Introduction to SDPS for New Users

Iowa Foundation for Medical Care

Marilyn Schulte, Manager
SDPS Health Informatics

Page 1
Putting the Puzzle Together

Page 2
 Objectives
• Understand what is SDPS

• Understand types of SDPS users

• Understand SDPS products/systems

• Understand commonly used acronyms

Page 3
 What is SDPS?
• The Standard Data Processing System (SDPS) supports the
Office and Division of Clinical Standards and Quality (central and
regional offices), the Clinical Data Abstraction Center, and the
Quality Improvement Organizations (QIO) data system for
communications
– It is also the standard platform for data, and for accessing data.

• Components of SDPS include, but are not limited to:

– File servers and database servers
– Workstations
– Commercial off the shelf (COTS) products such as nCoder and Care
Enhance Review Manager (CERM)
– Custom written software such as PRS, PARTner, and CRIS
– Video conferencing capabilities

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 What is SDPS?
 QIOs are required to use the same software, hardware, and procedures
to conform to the SDPS standard

 QIOs are required to use all components of SDPS and SDPS

developed applications to manage and report work done under the
current Statement of Work (SoW)

 Equipment, software, and associated data remain the property of CMS

• Data collected by QIOs, providers, and vendors is stored in SDPS data

warehouses

• Reports developed by SDPS are used to measure how QIOs and

providers are doing on improving quality measures

• Some health care data collected via SDPS is publicly reported for
consumers to review

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 User Communities
• Internal
– QIOs (Quality Improvement Organization)
– CDAC (Clinical Data Abstraction Center)
– CMS (The Centers for Medicare &Medicaid Services
• External
– Hospitals
– Nursing Homes (NH)
– Home Health Agencies (HHA)
– Physician Offices
– Vendors

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 QIO Users
•QIOs have access to:
–CART (CMS Abstraction and Reporting Tool)
–CATS (CDAC Abstraction Tracking System)
–CRIS (Case Review Information System)
–PARTner (Program Activity Reporting Tool)
–QIO PRS (QIO Program Resource System)
–Provider PRS (Provider Program Resource System)
–Remedy
–QIOnet (Internal SDPS site)

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 QIO Users
•QIOs have access to:
–QualityNet (public)
–QualityNet Exchange (secure)
–QualityNet Exchange Reports
–MedQIC
–Program Progress Reports
–Dashboard Reports

Page 8
 CDAC Users
• CDAC users have access to:
– CART (CMS Abstraction and Reporting Tool)
– CATS (CDAC Abstraction Tracking System)
– OAT (Online Adjudication Tool)
– QIOnet (Internal SDPS site)
– QualityNet (public)
– QualityNet Exchange (secure)
– MedQIC

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 Hospital Users
• Hospital users have access to:
– CART
– HCAHPS Online Tool
– Provider PRS
– QualityNet (public)
– QualityNet Exchange (secure)
– QualityNet Exchange Reports
– MedQIC
• Hospital users can:
– Upload abstracted data to Inpatient Clinical
Warehouse
– Upload survey data to HCAHPS warehouse

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 Nursing Home Users
• Nursing Home users have access to:
– NHIFT Tool
– QualityNet (public)
– QualityNet Exchange (secure)
– QualityNet Exchange Reports
– MedQIC
• Nursing Home users can:
– Upload data to the NHIFT Clinical Warehouse

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 Home Health Users

• Home Health users have access to:

– POA Tool
– QualityNet (public)
– MedQIC

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 Physician Office Users
• Physician Office users have access to:
– QualityNet (public)
– MedQIC
• Physician Office users can:
– Upload data to Outpatient Clinical Warehouse
(DOQ-IT Doctors’ Office Quality Information
Technology)

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 Vendor Users
• Vendors have access to:
– CART
– MedQIC
– NHIFT
– Provider PRS
– QualityNet (public)
– QualityNet Exchange (secure)
– QualityNet Exchange Reports
• Vendor users can:
– Upload abstracted data to Inpatient Clinical Warehouse
– Upload survey data to HCAHPS warehouse

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 SDPS - Clinical Data Warehouses
CMS Data
• Inpatient Claims Administrative

• EDB (Enrollment Database)

• Outpatient Claims Administrative (Part B data)

• Prescription Drug (Part D data)

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 SDPS - Clinical Data Warehouses
Provider Data
• Inpatient Clinical Warehouse

• HCAHPS Warehouse (survey data)

• Outpatient Clinical Warehouse (DOQ-IT)

• Nursing Home Clinical Warehouse

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 Information Management
• QNet Quest (Q & A Management)
– Multiple topics available
– Specified staff are researchers and publishers
• ListServe
– Discussion Lists
– Notify Lists
• SDPS Memos
– Official CMS communication
– Require CMS approval prior to release
– Posted on QIOnet

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 CMS Abstraction & Reporting Tool

Acronym – CART
• Designed to allow hospitals, QIOs, and other organizations to
abstract, edit, export, and report on the quality measures.

• CART may be used across data collection programs and is

available for downloading at no charge from the QualityNet
Website.

