EQRS Communications Hub

Date

Name
Aaron Thompsonx
Abigail Viall (CDC)
Adrienne Adkins
Adrienne Rayx

Ahmar Wazir


Amy Nestler
Arnie Espartero
Ashley W
Austin Woods
Betina Fletcher
Branon Barrett
Carol Olsen
Cheri Jerger
Chris Brownx
Curtis Phillips
Dan Kayhart
Deb Wilson
Dianna Christensenx
Dinesh Chatoth (FKC)
Emily Kenlawx
Geraldine Bojarski (DCI)
Greg Eccleston
Heather Dubendris
Heather Moore
Heather O'Neal
Henrietta Smith
Howard Thomas
Janet Lea Hutchinsonx
Jason Clemx
Jason Dong
Jason Simmington
Jennifer Baileyx
Justyna Sardinx
Karena S
Kathleen Prewitt
Kelly Llewellyn
Kelsey Oklandx
Kr Van Allen
Leah Skrienx
Lisa Reesx
Lizzie Suh
Lyndsay Crowson
Mahesh (DaVita)
Matt McDonoughx
Martha Bean
Melissa
Melissa Fieldhousex
Meredith Zywno
Michael Kennedy
Michelle Cassin (DaVita)
Mihran Naljayan (DaVita)
Mitzi Christ
Nance
Nathan Muzosx
Ozlem Taselx
Pandu Muddana
Pani Palanichamy
Porsche Dorseyx
Rachael Lazar
Rachelle DuBose Caruthers
Revathy Ramakrishna
Sarah Fillingx
Seema Sreenivasx
Steve Goodman
Vladimir Ladikx
Yvette Brownx
Malik Arsalan




Agenda

ItemsWhoTopics
Meeting RecordingArnie

This session will be recorded for the purpose of documenting the meeting minutes and action items. If there are any objections to the recording of this session, please make it known now. Absence of an objection to the meeting being recorded will count as consent to recording this meeting.

https://us06web.zoom.us/rec/share/Zs_LT_8lNjz7YnSiqs4sPb8OF6q6OypWYdrmql-AmDf9wjEBb-kzyw1wTacLrmGu.ZxRdkbxgaqzs7QQu
Passcode: XG!00L62 

Feature Updates/DiscussionsLisa/EDIs

PI21 Features:

Peritonitis Infection Rates

  • In collaboration with the CDC there is a need to capture data around peritonitis infection rates in dialysis patients. 
  • Wireframes are still being worked on; they will be shared with the EDIs when they have been completed
  • Alot of the EDI feedback has been incorporated
  • The ADO team plans to keep the EDIs involved as development progresses

Reporting exploration

  • The purpose of this feature is to determine how to optimize or update the reports module user experience in support of additional reporting capabilities being added to the module.  Using a human-centered design approach teammates must us research, stakeholder input, and UX/UI design expertise to make recommendations for updating the reports user experience and create UX wireframe designs for enhancing the UX for both current and future reports.
  • Starting exploration about reporting as a whole; looking at new, and innovative ways around reporting to make it as useful as possible at different levels
  • Recommendation from Nathan - during exploration, to talk to NHSN folks, they have very robust reporting module; it's a dramatic difference from what EQRS has ever had; it meets the balance of user customizable reports and stock reports that NHSN creates for the user

Transplant dashboard exploration

  • Dialysis Facility staff and staff need the ability to view a summarized list of their patients and see basic information about them, such as name, id, date of birth, the patient was listed for a transplant, listed transplant center statuses, date and reason when a patient is de-listed, name and contact information for transplant centers, and information about the patient's medical coverage. 
  • Design interactive user-friendly dashboards that gives visibility into patient information for Dialysis facilities
  •  Transplant centers have a role in EQRS making it easier for them to see certain things they have been asking dialysis facilities for (2728, patient information)

