2021.02.26 EQRS/LDO - Production Support Meeting

Date:

26 Feb 2021

Action Items

Meeting Minutes

Agenda Item	Who	Notes
Scope of Deployments for 2/26/2021	Mike	Mike will review deployments. The following items will be deployed tonight: Form 2744 - UI changes Form 2728- UI changes Clinical - HD/PD: Common Lab Test Date is not functioning. Configuration change to assist with PER and PRR reports.
Future Deployments	Mike	One more deployment to prod next Thursday (3/5/2021). No more deployments planned after 3/5 until new team takes over. Starting next week, this meeting will be repurposed to discuss implementation of error code validations.
Follow Up on EDI Homework	Curt	Coordinate feedback on clinical codes to determine if phase 3 and phase 4 can combined. @Nathan Muzos Review 2728 codes feedback. @NRAA and @FMC Discuss refresh strategy for test environment. @EDIs Discuss testing meeting cadence and provide suggestions on frequency to review testing results and progress. @EDIs Decide what action items are needed to be taken after completion of testing phase prior to production implementation. @EDIs Definition of Done. @EDIs
Admit Validation Codes - Testing Strategy	Mike/Yvette	Phase 1 changes are ready for integration testing in PP2-3. EDIs should test all 5 codes and reason rules logic. Reporting testing results - Emailing service desk email address. Will need to confirm and will provide details by Monday 01 Mar 2021 .
Testing Environment	Curt	Projected Target Date for refreshed data in prod-preview environment by 3/31/2021.
Review Implementation Timeline	Curt	See below
Pneumococcal Screens in UI	Lisa	In future release but no date yet. Code is ready, but not yet deployed in production. Changes: Send vaccination data every time submit file. Looking to move out of clinical module. Revisit this after validation code implementation is completed. XML structure changes will require work for EDIs.
EDI Public Space	Phuong	https://qnetconfluence.cms.gov/display/ELDF/Electronic+Data+Interface+Submitters Communication space for EDI. Will include a dashboard for EDI related initiatives or issues we are tracking, Meeting Minutes, documentations, etc... Public facing - page is available to anyone with the link and does not require login credentials. Please be mindful of PII and PHI information.

Attendees:

CMS

Name
Curtis Phillips	x
seema sreenivas	x
Justyna Sardin	x
Lisa Rees	x
Ahmar Wazir
Adrienne Ray
Shamim Almamun	x
Scott Laughlin
Betina Fletcher
Rick Lee	x
Brent Weaver
Andres Colon
Tom Lantz	x

ADO

Name
Michael Hunter	x
Yvette Brown	x
Lakshmi Erigineni	x

LDO

Name
Howard Thomas
Kelly Llewellyn	x
Kathleen Prewitt	x
Adrienne Adkins-Provost
Revathy Ramkrishna	x
Nathan Muzos	x
Hari Krishna Pemmasani	x
Vlad Ladik
Deb Wilson	x
Jason Bullock	x
Jennifer Bailey	x
Pandu Mudda	x
Cheri Jerger	x

PM3

Name
Malik Arsalan
Aaron Thompson	x
Phuong Dam	x
June Tran	x
Karen Wheeler	x

Target Milestone Dates

Date	Milestone	Phase	Status
3/1/2021	Admit Reason codes deployed to pre-prod for testing.	1	Complete
3/12/2021	EDI complete admit reason code testing.	1	In Progress
3/15/2021	Admit Reason codes deployed to production.	1	In Progress
3/31/2021	Prod-Preview environment contains refreshed prod data	2	In progress
4/9/2021	Patient codes deployed to pre-prod for testing.	2	In Progress
TBD	EDI complete patient code testing.	2	TBD
TBD	Patient codes deployed to production.	2	TBD
TBD	Clinical codes deployed to pre-prod for testing	3	Under EDI Review
TBD	EDI complete clinical code testing.	3	TBD
TBD	Clinical codes deployed to production.	3	TBD
TBD	2728 codes deployed to pre-prod for testing.	4	Under EDI Review
TBD	EDI complete 2728 code testing.	4	TBD
TBD	Clinical codes 2728 code to production.	4	TBD
6/1/2021	All phases complete. Production implementation.	1-4	In Progress
6/30/2021	Data ready to be used for measure and scoring calculations.	1-4

