CMS’ CROWNWeb Application
State of the Union
With CROWNWeb Outreach,
Communication, and Training
February 5, 2015
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Submitting Questions
Type questions in the “Chat with Presenter” section, located in the
bottom-left corner of your screen.
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Note: Some questions may require additional research. Unanswered questions may be
submitted to [email protected].
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Poll Questions
When responding to poll questions:
1. Make your selection/entry.
2. Click “Submit” located immediately below the poll question.
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Today’s Presenters
Centers for Medicare & Medicaid Services
Center for Clinical Standards & Quality
Quality Improvement Group - Division of ESRD
Janis Grady, RHIT, CPHQ
Contract Officer’s Representative (COR)
CROWNWeb Outreach, Communication,
and Training (OCT) Contract
CROWNWeb Outreach, Communication, and Training Team
Matthew McDonough, MS, CTT+
Project Director
Oniel Delva, BA, CTT+
Communications and Training Manager
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Latest News
and Reminders
2014 CMS-2744 Form
• Facilities may begin the CMS-2744 completion process if all
2014 patient events and forms are in CROWNWeb.
• ALL facilities must complete the CMS-2744 form in
CROWNWeb.
• Facilities must resolve CMS-2744 errors and work to finalize
their forms.
• Facilities must use built-in CMS-2744 reports to resolve errors
that may occur.
• Facilities must work with their ESRD Networks to finalize their
CMS-2744 forms.
• CMS-2744 training events are open to ALL users.
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Upcoming CMS-2744 Events
Register for upcoming CMS-2744 events:
February 19, 2015
February 26, 2015
• Completing the
2014 CMS-2744 in
CROWNWeb
Session 2
• Understanding the
2014 CMS-2744
Town Hall
March 5, 2015
• Completing the
2014 CMS-2744 in
CROWNWeb
Session 3
CROWNWeb Town Hall registration link:
http://projectcrownweb.org/events/
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CROWNWeb Training registration link:
http://projectcrownweb.org/education/training-calendar/
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Over the Years
April 2008
CMS published
Updated
Conditions for
Coverage for ESRD
facilities.
July 2009
CROWNWeb Phase II
released to
approximately 180
dialysis facilities
nationwide.
December 2012
CROWNWeb v4.1
released to support
Facility Attestations
and CMS-2744
submissions.
May 2011
CROWNWeb Phase II
released to
approximately 360
dialysis facilities
nationwide.
May 2014
CROWNWeb v4.4
released. Features
Clinical “Save” and
“N/A” options.
December 2011
CROWNWeb Phase
III released with
system
enhancements.
2008
2009
2010
February 2009
CROWNWeb Phase I
released to select
group of eight dialysis
facilities.
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2011
December 2010
CMS and the NRAA
began planning
electronic data
submission solution
for small and
medium-sized
dialysis
organizations.
September 2014
CROWNWeb v4.5
released. Supports
CMS-2728
automation.
2012
2013
June 2012
CROWNWeb
National Release
implemented for all
Medicare-certified
dialysis facilities.
2015
Let’s see what
happens next!
2014
2015
December 2014
CROWNWeb v4.6
released. Supports
CMS-2746
automation, and
Clinical Carry-Over
options.
2013
Behind the scenes
updates applied to
CROWNWeb to
support system
usability.
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• Introduced to facilities in 2008, as part of the April 15, 2008
Updated ESRD Conditions for Coverage for End-Stage Renal
Disease Facilities.
• Section 494.180(h) called for furnishing data and information
for ESRD program administration via an electronic format.
• CROWNWeb was designed to support:
 ESRD administrative forms;
 Patient survival information; and
 Existing ESRD clinical performance measures, and any future
clinical performance standards developed in accordance with a
voluntary consensus standards process identified by the Secretary.
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Phased-In Release
• CROWNWeb was initially released February 1, 2009 via a
“phase-in approach.”
• CMS continued to test CROWNWeb and implemented
updates prior to the full National Release.
• CMS solicited feedback from users to enhance CROWNWeb
based on their needs.
• CROWNWeb was released nationally for use by all Medicarecertified dialysis facilities on June 14, 2012.
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System Usage
• Since its June 2012 National Release, CROWNWeb has been
used by thousands of authorized individuals.