Transplant dashboard for dialysis facilities

  • Dialysis Facility users (e.g. social workers) need the ability to view a summarized list of their patients and see basic information about them, such as name, id, date of birth, the patient was listed for a transplant, listed transplant center statuses, date and reason when a patient is de-listed, name and contact information for transplant centers, and information about the patient's medical coverage. 
  • This feature implements a specific dashboard for dialysis facility users who are provisioned with a "Facility User" role in EQRS.  The new dashboard will contain a list of all patients that are within the user's facility scope.  It will include the key information listed below in the Acceptance Criteria and it will be sortable and filterable.
  • Decision was made to make the dashboard for the dialysis facilities first so they can see a little bit about where their patients are in the transplant process; see that information and communicate back with the transplant centers more easily
  • The transplant center dashboard will be coming next

Data Development in CDR

  • Data development in the CDR is still being worked on and taking a lot of bandwidth right now
  • This is one of the reasons why more features were not picked up for PI21
  • The CDR feature will take some time and energy from the team
  • Christ Brown asked if Networks would be able to have access to the CDR?
    • Per Lisa, they can probably see about making arrangements to include the Networks in the group of contractors that can access the CDR

Miscellaneous:

Leah Skrien asked if there was as data source available for the Inactive Reason that was being investigated? Per Lisa, UNOS has been engaged and the ADO is working with them to see if they can get that information - currently a work in progress

Leah Skrien asked about the MBI Lockdown - once it matches up with the EDB the status cannot be changed by the networks anymore, but they have some patients that have Medicare that is effective, and it shows in the Medicare tab in EQRS.  Is it part of the process to go back, if there is somebody in there with a blank Medicare status to match up with EDB and go back and add a status if it wasn't there when the MBI matched up with what was in EQRS?

    • This is a question for the ADO team.  Leah Skrien will write it up and send to Adrienne.  Adrienne will take it back and get an answer (Action Item Adrienne - Complete 1/3/23)
      • Once the patient goes through sync and refresh the Medicare will update to currently enrolled if that patient has coverage.  There was an issue with this information populating previously but a fix was deployed to production on December 22nd.

EDI Communications Hub

Electronic Data Interface Submitters - EQRS Communications Hub

Adrienne/Melissa

Creating EQRS Documentation that is in Production vs Work in Progress

    • There were talks a while ago about updating the existing public page
    • The request is to show documentation for what is actually in production right now and documentation of what the ADO is working on in the lower environments
    • Adrienne will work with PM3 on what is needed to update the public confluence page (Action Item Adrienne Ray)
      • On the EDI Submitters confluence page, you will find the Meeting Minutes, Resources and References, Documentation Repository and EDI Onboarding
      • The Documentation Repository page is where you will find the test files, XML files that are in Production
      • EDI Onboarding page provides information for new EDIs coming onboard as submitters
      • The Resources and References page is where the feature pages for features being worked on that impact the EDIs; test file links will be posted here.  For example, the PI21 features that Lisa mentioned above will be posted here as they are being worked on and ready for the EDIs to view
      • Also included on the Resources and References page are all the system demos and recordings that have been done for the current program increment
      • Per Nathan - they are asking for the documentation posted to be more routinely updated and have separate versions
      • Adrienne and Melissa (PM3) understand the request and will go back to see if a form of versioning can be implemented on the EQRS Communications Hub Documentation Repository confluence page (Action Item Adrienne/Melissa)
      • Chris Brown asked if there was a place either behind HARP login or not that would tell you when features in EQRS go live in a documentation behind them?
        • Per Adrienne, we don't currently have that but that is something being worked on for the new year
Open Forum

DaVita

  • We saw that the 2728 review or comment period is posted on the Federal Register
  • It does not say anything about what the updates are
  • Lisa is still working closely with the PRA OMB people - she did not know they had posted it b/c she didn't think they were entirely finished
  • Lisa will try to get hold of someone today to get this handled but may not get finished until next week (Action Item Lisa)

FKC

DCI

RHA

US Renal

AdministrativeAdrienne

Reminder: ALL correspondence with the ADO must include CMS

Next meeting scheduled for  


Happy Holiday and Happy New Year to all!


