Category: CROWNWeb

REMINDER: Register for ESRD QIP Training July 11, 2019

Thursday, July 11, 2019 at 2:00 PM ET is the first of two ESRD QIP training sessions. Each of these informative 1-hour courses will cover the information needed to begin using the ESRD QIP System. A second session will be held on Monday, July 22, 2019 at 2:00 PM ET. During these sessions, the CROWNWeb Outreach, Communication, and Training (OCT) Team will provide the basics of how to use the ESRD QIP system, including how to effectively submit a clarification question and a formal inquiry, if needed, prior to the end of the preview period.

To join the online event, click on the dates above to register.  Note, both training sessions will contain the same information, users only need to attend one event.

 

 

QIP News: PSSRs, NHSN Deadline, Pain Assessment

PSSRs: CMS has announced that PY2019 Performance Score Summary Reports or PSSRs are now available. The PSSR is a spreadsheet containing the performance values of each facility for PY2019. It provides information about facility performance on each ESRD QIP measure as well as the Total Performance Score. Find the PSSRs at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY2019-Performance-Score-Summary-Report-.XLSX. It’s a 12+ megabyte file, so it may take several minutes to download and open.

NHSN: CMS has also announced an extension to the NHSN data entry deadline for the ESRD QIP fourth reporting quarter of 2018 (data for October 1 – December 31, 2018) from March 31, 2019 to April 1, 2019.

Assistance regarding PSSRs or the NHSN deadline can be obtained by contacting the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960. For questions or concerns regarding use of the ESRD QIP system, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912 between 5am and 7pm PT Monday-Friday.

Pain Assessment data submission into CROWNWeb will no longer be required by CMS starting March 1, 2019. The Pain Assessment screen will remain active for facilities to review previously reported data. For details see http://mycrownweb.org/2019/02/pain-assessment-submission/.

CROWNWeb Pain Assessment Submission

Starting March 1, 2019, the Centers for Medicare and Medicaid Services (CMS) will no longer require facilities to submit Pain Assessment data into CROWNWeb. The Pain Assessment screen will remain active for facilities to review previously reported data in the system.

Additionally, to comply with the ESRD Quality Incentive Program, facilities that meet the requirements for Pain Assessment should continue to enter data for the current open period (July 1, 2018 – December 31, 2018) that will close on February 28, 2019 at 11:59 PM PT.

For information on the requirements and instructions on how to submit data on Pain Assessment in CROWNWeb, please visit the Training videos on the Education page at http://mycrownweb.org/.

February 2019 CROWNWeb Newsletter

The CROWNWeb Newsletter for February 2019 is now available, at http://mycrownweb.org/2019/01/february-2019-newsletter/.  It features several comprehensive articles on the 2744 Annual Facility Survey, including announcement of a 2744 Training session on February 19, 2019, repeated on February 26.  In addition to the usual useful links and notes – which are much expanded in the Newsletter’s new format – a February 28 CROWNWeb Town Hall is also announced.

CROWNWeb Attestation Training

ICH CAHPS Attestation training is now available from CROWNWeb. The ICH CAHPS Attestation must be completed in CROWNWeb before February 28, 2019 by any facility that treated fewer than 30 adult HD patients during the 2017 calendar year. See http://mycrownweb.org/wp-content/uploads/2019/01/Attestation_2019_508_Compliant.pdf for detailed instructions. Find CROWNWeb Online Help at http://mycrownweb.org/assets/crownweb/.

CROWNWeb Attestation Training

ICH CAHPS Attestation training is now available from CROWNWeb.  The ICH CAHPS Attestation must be completed in CROWNWeb before February 28, 2019 by any facility that treated fewer than 30 adult HD patients during the 2017 calendar year.  See http://mycrownweb.org/wp-content/uploads/2019/01/Attestation_2019_508_Compliant.pdf for detailed instructions.  Find CROWNWeb Online Help at http://mycrownweb.org/assets/crownweb/.

Downloading and Printing of PY2019 Performance Score Certificates

Please be advised that when generating a Performance Score Certificate (PSC) report for PY2019, the CROWNWEB system will generate a report that contains all the PSCs that a user is authorized to view, even if only subset or single facility is selected. While this eliminates the burden of generating a report for each facility, it requires users to split the report into individual PSCs after downloading the combined file. NOTE: If a user has access to only one facility, this issue does not affect them.

This functionality will be adjusted for future payment years, but for the current payment year (PY2019) please employ the two below workarounds to print individual facility PSCs:

Option 1: Use PDF Print option or other PDF tools to split out the PSCs for the individual facilities into individual PDF files.

