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The Journey to EQRS with System Design *EQRS: ESRD Quality Reporting System With CROWNWeb Outreach, Communication, and Training (OCT) September 27, 2018– 2pm to 3pm ET

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Page 1: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

The Journey to EQRS with System Design

*EQRS: ESRD Quality Reporting System

With CROWNWeb Outreach, Communication, and Training (OCT)

September 27, 2018– 2pm to 3pm ET

Page 2: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Type questions in the “Q&A” section, located in the top right corner of your screen. Send all Q&A questions to “All Panelists”

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Submitting Questions

Note: Some questions may require additional research. Unanswered questions may be submitted to

[email protected].

Page 3: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

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Today’s Host and Presenters

P. Nicole Crenshaw, MPAContract Officer’s Representative (COR)Head of EQRS

Kirsten KeatingCommunications Manager

Michael SeckmanTraining Manager

Page 4: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Latest News and Reminders

Page 5: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

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Clinical Closures

Clinical Month(s) Date of Closure for Clinical Submissions

July 2018 October 1, 2018 at 11:59 PM PT

August 2018 October 31, 2018 at 11:59 PM PT

September 2018 November 30, 2018 at 11:59 PM PT

• Clinical closures apply to all Collection Types.

• Clinical data submission applies to all submission methods.

Page 6: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Help Me Form: http://help.MyCROWNWeb.org

QualityNet Help Desk: 1-866-288-8912

Website: http://www.MyCROWNWeb.org

A survey will pop up in your browser when the session ends.

Please follow the link and let us know what you think and what you would like to be covered in future Town Hall events, thank you!

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For Further Information…

Page 7: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

EQRS System Design

Page 8: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

• A philosophy that all products and services should be designed with people’s needs, motivations, and limitations in mind

• An intentional process in which the needs, motivations, and limitations of the people using a product or service are considered

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What is Human-Centered Design

Page 9: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

This iterative process is used when implementing Human-Centered Design.

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Human-Centered Design Process

Page 10: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

User Personas are created to promote empathy for the end user.

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User Personas

Page 11: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Information gathered from end users, is utilized to define the design direction.

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Human-Centered Design Process: Define

Page 12: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

• Top tasks are a small set of tasks (usually less than 5) that matter most to the people using a system.

• Helping people successfully complete these key tasks is our most important job.

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Top Tasks

Page 13: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Understanding the task context informs how the system is designed.

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Task Context

Page 14: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

What are the top tasks that you need to complete in CROWNWeb?

In the poll area, please list the top 3 tasks.

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Poll Question

Page 15: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

After empathy and definition, design concepts are drafted.

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Human-Centered Design Process: Ideate

Page 16: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Clickable prototypes are created from draft designs.

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Human-Centered Design Process: Prototype

Page 17: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

End users provide valuable feedback to improve system design.

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Human-Centered Design Process: Test

Page 18: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Work In Progress

Page 19: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

• The following slides contain text that is currently in CROWNWeb and text that is being proposed for system design.

• Please think about the language and how it reads on the page, not necessarily how it “looks.”

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Clarity and Usability of Content

Page 20: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Current Facility Attestation Language

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Facility Attestation

Page 21: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Proposed Facility Attestation Language

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Facility Attestation: Changes

Special Note: The information provided on this slide is a suggestion only at this time. All content and language changes will be reviewed by CMS.

Page 22: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Poll Question: Attestation Language

Option A: Current Language

Yes, I attest that my facility is not eligible for the ICH CAHPS Reporting measure because it treated fewer than 30 eligible patients over the course of the entire eligibility period.

Option B: Proposed Language

Confirm below if your facility treated fewer than 30 patients for the ICH CAHPS clinical measure during the performance year 2018.

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Page 23: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Current Clinical Depression Language: Requirements

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Clinical Depression

Page 24: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Current Clinical Depression Language: Selection

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Clinical Depression

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Proposed Clinical Depression Language

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Clinical Depression: Changes

Special Note: The information provided on this slide is a suggestion only at this time. All content and language changes will be reviewed by CMS.

Page 26: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Poll Question: Clinical Depression Wording

Option A: Current Language

Option B: Proposed Language

Clinical depression documented: Positive | Follow-up plan: Documented

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Screening for clinical depression is documented as being positive, and a follow-up plan is documented

Page 27: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

What Happens Next?

Page 28: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

• We will continue our Human-Centered Design process, to develop EQRS with user feedback.

• Keep giving feedback to the Help Desk! Your input makes the system better.– 866-288-8912– [email protected]

• Upcoming Events and Newsletters will have updates.

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Next Steps

Page 29: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Retrieving Previously Submitted Clinical Data in CROWNWeb

Page 30: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

After logging in to CROWNWeb, users will click on the Patients tab.

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CROWNWeb Home Screen

Page 31: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Users will use the Search for Patients screen to enter all available patient information before clicking on the search button at the bottom of the screen.

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Searching for a Patient

Page 32: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

The Patient Search Results screen will show all patients meeting the criteria that was entered. Users will select the correct patient by clicking on their CROWN UPI Hyperlink.

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Patient Search Results

Page 33: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

The selected patients View Patient Attributes screen will be displayed. Users should then click on the “Clinical Data Summary” hyperlink from the menu on the left hand side.

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Patient Attributes

Page 34: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

The patients entire submitted clinical summary will be listed. The user may click the hyperlink for the desired month/year to review the information.

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Clinical Data Summary

Page 35: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Once a specific month/year is selected, users will see all clinical values submitted for a specific collection type.

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Manage Patient Clinical Values

Page 36: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Since this patient was on hemodialysis, user can view the lab results for both Collection Types.

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Viewing other Clinical Types

Page 37: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

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Questions

Page 38: The Journey to EQRS with System Design · 2018. 9. 9. · Work In Progress • The following slides contain text that is currently in CROWNWeb and text that is being proposed for

Our next CROWNWeb Town Hall will be held:

Date: October 25, 2018Time: 2pm-3pm EDT

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Thanks for Attending!