Admit Reason Codes

The following codes will be turned on as error validation codes:

Code	Description	Error/Warning
11221	Invalid Admit Reason: An exact match patient was found and the Admit Reason selected is invalid based on the next admission record's Admit Reason ({0}).	Error
11222	Invalid Admit Reason: An exact match patient was found and the Admit Reason selected is invalid based on the previous admission record's Admit Reason ({0}).	Error
11223	Invalid Admit Reason for a dialysis facility admission.	Error
11224	Invalid Admit Reason for a transplant facility admission.	Error
11225	Invalid Admit Reason: An exact match patient was found and the Admit Reason selected is invalid based on the previous admission record's Discharge Reason ({0}).	Error

Patient Admit Discharge Reason Rules

Discharge Reasons

Admission Record Admit Reason	Acute	Death	Discontinue	Lost to Follow Up	Recover Function	Involuntary	Other	Transplant In US	Transplant Outside US	Transfer	Transplant Failed	System Discharge
	Discharge Reasons A=Allow N=Not Allow S=System Generated
New ESRD Patient (Dialysis)	A	A	A	A	A	A	A	A	A	A	N	S
New ESRD Patient (Transplant)	N	A	N	A	N	N	N	A	A	N	A	S
Transfer In	N	A	A	A	A	A	A	A	A	A	N	S
Restart	N	A	A	A	A	A	A	A	A	A	N	S
Dialysis After Transplant Failed	N	A	A	A	A	A	A	A	A	A	N	S
Dialysis in Support of Transplant	N	A	N	A	A	A	A	A	A	A	N	S
Transplant	N	A	N	A	N	N	N	A	A	N	A	S

Previous Discharge - Next Admit Allowed

	Admission Reasons A=Allow N=Not Allow
Previous Admission Record Discharge Reason	New ESRD Patient (Dialysis)	New ESRD Patient (Transplant)	Transfer In	Restart	Dialysis After Transplant Failed	Dialysis in Support of Transplant	Transplant
Acute	N Y	N Y	N	N	N	N	N
Death	N	N	N	N	N	N	N
Discontinue	N	N	N	A	N	N	A
Lost to Follow Up	N	N	A	A	A	A	A
Recover Function	N	N	N	A	N	N	A
Involuntary	N	N	A	N	N	N	A
Other	N	N	A	A	N	N	A
Transplant in US	N	N	N	N	A	A	A
Transplant Outside US	N	N	N	N	A	A	A
Transfer	N	N	A	N	N	N	N
Transplant Failed	N	N	N	N	A	N	A
System Discharge	N	N	A	A	A	A	A

Previous Admit - Next Admit Allowed

	Next Admission Record Admission Reasons A=Allow N=Not Allow
Previous Admission Record Admit Reason	New ESRD Patient (Dialysis)	New ESRD Patient (Transplant)	Transfer In	Restart	Dialysis After Transplant Failed	Dialysis in Support of Transplant	Transplant
New ESRD Patient (Dialysis)	N	N	A	A	N	N	A
New ESRD Patient (Transplant)	N	N	N	N	A	A	A
Transfer In	N	N	A	A	N	N	A
Restart	N	N	A	A	N	N	A
Dialysis After Transplant Failed	N	N	A	A	N	N	A
Dialysis in Support of Transplant	N	N	N	N	A	A	A
Transplant	N	N	N	N	A	A	A

Note: This table is used to validate an admission's Admit Reason in 2 instances:
1. When adding an admission that occurs prior to an existing admission (based on Admit Date) with the same Transient Status.
2. When adding an admission that occurs after an existing admission (based on Admit Date) with the same Transient Status and the previous admission does not have Discharge Information.