1. CROWNWeb FMQAI: The Florida ESRD Network

2. Introductions Oniel Delva, BA Communications Coordinator Renal RCT Team – Network 7 CRAFT@nw7.esrd.net CROWNWeb – What to Expect

3. Today’s Objectives CROWNWeb – What to Expect Recap the Release and Progress To Date Help Facilities Stay Prepared for CROWNWeb Provide a Vascular Access Overview A Look Ahead: Multi-Factor Authentication

5. Phase In – Details CROWNWeb – What to Expect Two phases of release that included:  Up to 180 facilities  Both Large Dialysis Organizations (LDOs) and Independents  Submission of data through single user interface (SUI) and Batch (Electronic Data Interface - EDI) Critical feedback received from users

6. Why Phase In? CROWNWeb – What to Expect Provided Additional Time to:  Further communicate CROWNWeb requirements  Learn about CROWNWeb’s effect on facilities Reduced Immediate Demands on Facilities Allowed More Time for Use Studies  Cost/Resource estimates  QIPS account management Provided Opportunity for Modifications

7. System Changes CROWNWeb – What to Expect CROWNWeb modifications based on User feedback and/or updated requirements:  User Management  Error Messages  Vascular Access*  Batch Data Submission  Multi-Factor Authentication* * - Discussed on later slides

8. Release Path CROWNWeb – What to Expect February 2009 – Beginning of Phase 1 August 2009 – Beginning of Phase 2 November 2009 – Release of version 1.2 Tentative Next Release – December 2010* Will this be the national rollout of CROWNWeb? * - Subject to change

10. QIPS Account Forms CROWNWeb – What to Expect QIPS Account Form submission is critical to staying prepared. You should…  Identify number of users at facility  Understand who to send the forms to  Allow adequate processing time pre-release  Maintain your account (passwords, security)

11. Education Opportunities CROWNWeb – What to Expect Informational WebEx Sessions WebEx Training Online Training In-Person Training

12. Informational WebEx CROWNWeb – What to Expect CMS-Sponsored Monthly WebEx Sessions Include Guest Speakers from Outside CROWNWeb and Key CROWNWeb Staff  Jan - Independent Facility’s Perspective  Feb - Batch Submission Process  Mar - Clinical Performance Measures  Apr - Vascular Access – What You Need to Know  May - Getting Started with CROWNWeb – Tips and Tricks  Jun – Batch Data Submission – A Technical Overview *Recordings and the materials from each call are available via www.projectcrownweb.org.

13. Online Self-Directed Learning CROWNWeb – What to Expect Available Courses – CROWNWeb LMS QIPS and CROWNWeb Simulations Training Materials CROWNWeb Newsletters CROWNWeb Reference Library What Ifs

14. Ear to the Ground… CROWNWeb – What to Expect What’s the best way to get the latest info on CROWNWeb? Projectcrownweb.org Your ESRD Network CMS Channels Ask!

15. Taking Control CROWNWeb – What to Expect Staying Informed and Involved with CROWNWeb Means… Taking an Active Role Providing Feedback Working with your Network Making Your Voice Heard

17. Vascular Access CROWNWeb – What to Expect Vascular Access screen in CROWNWeb: High percentage of questions, due to:  Confusing Terminology  “Progressive Disclosure” design (different from rest of application)  Uncertainty of Required Data Screen is currently under full re-evaluation to enhance clarity and usability.

18. Let’s Take a Look… CROWNWeb – What to Expect

20. What Is Multi-Factor? CROWNWeb – What to Expect How can we define “Multi-Factor”? “Multi-factor authentication (MFA) is a security system in which more than one forms of authentication are [used] to verify [a user’s identification]. In contrast, single-factor authentication involves only a user ID and a password.” - www.techtarget.com

21. This Looks Familiar… CROWNWeb – What to Expect You may have seen some form of MFA in the following places:  Online Banking (choose your custom image)  ATMs (present your magnetic card)  Telephones (receive a call- back with a code)  Biometrics (fingerprints, retina scans)

22. MFA and CROWNWeb CROWNWeb – What to Expect CROWNWeb’s sign-in technology must adhere to federal guidelines for computer systems:  QualityNet System Security Policy (11/09)  5.3.3.2 - User Identification and Authentication - Automated IA mechanisms shall be in place and supporting procedures shall be developed, documented, and implemented effectively to enable unique identification and authentication of individual users (or processes acting in behalf of users) of QualityNet information systems. Authentication of user identities is accomplished through the use of passwords, tokens, biometrics, or in the case of multi-factor authentication, some combination therein. Source: QualityNet System Security Policy http://tinyurl.com/cwsecurity http://tinyurl.com/cwsecurity

23. What Does This Mean? CROWNWeb – What to Expect CROWNWeb and User Accounts will be updated to enable the implementation of MFA:  Information on QIPS Forms  Required Information for MFA  Education and Communication on MFA Policies

25. CROWNWeb and Bundling CROWNWeb – What to Expect In the near future… CROWNWeb – Most current outcome data Payment partially linked to outcomes CMS will track outcomes through CROWNWeb

26. Wrapping Up CROWNWeb – What to Expect

27. Questions? CROWNWeb – What to Expect

28. Thanks! For Further Information… Email: CRAFT@nw7.esrd.net CROWN Help Desk: 1-888-ESRDHD1 Web Site: http://www.projectcrownweb.orgCRAFT@nw7.esrd.net This material was prepared by FMQAI, the End Stage Renal Disease Network for Florida (Network 7), 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. Publication Number: FL2010RCT42211763 CROWNWeb – What to Expect