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 Clinical Abstraction Tracking System

Acronym – CATS
• Allows the Clinical Data Abstraction Centers (CDAC) to
track abstraction and medical record event information
• Integrates with the Case Review Information System for
the hospital payment monitoring program
• Will go end of life in the future

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 Case Review Information System

Acronym – CRIS

• Allows QIOs to perform on-line real time case review

• Allows QIOs to track Medicare beneficiary help line
activities and Beneficiary complaints
• CMS case review selections are added to CRIS
monthly

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 Doctors’ Office Quality - Information
Technology
Acronym - DOQ-IT
• Designed to improve quality of care, patient safety, and
efficiency of services provided to all patients (not just
Medicare beneficiaries)
• Promotes the adoption of electronic health record (EHR)
systems and information technology (IT) in small-to-
medium sized physician offices
• Promotes greater availability of high quality affordable
health information technology and provides assistance to
physician offices in adopting and using technology

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 CAHPS Hospital Survey

Acronym - HCAHPS
• Survey of patients’ perspectives of the quality of
hospital care

• Provides a standardized survey instrument and data

collection methodology

• Results of the HCAHPS survey will be publicly

reported on Hospital Compare

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 Nursing Home Improvement
Feedback Tool
Acronym - NHIFT
• Free, computer-based, process-of-care data
collection tool

• Assists nursing homes in collecting data and viewing

process measure scores for four clinical topics

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 Online Access Request System
Acronym – OARS

• OARS is utilized by the community to create and

manage user accounts for access to the various
SDPS applications
• Accessed through QualityNet Exchange, QIOnet and
the SDPS applications

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 Plan of Action Tool
Acronym – POA
• Benefits HHA staff that apply Outcome Based Quality
Improvement (OBQI) at their agency
• Focuses on improving patient outcomes by analyzing
the care provided to those patients
• Home health care providers develop a Plan of Action
(POA) to improve care for each target outcome
identified
• They can submit their POA to the QIO electronically
via the tool

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 Program Activity Reporting Tool

Acronym – PARTner
• Allows QIOs to track:
• Identified Participants
• Health care quality improvement activities
• Progress Measures
• Payment monitoring activities
• Narrative deliverables
• Allows QIOs to upload documents to CMS.
• Allows CMS to download documents from QIOs.
• Allows Project Officers to approve documents.

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 Provider Program Resource System
Acronym – PPRS
• Also known as Program Management
• Allows provider and/or their vendors to manage and
identify the measures they will be submitting to the
QIO Clinical Warehouse
• Allows providers and/or their vendors to identify their
ICD populations and sampling numbers
• Online appeals will be added in the future

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 QIO Program Resource System
Acronym – QIO PRS
 Used by the QIOs
 Centralized database that stores information used by
many SDPS applications.
 Includes provider, physician, Medicare Advantage
 Data is replicated to other SDPS applications as
needed
 Ensures data integrity

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 Remedy
Acronym – None
• COTS Product – Customized to meet SDPS needs
• Allows for tracking of business processes
• Provides tracking for:
– Help Desk Tickets
– Referrals
– ERBs (Engineering Review Board requests)
– Inventory
• Customized reports run from Remedy

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 QualityNet Help Desk
Acronym – QNet Help Desk
• QualityNet Help Desk provides QIOs, CMS, ESRDs, and
providers with assistance for problems encountered using a
SDPS developed application or system.
• QIO designated users can enter issues directly into Remedy.
• Each QIO has designated users to enter or forward issues to
the QualityNet Help Desk.
• QualityNet Help Desk Email address:
qnetsupport@ifmc.sdps.org
• QualityNet Help Desk telephone numbers of 866-288-8912 (toll
free) 7 a.m. to 7 p.m. CT Monday through Friday.

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 QualityNet and QualityNet Exchange
Acronym - QNet
• QualityNet provides the public pages and portal to
QualityNet Exchange

Acronym – QNE
• QualityNet Exchange is the only CMS-approved website for
secure communications and healthcare quality data
exchange between: quality improvement organizations
(QIOs), hospitals, physician offices, nursing homes, end
stage renal disease (ESRD) networks and facilities, and
data vendors

• Provides access to the secured applications

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National Claims and EDB Warehouse
• Repository that has enterprise-wide use and impact
• Data is utilized to support multiple initiatives
• Includes:
• Beneficiary enrollment database
• Beneficiary claims
• Physician/Provider information
• Medicare Advantage information
• Data from CMS is loaded monthly
• Case review selections done after the monthly CMS
claims data merge

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 QIO Clinical Warehouse
Acronym – QCW
• Data repository with enterprise-wide use and impact
• Quality data is used to support multiple initiatives
• Centralization of data maintains data integrity,
streamlines processes, increases productivity, and
forms a basis for improving the quality of care

Page 33
 SDPS – Reports
• Dashboard
– Summary Reports, updated monthly or quarterly
– Accessed from QIOnet

• Program Progress Reports

Acronym - PPR
– Over 227 reports
– Accessed from QIOnet
– User ID and password required

Page 34
 SDPS – Reports
• QualityNet Reports
– Must register for QualityNet Exchange prior to obtain user ID
and Login
– Accessed from QualityNet Exchange
– Submission and Feedback reports for different user types
• OLAP (Online Analytical Processing) Reports
– Hospital Payment Monitoring Program
– Long Term Acute Hospital
• Ad Hoc Reports
– Special one time reports
– CMS approval required

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 Other QualityNet Web Sites
Medicare Quality Improvement Community
Acronym MedQIC
• Public and secure site
• Provides resource center to QIO community and healthcare
providers on quality improvement ideas

QIOnet
Internal, used by SDPS users only
• Provides information on QIO business and CMS policy
• Provides sign up for ListServe
• Provides access to all SDPS memos
• Provides access to Program Progress Reports and Dashboard
reports

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 Commonly Used Acronyms
• SDPS - Standard Data Processing System
• CMS - Centers for Medicare and Medicaid Services
• BCSSI – Buccaneer Computer System and Services
Incorporated

• BDS - Buccaneer Data System (CDAC)

• QIO – Quality Improvement Organization
• QIOSC – Quality Improvement Organization Support
Contractor
• CDAC – Clinical Data Abstraction Center

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Finishing the Puzzle

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