  1. Open the master PDF which contains all the PSCs for all the facilities the user has downloaded
  2. Select File → Print
  3. From the Printer drop down, select a PDF Writer
  4. From the Pages to Print section, click the Pages radio button and enter the page range to be printed for the PSC for the individual facility.
  5. Click Print
  6. When prompted, select the location to save the file from Step 4

Option 2: Submit a help desk ticket to request report bursting for PSCs

  1. User submits a help desk ticket to Product Data Management (PDM) to request a burst report of PSCs for the facilities assigned to their role
  2. This process may take some time since a Change Request (CR) will be required

For additional information or assistance, please contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or (866) 288-8912 Monday through Friday 8 a.m. – 8p.m. ET.

CROWNWeb New User Training, QIP

CROWNWeb has announced that their next New User Training session will be held on December 11, 2018.  Find details and register at http://mycrownweb.org/pcw_lems/dec-2018-crownweb-new-user-training/.

The December 2018 CROWNWeb Newsletter is also available, at http://mycrownweb.org/wp-content/uploads/2018/12/December_2018_Newsletter_V1.7-508.pdf.  This issues includes articles on:

  • A Clinical FAQ on Post-Weight Dialysis Assessment date.
  • Scheduled CROWNWeb Clinical Closure Dates; note that your Network may require earlier data entry in some situations.

Announcement of a December 20, 2018 CROWNWeb Town Hall on 2018: A Retrospective Review.  See http://mycrownweb.org/pcw_community_events/crownweb-town-hall-2018-a-retrospective-review/ for details and registration.

Monitor Missing Data in CROWNWeb for your Facility

The Centers for Medicare & Medicaid Services has published “Data Management Guidelines” for data submission in CROWNWeb. They have also set up data quality goals for 2017-2018. Please click here to see the goals set by the CMS.

The CROWNWeb facility dashboard provides easy identification of missing data.

Once a user logs in to CROWNWeb, the facility dashboard can be seen by entering facility CCN in the search box.  The facility dashboard provides direct access to a comprehensive list of items requiring submission in CROWNWeb. It is important that facility administrators, medical directors and nurse managers look at the dashboard on monthly basis to ensure data are submitted according to CMS requirements. This is an easy way to monitor data submission.

Getting ready for next year – Is personnel information for your facility up-to-date in CROWNWeb?

CROWNWeb Data Management Guidelines require that key facility personnel are added within five business days of staff changes and that facility staff review personnel information at least quarterly (http://mycrownweb.org/assets/crownweb-dm/dm_guidelines/#p=17).

The Network is starting a new contract year on December 1, 2018. Several new quality improvement activities (QIAs) will be launched at that time. The Network relies on e-mail as an efficient and cost effective way to communicate important information to facility staff. As the source for facility personnel contact information, it is critical that the information in CROWNWeb is current and correct.  Anyone with access to CROWNWeb can update facility personnel information. For more information on how to add, remove and update facility personnel information in CROWNWeb, please see https://iproesrdnetwork.freshdesk.com/a/solutions/.

Data Cleanup for 2744 Facility Survey

The 2744 facility survey form must be submitted to the Network after all the patient information for the year is submitted. This activity starts in the month of January. Please see http://mycrownweb.org/assets/crownweb-dm/dm_guidelines/#p=40Several data cleanups can be performed in preparation for this activity.

The Network sends a number of data cleanup reports to facilities; these include the “System Discharge Report,” “Gap Patient Report,” “Transient Patient Report,” and “First Admission Not New to ESRD Report.” Taking action on these reports when you receive them will help balance the 2744 form.

Facilities can select “Add New 2744” to create the “2018” form in CROWNWeb. This generates several reports that can be used to balance the surveys. For more information on 2744 data cleanup, please see https://iproesrdnetwork.freshdesk.com/a/solutions/. Starting early on data cleanup will help you complete the form in time and will keep patient information accurate!

The CMS Data Quality Goals

In 2016 CMS introduced the CROWNWeb Data Quality Goals to improve the overall timeliness, accuracy and completeness of patient data entered in CROWNWeb by dialysis facilities and transplant centers.

The CMS Data Quality Goals support the overarching CMS goal of “Putting Patients First” and seek to improve data timeliness on tasks performed in CROWNWeb as shown in the table below.

The Network will continue to encourage and support dialysis providers in attaining higher compliance levels. Please ensure that missing data identified in the CROWNWeb facility dashboard are addressed on weekly basis. For more information, please see http://mycrownweb.org/wp-content/uploads/2017/04/April-Town-Hall-4-26.17-508.pdf.

The Network also sends missing data reports on monthly basis. Please address any data issues raised by the Network immediately.