QualityNet Exchange

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QualityNet Exchange

• Collins Gibson, MS
• Carolina Medical Review
• 250 Berryhill Road
• Suite 101
• Columbia, SC 29210
• 803-731-8225
• 800-922-3089

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What is QualityNet Exchange?

• Interactive, secure web site that allows the
  direct exchange of files over the Internet
• Only CMS approved method of exchanging
  confidential information over the Internet
• Purpose is to improve the quality of care for
  Medicare beneficiaries through increased
  efficiencies in information exchange
• Accomplished by providing secure, real-time
  communication and data exchange

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Benefits

• Secured Data Interchange through the use of
  data encryption and decryption, data is exchanged
  securely and swiftly
• System Back-Up all data is stored in one
  database that is backed up daily, thus promoting
  integrity and accuracy
• Speed of Data Interchange when files are
  exchanged the data is immediately accessible
• Security secured connections through a single
  point of entry, digital certificates, the use of
  personalized soft tokens, and TecSec encryption
  integration serve to ensure the security of the
  data

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Public Pages

• Public Home Tab Page Whats New section
  provides information regarding the latest changes
  to the site, Log In link is available for
  registered users to log into the secured pages of
  QNet Exchange
• Background Tab Page background information
  regarding the QNet Exchange web site, links are
  available for information regarding the QIO
  program
• Getting Started Tab Page information regarding
  the registration process for QualityNet Exchange
• CART Tab Page information regarding the CMS
  Abstraction and Reporting Tool

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Public Pages
continued

• HDC Tab Page information regarding Hospital
  Data Collection
• Contact Us Tab Page information necessary to
  obtain help desk support for the QualityNet
  Exchange site
• FAQ Tab Page link to the QNet Quest application
  where all Frequently Asked Questions relevant to
  QualityNet Exchange, CART and HDC topics are
  stored

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Login Page

• First page registered users will access
• Login ID and Password fields are available to log
  into QualityNet Exchange

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QNet Exchange Administrator

• Complete and/or approve each new user online
  registration form
• Update user information and assign appropriate
  roles for QNet Exchange users
• Remove access and/or approve the removal of
  access for users who are no longer active or no
  longer require access to QNet Exchange
• Monitor QNet Exchange usage to maintain proper
  security and confidentiality measures
• Validate users and what type of functionality
  each user should have within QNet Exchange
• Serve as the point of contact at your
  organization for information regarding QNet
  Exchange

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QNet Exchange Roles

• File Exchange and Search users with this role
  can exchange files
• QIO Clinical Warehouse Data Upload users with
  this role are able to upload data files and view
  QIO Clinical Warehouse Submission Reports
• QIO Clinical Warehouse Feedback Reports users
  with this role are able to request and view
  feedback reports regarding data submitted to the
  QIO Clinical Warehouse (provides access to
  Hospital Data Validation Reports and QIO Clinical
  Warehouse Comparison Reports)

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File Exchange

• Section of QNet Exchange where data can be sent
  securely over the Internet
• Files are encrypted (scrambled so that they are
  unreadable) automatically before they leave the
  senders hard drive or network and stay encrypted
  until the receiver decrypts (unscrambles) and
  downloads the data to their hard drive or
  network. The data is exchanged in real-time.
• To access the File Exchange and Search section,
  click on the File Exchange and Search link in the
  My Work section of the Home page.
• The File Exchange and Search page is divided into
  two sections. The Inbox section provides access
  to all files you have received. The Outbox
  section provides access to all files you have
  sent.

