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CMS’ CROWNWeb Application CROWNWeb Field Definitions,
and User-Driven Demos
July 24, 2014
With CROWNWeb Outreach, Communication, and Training
7/24/2014
Today’s Host
Janis Grady, RHIT, CPHQ
Contract Officer’s Representative (COR)
CROWNWeb Outreach, Communication, and Training (OCT) Contract
Centers for Medicare & Medicaid Services
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Today’s Presenters
CROWNWeb Outreach, Communication, and Training Team
Matthew McDonough, MS, CTT+ Project Director
Oniel Delva, BA, CTT+ Communications and Training Manager
Michael Seckman, CTT+ Senior Trainer
What’s New and Reminders
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CROWNWeb New User Training
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• CROWNWeb New User Training is held monthly, and available for all users to attend via WebEx.
• Training offers a comprehensive introduction to CROWNWeb over a two-day course.
• 2014 CROWNWeb New User Training Calendar:
• A Certificate of Completion is available for attendees at the end of training.
Month Training Date
August 2014 August 12-13, 2014
September 2014 September 16-17, 2014
October 2014 October 14-15, 2014
November 2014 November 11-12, 2014
December 2014 December 9-10, 2014
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Clinical Closures
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• Closure dates apply to all collection types (hemodialysis, peritoneal dialysis, and vascular access).
• Closure dates apply to all facilities, including batch submitting organizations, and the National Renal Administrators Association Health Information Exchange (NRAA-HIE) participants.
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Clinical Months Clinical Submission Closure Date Complete
January 2014 – March 2014 April 30, 2014 at 11:59 p.m. ET
April 2014 – June 2014 July 31, 2014 at 11:59 p.m. ET
July 2014 – September 2014 October 31, 2014 at 11:59 p.m. ET
October 2014 – December 2014 January 31, 2015 at 11:59 p.m. ET
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Clinical Submission
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• All clinical fields require an entry (available value or N/A).
• SAVED clinical data is NOT COUNTED as SUBMITTED.
• Facilities can search for patients with “Missing Clinical Values” and “Patients with Saved Clinical Values.”
• Double-check data entries – You cannot change data at the facility-level after a reporting month is “Closed.”
http://projectcrownweb.org/educational-videos/finding-patients-with-missing-or-saved-clinical-data/ O
Field Definitions
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Post-Dialysis Assessment
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Post-Dialysis Assessment Date
• The “Post-Dialysis Target Weight for Session” field is not asking if the target weight was met.
• The “Assessment Date” field should contain the date of a patient's last formal post-dialysis weight assessment (if prescribed).
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Hepatitis B surface antibody (anti-HBs)
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Hepatitis B surface antibody (anti-HBs)
• Indicates the patient's hepatitis B surface antibody lab level.
• DEFINITION: “An antibody to the surface antigen of the hepatitis B virus; indicative of either active immunity to the hepatitis B virus as a result of prior infection or passive immunity from the presence of hepatitis B immunoglobulin in the blood.”
• Previous label: Anti-HBs (Antigen to hepatitis B surface antigen).
MM Definition source: http://projectcrownweb.org/help/glossary/
7/24/2014
Master N/A Selection
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No Clinical Data Available For All Collection Types
• Allow the user to indicate when no clinical data (HD, PD, or VA) is available for a patient.
• To be used by facilities if a patient appears on the Clinical screens in CROWNWeb for a month in which the patient was not treated.
• EXAMPLE: A patient passed away on June 2, 2014. His name will appear on the June reporting month, but no treatments were rendered in June.
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Kt/V Method
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UKM or Daugirdas II
• Indicates the method used to calculate Single Pool Kt/V for Kt/V Hemodialysis.
• UKM (Urea Kinetic Modeling) and Daugirdas II are the only acceptable methods of calculating Single Pool Kt/V under the ESRD Quality Incentive Program (QIP).
• For ESRD QIP details: http://www.dialysisreports.org/ESRDMeasures.aspx http://www.dialysisreports.org/pdf/esrd/public-measures/HemodialysisAdequacy-ktv-2016FR.pdf
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Vascular Access Definitions
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Vascular Access Selections
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• CROWNWeb contains 10 “Current Access Type” selections.
