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EQRS Communications Hub

5/13/2021 SLT Update:

Work is progressing to complete the implementation of all EQRS EDSM validations and to have all EDI submissions for the months of September 2020 through December 2020 available for use on 9/1. Work is also progressing to ensure completion of the 2744 annual facility survey for delivery to congress on or before 7/1. To date, no risks have been identified that would jeopardize the timeline.


This page is to be used as reference to discuss dashboard with the SLT because....

Opening Commentary:

  • Security Vulnerabilities have largely been resolved.


Program Impact

Technical Issues

Talking Points Details

Unable to calculate star ratings for facilities

  • Star Rating contractor does not have access to data.
  • Incomplete/Inaccurate data in EQRS due to “relaxed” validation rules.
  • Phase 2 began EDI testing on 5/4/2021.

Unable to measure quality for payment adjustment

  • Data submitters are not able to view and confirm submitted information.
  • Incomplete/Inaccurate data in EQRS due to “relaxed” validation rules
  • Same as above

Coverage termination

  • Inability to update Patient Records.

  • Inability to edit or delete submitted Patient enrollment forms.

  • Duplicate Patient Records.

  • Inability to generate Patient Reports.

  • CMS Annual Facility Survey can not be generated or contains erroneous data.

  • Patient Reports have been slated for PI 14 work.  Once  PER and PRR are functional again, facilities and clinics will be able to use the reports for completion of 2744.

Unable to accurately report to Congress for formulation of ESRD Network budget

  • Reports required for researching data discrepancies does not exist.
  • Annual Facility Survey (used for budget formation) is being generated with faulty data.
  • Slow system response time is preventing completion of the Annual Facility Survey
  • Outdated Data. Update services intermittently stop but appear to be still running.
  • Same as above (coverage termination).
CMS support contractors are unable to meet contract deliverables and perform a variety of CMS functions (i.e. calculate scores, derive data, generate ICH CAHPS survey, perform evaluations.)
  • Data extracts used by research organizations and supporting agencies is not available.
  • Self Service Model for data recipients to access data directly via CMS/OEDA (Office of Enterprise Data & Analytics) Chronic Conditions Warehouse (CCW).  The OEDA contractor performing this work is ResDAC (Research Data Assistance Center) does not currently contain EQRS data.  
  • Renal Data System (RDS) extract is produced out of EQRS.  The data extraction contains quarterly non-clinical data (aka patient's journey).  Need to have a strategy to get this data into CCW.
  • Meeting with data contractors went well.  Contractors state they will be able to use the NCC report that is being produced for UM-KEEC and are working directly with the NCC.
Overpayment of claims

  • Inability to update Patient Records

  • Duplicate Patient Records


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