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Opening Remarks
Lisa
We are trying a new process in introducing some of the EQRS development to the EDIs a little earlier
We would like to share with EDIs a view of what is in development before the upcoming system demos
Corporate Role(s)
Michael
In the middle of developing corporate roles at this time
There is an enabler for this in PI15 to research all of the user roles in EQRS
Will be adding tot he to the corporate role POC for anyone that needs to do things in there as well as the viewer
By the end of this iteration hoping to be able to request one in Dev, test and push up to pre prod to get those requests the corporate role in the global app, approve them, view and switch the corporate roles and then make sure they can view all of the facilities, initial work and see how they are coming through
Will also be working on all the documentation, authorization logic, savyint and entitlements that have to go through the process
Definitely in the thick of the development right now in the backend and building out the frontend and refactoring as necessary so the user will be able to do it from one login
Per Howard, need to define what is the definition of corporate role
Per Michael it is how they do it in the UI to request that role in the approvals that goes through people that log into the portal
It has already been defined
There is a Primary primary owner field, secondary owner field, managed by field and the mapping for it you to submit the data via EDSM; if you as a corporate entity or are in one of those fields, you wil will have access to that facility
You will still need to go through the security official to request the role and approve the role
When will this be available?
Trying to implement by the end of PI15
Need to keep in mind delivery of this feature could slip depending on progress in development, testing, etc
Nursing Home
Anitha
For demo, see meeting recording below (00:23:06)
Data Dictionary has not been updated at this time
This feature is a work in progress
Once the changes are implemented and tested in prod preview the Data Dictionary will be updated and sent out with the other related documentation
Question from Howard - when will the documentation be sent to the EDIs?
Per Anitha, this feature is currently going through internal testing
Howard indicated the EDIs should have the documentation when it is in the test phase
Development is still needed on the EDI side
EDIs need to get notice of these changes in advance
Per Lisa, this process is a work in progress and they want to start bringing in EDIs when shallow dives are taking place
This will start in the next PI, bringing in the EDIs earlier in the process
Howard recommends a couple of gates that you cannot go through until they are unlocked and gates that the EDIs receive certain types of information regarding development, logic, behavior of EQRS, and xml
Lisa will go back to ISG and have internal conversation and see if she can get a meeting scheduled with the EDIs to draw out what the process may be
In the meantime lets get with the Product Owner and ISG lead of this feature and get something out to the Howard/EDIs about this nursing home feature for them to review while it is in testing
Howard request to get the logic of the four errors that are being contemplated for this feature; a paragraph or two of what's the intent of this and an overview
Does any part of this change affect the XML?
Yes, there will be some XML changes when it is moved into production
Howard would like to see a mock up of the XML at some point
Lisa will take it back and try to figure out logistics on Howard's request
Question from Vlad - Do we have the ability to tell a patient is in a nursing home?
That information may not be in their system at all
Suggest that ISG tell the EDIs earlier that in the near future ISG would be interested to know if your patients are in a nursing home
Per Lisa, they were in procurement and could not tell the EDIs any sooner
Lisa suggest the EDIs come up with a list of things they feel would be important to track in EQRS for quality improvement
This feature is for all patients, whether they're receiving in clinic treatment or whether they're receiving home treatment in a nursing home
They will be able to use the setting to be able to determine whether they're in center or whether they are at home
Question from Kathleen - Regarding the second drop down option (Short Term/Rehabilitation), If a patient is in a nursing home for a temporary basis, they are not likely going to update the physical address of the patient. What is the purpose of the Short Term/Rehabilitation option?
The FKC will never report a nursing home setting of short term care/rehabilitation
Per Lisa, Short Term/Rehabilitation is skilled nursing care that Medicare pays for; it would be 100 days of rehabilitation that Medicare will pay for in a nursing facility
Question from Chris Brown - Is this the only checkbox on the screen that identifies a patient as a nursing home resident?
Per Anitha, yes, this is the only change
Chris' concern is that an SUI user may not encounter this checkbox while it's unchecked and know that this is where they say patient is a nursing home resident and not see this as an address verification type of thing
Pointed out because Chris knows how bad the addresses are in EQRS
He does not think people will visit this very often and doesn't know that they're going to visit this to designate nursing home residents all that readily
Per Lisa, they will go back and have some internal discussion
Pneumococcal
Yvette
For demo, see meeting recording below (00:52:17)
Vaccination has been tied to the patient information
When a patient is admitted to one facility from another the vaccination data stays with them
Comment from Chris Brown - The patient isn't the one filling out the information so the question "Is your physical address the same as your nursing home address?"
