Interactive Data Submission System (IDSS) Michele M. Taylor Data Reporting Analyst, DCO

Interactive Data Submission System (IDSS)

Michele M. TaylorData Reporting Analyst, DCO

May 10, 2010

2IDSS SNP New DemonstrationMay 4 and May 10, 2010

What is the IDSS?• A fully web-based system used to

collect non-survey HEDIS results for all product lines

• IDSS is used by:– Health care organizations to submit

HEDIS results– NCQA-certified HEDIS compliance

auditors – NCQA-certified HEDIS software vendors


IDSS TimelineFull Data Collection timeline and materials

– http://www.ncqa.org/tabid/219/Default.aspx • January 2010

– XML Templates posted to NCQA’s website• March 2010

– Data Dictionaries, 1st and 2nd tier validations and RRU checks posted to NCQA’s website

• April 28, 2010– IDSS available and receive submission ids

• June 2010– CAHPS reports available– Commercial and Medicaid data and Attestation due by

June 15, 2010– Medicare data and attestation due June 30, 2010

• July 2010– HEDIS summary reports posted to the Submission List

Page


IDSS Materials• IDSS templates are XML based.

– Allows for more flexibility– Simple to understand and use

• The XML templates, Data Validations, and Data Dictionaries are available on NCQA’s website: http://www.ncqa.org/tabid/370/Default.aspx


What’s New in 2010?

• Updated the User Management • Added the Organization Management

Tool• Redesigned the Submission List page• Added an Attestation e-sign option• Organization Administrators can set the

public reporting intentions• Added the Detail Report• Added a Communications Section


E-Signing the Attestation• New e-sign Attestation• Only an authorized officer of the company

has the rights to e-sign and should be assigned the Signer role

• After the applying the plan lock the Organization Administrator sets the public reporting intentions and notifies the Signer that the Attestation is ready to be e-signed

• Created an e-sign tutorial and separate instructions for how to e-sign the Attestation


Advantages of E-signing• NCQA receives the Attestation

immediately• Public reporting intentions and

signature are electronically captured

• No longer need to mail in the Paper Attestation with the “wet signature”

• Support our going green efforts!


SNP HEDIS Reporting Requirements• Required Measures

(COL) Colorectal Cancer Screening*(GSO) Glaucoma Screening in Older Adults(COA) Care for Older Adults(SPR) Use of Spirometry Testing in the Assessment & Diagnosis of COPD(PCE) Pharmacotherapy of COPD Exacerbation (CBP) Controlling High Blood Pressure(PBH) Persistence of Beta Blocker Treatment After a Heart Attack(OMW) Osteoporosis Management in Older Women(AMM) Antidepressant Medication Management(FUH) Follow-Up After Hospitalization for Mental Illness(MPM) Annual Monitoring for Patients on Persistent Medications(DDE) Potentially Harmful Drug-Disease Interactions(DAE) Use of High Risk Medication in the Elderly(MRP) Medication Reconciliation Post-Discharge(BCR) Board Certification

* PPO’s must submit COL using only the administrative specifications.


Small Denominators • Question: How are small denominators handled?

• Response: To understand the performance of the entire SNP program, it is important that SNPs report a measure even when there are fewer than 30 members in the measure’s denominator. Each SNP benefit package must collect data and report the required measures according to the specifications regardless of the denominator size.

• It is important to note, NCQA’s Interactive Data Submission System (IDSS) will not calculate a rate for measures where the denominator is fewer than 30, but NCQA will use the reported measure numerators and denominators for aggregated reporting purposes.


Auditor Comments• Medicare

Report Measure Rate Comment

System Default

Unchecked NR Blank*

After Plan Lock Applied

Unchecked NR Blank*

Yes Any rate Reportable

Yes NR 1. Calculated rate was materially biased (Default) 2. Plan chose not to report 3. Plan Not required to report**

Yes NB Required Benefit not Offered

Yes NA Denominator fewer than 30


Additional Help• Email or phone your NCQA Account

Manager– The complete list is found at

www.ncqa.org/tabid/219/Default.aspx • Email the IDSS mailbox at:

[email protected]


Questions


Demonstration

Interactive Data Submission System (IDSS) Michele M. Taylor Data Reporting Analyst, DCO

Documents

Transcript of Interactive Data Submission System (IDSS) Michele M. Taylor Data Reporting Analyst, DCO