends their treatment early, enter only the actual time spent on dialysis. CROWNWeb only wants the total amount of time a patient actually received dialysis. 42

Poll Question What do I do if I entered the wrong information in the ultrafiltration section in the previous reporting month? A. Contact the Help Desk to request assistance B. Correct the information before the previous reporting month closes 43

Incorrect Information Question: What do I do if I entered the wrong information in the ultrafiltration section in the previous reporting month? Answer: If the clinical month has not closed, you should go in and correct the information. 44

Poll Question Which patients should I enter Ultrafiltration information for in CROWNWeb? A. All Hemodialysis patients B. In-Center Hemodialysis patients only C. Peritoneal dialysis patients only 45

ESRD QIP Question: The ESRD QIP shows that Home-Hemo patients are excluded from the measure. Are there any plans to adjust the clinical screen to allow for this exclusion as UFR data is incredibly difficult to gather for patients dialyzing in their homes? Answer: CROWNWeb and QIP do not always have the same requirements. You are required to enter ultrafiltration for all hemodialysis patients in CROWNWeb, according to the ESRD QIP final rule. 46

Questions 47

Thanks for Attending! Our next CROWNWeb Town Hall will be held: Date: May 31, 2018 Time: 2pm-3pm EDT 48

For Further Information Help Me Form: http://help.mycrownweb.org QualityNet Help Desk: 1-866-288-8912 Website: http://www.mycrownweb.org A survey will pop up in your browser when the session ends. Please follow the link and let us know what you think and what you would like to be covered in future Town Hall events, thank you! 49