EQRS News Flash: New EQRS Feature Release: Admission in Support of Transplant

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July 15, 2022

The Centers for Medicare & Medicaid Services (CMS) has added the Admission in Support of Transplant feature to the End Stage Renal Disease (ESRD) Quality Reporting System (EQRS). This new feature allows EQRS to retain two open admissions on a single patient and is intended for patients that require temporary dialysis after receiving a kidney transplant. It allows dialysis facilities to initiate a second admission in EQRS (while the patient is currently admitted to a transplant facility) if the Admit Reason is Dialysis in Support of Transplant.

This feature includes two new discharge reasons and an updated description of an existing discharge reason. The two new discharge reasons include Delayed Function Resolved following a Transplant and Delayed Function Unresolved following a Transplant. The updated description of the existing discharge reason changed from Recovered Function to Recovered Function of Original Kidney.

Please note: The only time the Discharge Reason of Delayed Function Resolved following a Transplant or Delayed Function Unresolved following a Transplant can be used is when the Admit Reason is Dialysis in Support of Transplant (as displayed in the screenshot below) and the patient has gained function of their transplanted kidney and no longer needs dialysis or the patient’s transplanted kidney fails.

The only time the Discharge Reason of Recovered Function of Original Kidney should be used is when the patient has recovered function of their native kidney and no longer needs dialysis.

For general guidance on how to admit and discharge a patient in EQRS, refer to the EQRS New User Training slides and video available from the Education page on MyCROWNWeb.org.

If your facility batch submits data or uses Health Information Exchange /Electronic Data Interchange methods, please follow the guidance provided by your organization.

For more information on using this new feature in EQRS, refer to the Admission in Support of Transplant: Frequently Asked Questions document that is available on the Education page on MyCROWNWeb.org.

If you are having technical issues with accessing the EQRS user interface, please contact the Center for Clinical Standards and Quality (CCSQ) Service Center. The CCSQ Service Center is open Monday-Friday 8 a.m. to 8 p.m. Eastern Time and can be reached via phone at: (866) 288-8912, via email at: qnetsupport-esrd@cms.hhs.gov, or by going to CCSQ Support Central.