• QIMS account statistics:
 Over 29,000 active QIMS Accounts
 Approximately 18,150 unique QIMS users
• CROWNWeb currently holds hundreds of thousands of ESRD
patient and clinical data.
• Overall average for clinical compliance is 97% or greater!
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Supporting CMS Initiatives
• CROWNWeb supports a multitude of CMS initiatives.
Patient events and clinical data backs:
 CMS’ goal to optimize health outcomes as part of the CMS Quality
Strategy.
 Efforts to promote high-quality patient care through the ESRD
Quality Incentive Program (QIP).
 Endeavors highlighted as part of the CMS Triple Aim.
I.
Better Care for the Individual through Beneficiary and
Family-Centered Care,
II. Better Health for the ESRD Population, and
III. Reduce Costs of ESRD Care by Improving Care.
• CMS continues to explore new possibilities for expansion of
the scope the CROWNWeb system.
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Achievements
CROWNWeb in 2014
• CMS implemented three versions of CROWNWeb in 2014.
 May 2014 – CROWNWeb v4.4
 September 2014 – CROWNWeb v4.5
 December 2014 – CROWNWeb v4.6
• These releases included many features requested by facilitylevel users.
• Screens in CROWNWeb were streamlined and fields were
removed to further support CMS’ data collection and reporting
initiatives.
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2014 Accomplishments
Other Notable Updates
New Missing Forms and Saved Status
reports
Streamlined Facility Attestations screen
Removal of Involuntary Discharge subcategories
Updated “Kt/V Method” selections
Updated “Vaccination Date” fields
New Vascular Access Types
Prevent duplicate treatment records
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Challenge
and Resolution
Challenge and Resolution
• Monthly clinical carry-over was one of the most requested
CROWNWeb enhancements.
• Clinical carry over capabilities had been on CROWNWeb’s
Vascular Access screen since December 2012.
• CMS attempted to expand this feature to fields on the
Hemodialysis and Peritoneal Dialysis Clinical screens in May 2014.
Challenge
• An error occurred that did not allow all the carry over
fields to display from month-to-month.
Resolution
• CMS worked with its CROWNWeb support teams and
identified the root cause of the error.
• CMS implemented a fix as part of CROWNWeb v4.6 in
December 2014.
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Moving Forward
CMS Form Automation
• CMS updated
CROWNWeb in
2014 to support
the future
automation of
CMS-2728 and
CMS-2746 forms.
• Why move
towards electronic
submissions?
Data Entry
Data Accuracy
Data Transparency
(CMS & SSA)
Timeliness of Data
Submissions
Data Entry Burden
Data Discrepancies
Mailing of Forms
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Planned CROWNWeb Release
• CMS plans to release CROWNWeb 4.7
in May 2015.
• CROWNWeb 4.7 will include behind the
scenes updates, technical upgrades, and 3 small
enhancements
• Updates are designed to improve user
experience.
• Scope decisions for a 4.8 release are still pending
approval and scheduling.
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Data Management Guidelines
• Thousands of authorized individuals use CROWNWeb to
submit and access data.
• Certain authorized individuals are responsible for
CROWNWeb data management and need to understand
and begin to utilize standardized processes.
• CMS is developing the CROWNWeb Data Management
Guidelines to assist with the following data governance:
 Data Monitoring
 Data Measurement
 Data Management
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ICD-10 Implementation
• The United States is preparing
to adopt the Tenth Revision of
the ICD in October 2015.
• CROWNWeb has been updated to reflect ICD-10 Codes
for the “Primary Cause of Renal Failure” field on the
CMS-2728 form.
• The CMS-2728 form was updated in July 2014 in
preparation for the ICD-10 transition.
• ICD-10 codes will automatically activate in CROWNWeb
on October 1, 2015.
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CROWNWeb Dashboard
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Note: Mock up only. Does not represent exactly what facilities may see.
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Our Next Session
CMS Community WebEx:
Topic: Understanding
the CMS-2744
Date: February 26, 2015
Time: 2pm - 3pm ET
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Thank You
For Further Information…
Help Me Form: http://help.projectcrownweb.org/
QualityNet Help Desk: 1-866-288-8912
Website: http://www.projectcrownweb.org
This material was prepared by FMQAI, the CROWNWeb Outreach, Communication, and Training contractor,
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. OCT contract # HHSM-500-2011-00157G.
Publication Number: FL-OCT-OCT-02052015-01
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