2023.01.25 EQRS Program Working Group Meeting

Agenda

Action Items:

• Adrienne and ADO will do more research on why Hep B Antibody tests are being overwritten (Action Item Adrienne) If issue continues, submit a ticket through Service Center
  • 10/17 - Adrienne request Nathan/Sarah so send her an example file for the issue
• Adrienne will ask the ADO for a sample 2728 xml (Action Item Adrienne)
  • 10/17 - The ADO does not have a sample 2728 xml file that they can provide
• Question from Nathan: since we are past that October 1st transition to vaccinations (structure of the labs has been changed). New error codes for the change were updated.  Can we expect new versions of the labs XSDs, data dictionary and other documentation to show this change? Adrienne will get this information and share with the group (Action Item Adrienne)
  • 10/17 - The new XSDs and data dictionary for Vaccinations will be available after November 30^th. The existing codes will be valid up until November 30^th.
• Nathan submitted tickets for other enhancements for errors and warning changes (mostly verbiage).  Any update? Nathan will send the ticket numbers to Adrienne and Lisa (Action Item Nathan Complete 10/5)
• Lisa will look into why and how to resolve the error 20002 (Action Item Lisa) 
• Create a Service Center ticket for the NA issue for Country of Origin? Once Adrienne has the ticket, she will work on getting that corrected during this PI. (Action Item Nathan/Sarah - Completed demo'd 11/15)
• Lisa asked if Nathan was able to organize for the EDIs to get together a list of minimal data set and what they currently track? The plan is for Nathan to compile all the spreadsheets and get to Lisa and Abigail (CDC) (Action Item Nathan - Completed 11/8)
• Need to ask CDC how many pathogens they want identified for a single event? Do they want every organism that was related? (Action Item Lisa)
  • CDC request for the 3 highest count pathogens
• "Select all that apply within 50 days from the date from peritonitis event" - We need to determine if we wait until you have all of the information.  Theoretically, if we're looking at the outcome 50 days out, you should be able to report that at the 60th day.  So, they would look at reporting 60 days after the event (Action Item Lisa)
  • Lisa will need to ask the CDC about this for clarification 
• Wanted to talk through the clinical updates (redshift, etc). There were some system issues with clinical data that may have impacted the data that the NCC gets in redshift.  In addition, this past weekend and maybe 2-3 weeks ago, redshift wasn't updated. Per Lisa, she will be meeting with that team (ADO and NCC) this afternoon and will discuss it with them (Action Item Lisa)
• Peritonitis: how do we let clinics/EDIs/ORGs know what's missing from the peritonitis data from the beginning as opposed to just collecting all data? Nathan will circle back with his clinics/reps to determine what important information they'd like to see in the reports prepopulated. (Action Item Nathan)
• Status of updated documentation on Confluence page and how this can be built into the process instead of after the fact.  Adrienne will go back to the EQRS team and ask about the documentation (Action Item Adrienne)
• Lisa will research and find out who the entity was that provided the attestation report to the EDIs in the past (Action Item Lisa) The NCC provides the attestation report.
• Lisa will follow up on the updated list of Dialysis Facilities for Chris Brown (Action Item Lisa) Chris indicated this was no longer needed.
• Lisa will check with her leadership to see if she can share a draft of the 2728 and 2746 forms (Action Item Lisa) As of 1/24 waiting response

• Creating EQRS Documentation that is what is in Production vs Work in Progress

  • The request is to show documentation for what is actually in production right now and documentation of what the ADO is working on in the lower environments
  • Adrienne will work with PM3 on what is needed to update the public confluence page (Action Item Adrienne Ray)

• Update/ETA on when ESRD Networks might be able to find patients dialyzing outside their Network scope in EQRS once again? It has not been working for 2 weeks

  • When will this be resolved? Need a timeframe when this will be fixed. Is there a work around? (Action item Aaron)

• Adrienne and Melissa (PM3) understand the request and will go back to see if a form of versioning can be implemented on the EQRS Communications Hub Documentation Repository confluence page (Action Item Adrienne/Melissa) Melissa and Adrienne did meet to review feedback about Comms Hub. There will not be versioning but instead a dedicated place for testing-related documentation. We will review with meeting participants on an upcoming meeting.  
• Leah Skrien asked about the MBI Lockdown - once it matches up with the EDB the status cannot be changed by the networks anymore, but they have some patients that have Medicare that is effective, and it shows in the Medicare tab in EQRS.  Is it part of the process to go back, if there is somebody in there with a blank Medicare status to match up with EDB and go back and add a status if it wasn't there when the MBI matched up with what was in EQRS?
  • This is a question for the ADO team.  Leah Skrien will write it up and send to Adrienne.  Adrienne will take it back and get an answer (Action Item Adrienne)
• The 2728 review or comment period is posted on the Federal Register and seemed vague
  • Lisa will try to get hold of someone today to get this handled but may not get finished until next week (Action Item Lisa) Lisa contacted OEDA and believes this was updated
• Lisa will ask the NCC if they can provide the attestation report to the EDIs (Action Item - Lisa) Provided 1/23
• Adrienne request that Nathan/Kathleen send an email to Adrienne and Lisa describing in detail what is listed on the report, what data is normally provided and for what timeframe they need this (Action Item - Nathan/Kathleen)
• What is the deadline for attestations?  Need to confirm the correct date. (Action Item - Jason Clem) Deadline date for Attestations is Feb 28th.
• Nathan requested that when SSA releases a memo on this, that the EDIs get a copy or a reference number so they can use it to show that changes were made for 2023 (Action item - Lisa) still pending as of 1/24
• Medicare issue (brought up by Kathleen) 
  • With the new release, when a patient is matched to the EDB and the Medicare status just says Medicare entitlement but if doesn't have an actual status of like currently enrolled or effective date, it's still showing up on 2744 as missing a status; it is triggering an error and it won't count the patient; not able to go in and add or edit the status so the error cannot be resolved
  • Will the fix allow the EDIs to edit the Medicare status to address the error? (Action Item Adrienne)
    • The Medicare Status field cannot be edited once the patient has matched to the EDB. The Medicare Status will be derived as of the survey year by pulling the data from the 2728 or the admission record.
  • Is the fix a retroactive fix? Will it fix all the records that exist today? (Action Item Adrienne)
    • There is not a retroactive fix. The user should just do the same thing on the 2744 that they would do if they had updated the status themselves. The user will need to regenerate the form just like they do when they make a change to the patient’s record.
• With the new change of MBI, SSN and Medicare status being populated and validated against EDB, what is meant by there is not a plan to remove these from the XML right now? (Action Item Adrienne) 
  •  The fields will remain in the XML
• When are the errors going to be converted to warnings? Are they already in Production? (Action Item Adrienne)
  • The data can still be submitted via EDSM so the validations are still required. The errors will not be changed to warnings.
• Because we are in the 2744 season, any discussion of refreshing more than monthly from the EDB? (Action Item Adrienne)
  • The refresh is triggered daily.