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

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

2. 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 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

4. 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.aspx

5. 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. 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. 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. 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. 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. Auditor Comments • Medicare

11. 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: idss@ncqa.org

12. Questions

13. Demonstration