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

2. How CMS Gets ESRD Data
A Form-Centered Process

3. How CMS Gets ESRD Data
A Form-Centered Process

4. How CMS Gets ESRD Data
A Form-Centered Process

5. How CMS Gets ESRD Data
A Form-Centered Process

6. How CMS Gets ESRD Data
A Form-Centered Process

7. What happens to these forms?

8. What happens to these forms?

9. What happens to these forms?

10. IF … everything goes smoothly

11. IF … everything goes smoothly

12. There must be a better way . . .

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

14. 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

15. 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

16. 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

17. 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.

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

19. 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

20. 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

21. 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

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

23. 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 . . .

24. CROWN Web Patient Search

25. CROWN Web Patient Search

26. CROWN Web 2728

27. CROWN Web 2728

28. Clinical Data in CROWN Web

29. Clinical Data in CROWN Web

30. Clinical Data in CROWN Web

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

32. 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

33. 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”

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

35. CROWN Web Training Opportunities
On-line Learning Management System (LMS)

36. 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.

37. 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

38. 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

39. 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

40. Questions ? tkysilko@nw11.esrd.net