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

Opening Commentary:

  • Transition from Mantech contract is completed.
  • New contract takes over effective today  
  • PI 14, which starts on , will largely deal with technical issues identified in transition and data discrepancies.  


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 5% to 10%.
  • PP2-3 has been refreshed with production data on  
  • Phase 1 was pushed to production (Admit Reason Codes) on  
  • As we begin to turn validation rules on, we anticipate data cleanup necessary as data was being ingested into the system being turned off.  The exact volume is yet for phase 1 has yet to be determined.  

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.  Data Managers provided a priority list of top 4 items that should be addressed first.  

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  • Outdated Data.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 met with COR of contractors and have scheduled a meeting for 4/9/2021 to show the data that the NCC is providing to UMKEEC to determine if this will provide any value to other contractors.  
Overpayment of claims
  • Inability to update Patient Records

  • Duplicate Patient Records


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