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CMS’ CROWNWeb Application Understanding the CMS-2744: Purpose, History, Process With Renal-RCT, ESRD Network 4, and CROWNWeb OCT February 28, 2013

Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

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Page 1: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS’ CROWNWeb Application

Understanding the CMS-2744: Purpose, History, Process

With Renal-RCT, ESRD Network 4, and CROWNWeb OCT

February 28, 2013

Page 2: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Today’s Host

Janis Grady, RHIT, CPHQ

Contract Officer’s Representative (COR)

CROWNWeb Outreach, Communications, and Training (OCT) Contract

Centers for Medicare & Medicaid Services

Oniel Delva, BA, CTT

Communications and Training Manager

CROWNWeb Outreach, Communication, and Training (OCT) Contract

FMQAI – ESRD Network 7

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Page 3: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Today’s Presenters

Renal - Requirements, Communications, and Training

Michael W. Kennedy, PMP, MSMPM Director of Informatics

Michael Kennedy has worked in ESRD since the mid-1990’s. He has worked in various roles at the dialysis facility-level, as a CMS supporting contractor, and at the ESRD Networks. Michael served in a key role during the movement of all Network data systems to the Standard Information Management System (SIMS). Furthermore, he has served as lead on the CMS-2744 Annual Survey project.

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Page 4: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Today’s Presenters

The Renal Network, Inc. – ESRD Network 4

Shane Perry Project Director

Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years. Prior to his current role, Shane served as the Director of Information Systems for Network 4 since 1999.

Rhonda Lockett Data Operations Director

Rhonda Lockett has been a part of the ESRD Network program for 33 years and has been actively involved with the development, testing and deployment of CROWNWeb.

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Page 5: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Today’s Presenters

CROWNWeb Outreach, Communications, and Training

Matthew McDonough, MS, CTT Project Manager

Matthew McDonough has worked on the CROWNWeb project in communications and training for five years, has presented CROWNWeb content at multiple national and regional conventions, and has worked closely on the development and delivery of training.

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Page 6: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

What’s the Latest?

Page 7: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Clinical Data Submission

• Starting with January 2013 data, CMS has moved to a standard data submission schedule in which clinical data is due by the end of the following month.

• February 2013 clinical data is due by March 31, 2013.

Data Period CROWNWeb Submission Target Date

January 2013 February 28, 2013

February 2013 March 31, 2013

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Page 8: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS-2744 Submission

• Facilities may begin the 2012 CMS-2744 submission process if all 2012 patient data is in CROWNWeb.

• Facilities must review and work to correct any errors that may display before submitting a CMS-2744 for acceptance.

• Common errors that must be corrected include:

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Page 9: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS-2744 Training Video

• The recording from the February 20, 2013 CMS-2744 FOCUSed Workshop training is available.

• The training covered, but was not limited to:

How to submit a CMS-2744 form for acceptance and finalization in CROWNWeb

How to run CMS-2744 reports to help resolve error messages

How to set Microsoft Excel filters to format reports

• The CMS-2744 training recording and slides are accessible via the CROWNWeb Training Videos screen on www.projectcrownweb.org. (http://projectcrownweb.org/assets/crownweb-videos/)

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Page 10: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Purpose of the CMS-2744

Page 11: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Overview of Purpose

• The CMS-2744 is designed to collect information regarding:

Treatment trends

Utilization of services

Patterns of practice in treating ESRD patients

• The CMS-2744 form is the only Office of Management and Budget survey of all facilities that provides valid census and dialysis patient movement information.

• The information is used to assess and evaluate the local, regional and national levels of medical and social impact of ESRD care.

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Page 12: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Overview of Purpose

• The CMS-2744 Annual Facility Survey:

Captures facility, treatment, and staffing data for the survey year (January 1 – December 31)

Historically, provided data to be uploaded onto CMS’ Dialysis Facility Compare website

Helps identify the top 50 transplantation centers in the nation

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Page 13: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS-2744 Before CROWNWeb

Page 14: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS-2744 Paper Form

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NW4

Page 15: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

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Former Cycle

15 NW4

The process took approximately three to four months.

Page 16: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Completing a CMS-2744 In CROWNWeb

Page 17: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Getting Started

• The CMS-2744 form in CROWNWeb is identical to the paper form.

The fields and CMS instructions are the same.

The submission process is different.

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Page 18: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Getting Started

• Facilities will initiate the CMS-2744 completion process in CROWNWeb by generating a form, and submitting it for acceptance by the Network.

• Facilities must ensure that their 2012 CMS-2744 form is in a “FINALIZED” status in CROWNWeb by May 1, 2013.

• Check with your ESRD Network for local due dates.

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Page 19: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS-2744 Workflow

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Facility Generates

2744

Facility Edits/Corrects

2744 and Submits

Network Accepts or

Rejects 2744

Network Finalizes the

2744

Network Submits Signed

Attestation to CMS

REJECT

ACCEPT

Network Responsibility

Page 20: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS-2744 Reports and Tools

• CROWNWeb gathers data from the Facility Details, Admit/Discharge, Treatment Summary, and Patient Attributes screens to populate most of the CMS-2744 form.

• The CMS-2744 form will present warning and error messages if the counts do not balance.

• Facilities can utilize CMS-2744 reports to determine where a correction may be needed.

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Page 21: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Completing the CMS-2744 in CROWNWeb

Page 22: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Generating the CMS-2744

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Page 23: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Click Add New 2744

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Page 24: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Add New CMS-2744 Form

You must select “2012” to

complete the survey for 2012

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2012

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Page 25: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Blank 2744

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Page 26: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

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Page 27: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Manual Entry

The total number of Incenter hemodialysis treatments during the

survey year.

The total number of all other Incenter types of treatments (IPD, CAPD

and CCPD training) during the survey year.

STAFFING: The number of Full Time and Part Time

staff positions (open and not filled) at your facility

as of 12/31.

Link to CMS-2744 Instructions 27

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Page 28: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Generated 2744

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Page 29: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Saved and Submit

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Page 30: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Status Change Updates Screen

Page 31: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Checking Submitted form’s Status

• Facilities must check the Status Change Updates screen daily for updates to their CMS-2744 forms by the ESRD Network.

Let’s see it live!

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Page 32: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Troubleshooting Errors

Page 33: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Accessing 2744 Reports

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Page 34: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Accessing 2744 Reports

Link to Excel Sort and Filter Instructions 2/28/2013

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Page 35: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Common Errors

Page 36: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Common Errors

Most of the errors facilities will see after initially generating the CMS-2744 are related to:

• Duplicate patient records, and

• Patients that have “System Discharges” instead of valid discharges (i.e., transfer to another unit).

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Page 37: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Correcting Common Errors

Users can run an “Additions During Survey Period Report” to view duplicate records and system discharges.

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Page 38: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Correcting Common Errors

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Page 39: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

CMS Comments and Wrap-Up

Page 40: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Final Comments

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Page 41: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Questions

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Page 42: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Our Next Session

CMS Community WebEx:

TBD

Date: March 28, 2013

Time: 2pm - 3pm ET

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Page 43: Understanding the CMS-2744: Purpose, History, Process...Shane Perry Project Director . Shane Perry has worked for Network 4 (the states of Pennsylvania and Delaware) for 14 years

Thank You

For Further Information… Email: [email protected]

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-OCT-2013OTCT22-2-644

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