Preparing for CROWN Web Tom Kysilko, MA Data Manager, Network 11 October 3, 2008

How CMS Gets ESRD Data A Form-Centered Process

How CMS Gets ESRD Data A Form-Centered Process

How CMS Gets ESRD Data A Form-Centered Process

How CMS Gets ESRD Data A Form-Centered Process

How CMS Gets ESRD Data A Form-Centered Process

What happens to these forms?

What happens to these forms?

What happens to these forms?

IF … everything goes smoothly

IF … everything goes smoothly

There must be a better way . . .

CROWN Web will . . . Require data entry by facility staff Be Web-based Be patient-centered

CROWN Web will require data entry by facility staff SYSTEM REQUIREMENTS Windows XP (SP2) or Windows Vista Internet Explorer 6 or 7 Adobe Acrobat Reader 8 or higher High-speed/broadband Internet connection

CROWN Web will require data entry by facility staff STAFFING REQUIREMENTS Understanding of facility’s processes Computer literacy Security awareness Specific CROWN Web training Time to do the work

CROWN Web will require data entry by facility staff ADMINISTRATIVE REQUIREMENTS Analyze the facility’s flow of information … and how it may need to change Identify who will be CROWN Web users Specify the roles and responsibilities of users Designate a Security Administrator

What about Large Dialysis Organizations? Eventually, all data will be submitted directly from corporate systems – “Batch”. Initially, only data currently submitted on PARs and CPMs will be submitted via batch. Initially, 2728s and 2746s will be done through the single-user interface.

Can other facilities use batch transmission? Eventually -- Yes Initially -- No

What about transplant facilities? At least initially, transplant facilities will submit the current paper forms Data will be entered into CROWN Web by Network staff

What about VA facilities? A required data use agreement between CMS and the VA is pending. Until then . . . At least initially, VA facilities will submit the current paper forms Data will be entered into CROWN Web by Network staff

CROWN Web will be Web-based No software to install (Well, hardly any) Available anywhere Reduced risk of inconsistent data Efficient system updates BUT . . . Security and privacy are major concerns

CROWN Web will be Web-based Security and privacy are major concerns Technology The Human Factor Authentication Importance of the Security Admin Good Habits

CROWN Web will be patient-centered “Admission” data will precede forms Forms will be pre-populated as much as possible General clinical data will precede CPMs No more PARs. However . . .

CROWN Web Patient Search

CROWN Web Patient Search

CROWN Web 2728

CROWN Web 2728

Clinical Data in CROWN Web

Clinical Data in CROWN Web

Clinical Data in CROWN Web

Clinical Data in CROWN Web Clinical measures required on all patients Clinical measures to be updated monthly

Patient Activity Reports (PARs) to be replaced by Patient Attributes and Related Treatments (PART) PART is a summary of a facility’s patients If a patient’s record has received no updates during a month, check the ‘No Changes’ box Shortcuts will be provided

Other Tidbits Facility data will also be in CROWN Web. Networks will initiate Facilities will complete and maintain Includes key personnel The language of “Events” will be replaced by the language of “Admits” and “Discharges”

If you take away one thing from this presentation . . . Get trained to use CROWN Web

CROWN Web Training Opportunities On-line Learning Management System (LMS) http://www.projectcrownweb.org/Default.asp

CROWN Web Training Opportunities One-day Classroom Training at New Horizons Edina, MN – January 5, 6, 7 Wauwatosa, WI – January 5, 6, 7, 8, 9 Troy, MI -- January 5, 6, 7, 8, 9 No charge for tuition and meals. Facilities pay travel expenses. Limit one person per independent facility. Limit one person per two LDO facilities. On-line registration. See Network 11 Web site.

CROWN Web Training Opportunities Live WebEx Teleconferences Special Training for Security Administrators October 30, 3:00PM (ET), 2:00PM (CT) Follow-up Training for All Users To be scheduled in February and March Heavy on Q & A Details to be sent to facilities and posted on the Network 11 Web site

CROWN Web Calendar 10/30/2008: Security Administrator Training 11/17/2008: Alpha 0.4 Testing begins 11/30/2008: Mass mailing to facilities 12/1/2008: Facility Training Registration begins 12/8/2008: Corporate level training for LDOs 1/5/2009: Last day to submit 2008 data 1/16/2009: Last day Networks can enter data 1/17/2009: Data conversion begins 2/2/2009: CROWN Web release 1.0 is launched

Data Transition Calendar 11/5/2008: October PARs due 11/17/2008: Rosters and Surveys mailed to facilities 12/3/2008: Completed Surveys due to Network 11 12/5/2008: November PARs due 12/15/2008: Facility Surveys faxed back to facilities 1/5/2009: Last day to submit 2008 forms and PARs 1/16/2009: Last day Network 11 can enter data

Questions ? tkysilko@nw11.esrd.net http://www.esrdnet11.org/data/crown_web.asp