In This Issue:

Transient Patient Admissions in EQRS

COVID-19 ICD-10 Codes in CROWNWeb

Facility Dashboard

Clinical Closures

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Transient Patient Admissions in EQRS

The Centers for Medicare & Medicaid Services (CMS) is targeting release of the End-Stage Renal Disease (ESRD) Quality Reporting System (EQRS) in November. During incremental releases, roles and functionality from CMS’s legacy applications – Renal Management Information System (REMIS), ESRD Quality Incentive Program (QIP), and CROWNWeb – will be incorporated into EQRS.

Prior to adding a feature into EQRS, CMS conducts user research to identify the feature’s purpose, usage, and design in an effort to increase usability, reduce user burden, and improve data quality and accuracy.

As part of the transition to EQRS, CMS will no longer maintain CROWNWeb’s “Transient” patient admission status in EQRS. This change reflects collaboration with the dialysis community to achieve the shared goal of improving data quality and accuracy. When CROWNWeb transitions to EQRS, a patient must be admitted to a facility in EQRS when he/she dialyzes at the unit and discharged when the patient dialyzes at another facility.

Why the Change?

Excluding “Transient” patient admissions in EQRS supports CMS’s efforts to assure there is only one patient record maintained in the ESRD patient registry at a time. Furthermore, it helps to ensure that patients are correctly admitted and discharged as they transfer from one facility to another for treatments.

Supporting the Transition

In preparation for the transition, CMS asks that users stop admitting patients as “Transient” in CROWNWeb effective September 30, 2020.

Select “Transfer In” as the Admit Reason. Select “No” in the Transient Status field. Discharge the patient when he/she dialyzes at another facility.

Visit www.MyCROWNWeb.org to remain up-to-date and access details regarding how to admit and discharge patients as CMS continues to move towards a full rollout of EQRS in late 2020.