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

Opening Commentary:

  • ISG provided trigger dates, but need program to confirm.


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, there was an increase from 22% to 25%.
  • Phase 2 testing has been pushed from 4/9/2021 to 4/23/2021 to prioritize security findings.
  • PP2-3 has been refreshed with production data on Need to refresh once again prior to 4/23 for Phase 2 testing.  Teams are working on automating the refresh process.
  • SemanticBits is still working thru Helpdesk tickets that were a result of the Phase 1 codes going live.

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.

  • Lisa and Adrienne met with the Network Data Managers to triage the issues around Form 2744.  
  • Top 4 lists includes:
    Reports PER and PRR running.
    Accuracy of death counts
    Double new admissions 
    Ability to print 2744.  System shows that successfully generating, but not available.

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  • Outdated Data.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.
  • Lisa and Curt meeting with COR of data contractors to determine if data that NCC is producing for UM-KEEC will meet their needs.
Overpayment of claims
  • Inability to update Patient Records

  • Duplicate Patient Records


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