2022.06.15 EQRS Program Working Group Meeting

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• Last week we discussed vaccinations
• Vlad brought up a concern and there is a work around
  • For outside vaccinations that were reported but there is no documentation, we're going to migrate those over as "yes having received  a vaccination at another facility"
  • The names of the vaccinations will be "unknown" or unless it has been entered by the facility, it will be accepted
  • The vaccination date will be the latest clinical month, year, day
  • Last day of the clinical month if it's not available
  • Serious adverse reactions will be unknown

Future state of transplant data - Wishlist and feedback from the EDIs 

What transplant information in EQRS could look like?

What if transplant centers had the ability to enter information and also see information about their patients in the system?

What would be beneficial to see or enter from that standpoint?

• Per Chris Brown 
  • On the dialysis center side, it would be great if the could see their caseload and the waitlist status, including active or inactive for each of their patients
  • On the transplant side, the transplant centers need to know where the patients list with them are receiving dialysis to maintain that communication and not delisting patients b/c they cannot find the right phone number
  • At least they can communicate with the dialysis center and find out how to communicate with patient
  • Also the frequent thing they get as networks is the transplant center is wanting to get 2728 information they need that date of first dialysis documentation to be able to kick off the patients wait time
  • They need the date of first dialysis in order to put that into UNET and get them waitlisted
  • It would be nice for facilities that when a transplant center adds or removes someone from the waitlist; activates or inactivates someone, EQRS on a dashboard will indicate a certain patient was just listed make sure you are submitting blood samples
  • On the transplant center side, if a patient moves across the country to relocate, maybe an alert comes up to indicate where the patient has relocated too
  • It was mentioned in a past meeting, Personnel. If that was something every moved into EQRS it would be great for transplant centers to know who the social worker is in a facility to be contacted about a patient
    • Per Lisa, she does not want to ask the EDIs to update Personnel all the time because it can be a burden but would it be possible to update or review Personnel twice a year to keep the information accurate
      • Per Kathleen, FKC trains their clinics on the data management guidelines which including reviewing Personnel; also they have an annual project that includes a step to review and manage Personnel
      • It is hard to control the reviewing and managing of Personnel for 3000+ clinics
      • Years ago, (CrownWeb) it was suggested to make the Personnel module a batchable section; figure out a way to connect to FKCs HR data and sent to EQRS electronically 
      • Per Scott there will be a feature for enhancing Personnel
• Per Kathleen 
  
  • Hasn't gotten any feedback about transplants and waitlist in those programs other than what Chris has already said
  • Their social works are focused knowing who is waitlisted and if they are waitlisted the status on the waitlist, active vs inactive
  • So what FKC is getting in the UNOS file every month from the NCC based on what is visible on the coverage calculator, that being it's own little collapsible accordion space on the patient demographic page in EQRS, all that information would be helpful so the clinics aren't just reliant on a report that may or may not come due to microservice issues, etc
• Per Lisa
  • She was thinking down the lines of how to strengthen the communication between facilities and transplant centers
  • Per Chris - there are intra transplant center things that can be made better for them.  For example transplant centers like to coordinate with other centers the multi listed patients to coordinate the care for the patients.  Unfortunately, in UNET they cannot see where else multi listed patients are listed; therefore not all transplant centers know the status of a multi listed patient.  It would be nice for all transplant centers to be notified of a patients status
  • Having the reasons why a patient is inactivated would be great information to provide to dialysis facilities
• Question from Scott to Kathleen
  • Regarding the report they receive, what kind of processes they may have in place for their system as far as either ingesting that or how they use the report? What does FKC do after they receive it?
  • FKC but a waitlist dashboard; they upload the NCC file into their data warehouse and that information goes into a dashboard where their clinics can go in and see the waitlist status of their patients
  • FKC has other groups in the organization that also have access to this data and use it in particular ways
  • Scott was asking b/c he wants to be thinking about how EQRS will get the data out and how they are going to share it, what's working today or how can it be done better

Open Forum

DaVita 

FKC 

DCI 

RHA