2024.11.27 EQRS Program Working Group Meeting

Date

27 Nov 2024

Name
Aaron Thompson
Adrienne Adkins
Adrienne Ray	x
Ahmar Wazir
Alissa Kapke (Arbor)
Amy Nestler
Anitha Chintalapati
Ann Turner
Angela Kohlhepp
Aram	x
Arnie Espartero	x
Ashley Waters
Astra Walker (Arbor)
Betina Fletcher
Chris Brown	x
Chris Morici
Delia Houseal
Dianna Christensen
Geraldine Bojarski (DCI)	x
Heather Moore
Howard Thomas	x
Janet Lea Hutchinson	x
Jason Simmington	x
John Hinch (Innovative Renal)	x
Kathleen Prewitt	x
Kelsey Okland	x
Laura Dabrowski (Innovative Renal)	x
Laura Slemp	x
Leah Skrien
Lizzie Suh
Malik Arsalan	x
Mark Speidel	x
Martha Bean	x
Megan O'Byrne	x
Melissa Fieldhouse
Michael Kennedy	x
Nancy Carlson
Nathan Muzos	x
Ozlem Tasel	x
Pandu Muddana
Pani Palanichamy	x
Porsche Dorsey	x
Preston Brown	x
Rachelle DuBose Caruthers	x
Raj Tadas
Revathy Ramakrishna	x
Sandra Rodgers (RHA/SoftDev)
Sanjay Potdar	x
Sarah Filling	x
Shamim Almamun
Shannon Li (Arbor)
Sindy Villarreal (Innovative Renal)	x
Stephanie Clark
Steve Hines	x
Steve Goodman
Tim Smith	x
Tricia Gorman
Tricia Phulchand	x
Vladimir Ladik	x
Wendy Ferguson (Innovative Renal)
Yvette Brown	x

Agenda

Items	Who	Topics
Meeting Recording	Arnie	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. Program Working Group Meeting Recording 11272024.mp4
EQRS Feature Update	Adrienne	New native American tribe, the "Chickahominy" tribe, along with several additions for counties to include: Perry County - ZIP 39476 Forrest County - ZIP 39402 Randolph County - ZIP 27292 Both the application and EDSM have been updated, and the race-and-country documentation has been updated on the documentation repository as well.
EQRS Feature Updates/Discussion	Yvette	Infection updates and ESA updates ESA updates: (Jump to recording 00:04:10 ~ 00:36:44) Updates will be made to the anemia medication mockups to allow users to enter both an oral and ESA medication for their patients. Implementation planned for prior to the February 2025 Go-Live XML will be the same but there is a new oral tag EDIs are concerned there may be issues with capturing the actual data itself and working through the logic to generate the xml Concerns these changes will affect the timeline submitter end Suggested that instead of "Oral" and "ESA", should it be "Oral" and "Intravenous ESA" or "Injectable" Suggestion to add Oral to ESA Route EDIs provide feedback on these changes to the Anemia Management Medication section of the UI The EDIs will have to make changes to their current structure and will include a lot of development These suggestions from the EDIs will be taken back to HCD team for discussion ADO will get back to this group in the upcoming scheduled Program Calls Question from FMC - "Did patient receive medication for anemia?" What does CMS want the EDIs to do for home patients? Do you want them to say no, b/c they don't know or does CMS want them to assume they did and fill out the data? Adrienne will take this back to CMS Infection updates: (Jump to recording 00:37:02 ~ 00:55:20) Work is still in progress "Event Date" field - description is changing to "Date of Event" "Was the patient hospitalized in the month prior.......?" currently being pulled from the clinical data being updated so that it is enterable by users and submitted by the EDIs "Was PD suspended?" and "Data PD was suspended" fields will be removed "Did the patient experience an invasive procedure within....?" updating so it will be a vertical list this is a cosmetic change "Was there a catheter site within 14 days prior....?" changing the description to say "within the reporting month" If you say "yes", you will be able to select other cultures and select antibiotics then enter the initiation date and completion date ADO received feedback to un-next the antibiotics and the cultures waiting to hear back on the decision "Was there a tunnel infection within 30 days prior to,....?" verbiage is being updated to "within the reporting month" same thing that will be done to the catheter site infection will be done to the tunnel infection "PD Fluid Cell Count" field will be updated to "Was the white cell count greater than 100 cells..." You can choose "yes" or "no" and enter the result From Howard and EDIs - All these changes is introducing a lot of changes to the logic for submissions This is a concern to the EDIs - ADO/Porsche will take this feedback back to the CDC The CDC will be invited to the next Program Call on 12/11
EQRS Feature Updates/Discussion	Yvette/Laura Dabrowski	Changes to the Anemia Management section and timeline? What is the production timeline for the new updates? Another LDO advised us that the new module was just launched in PreProd on Friday November 22nd so we’d like to confirm that there will be ample time for testing. The anemia medication change will go on Feb 1, 2025. Within the new module there is not a way to report both Oral and ESA medications. How should we be expected to report the patient’s medication if they receive both within the same clinical month? We were recently made aware of this request and are working to implement this change prior to go live. The sample xml that was released on October 21st, 2024, does not fully coincide with the module that’s in PreProd. Should we expect an updated xml to be released to EDI submitters in the near future? The sample xml that was posted on the repository does match the existing module and demonstrates how to submit oral medications. What data do you want to submit that is missing from the sample? Are there business rules surrounding reporting for the new oral meds? Question for CMS
EQRS Feature Updates/Discussion	Yvette	EDSM Unique ID Discussion (Jump to recording 00:55:21 ~ 01:04:42) In the EDI in person meeting there was a request to add a response file unique record ID ADO is asking for clarification on the requirement from the EDIs The unique ID is currently included in the feedback file When FMC sends multiple patients, they are unable to match up which one actually they are talking about when they say it is rejected or accepted Revathy is talking about the Admit Discharge Unique ID Per Janet from NCC, the EDI admission ID is not something that is stored as part of the admission record at this time
EQRS Feature Updates/Discussion	Nathan	PCV21 (CAPVAXIVE) status Did not have time to discuss In-person EQRS Meeting Did not have time to discuss
EQRS Feature Updates/Discussion	Adrienne/Michael	Data Dictionary and technical documentation Discussion Did not have time to discuss
Open Forum	EDIs	DaVita FMC DCI RHA US Renal Innovative Renal Care
Administrative Reminders	Porsche	CMS requests that all questions and suggestions should go directly to the Service Center. Please submit through ServiceNow so that a ticket can be created. This will ensure that your ticket is routed to the correct team and will allow the EQRS team to better track the progress of your ticket. Service Center: 866-288-8912 or qnetsupport-esrd@cms.hhs.gov. CMS will refresh data in the EQRS Prod Preview environment on the first Sunday of every month. The planned schedule is below. Sun, 03 Dec 2023 Sun, 07 Jan 2024 Sun, 04 Feb 2024 Sun, 03 Mar 2024 Sun, 07 Apr 2024 Sun, 05 May 2024 ~~Sun, 01 Sep 2024~~ ~~Sun, 06 Oct 2024~~ ~~Sun, 03 Nov 2024~~ Sun, 01 Dec 2024 If there are any issues with the scheduled date(s) please notify the team by the Friday before that Sunday when the refresh of data is scheduled to take place If there are any issues encountered with the refresh on Sunday, it will be moved to Monday (next day)
Next meeting scheduled for: 11 Dec 2024		12/25 Program Working Group meeting will be cancelled due to the Christmas Holiday