Quality Net Exchange: a data portal

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Quality Net Exchangea data portal

• Andrei Kuznetsov
• Primaris
• March 11 and 12, 2003

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Two sides of QNet Exchange

• Secure side
• https server
• HIPAA compliant
• Secure file exchange between hospital and QIO
• Clinical data repository

• Public side
• www.qnetexchange.org
• accessible to anyone
• information on CART
• instructions on registering for access to the
  secure side

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A Web data portal

• Deliver data or files
• submit performance data via vendor or directly to
  QIO
• submit files such as Medicare patient paperwork
  (HINNs, etc.)
• Pick up data or files
• comparison reports
• receive Medicare patient paperwork

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Two types of users

• Quality Assurance
• Quality Improvement
• Performance Improvement
• Performance Measurement

• Staff ensuring compliance with Medicare rules

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No more paper reports

• Abstraction too costly for CMS
• Shift chart review burden to providers
• Input data in one secure repository
• Output comparative data from hospitals across the
  country (in aggregate format only)

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Public reportingA different kind of animal

• Special process for public reporting
• hospital must volunteer
• must review AMI, HF and Pneumonia charts

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Data in QNet remain confidential

• In-flow provide Medicare patient ID and Medicare
  provider ID
• Data from ORYX vendors, CART, etc.
• Out-flow
• aggregate comparison reports summary of multiple
  records with provider/patient IDs omitted
• hospital-specific report your data visible only
  to you and the QIO

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Its like a bank account info

• gt Register for access
• user authentication process in place
• more stringent than at a bank
• Two levels of access at the hospital
• QNet Exchange Administrator (two per hospital
  recommended)
• QNet Exchange user

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QNet Administrator can...

• Exchange files with QIO staff
• Upload data to clinical data repository
• View online data reports
• aggregate
• own hospitals data
• Create a new user account approve user
• Determine access limits for new user
• Access registration reports
• Edit Web page content

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QNet Exchange user can...

• Perform any of the actions listed on previous
  slide if the local Administrator grants him that
  type of access
• Less paperwork to complete, compared to
  Administrators

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Administrators How to register

• Fill out the Administrator Registration Form
• Have your signature notarized
• Get a CEO-level person to fill out the
  Administrator Authorization form
• Mail both forms to
• Andrei Kuznetsov
• Primaris
• 3425 Constitution Court, Suite E
• Jefferson City MO 65109

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What happens next...

• Will receive an e-mail from QNet Support within 2
  weeks
• with token/digital certificate attached
• will include a link to download the CKM runtime
  from QNet Exchange
• Can add Users after that (fill out registration
  form, notarize, mail to QNet Support)

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Access QNet from other PCs

• Copy token to a floppy or network
• Insert floppy in another PC
• Download CKM runtime software
• Register token
• Log into QNet

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Min system requirements

• Windows98, Windows 2000, NT 4.0 or Microsoft XP
• 166 MHz Pentium processor
• 32 MB RAM
• 28.8K modem, or direct Internet connection
  (preferred)
• Internet Explorer version 5.5 or higher
• An Internet Service Provider
• CKM Runtime client software (obtained through
  QualityNet Exchange site)
• The security level for your browsers Internet
  zone must be set to Medium or lower.
• You must have adequate operating system rights
  that will allow you to properly install programs
  and modify the registry of your workstation.

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Benefits

• Electronic file exchangereduced paperwork flow
• Access to comparative performance reports with
  more hospitals contributing data
• Freeyour tax dollars at work

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Two types of reports in QNet

• Static
• Pre-calculated reports showing data submitted by
  hospitals in state and nationwide
• Medicare only and All payers
• Available in April

• Dynamic
• Quering ability by bed size, average census,
  region, payer source, validation status,
  discharge period
• Available later (in summer?)

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www.qnetexchange.org gt Getting Started
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Contact info

• Andrei Kuznetsov
• [phone], ext. 163
• akuznetsov.mopro_at_sdps.org
• QNet Support-for technical issues
• [phone]
• qnetsupport.ifmc_at_sdps.org