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interactive data submission system idss

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interactive data submission system idss

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    1. Interactive Data Submission System (IDSS) Carla Pacheco Assistant Director, DCO April 8, 9, 11 & 16 2008

    3. IDSS Templates IDSS templates are XML based. Allows for more flexibility Simple to understand and use The XML templates are available on NCQA’s website: http://www.ncqa.org/tabid/370/Default.aspx

    4. IDSS Timeline Data collection page on NCQA Website http://www.ncqa.org/tabid/219/Default.aspx February 2008 Final XML Templates posted to NCQA website April 2008 (Late April) Plans will access IDSS and receive submission ids May 2008 Organizations can begin 2nd Tier data validation June 2008 Plans will finalize and submit data to NCQA Commercial and Medicaid due 6/16/08 Medicare due 6/30/08

    5. New Features 2nd Tier Validations will be done directly in IDSS Ability to clear data from individual measures

    6. SNP HEDIS Reporting Requirements Required Measures (COL) Colorectal Cancer Screening * (GSO) Glaucoma Screening in Older Adults (SPR) Use of Spirometry Testing in the Assessment and 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 (BCR) Board Certification * SNP benefit packages under PPO Contracts do not have to report these measures because these measures rely on medical record review. * This first-year measure is optional for all MA reporting, including the SNP benefit packages.

    7. 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. In the SNP Performance Report we produce for CMS, NCQA will include SNP-specific performance rates for only measures that have denominators of 30 or more members. Measures with fewer than 30 members in the denominator will be used for aggregated program-level reporting only. 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.

    8. Demonstration

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