Need to clarify, making the question clearer. reword the question keeping in mind the patient is not the one entering the information
Also need to review the question "Is your physical address the same as your mailing address?"
Anitha will take it back to the team to update the questions and their descriptions
Comment from Howard - under the Contact Information section, the field "Do not contact" is confusing
Need clarity because answering "Yes or No" causes confusion
Question from Vlad - Is there verification if entering a second PCB13 shot with a different date? Is there a warning?
Per Yvette - When you submit the ID, if you have a different date then we're going to update this record; if it's the same ID, they will update the record; if it's a different ID, they will add a record
If it's a different ID but same date, they will add a record
The user will see multiple vaccinations displayed, not overwrite the other one
Who can delete a record? Any user who can currently delete (for example a facility editor, network patient editor or system administrator)
Now that vaccinations are tied to the patient, they go with the patient
For example, if a patient leaves FKC and goes to DCI, DCI with the right role would be able to delete a record
The vaccination data is tied to the patient itself and whomever the patient is admitted to, whichever facility is the facility that has scope over them and can make changes to their vaccination data
Right now only collecting Pneumococcal
COVID-19 was added to the drop down as a Vaccination Type just for testing purposes to make sure what is in the database would display
Currently it is based on which vaccine is chosen; for pneumococcal there are two; if you select PCV13 there is only one dose date allowed to be entered; PPSV23 will allow date of second dose
Question from Chris Brown - will influenza be included in this release?
Per Yvette, it will depend on CMS, right now for this PI, only have information for pneumococcal
Suggestion to have just the vaccination type, name, and date
That is how the state immunization registries work
It would be nice to align our data fields with the state registries; there is a lot of standardization on immunization registries across the country
The org ID is what helps the ADO know what the record is
Per Rachelle Caruthers - Washington it not a reporting state, but there are 12 states that they report each and every dose of every vaccine given in our clinics, to the registry
It is mandatory for every state to report covid19 within 24 hours of administration so every one of their clinics is reporting to the state registries for he covid vaccination
Need to have a separate conversation why aren't we developing feeds into EQRS from the immunization registries and getting all of the data there
Per Howard, who has been working with the states, has the data centralized somewhere
Lisa asked if Howard could work with the states to get permission to put the data in a CMS repository?
Howard suggest working with Lisa to request for the data; Kelly Llewellyn has been involved at the state HIE level
Howard will gather some information and send to Lisa
The definition for "Telemedicine" will be further clarified when Lisa takes the feedback to the team Lisa Rees
9/8/21 - Lisa is still looking into getting a definition for the EDIs
Leah Skrien asked if aside from Telemedicine if there is anything tied to treatment? Lisa will have the other PO's put together something explaining if anything is tied to treatment and bring to the next meeting Lisa Rees
9/8/21 - Per Lisa, her understanding is yes, that Telemedicine was the only thing tied to treatment
Anitha will update the "new?" column field with the date the Kt/V "standard" option was moved into production Anitha Chintalapati
Nathan request since the Kt/V "standard" option is already in production, can they have the updated data dictionary, XSD, XML examples, error codes and any associated documentation. Anitha will send the documentation Anitha Chintalapati
EDIs would like to understand how, if or when the Kt/V "standard" option will be used as part of the QIP adequacy measures and same for five-star. When will the standard Kt/V be included in QIP and five-star calculations? Need to get something out to the community/EDIs Ahmar WazirJason Clem
9/8/21
Per Jason, there is no discussion to bring that it
On CMS.gov they post a muck list every December of new measures that might be implemented
At this time no plans to update the Kt/V measure
Per Howard they have a Kt/V with two methods, both are eligible and used in QIPs
If not going to use Kt/V, they need to tell people b/c Kt/V is being reported using standard methodology
Per Jason, an announcement was sent out on the standard method to all EQRS users - They are still just looking at the UKM two methods for QIP
Howard suggest to review the announcement again
Per Lisa, they will take this back to the QMVIG team for clarification and to get a definite answer
Include Page
Data Submission (Errors & Warnings) Implementation Timeline
Data Submission (Errors & Warnings) Implementation Timeline
ISG Playbook
APIs
