ultrafiltration: date, rate, and weight · 2017-08-08 · 6 o • clinical closures apply to all...

Ultrafiltration: Date, Rate, and Weight

With CROWNWeb Outreach, Communication, and Training (OCT)

August 24, 2017– 2pm to 3pm EDT

Connecting the Pieces

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Note: Some questions may require additional

research. Unanswered questions may be submitted to

[email protected].

Type questions in the

“Q&A” section, located

in the top right corner of

your screen. Send all

Q&A questions to “All

Panelists”

Submitting Questions


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Janis Grady, RHIT, CPHQ

Contract Officer’s Representative (COR)

CROWNWeb Outreach, Communication, and Training (OCT)

Centers for Medicare & Medicaid Services,

Division of Quality Measurement (DQM)

Today’s Host


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Oniel Delva, BA, CTT+Communications Manager

Michael Seckman, CTT+Training Manager

Kirsten KeatingProject Coordinator

Today’s Presenters

Latest News and Reminders


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O

• Clinical closures

apply to all

Collection Types.

• Clinical data

submission

applies to all

submission

methods.

Clinical Month(s) Date of Closure for Clinical Submissions

June 2017 August 31, 2017 at 11:59 p.m. ET

July 2017 September 30, 2017 at 11:59 p.m. ET

August 2017 October 31, 2017 at 11:59 p.m. ET

Clinical Closures

Friday, September 15th at 8pm EDTThrough

Monday, September 18th at 6am EDT


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CROWNWeb System Maintenance

CROWNWeb Facility Dashboard Enhancements


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CROWNWeb Link on Facility Dashboard

Effective: August 22nd


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Form 2728 Records on Facility Dashboard



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Facility Dashboard - 2728 Types



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Facility Dashboard - 2728 Status



13

Facility Dashboard - 2728 Form State



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Facility Dashboard - 2728 Patient Search


Ultrafiltration: Date, Rate, and Weight

Jesse Roach, MD

Medical Officer

Center for Clinical Standards and Quality (CCSQ)

Centers for Medicare & Medicaid Services (CMS)

Dr. Roach is a medical officer in the Center for Clinical Standards and

Quality, Division of Quality Measurement. Prior to coming to CMS he

worked at the FDA in the Center for Drug Evaluation and Research

and was on Faculty at the University of Wisconsin School of

Medicine. Dr. Roach received his training in adult and pediatric

nephrology at the University of Michigan.

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CMS Guest Speaker



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What is Ultrafiltration Rate?

Question: What is Ultrafiltration Rate?


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What is Ultrafiltration Rate?

Q: What is Ultrafiltration Rate?

Answer:

The ultrafiltration rate measures the rapidity with which

fluid is removed at dialysis per unit (kg) body weight in

unit (hour) time. It is under control of the dialysis facility

providers and is monitored throughout the hemodialysis

session.


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Why Is Ultrafiltration Rate Important in ESRD Treatment?

Question: Why is Ultrafiltration Rate

important in ESRD treatment?


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Why Is Ultrafiltration Rate Important in ESRD Treatment?

Q: Why is Ultrafiltration Rate important in

ESRD treatment?

Answer:

• Ultrafiltration rates have been shown in numerous

studies to be associated with both Mortality and

Recovery Times in ESRD Patients.

• High ultrafiltration rates have been associated with

symptoms such as low blood pressure and dizziness.


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How Is Ultrafiltration Measured?

Question: How is Ultrafiltration measured?


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How Is Ultrafiltration Measured?

Q: How is Ultrafiltration measured?

Answer:

Ultrafiltration is measured by directly measuring the

amount of fluid removed during a dialysis session or

measuring the amount of weight lost during a dialysis

session. This amount is then divided by the weight of the

patient and the time on dialysis


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Ultrafiltration Process


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What Are the Values/Outcomes Expected?

Question: What are the values/outcomes

expected?


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What Are the Values/Outcomes Expected?

Q: What are the values/outcomes expected?

Answer:

Actual performance is not being assessed with this

measure. CMS wants monitoring and accurate reporting of

measured Ultrafiltration Rates during hemodialysis

treatments.


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Why Is CMS Collecting this New Data Element?

Question: Why is CMS collecting this new

data element?


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Why Is CMS Collecting this New Data Element?

Q: Why is CMS collecting this new data

element?

Answer:

Ultrafiltration Rate is an important quality indicator that

has been shown to affect patient outcomes such as

mortality. CMS believes monitoring ultrafiltration rate is

an important aspect of delivering quality dialysis care.

1. For 2018, the following data elements will be required reporting in CROWNWeb for all hemodialysis sessions, (example: 3 times per week*) during the week of the monthly Kt/V draw:

• Pre-Dialysis Weight

• Post-Dialysis Weight

• Delivered Minutes of BUN Hemodialysis

2. Additionally, once per month, the Number of Sessions of Dialysis delivered by the dialysis unit to the patient, in the reporting month, will be required in CROWNWeb

3. The Ultrafiltration Rate will be a reporting measure that will use CROWNWeb as its primary data source for PY 2020


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CROWNWeb Submission Requirements

*dependent on the number of treatments per week


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Where in CROWNWeb Will the Ultrafiltration Information Be Submitted?

Question: Where in CROWNWeb will the

Ultrafiltration information be submitted?


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CROWNWeb Screen Shot for Adequacy


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CROWNWeb Screen Shot for Ultrafiltration


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CROWNWeb Screen Shot – Ultrafiltration Data

• Planned CROWNWeb Release

– December 2017

• CROWNWeb Training

– December 2017


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New CROWNWeb Ultrafiltration Data To be Released – When?

Electronic Data Interface (EDI) ultrafiltration data submissions to be implemented by the Batch Submitting Organizations and NRAA.


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Questions


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Email : [email protected]

QualityNet Help Desk: 1-866-288-8912

Website: http://www.MyCROWNWeb.org

A Survey will pop up in your browser when the session ends.

Please follow the link and let us know what you think, thank you!

For Further Information…

mailto:[email protected]

http://www.mycrownweb.org/

Our next CROWNWeb

Town Hall will be held:

Date: September 28, 2017

Time: 2pm-3pm EDT


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Thanks for Attending!

ultrafiltration: date, rate, and weight · 2017-08-08 · 6 o • clinical closures apply to all...

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