2023.06.28 EQRS Program Working Group Meeting

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.  

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Peritonitis Reporting Clarification

• Nathan compared the other infection reporting that is done with CDC
  • The rules around infection reporting are very structured, documented, outlined of what an event is and this is what a timeframe is, how fields should be reported
  • Nathan has not seen any of that from EQRS and asked for it to be shared
  • Looking for that level of documentation that the CDC provides
  • This information is needed so they will know how to code their data and accurately and consistently report across organizations
  • Lisa mentioned they want to align with the ISPD Peritonitis Guideline Recommendations
    • • Suggest the EDIs review this document to help answer their questions
      • Need to send the ISPD Peritonitis Guideline Recommendations link to the EDIs (Action Item Lisa)
        • https://journals.sagepub.com/doi/10.1177/08968608221080586#bibr269-08968608221080586
      • The Program will put together a document that will be more helpful
• Geraldine - Wanted to know if the fields that are currently mandatory were still being discussed to not making them mandatory
  • Vlad sent the following email for reference: Peritonitis Event Data Submission Requirements.msg
  • Lisa could not respond to the questions and request that Geraldine send her the questions
  • Kathleen sent the Vlad's questions to Lisa and Adrienne right after the 6/14 Program Working Group meeting

Below are initial questions from DaVita and there will probably be more as the discussion continues

• What defines a qualifying peritonitis event to be reported?
• Is it just a positive culture or can there be a sterile event? 

• What timeframe should be expected to count symptoms/outcomes under one event so we don’t report duplicate data?

DaVita

FMC

• We have reviewed the error codes provided for the infection module and have concerns about error code 31350: PD Fluid Cell Count cannot exceed 4000. We sometimes do have results where this number exceeds 4000, so making this a cap on a required field will result in the same as above – underreporting (inability to submit event) or inaccurate data (defaulting to 4000 just to get the data entered).
• The meeting minutes mentioned that pre-prod is not ready for testing because it didn’t have the right code. Has this been corrected since the code is now live in production?
  • Per Adrienne the code has been updated and they can start working in the pre-prod environment
• Noticed that the inability to enter the leading zero in the date field is still an issue in the live module. Will this be addressed soon? (I’d suggest also fixing this issue in the vaccination module. It’s an inconvenience when 9 of 12 months start with a leading zero.)
  • Per Adrienne the team has it on their backlog list but not sure when the fix will be in place.  Need to find an ETA. (Action Item Adrienne)
  • Kathleen suggested to also address the same issue in the Vaccination module as well
• Kathleen is requesting for the latest Data Dictionary be updated on the EQRS Communication Hub.  The current Data Dictionary out there is dated 6/2/23.  Also need the latest XML and XSD (Action Item Adrienne)
  • Here is the Sample Feedback File: Sample Feedback File - Infection.xml

DCI

• Geraldine is requesting for the most recent Requirements document for Peritonitis
  • Here is the link to most recent documentation in the Public facing EQRS Communications Hub: EQRS Communications Hub Home - EQRS Communications Hub - QualityNet Confluence (cms.gov) 

RHA

US Renal

Administrative

Next meeting scheduled for: 12 Jul 2023