Interactive Data Submission System (IDSS) Michele M. Taylor Data Reporting Analyst, DCO May 10, 2010

2 IDSS SNP New Demonstration May 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

3 IDSS SNP New Demonstration May 4 and May 10, 2010 IDSS Timeline Full Data Collection timeline and materials – January 2010 – XML Templates posted to NCQA’s website March 2010 – Data Dictionaries, 1 st and 2 nd 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

4 IDSS SNP New Demonstration May 4 and May 10, 2010 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: spx spx

5 IDSS SNP New Demonstration May 4 and May 10, 2010 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

6 IDSS SNP New Demonstration May 4 and May 10, 2010 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

7 IDSS SNP New Demonstration May 4 and May 10, 2010 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!

8 IDSS SNP New Demonstration May 4 and May 10, 2010 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.

9 IDSS SNP New Demonstration May 4 and May 10, 2010 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.

10 IDSS SNP New Demonstration May 4 and May 10, 2010 Auditor Comments Medicare Report MeasureRateComment System Default UncheckedNRBlank* After Plan Lock Applied UncheckedNRBlank* YesAny rateReportable YesNR1.Calculated rate was materially biased (Default) 2.Plan chose not to report 3.Plan Not required to report** YesNBRequired Benefit not Offered YesNADenominator fewer than 30

11 IDSS SNP New Demonstration May 4 and May 10, 2010 Additional Help or phone your NCQA Account Manager – The complete list is found at the IDSS mailbox at:

12 IDSS SNP New Demonstration May 4 and May 10, 2010 Questions

13 IDSS SNP New Demonstration May 4 and May 10, 2010 Demonstration