07/12/2021 - Phase 3 (Clinical Codes/2728) live in production.
07/12/2021 - 09/15/2021 - Resubmission of Clinical Data Files (September to December).
Resubmission of Clinical Data Files (September - December 2020) Countdown: 19 days left
09/15/2021 - Data fully submitted and ready for measure and scoring calculations.
09/20/2021 - 02/28/2022 - Submit January-September 2021 EQRS Clinical Data, ICH CAHPS Attestations (2021), and Clinical Depression Screening and Follow-Up Plan reporting in EQRS. Additionally, all subsequent months in 2021 will open for data submission on the first day of each month (i.e., October opens October 1; November opens November 1; and December opens December 1).
02/28/2022 - The clinical closure date for all months in 2021 is February 28, 2022 at 11:59 PM PT.
Encourage everyone to complete large data submissions prior to the closure of the clinical data
Allows us to react to any large data submissions early in the process
2021 will be completely open until February 2022
Keeping in mind October opens October 1; November opens November 1; and December opens December 1
Memo indicates that ICH CAHPS Attestations will also open for 2021
Need confirmation that it actually will not open until 2022
Typically ICH CAHPS starts on January 1 of a year; so the next time it will be open is January 1, 2022 for the prior year (annual cycle)
The memo includes that on 9/20 you can start doing ICH CAHPS Attestations; but assuming they will not be open in EQRS on 9/20
Per Kathleen, a revised communication would be ideal, because she links to it in her communications
Confirming that ICH CAHPS Attestations will not open until January 1, 2022 is enough for Kathleen to put in her communications
Per Lisa and Tim they will further discuss and if the communications needs to be restated, they will reissue the communications piece early next week
The EDIs will continue the original schedule in the submission of the January-September 2021 data
For example, DaVita will coordinate with FKC with large data submissions
DCI may not be impacted with a large volume
NRAA is still 24/7
Per Scott - Dates for clinical closure still reflect the previous timeline, so on the ADO side, they still have to do a deployment to update those dates. They will be updated soon
Production Support
Michael
Production support this week has been status quo
Majority of issues are stragglers and special cases still being worked
Helping users determine why and what is the issue and then getting them fixed
"Thanks" to Kelly Llewellyn for being patient and helping with various scenarios
No blockers
Howard extends a "Thank You' for all of Michael's care, devotion and help in getting things fixed
Defect coming up in the next iteration for the code - 13510 (At least one citizenship is required when primary type of treatment is living related, living unrelated, deceased, or unknown) (Deployed 8/24)
Checkbox in the UI not being checked when no clinical data is submitted (Will be deployed 8/31)
Round table
Scott/EDIs
DaVita -
Is there any update on error code13489?
The Medicare effective date is being auto created after the patients date of death
Per Yvette we discussed this as being a future enhancement
There currently is no ticket for this
DaVita does not submit a Medicare enrollment effective date in their submissions
The system auto creates it for them
But it is auto assigning the day the submission is done
For example, today DaVita sends EQRS a patient died yesterday, it says the effective date is today and then it errors saying the effective date can't be after the date of death
Nathan is referring to the Medicare enrollment effective date
Per Yvette, there are no plans to fix this in the current PI
This error is DaVita's number one error that gets generated on their patient submissions
Request that this error be looked at with high priority
One way to get around this error is to actually send the effective date
DaVita never sends effective date
Per Howard the source of truth on Medicare effective date is from Medicare, it's not from the EDIs or facilities
This is an example of where the EDIs should be able to query EQRS to get the information rather than the EDIs supply information
CMS will have to make the requirements change saying those dates are no longer needed
Per Lisa there may be something coming up in the next PI to help this issue
Nathan is unable to access the latest data dictionary
Access issues
Scott sent the link in the chat for Nathan to try and it worked
The defect regarding the checkbox in the UI not being checked when no clinical data is submitted. Do we know if it affects redshift and what the NCC gets for their reporting?
Want to make sure this is not a downstream impact that hasn't been discovered and if no one knows, can it be looked into?
Per Kathleen who has been looking at patients with missing data, none of them have had a checkbox checked
FKC
Per Kathleen - On 8/25, they received the same error as DCI regarding the transplant and citizenship error
What is the expectation of the error?
There are multiple scenarios per Yvette
The error really shouldn't have been triggering that error on the dialysis facility b/c that citizenship requirement is not required for dialysis
Another scenario where depending on the date that you send for the admission, for example if the patient is already admitted to your facility, but you submit a different date a year or two later, the system is looking at that like a new admission and then it was still checking all of the admissions the patient ever had. If the patient had a transplant, and it was null, and in some cases they could have had a citizenship but the dates could have been after the transplant, it was still triggering
There are several more scenarios that the ADO needs to look into
Kathleen will get Patient IDs encountering this error to Yvette and Michael
Michael can help Nathan look at those missing
DCI -
Error related to transplant and citizenship still received after resubmitting 44 cases; submitted data today and only 8 cases
Vlad will send Yvette those patients so she can take a look at them and research further
Vlad will contact the helpdesk or can send the patient information through MFT (Manage File Transfer)
Yvette does not need the file submitted, she only needs the Patient IDs
NRAA -
Question from Howard - Is citizenship required in EQRS for a dialysis center.
Per Yvette, it is not required, it is optional; depends on the scenario
When you submit your patient files, citizenship is not required. It is required in certain scenarios depending on the patient's race and then there's a requirement for the 2728
If the patient gets a transplant, citizenship is required b/c need to know if they are coming to America to get one versus a citizen getting one
Howard suggest this as a good example why a data dictionary is needed
Is there an ETA on when a solid data dictionary would be available?
The ADO planned to give an updated data dictionary at the end of this PI
This PI ends 10/12
Per Kelly, still working with Yvette's team on the tilde issue
Miscellaneous
Scott
REMINDER: if need to email the help desk, using the following email address: qnetsupport-esrd@hcqis.org with URGENT in front of subject line
Telemedicine Update
Conversations around Telemedicine have continued
Had a brainstorming session last night with Chris Brown and Kathleen
There will be more information and feedback to share next week
They will refine the feature, added some more scope and reprioritize with the SMT
EQRS EDI Data Dictionary and the CROWN Clinical CPMs XSD have been posted to the EQRS Communications Hub