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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.
  • Last week we moved from 5% to 10%.  
  • This week, there is an increase from 5% to 10%.

  • 1 of 4 EDIs have signed off on testing. 
  • We are resizing prod preview to handle the

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

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    Inability to update Patient Records.

  •  Inability to edit or delete submitted Patient enrollment forms.
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    Duplicate Patient Records.

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    Inability to generate Patient Reports.

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

  • No change.
  • NCC has completed Clinical Compliance Report to support clinical submission and UNOS report to support patients placement on to transplant waiting list.  These two will assist with research around submitting Form 2744 (Annual Facility Survey).
  • NCC is working on Error Trends Report to support identifying top 10 most frequent errors across EDI submitters.  This will allow visibility into errors impacting majority of the EDIs.  

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  •  Outdated Data.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.
  • Currently working with outgoing ADO and incoming ADO to determine level of efforts to produce the reports and update the application to ensure accurate Annual Facility Survey Reporting (2744).  
  • Moving from 5% to 0% since progress has stalled on moving further to resolution.
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.
  • Short term solution is to provide data to recipients who have previously received the RDS extract.
  • Long term solution is to get EQRS data into CCW in order to provide a self service model.
  • Due to constraints with the implementation timeline, development of the RDS extract was de-scoped by the ISG to support other time sensitive initiatives (i.e. meeting deadline to get out of the data center).
  • Focus on the contractors; not the researchers.
  • Contract deliverables impacts to the program.
  • UMKEEC - 5 Star Ratings
  • ICH CAHPS - Measures perceptions of patients with End-Stage Renal Disease (ESRD) receiving life-sustaining in-center hemodialysis care. 
  • CMMI - Payment models program.
  • M&E - Monitoring and evaluation of the effect of QIP on patients.
  • Contractors - put data in CDR and they can access from there. 
  • Patient data is clean and validated.  2744 will validate the data. 
Overpayment of claims
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    Inability to update Patient Records

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    Duplicate Patient Records


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