2021.08.20 EQRS EDI Submission Testing - Meeting

Date

20 Aug 2021

Attendees

Name
Aaron Thompson	x
Adrienne Adkins
Adrienne Ray	x
Ahmar Wazir
Andrew Yochum
Anitha Chintalapati
Arnie Espartero	x
Betina Fletcher
Branon Barrett	x
Cheri Jerger	x
Chris Brown	x
Christopher King	x
Curt Phillips	x
Deb Judy	x
Deb Wilson	x
Greg Eccleston
Hari Krishna
Heather Moore
Howard Thomas
Jada Garrett	x
Jason Bullock
Jason Clem	x
Jennifer Bailey	x
Justyna Sardin	x
Karena Sullivan	x
Kotaiah Ravipati
Kathleen Prewitt	x
Kelly Llewellyn	x
Lakshmi Erigineni	x
Leah Skien
Lisa Rees	x
Lonnie Hanekamp
Melissa Fieldhouse	x
Michael Kennedy	x
Nana Aidoo
Nathan Muzos
Ozlem Tasel	x
Pandu Mudda	x
Patrick McConnell
Preston Brown	x
Revathy Ramakrishna
Scott Laughlin	x
Seema Sreenivas	x
Sarah Filling
Shamim Almamun	x
Shalon Quinn
Tim Jackson	x
Tom Lantz
Vladimir Ladik	x
Yvette Brown	x
Zac Cohen	x

Agenda

Items	Who
Meeting Recording	Arnie	This meeting will be recorded for the purpose of capturing meeting minutes and action items. If there are any objections, please let the host know.
Phase 3 Testing Timeline	Scott L	07/12/2021 - Phase 3 (Clinical Codes/2728) live in production. 07/12/2021 - 09/01/2021 - Resubmission of Clinical Data Files (September to December). Resubmission of Clinical Data Files (September - December 2020) Countdown: 12 days left Timeline Encourage everyone to complete large data submissions prior to the closure of the clinical data Allows us to react to any large data submissions early in the process
Production Support	Michael	Continuing to work the production support tickets as they come in Working a few special cases with the facilities and users to determine the errors and resolution Continuing to work 401 errors that were occurring due to being manually entered Teams have been very helpful and collaborative No blockers at this time
EDI 2020 Data Submissions	Preston	EDI 2020 DATA SUBMISSIONS Last week there was a batch token issue. It has been fixed and is no longer showing up this week in the logs Discovered a much smaller issue - sometimes file submissions are not persisting to the database correctly Happening about a dozen times a day The data will process on a resubmit This issue will be fixed next week (8/24) Discussion regarding an issue sent in this week When feedback files get posted back to their location, they come from EQRS encoded with UTF8 and they process them Last week noticed weird errors in their gateway indicating this can't be processed Researched and noticed it was not UTF8 encoded Discovered there is a tilde on the city name for a particular patient Not sure what happened with the encoding because of the tilde They are thinking the tilde is causing the problem of files not getting encoded They do not keep any of their customer data so they cannot tell if this has been happening before or if this is the first time a patient demographic file has been submitted with a city name with a tilde They do not have access to the customers file where they originated and send it Can the ADO take a look at their logic to see if it is checking for special characters such as the tilde? Everything looks correct on the ADO side The ADO does not have access to the NRAA side Preston has reviewed the code that is doing the transfer at that point is oblivious to the contents of the file; it's just copying the bytes and putting them on the wire and sending them out There is no logic about specific special characters or even specific fields Kelly will see if they can find the customer and even get the file - may take some legwork Yvette can send a copy of the original file to Kelly Yvette will work with Kelly in troubleshooting this issue INDEPENDENT 2020 DATA SUBMISSIONS
Deployments	Yvette	Future Deployments Defect coming up in the next iteration for the code - 13510 (At least one citizenship is required when primary type of treatment is living related, living unrelated, deceased, or unknown) Defect to correct the issue where you submit data and you say that there is no clinical data and the checkbox is not being checked in the UI Both above fixes will be deployed on Tuesday, 8/24
Round table	Scott L.	DaVita - Zac No updates for this week FKC - Kathleen No updates for this week Waiting for the Tuesday, 8/24 deployment so they can finish up their batching submissions They are in good shape Per Yvette - reviewed the scenarios that were sent by Kathleen related to the reporting measure It's not so much that the facilities are closed What is happening is because the facilities are closed it's indicating that the facility is no longer Medicare certified and currently there is not logic in the system to take into account the date that the facility is no longer Medicare certified That's why they are not able to access the screen Per Kathleen it's not really an issue Suggest to add this to the backlog to consider the Medicare termination date It wouldn't just apply to reporting measure; it would apply to other areas/modules as well DCI - Vlad On 7/30/2021 received error 13510 - At least one citizenship is required when primary type of treatment is living related, living unrelated, deceased, or unknown; EQRS EDSM-354 EQRSEDSM-354 - Getting issue details... STATUS Transplant admission could be closed What ADO is seeing in many cases is that if the system is treating the data submitted as a new admission; for example it could be an existing admission, but the date submitted is different. The system is still looking at all of the admission records on a patient ADO is working on a fix for this issue and will be in the next deployment (8/24) NRAA - Kelly They are moving right along and many thanks to Michael for all his help in problem solving and help in getting their data in Received some weird information when they got their last two Clinical Compliance reports Week prior to this week they were watching their numbers dip way down, then last week they jumped back up They will take a look at next Monday's Clinical Compliance reports Question: What is the time period that ADO usually does the deployments? Tuesday's and Thursday's 8pm - 10pm eastern ADO request to stop submissions by 7pm eastern Recommended that NRAA set up a process for every Tuesday and Thursday between 7pm-10pm eastern to just automatically close their queue and open at 10pm eastern NRAA will communicate to their community this will be their standard operational process going forward
Miscellaneous	Scott L.	REMINDER: if need to email the help desk, using the following email address: qnetsupport-esrd@hcqis.org with URGENT in front of subject line
Next meeting scheduled for 27 Aug 2021		Next EDI Submission Testing Meeting