• Users must report what access type was used during the last hemodialysis treatment of the reporting month.
MS Definition source: http://projectcrownweb.org/help/glossary/
7/24/2014
Access Type Definitions
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Access Type Definition
AV Fistula Only (with 2 Needles)
TWO needles placed in the AV Fistula during the dialysis session. Fistula refers to a surgical connection between an artery and a vein just beneath the skin of an arm or a leg.
AV Fistula Combined with an AV Graft
ONE needle in an AV Fistula and ONE needle in an AV Graft during the dialysis session. Fistula refers to a surgical connection between an artery and a vein just beneath the skin of an arm or a leg.
AV Fistula Combined with a Catheter
ONE catheter lumen and ONE needle in the AV Fistula is used during the dialysis session. Fistula refers to a surgical connection between an artery and a vein just beneath the skin of an arm or a leg.
AV Fistula Single Needle Device
ONE needle in an AV Fistula during the dialysis session. A single needle with the fistula access may include a single needle for single access or a single needle for double access.
AV Graft Only (with 2 Needles)
TWO needles were placed in an AV Graft during the dialysis session. Graft refers to a piece of artificial vessel that can be used to create an access; one end of the graft is connected to an artery, the other to a vein.
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Access Type Definitions
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Access Type Definition
AV Graft Combine with a Catheter
ONE catheter lumen and ONE needle in an AV Graft is used during the dialysis session. Graft refers to a piece of artificial vessel that can be used to create an access; one end of the graft is connected to an artery, the other to a vein.
AV Graft Single Needle Device
ONE needle in an AV Graft during the dialysis session.
Catheter Only
Dialysis treatment provided using only a Catheter. Catheter refers to a tube that is inserted into a body cavity, duct or vessel; allows drainage or injection of fluids or access by surgical instruments.
Port Access Only
A valve and cannula that subcutaneously implanted and is accessed by dialysis needles.
User Driven Demos
7/24/2014
User-Driven Demo 1
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Can you provide step-by-step instructions on how to register for CROWNWeb access?
• All users must complete the QIMS Account Registration Process.
• QIMS Training Videos can be accessed via: http://projectcrownweb.org/education/qims-training-videos/
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User-Driven Demo 2
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How do we locate patients with Missing and/or Saved Clinical data?
• Click the Clinical tab from the Homepage.
• Select the Facility DBA, Collection Type, and Clinical Month.
• Select “With Saved Clinical Values” or “Without Clinical Values” in the Display Patients list.
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User-Driven Demo 3
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Can you demonstrate when to use the Infection N/A checkboxes?
• CROWNWeb presents two means of allowing users to check “N/A” in the Infection section:
1. If the patient does not have an infection.
2. If the patient has an infection, but information regarding if it required hospitalization is not available.
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User-Driven Demo 4
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Should the Pre-Dialysis Weight and Post-Dialysis Weight entries be from the date that labs were drawn?
• Pre-Dialysis Weight: Select the patient's pre-dialysis weight when pre-dialysis BUN was drawn, in either pounds (lbs) or kilograms (kgs) in NNN.N format.
• Post-Dialysis Weight: Select the patient's post-dialysis weight if post-dialysis BUN was drawn, in either pounds (lbs) or kilograms (kgs) in NNN.N format.
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Final Comments and Wrap-Up
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Final Comments
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Questions
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Our Next Session
CMS Community WebEx:
Topic: TBD
Date: August 28, 2014
Time: 2pm - 3pm ET
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For Further Information… Help Me Form: http://help.projectcrownweb.org/
QualityNet Help Desk: 1-866-288-8912
Website: http://www.projectcrownweb.org
This material was prepared by FMQAI, the CROWNWeb Outreach, Communication, and Training contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. OCT contract # HHSM-500-2011-00157G. Publication Number: FL-ESRD-NW7-2014OCTT2-7-608
Thank You
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