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Interactive Data Submission System (IDSS)
Michele M. Taylor
Data Reporting Analyst, DCO
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 SNP New Demonstration
May 4 and May 10, 2010
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IDSS Timeline
Full 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 SNP New Demonstration
May 4 and May 10, 2010
3
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.a
spx
IDSS SNP New Demonstration
May 4 and May 10, 2010
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What’s New in 2010?
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•
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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
IDSS SNP New Demonstration
May 4 and May 10, 2010
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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
IDSS SNP New Demonstration
May 4 and May 10, 2010
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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!
IDSS SNP New Demonstration
May 4 and May 10, 2010
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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.
IDSS SNP New Demonstration
May 4 and May 10, 2010
8
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.
IDSS SNP New Demonstration
May 4 and May 10, 2010
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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
IDSS SNP New Demonstration
May 4 and May 10, 2010
10
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]
IDSS SNP New Demonstration
May 4 and May 10, 2010
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Questions
IDSS SNP New Demonstration
May 4 and May 10, 2010
12
Demonstration
IDSS SNP New Demonstration
May 4 and May 10, 2010
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