Featuring CMS and Candy Margiera

CMS’ CROWNWeb Application

Tips and Tricks“Working Effectively and Efficiently in CROWNWeb”

FeaturingCMS and

Candy MargieraSarasota (FL) Physicians Dialysis

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CROWNWeb Tips and Tricks

Today’s Host

Matt McDonough

Communications Manager – Renal RCT Team

FMQAI – The Florida ESRD Network

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Jacqueline Abt RN, MS

Government Task Leader (GTL) – Renal RCT Contract

Centers for Medicare and Medicaid Services

Jacqueline (Jackie) Abt is a nursing information specialist with clinical nursing and

management expertise in emergency care, home health, hospice, discharge

planning, utilization review, quality assurance and care management. As a

Medicare contractor, Jackie led a Medicare systems Y2K testing team, trained

CMS employees in business requirements writing, and wrote business

requirements for CMS’ Common Working File redesign.

As a CMS central office employee, Jackie serves as an informatics liaison to the

ESRD project officers/other CMS divisions on both core contract issues and the

CROWNWeb data system. She is also the program lead for CROWNWeb

development, the GTL for NW 7’s Renal – Requirements, Communications and

Training (Renal RCT) contract, GTL for the Electronic Lab Data project, and

Medicare Improvement for Patients and Providers projects..

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Candy Margiera

Administrator and CEO

Sarasota (FL) Physician’s Dialysis

Since 1988, Candy Margiera has served as the

Administrator and CEO of Sarasota Physicians Dialysis

Center, Inc. (SPDC) in Sarasota, FL. In addition to her work with SDPC,

she has served on the Medical Review Board for ESRD Network 7, on

the Board of Directors for the Florida Renal Administrators Association,

and as the Southeast Regional Director for the National Renal

Administrators Association.

As a key participant in both Phase 1 and Phase 2 of CROWNWeb,

Candy will be sharing tips and tricks learned at SPDC as an independent

facility user of CROWNWeb to meet the requirements of data entry in the

system.

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Organization of TeamBefore using CROWNWeb, it’s important to prepare the team of users:

• Identify user roles (data entry, home dialysis, patient care coordinator)

• Communication across different roles

• Business office coordinates all activity

• Business office does final submission

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Composition of TeamSarasota Physicians Dialysis team is made up of the following staff:

• Clinical and vascular access data entry – 1 PCT

• 2728 entry – 1 RN

• PD coordinator – 1 RN

• Administrator – Supervision (1)

• NOT FTE positions

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Initial Data EntryAdministrative data entry (in order):

• Admitting a Patient

• 2728

• Number of forms per month

• Obtaining signatures

• Submitting the form

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Clinical Data EntryClinical data entry (in order):

• Print out from lab a report

• In order required by CROWNWeb screen

• Data entry clerk enters labs

• One entry per patient per month

• 200 patients in 2.5 hours

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Example ReportC

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Vascular Access Data EntryVascular Access data entry (in order):

• Print out from in-house EMR a report

• Contains access information for all patients

• Data entry clerk enters access info – including surveillance and pressure measurements

• Performed on the last day of each month

• 200 patients in 1 – 1.5 hours

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Managing Transfer PatientsTransfer patients are handled individually through the business office:

• Transfer patient admitted in CROWNWeb

• Once admitted, business office pulls patients record from CROWNWeb

• Transfers out handled individually as well.

• Approximately 5% of population is transfer

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CMS-2746 FormWhen patients pass away…

• Business office generates the 2746

• Business office also submits form

• Less than 1% of patients monthly

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CMS Phase In ParticipationTime requirements when participating in Phase I and II:

• Bi-weekly meetings for phase in participants

• QIPS account forms and account management

• Vascular Access reported through NW and CROWNWeb currently – Also Patient Activity Report (PART)

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CROWNWeb FOCUSed Means…Focused On CROWNWeb User Simplification

• Designed to recognize organizations orcompanies who are assisting users with CROWNWeb

• Education – Information – Custom Reporting

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http://focused.projectcrownweb.org/

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CROWNWeb - ROICROWNWeb Requirements and Return on Investment (ROI):

• Acknowledgement of data entry requirements

• Requirements tie in to current (and future)QI efforts – Reports from CW data

• Effort spent in CROWNWeb will return value to facility

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Moving ForwardFuture plans for CROWNWeb – CMS will:

• Identify additional ways to use CROWNWeb data to benefit facilities and patients

• Work with facilities to understand the needs and ways data can be used

• Constantly monitor the state of the community

• Attempt to be proactive in identifying and communicating benefits and solutions

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Questions

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Our Next Session

Batch Data Submission – A TechnicalOverview

with Edaptive SystemsCROWNWeb ApplicationDevelopment Organization

Date: June 24, 2010

Time: 2pm‐3pm ET

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Thanks!

For Further Information…

Email: [email protected] Help Desk: 1-888-ESRDHD1Web Site: http://www.projectcrownweb.org

This material was prepared by FMQAI, the End Stage Renal Disease Network for Florida (Network 7),

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. Publication Number: FL2010RCT41911649

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Documents

Featuring CMS and Candy Margiera