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EQRS Communications Hub

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Status

IN PROGRESS

StakeholdersEDI Submitters, Program, ISG
OutcomeDetermine what is an acceptable level to move forward of EQRS clinical closures from a data quality perspective and define the MVP that the EDI Submitter Outreach Taskforce will deliver in order to be considered "done".
Due date

 

Owner

Adrienne Ray

Background

Feedback from the EDIs were given in defining the "definition of done" from a data quality perspective.

Proposal

Definition of Done

Description

Taskforce MVP

Error rates are <5% or close to prior to EQRSEDIs each have their own error rates (pre-11/9/2020) and will share 4 months worth of data with CMS.
  • Average percentage across 4 months prior to 11/9/2020 per EDI.
  • Will continue to work with each EDI if the error rate is not <5% (post implementation of reinstatement of validation rules).
  • 5% is reflective of just errors; not warnings.
Errors/Warnings are triggering as expected and data for warnings is being shown as submitted and visible in backend and UI

For errors that currently do not meet validation rules, the data does not show up in the UI.  If the code remains a warning as determined thru the Errors & Warnings Implementation, we will need to allow the data to be seen thru the UI.  Is this possible?  What is the level of effort around getting this accomplished?  


Data completion and error/warning reporting is available at the same frequency as prior to EQRSProvide Clinical Compliance (feedback file)

Major Bug List has been completed and successfully tested or any backlogged bugs are not impactful to QIP/Five Star results (this assumes a Major Bug List exists and becomes part of routine status updates)


  • What will be shared with the EDIs?
  • Define "Major Bug" - High Priority, High Severity 
  • A defect that is specific to EDSM.
CMS has analyzed Admit/Discharges/Treatment and Clinical (from Aug. - Current month) EQRS data to assess data discrepancies that were introduced to EQRS.  EDIs have been given guidance and support to resolve the data discrepancies identified.  (Clean up effort).Will provide reports for EDIs to resubmit data via EDSM to correct discrepancies or update via UI.  Need to avoid backend scripting.
  • What type of reports will be provided?
  • What is the current state of data discrepancies in the system today.  ETL report to identify the volume of data discrepancies?  How will this be cleaned up - resubmitting files?

An agreed timeline for clinical closure schedule has been released.  Especially considering the independent clinics that are only on manual entry.

Will need to be addressed at a later time.  

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