Monthly Client Update

1

• Monthly Client Update
• June 2007
• Moderator Kathy Wu, RN
• Manager, MEDai Client Services

2
Skip Logic Updates Effective 4/1/07

• Skip-logic potentially impacting validation
  scores.
• Hospitals failed CDAC validation due to a
  mismatch in a parent question of an algorithm.
• CMS advised Vendors to consider allowing their
  clients to answer all child fields regardless of
  the selected parent field response.
• Abstractors can decide to abstract the additional
  fields or enter UTD.
• All values selected by the client including "UTD"
  will be submitted to CMS, however CMS will not
  utilize any data element excluded by the
  algorithms.

3
Analysis and Reports Menu

• Data Quality Reports
• Measure Performance Reports
• Detailed Measures Report
• All Measure Category Assignments
• Monthly Measures Report
• Time Trend and SPC Report
• Discharge Instruction Summary
• Patient Appropriate Care Report
• Physician Performance Profile
• Inter-rater Reliability Profile
• Comparative Analysis/Benchmarking
• Data Management
• Agency Data Submissions

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Data Quality Reports

• Main report available for identification of your
  hospitals missing/invalid data.
• Encourage running this report as you complete
  abstractions throughout the quarter.
• Goal No missing/invalid data fields displayed
  by one month prior to submission deadline.

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Data Quality Reports

• Assess the quality of the data your hospital is
  reporting and collecting.
• Generate by disease on monthly or quarterly
  basis.
• Select Case by Case report.
• All missing/invalid records should be corrected
  prior to submission deadline.

6
Additional Reports for Data Analysis

• All Measure Category Assignment Report
• Time Trend Report
• Patient Appropriate Care Report

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All Measure Category Assignment Report

• Category Assignments per indicator for each case
  are based on the quality of data collected.
• Record Status column allows for identification of
  incomplete/pending records.

8
Time Trend Report

• Display a measures performance over time using
  Run Time charts.
• Good preliminary analytical tools to identify
  months / quarters requiring investigation.

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Time Trend Report
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Patient Appropriate Care Report

• Composite of applicable indicators for each core
  measure.
• Derived by aggregating Category Assignment for
  each case and looking at each of the indicators
  for that measure set.

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Patient Appropriate Detail Report
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Reports to Run Prior to Data Submission

• Case Status Summary Report.
• Data Submission Detail Report Displays detailed
  information on each case submitted to the QIO
  Clinical Warehouse by topic. The report displays
  the Patient ID, Patient ID Type, Admit Date,
  Discharge Date, Submission Date, Submission
  Status, Submitter, and any applicable edit
  violations per case.

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Submission Assignment Report

• Generate Submission Assignment Report by
  facility.
• Provides details about the particular core
  measures your HCO submits to JCAHO or CMS.

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Submission Assignment Report
Select the agency. Note There may be agencies
listed that your facility DOES NOT submit data to.
JCAHO Submission Report
15
Updated Reports Guide
16
Quality Net
Provider Instructions for running and
interpreting QIO Warehouse Submission,
Feedback, Hospital Validation, and APU Reports
17
Quality Net
Select the manual applicable to your data
collection period.
18

• Review of Administration Menu Functions
• Moderator Mary Diceglie
• MEDai Client Services Specialist

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The Administration Menu

• Measure Population Sampling
• Measure Population Un-Sampling
• Add / Edit Users to your HCO
• Reset Password
• Inter-Rater Reliability Sampling
• Physician Maintenance
• Delete HCO Records

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Measure Population Sampling

• Separate sampling parameters for SCIP.
• Numerical sampling parameters displayed on
  measure population sampling screen.
• See online User Guide for step-by-step
  instructions.

NON-SCIP Parameters
SCIP Parameters
21
Measure Population Un-Sampling

• Used to UNDO existing data samplings.
• To include additional or amended records to
  produce more accurate and reliable sampling.
• See online User Guide for step-by-step
  instructions.

22
Add/Edit Users for your HCO

• Add new users.
• Modify existing users identifying information or
  access privileges.
• See online User Guide for step-by-step
  instructions.

If a user needs access to more than one HCO,
please contact MEDais Help Desk at
helpdesk_at_medai.com
23
Reset Password

• Used when a user has forgotten his/her password
  or hint question/answer combination.
• Auto-generated notification email to user.
• See online User Guide for step-by-step
  instructions.

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Inter-Rater Reliability Sampling

• Creates sampling groups used to assess data
  quality for
• Regulatory Agency
• Internal Monitoring Purposes
• Done once per quarter using only locked records
  (locked by the system after submission).
• Once created, the sample CANNOT be altered or
  deleted.
• See online User Guide for step-by-step
  instructions.
• See online Reports Guide for a detailed
  explanation of Inter-Rater Reliability (IRR)
  report types.

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Physician Maintenance

• Add physicians within the web application.
• Change physicians identifying information.
• Will appear in list when the type-ahead function
  is invoked for entering
• Admitting Physician
• Attending Physician
• Surgeon
• Other Physician
• See online User Guide for step-by-step
  instructions.

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Delete HCO Records

• Allows user to delete duplicate or miscoded
  records.

Step-by-step instructions available from MEDai
Help Desk.
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Data Management Functions

• Download Data
• Download data for further analysis using MS Excel
  or other statistical analysis software.
• Upload Statistics
• Check to see if UB-92 data has been uploaded into
  PPC.
• Audit Trail Report
• Review case-by-case.
• Population Case List
• Quickly determine a case records status and
  whether the case is sampled or unsampled.

See the Reports Guide for step-by-step
instructions.
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Data Collection

• Lock / Unlock Case Record
• Lock completed records to avoid overwriting of
  case data by subsequent electronic uploads.

Step-by-step instructions available from MEDai
Help Desk.
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Questions?