2014 Interactive Data Submission System
(IDSS) Training
Michele Taylor
Data Reporting Analyst
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
IDSS Timeline
Full Data Collection timeline and materials
http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures/HEDISDataSubmission.aspx
–
December 2013-January 2014
–
XML Templates posted to NCQA’s website
–
RRU Data Collection Schema
•
March 2014
–
Data Dictionaries, 1
st& 2
ndtier validations posted to NCQA’s
website
•
April 14, 2014
–
IDSS available and open to receive submissions
•
June 2014
–
Plan-lock must be applied to all submissions by June 9
th11:59
p.m. (EST)
–
Commercial, Medicaid and Medicare data and Attestation due
on June 16 by 11:59 pm EST
IDSS Materials
•
The XML templates
•
Data Validations
•
Data Dictionaries
•
RRU Data Collection Schema
•
RRU Sample XML are available on NCQA’s
website:
http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures/H
EDISDataSubmission/IDSSImportTemplateandMaterials.aspx
What’s New in 2014?
•
Updated the User and Organization Management Tools
to include granting Auditor access at the submission
level
•
XML Import Schema was updated, added the Vendor
ID to both the general and RRU XML files.
•
Downloadable Reports
–
The validation reports are now available to export.
–
Added org and sub-id to CSV reports
–
Org and sub-id time stamps were added to the RRU
Policy Information
•
NCQA requires that all plans “plan-lock” the data on
June 9 by 11:59 p.m. (Eastern Standard Time)
•
Attestations cannot be e-signed before the Plan Lock
is applied. If the Plan Lock is removed, a new
attestation is required
•
After June 16, late submissions or resubmissions will be
flagged in IDSS for exclusion from NCQA’s public
reports or products. NCQA will review requests to have
a late submission or a resubmission included in a
public reporting product and will assess a minimum
processing fee of $5,000
IDSS Data Submission Process
Health plan populates IDSS Validates and reviews submission
data
Applies the Plan Lock
Auditor Reviews health plan data Applies the Auditor Lock Health plan submits e-signed
attestation
Marks submission Final Downloads final reports
Populating IDSS
•
Import General submission file and RRU
data XML file (if submitting)
Verifying Submission File
•
After importing, verify the correct file was
upload and received.
Validate and Review Data
•
IDSS has two types of validations
–
1
st
Tier Validation: checks the format and
value of the data provided.
–
Happens directly upon entering data in IDSS
–
2
nd
Tier Validation: checks to ensure data was
collected according to Volume 2.
•
RRU format enables instant validation prior
to even submitting to NCQA.
Applying the Plan Lock
•
Occurs on the Audit Review Table (ART)
•
Prior to submitting all data must be
populated and finalized
Auditor Review Data
•
Commercial and Medicaid
•
Medicare
Report Measure Rate Comment
System Default
Unchecked NR Measure Unselected
After Plan Lock Applied
Unchecked NR Measure Unselected Y Any rate Reportable
Y NR 1. Plan chose not to report (Default) 2. Calculated rate was materially biased 3. Plan Not required to report*
Y NB Required Benefit not Offered Y NA Denominator fewer than 30
Report Measure Rate Comment
System Default Unchecked NR Measure Unselected
After Plan Lock Applied Unchecked NR Measure Unselected
Y Any rate Reportable
Auditor Logic continued
Auditor Applies Auditor Lock
•
After the Auditor completes the review,
the Auditor Lock is applied to the entire
submission on the ART
Submitting to NCQA
•
Mark final from the submission list page after the
Audit Lock is applied and no further changes are
needed.
•
Mark the submission as final submits both data sets.
•
Submit Attestation that covers all data submitted in
IDSS
E-Signing the Attestation
•
Only an authorized officer of the company has
the rights to E-sign the Attestation
•
The Organization Administrator is responsible for
assigning the authorized officer the signer role
and set the public reporting status in IDSS.
•
The signer uses the login information from the
Organization Administrator to access IDSS and
sign the attestation.
Public Reporting
•
A communication will be sent via the IDSS mailbox
with the rules for public reporting
•
Eligible submissions are used in the following NCQA
products:
–
Quality Compass (including RRU)
•
For Quality Compass questions, please contact
–
State of Health Care Quality Report
–
Health Plan Insurance Rankings
•
For NCQA's Health Insurance Plan Rankings questions,
please contact NCQA's Health Insurance Plan Rankings
Public Reporting
•
Attestation Public Reporting selection results:
Yes:
Additional Help
•
Email or phone your NCQA HEDIS
Account Manager
–
The complete list is found at
http://www.ncqa.org/Portals/0/HEDISQM/DataSubmission/2013%20HED
IS%20Account%20Managers_Last.pdf