Action Items:

Date	Milestone (M) / Task (T)	Description	Phase	Status
2/28/2021	M	Code deployed to pre-prod for testing.	1	Complete
3/15/2021 - 3/24/2021	T	EDIs perform integration testing.	1	Complete
3/24/2021	M	EDIs sign-off on integration testing.	1	Complete
3/24/2021 - 3/25/2021	T	ADO prepares for coding deployment.	1	Complete
3/25/2021	M	Production deployment.	1	Complete
3/31/2021	M	Prod-Preview environment contains refreshed prod data	2	Complete
2/24/2021 - 3/10/2021	T	Review of phase 2 codes and finalize list of codes.	2	Complete
3/11/2021 - 4/30/2021	T	ADO perform coding updates and regression testing - Phase 2 (Patient Codes)	2	Complete
4/30/2021	M	Prod-Preview environment data refresh.	2	Complete
5/3/2021	M	Remaining Phase 2 (Patient Codes) deployed to pre-prod for testing.	2	Complete
5/4/2021 - 6/1/2021	T	EDIs performs integration testing - Phase 2 (Patient Codes) Starting 5/4 - EDIs submit prod file in prod environment and PP2-3. This should be the SAME file for both environments. Review discrepancies between the feedback files and validate codes.	2	Complete
6/2/2021	M	EDIs sign off-on integration testing - Phase 2 (Patient Codes)	2	Complete
6/2/2021 - 6/4/2021	T	ADO prepares for coding deployment - Phase 2 (Patient Codes)	2	Complete
6/3/2021	M	Production deployment - Phase 2 (Patient Codes)	2	Complete
6/4/2021	M	Phase 2 (Patient Codes) live in production.	2	Complete
3/10/2021 - 3/17/2021	T	Review of phase 3 codes and finalize list of codes.	3	Complete
5/12/2021 - 06/08/2021	T	ADO perform coding updates and regression testing - Phase 3 Clinical Codes/2728	3	Complete
6/4/2021	M	Prod-Preview environment data refresh.		Complete
6/4/2021 - 6/6/2021	T	EDIs SHOULD NOT submit any PATIENT files during this time period in production (to ensure same patients are in PP2-3).	3	Complete
6/7/2021	T	EDIs to drop file into PP2-3 to establish a baseline.	3	Complete
6/8/2021	M	Code deployed to pre-prod for testing - Phase 3 (Clinical Codes/2728). Reopening September 2020 to March 2021 Clinical months for submission.	3	Complete
6/9/2021 - 7/6/2021	T	EDIs performs integration testing. Starting 6/9 - Re-drop same file from 6/7/2021 into PP2-3. Review feedback files from PP2-3 and validate codes.	3	Complete
7/6/2021	M	EDIs sign-off on integration testing - Phase 3 (Clinical Codes/2728).	3	Complete
7/7/2021 - 7/11/2021	T	ADO prepares for coding deployment - Phase 3 (Clinical Codes/2728).	3	Complete
7/12/2021	M	Phase 3 (Clinical Codes/2728) live in production.	3	Complete
7/12/2021	M	EDSM Implementation Complete (Phase 1 - 3).	n/a	Complete
7/12/2021 - 9/15/2021	T	Resubmission of Clinical Data Files (September to December). Open July 12, 2021 at 5 a.m. Pacific (8 a.m. Eastern) and close September 15, 2021 at 11:59 p.m. Pacific Daylight Time 9/15/2021 is the official closure date for the clinical months of September, October, November, and December 2020. CMS highly recommends completing large data submissions prior to the official clinical closure date.	n/a	Complete
9/15/2021	M	Data fully submitted and ready for measure and scoring calculations.	n/a	Complete
09/20/2021 - 02/28/2022	T	Submit January-September 2021 EQRS Clinical Data, ICH CAHPS Attestations, and Clinical Depression Screening and Follow-Up Plan reporting in EQRS. Additionally, all subsequent months in 2021 will open for data submission on the first day of each month (i.e., October opens October 1; November opens November 1; and December opens December 1).	n/a
02/28/2022	M	The clinical closure date for all months in 2021 is February 28, 2022 at 11:59 PM PT.	n/a

Data Submission (Errors & Warnings) Milestone Dates - By Phase

Phase No.	File Type	Code Bucket Name	Codes	ADO Completion Date	LDO Testing Start Date	Testing Completion Date	Production Date
1	Patient	Admit Reasons	11221, 11222, 11223, 11224, 11225	2/24/2021	3/1/2021	3/24/2021	3/25/2021
2	Patient	Patient Codes		5/3/2021	5/4/2021	6/1/2021	6/7/2021
3	Clinical	Clinical Codes		6/8/2021	6/9/2021	7/6/2021	7/12/2021
3	2728	2728 Codes		6/8/2021	6/9/2021	7/6/2021	7/12/2021