Interactive Data Submission System IDSS Carla Pacheco Assistant Director, DCO

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Interactive Data Submission System (IDSS)Carla
PachecoAssistant Director, DCO

• April 8, 9, 11 16 2008

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IDSS

• A fully web-based system used to collect
  non-survey HEDIS results for all product lines
• IDSS is used by
• Health care organizations to submit HEDIS results
• NCQA-certified HEDIS compliance auditors
• NCQA-certified HEDIS software vendors
• NCQA data collection staff

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IDSS Templates

• IDSS templates are XML based.
• Allows for more flexibility
• Simple to understand and use
• The XML templates are available on NCQAs
  website http//www.ncqa.org/tabid/370/Default.asp
  x

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IDSS Timeline

• Data collection page on NCQA Website
• http//www.ncqa.org/tabid/219/Default.aspx
• February 2008
• Final XML Templates posted to NCQA website
• April 2008 (Late April)
• Plans will access IDSS and receive submission ids
• May 2008
• Organizations can begin 2nd Tier data validation
• June 2008
• Plans will finalize and submit data to NCQA
• Commercial and Medicaid due 6/16/08
• Medicare due 6/30/08

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New Features

• 2nd Tier Validations will be done directly in
  IDSS
• Ability to clear data from individual measures

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SNP HEDIS Reporting Requirements

• Required Measures
• (COL) Colorectal Cancer Screening
• (GSO) Glaucoma Screening in Older Adults
• (SPR) Use of Spirometry Testing in the
  Assessment and Diagnosis of COPD
• (PCE) Pharmacotherapy of COPD Exacerbation
• (CBP) Controlling High Blood Pressure
• (PBH) Persistence of Beta Blocker Treatment
  After a Heart Attack
• (OMW) Osteoporosis Management in Older Women
• (AMM) Antidepressant Medication Management
• (FUH) Follow-Up After Hospitalization for Mental
  Illness
• (MPM) Annual Monitoring for Patients on
  Persistent Medications
• (DDE) Potentially Harmful Drug-Disease
  Interactions
• (DAE) Use of High Risk Medication in the Elderly
• (BCR) Board Certification
• SNP benefit packages under PPO Contracts do not
  have to report these measures because these
  measures rely on medical record review.
• This first-year measure is optional for all MA
  reporting, including the SNP benefit packages.

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Small Denominators

• Question How are small denominators handled?
• Response To understand the performance of the
  entire SNP program, it is important that SNPs
  report a measure even when there are fewer than
  30 members in the measures denominator.
• Each SNP benefit package must collect data and
  report the required measures according to the
  specifications regardless of the denominator
  size.
• In the SNP Performance Report we produce for CMS,
  NCQA will include SNP-specific performance rates
  for only measures that have denominators of 30 or
  more members.
• Measures with fewer than 30 members in the
  denominator will be used for aggregated
  program-level reporting only.
• NCQAs Interactive Data Submission System (IDSS)
  will not calculate a rate for measures where the
  denominator is fewer than 30, but NCQA will use
  the reported measure numerators and denominators
  for aggregated reporting.

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Demonstration