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File Inbox

• New tab of the File Inbox section displays files
  you have received that have not yet been
  downloaded
• Downloaded tab of the File Inbox section displays
  files you have received and downloaded
• Default display is for all files sent in the last
  7 days

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File Outbox

• Unopened tab of the File Outbox section displays
  files you have sent that have not yet been
  downloaded by any of the recipients
• Opened tab of the File Outbox section displays
  files you have sent that at least one recipient
  has downloaded
• Archived tab of the File Outbox section displays
  files you have sent that have been archived
• Default display is for all files sent in the last
  7 days

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Uploading a File
Click Here
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Click on Group and Show users at
Users move over
Highlight person to send file to
Name moves down
Click here, browse to file and click Open
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Downloading a File
Select this box
Then, click here
Finally, designate where file should be saved and
click save
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QIO Clinical Whse Data Upload
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Chooses files/directory for upload, browse to
file/directory, click open
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QIO Clinical Warehouse Submission Reports
The QIO Clinical Warehouse Submission Reports
provide information on the data submitted through
QualityNet Exchange to the QIO Clinical Warehouse
for the submitter of the data. The QIO Clinical
Warehouse Data Upload role is necessary in order
to access these reports. Only the submitter of
the data can view the feedback provided on the
Submission Reports.
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QIO Clinical Warehouse Comparison Reports
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Comparison Reports Available

• Case Status Summary summary (submitted,
  accepted, and rejected) of cases submitted to the
  QIO Clinical Warehouse by topic displays most
  recently submitted case
• Measure Status Summary summary of the number of
  cases indicated per quality measure (included or
  excluded) for the cases accepted into the QIO
  Clinical Warehouse
• Data Submission Detail detail report of cases
  submitted to the QIO Clinical Warehouse includes
  all submissions for a particular case and edit
  violations

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Comparison Reports Available
continued

• Heart Failure (Facility Only)
• Acute Myocardial Infarction (Facility Only)
• Pneumonia (Facility Only)
• Surgical Infection Prevention (Facility Only)
• These reports display data for individual
  facilities on select quality measures for the
  four clinical topics. The reports also include
  demographic information by age and race.

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Hospital Data Validation Reports
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Hospital Data Validation Reports
continued

• On a quarterly basis, a small sample of the data
  that hospitals submit to the QIO Clinical
  Warehouse is validated by the Clinical Data
  Abstraction Centers (CDACs)
• As the CDACs complete validation review of the
  medical records, they submit the data to the QIO
  Clinical Warehouse
• Validation rates are calculated on a weekly basis
  (Monday) for the validation records that were
  abstracted by the CDAC and submitted to the QIO
  Clinical Warehouse the previous week
• Providers that had validation rates calculated
  will be notified with an email message Monday
  mornings that validation reports generated
  following CDAC reabstraction are available on
  QualityNet Exchange
• The QIO Clinical Warehouse Feedback Reports role
  is required to receive the email notifications
  and access the reports

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Validation Reports Available

• Case Selection detail list of the cases that
  were selected for hospital validation (includes
  the topic, patient information, admit and
  discharge dates, the date by which the medical
  record should be submitted to the CDAC, and
  whether the medical records have been received)
• Overall Results overall reliability rate across
  all five cases and indicates whether the provider
  passed or failed validation
• Case Detail comparison of the hospital
  abstraction to the CDAC reabstraction results
• Reliability by Topic detail list of cases by
  topic, and the reliability rate for each case and
  each topic
• Results by Abstractor reliability rates for
  each case and for each abstractor

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Annual Payment Update Reports
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Affected Provider Participation Status

• Provides information on the status of
  participation in the Reporting Hospital Quality
  Data for Annual Payment Update (RHQDAPU)
  Initiative
• expected sample size, total cases accepted into
  the QIO Clinical Warehouse, and total cases
  accepted into the QIO Clinical Warehouse with
  required measures by topic for a selected
  quarter. The Affected Provider Participation
  Status report also includes if the provider is
  JCAHO accredited, and if the Notice of
  Participation Form, the Notification of Zero
  Cases Form, or the Withdrawal of Participation
  Form have been signed.

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Reports Viewer
Allows you to view and/or download reports you
have previously generated. The New tab displays
reports you have generated, but have not
downloaded. The Downloaded tab displays reports
you have generated and have downloaded to your
hard drive or a network drive.
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Additional Information

• A QualityNet Exchange Overview Training
  recorded session is available on the public
  CART page of QualityNet Exchange. The left
  side of the CART page has a menu selection
  under Training of QualityNet Exchange
  Demonstration Recorded Sessions.
• QualityNet Exchange Users Guide is available on
  the secure page. It is located at the bottom of
  the left hand section.