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

8/31/2021

22%

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

22%

Coverage Termination

•  

  Inability to update Patient Records

•  

  Duplicate Patient Records

•  

  Inability to generate Patient Reports

•  

  Inability to edit or delete submitted Patient enrollment forms

•  

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

45%

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•  Outdated Data.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.

0%

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.

0%

Overpayment of claims

•  

  Inability to update Patient Records

•  

  Duplicate Patient Records

100%