Action Items:

  • Adrienne and ADO will do more research on why Hep B Antibody tests are being overwritten (Action Item Adrienne)
    • 10/17 - Adrienne request Nathan/Sarah so send her an example file for the issue
  • Adrienne will ask the ADO for a sample 2728 xml (Action Item Adrienne)
    • 10/17 - The ADO does not have a sample 2728 xml file that they can provide
  • Question from Nathan: since we are past that October 1st transition to vaccinations (structure of the labs has been changed). New error codes for the change were updated.  Can we expect new versions of the labs XSDs, data dictionary and other documentation to show this change? Adrienne will get this information and share with the group (Action Item Adrienne)
    • 10/17 - The new XSDs and data dictionary for Vaccinations will be available after November 30th. The existing codes will be valid up until November 30th.
  • Nathan submitted tickets for other enhancements for errors and warning changes (mostly verbiage).  Any update? Nathan will send the ticket numbers to Adrienne and Lisa (Action Item Nathan Complete 10/5)
  • Lisa will look into why and how to resolve the error 20002 (Action Item Lisa) 
  • Create a Service Center ticket for the NA issue for Country of Origin? Once Adrienne has the ticket, she will work on getting that corrected during this PI. (Action Item Nathan/Sarah - Completed demo'd 11/15)
  • Lisa asked if Nathan was able to organize for the EDIs to get together a list of minimal data set and what they currently track? The plan is for Nathan to compile all the spreadsheets and get to Lisa and Abigail (CDC) (Action Item Nathan - Completed 11/8)
  • Need to ask CDC how many pathogens they want identified for a single event? Do they want every organism that was related? (Action Item Lisa)
    • CDC request for the 3 highest count pathogens
  • "Select all that apply within 50 days from the date from peritonitis event" - We need to determine if we wait until you have all of the information.  Theoretically, if we're looking at the outcome 50 days out, you should be able to report that at the 60th day.  So, they would look at reporting 60 days after the event (Action Item Lisa)
    • Lisa will need to ask the CDC about this for clarification 
  • Wanted to talk through the clinical updates (redshift, etc). There were some system issues with clinical data that may have impacted the data that the NCC gets in redshift.  In addition, this past weekend and maybe 2-3 weeks ago, redshift wasn't updated. Per Lisa, she will be meeting with that team (ADO and NCC) this afternoon and will discuss it with them (Action Item Lisa)
  • Peritonitis: how do we let clinics/EDIs/ORGs know what's missing from the peritonitis data from the beginning as opposed to just collecting all data? Nathan will circle back with his clinics/reps to determine what important information they'd like to see in the reports prepopulated. (Action Item Nathan)
  • Status of updated documentation on Confluence page and how this can be built into the process instead of after the fact.  Adrienne will go back to the EQRS team and ask about the documentation (Action Item Adrienne)
  • Lisa will research and find out who the entity was that provided the attestation report to the EDIs in the past (Action Item Lisa)
  • Lisa will follow up on the updated list of Dialysis Facilities for Chris Brown (Action Item Lisa)
  • Lisa will check with her leadership to see if she can share a draft of the 2728 and 2746 forms (Action Item Lisa)

  • Creating EQRS Documentation that is what is in Production vs Work in Progress

    • The request is to show documentation for what is actually in production right now and documentation of what the ADO is working on in the lower environments
    • Adrienne will work with PM3 on what is needed to update the public confluence page (Action Item Adrienne Ray)

  • Update/ETA on when ESRD Networks might be able to find patients dialyzing outside their Network scope in EQRS once again? It has not been working for 2 weeks

    • When will this be resolved? Need a timeframe when this will be fixed. Is there a work around? (Action item Aaron)

  • Adrienne and Melissa (PM3) understand the request and will go back to see if a form of versioning can be implemented on the EQRS Communications Hub Documentation Repository confluence page (Action Item Adrienne/Melissa)

  • Leah Skrien asked about the MBI Lockdown - once it matches up with the EDB the status cannot be changed by the networks anymore, but they have some patients that have Medicare that is effective, and it shows in the Medicare tab in EQRS.  Is it part of the process to go back, if there is somebody in there with a blank Medicare status to match up with EDB and go back and add a status if it wasn't there when the MBI matched up with what was in EQRS?

      • This is a question for the ADO team.  Leah Skrien will write it up and send to Adrienne.  Adrienne will take it back and get an answer (Action Item Adrienne)
  • The 2728 review or comment period is posted on the Federal Register and seemed vague
    • Lisa will try to get hold of someone today to get this handled but may not get finished until next week (Action Item Lisa)



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