Welcome to Lesson 2 of this learning activity, titled 30-Day Follow-Up, Metrics 2 and 3, Where to Look When Things Go Wrong. The content in this lesson was developed by Karen Colbert. I am Kate Malish, and I will be narrating this lesson. The next questions we will address are related to the consequences of submitting an entry too early or too late for the 30-day follow-up timeframe. Please keep in mind that if the patient did not have a follow-up performed or the follow-up was performed outside of the 30-day follow-up timeframe of 21 to 75 days post-procedure, the patient will remain in Metric 2. To determine if the patient follow-up was captured in the correct timeframe, check the patient procedure start date versus the assessment date as coded in Sequence 10,000. In this example, there are 106 days between the procedure and the follow-up. Because the follow-up is outside the 21 to 75-day timeframe, the patient will remain in Metric 2 and the data in the follow-up will not be harvested. When data has been submitted after the data deadline or is changed after the data deadline, the revised data will be shown on the dashboard on the next quarter. Think of it as going forward and looking back. To see if the changes have been made, go to the ending timeframe of the next quarter and look back to the quarter in question. The original quarter will not change when accessed, so when reviewing changes after a data deadline has passed, go to the next quarter or later, but within the current rolling four quarters. The Synopsis of Question 3. The physician scheduled the appointment too early. Can the patient still be included in the numerator for Metric 3? When the patient entry is outside the 21 to 75-day timeframe for 30-day follow-up, the patient will remain in Metric 2. The Synopsis of Question 4. The patient canceled the appointment and came back after the timeframe had expired. What happens now? When the patient entry is outside the 21 to 75-day timeframe for 30-day follow-up, the patient will remain in Metric 2. The next question we will review is what might be the problem if the patient entry does not appear in either Metric 2 or Metric 3 for 30-day follow-up? When the patient does not appear in either Metric 2 or Metric 3, first make sure that the patient record has been submitted. Next, check the data collection tool to see if the patient is enrolled in a research study as coded in Sequence 3030. Patients enrolled in COAPT-CAS, LR-CAS, or P3-CAP will not appear in the Metrics, Dashboard, or in an Outcomes Report. The Synopsis of Question 5. What has happened when the patient does not appear in either Metric 2 or Metric 3? Was the patient a study or trial patient? Review Sequence number 3030. Next, we will review Question 6. When changes have been made to the patient entry, why can't the changes be seen immediately after being entered into the DQR? The data cannot be seen on the same day as the submission because the weekly data aggregation does not take place until the weekend. The data aggregation for the registry occurs once weekly on data submitted to the DQR by Friday at 5 p.m. EST. When data has been changed in a patient entry, the changes will not appear on the drill-down or the dashboard until the weekend data aggregation has taken place. Please review the data that was changed on Monday morning to see if the changes now appear. The Synopsis of Question 6. Changes have been made to the entered data. Why aren't the changes displayed? If the data was just entered in the same week, wait for the weekend aggregation and recheck the data on Monday. And our last common question. What does classifiable mean for follow-up metric 3? Over time, we have had many questions about the process to have facility records become classifiable. For purposes of the registry, classifiable simply means that follow-up records were submitted in the correct time frame and achieved either green or yellow submission status so that the patient entries may be used for benchmarking purposes against the U.S. registry aggregate. The data will appear in the outcomes report and on the dashboard. The Synopsis of Question 7. What does the term classifiable mean for follow-up metric 3? The follow-up entry was submitted correctly within the correct time frame. For your convenience, we have answered the earlier questions in full text to include the question and possible solutions so that these two slides may be printed and used for review with metric 2 issues. Please keep in mind that the questions presented are the most common received by the registry, but this is by no means a complete list. To review the questions in this presentation, why does this patient appear in the numerator for metric 2? Were two quarters of data submitted for follow-up? Check the DQR under Data on the left-hand navigation bar. Was a follow-up submitted? Was the follow-up submitted in the correct time frame, 21 to 75 days post-procedure? Did the entries on the maintenance page match the patients who appeared in metric 2? Did the patient have a system alert or other error to keep the entry from being reviewed by the DQR? The patient information was entered for the 30-day follow-up, where is it? Check to ensure that the data was both entered into the data collection tool and was submitted to the DQR. The physician scheduled the appointment too early, can the patient still be included in the numerator for metric 3? When the patient entry is outside the 21 to 75-day time frame for 30-day follow-up, the patient will remain in metric 2. Again, please keep in mind that the questions presented are the most common received by the registry, but this is by no means a complete list. The patient canceled the appointment and came back after the time frame had expired. What happens now? When the patient entry is outside the 21 to 75-day time frame for 30-day follow-up, the patient will remain in metric 2. What has happened when the patient does not appear in either metric 2 or metric 3? Was the patient a study or trial patient for COAP-CAS, P3-CAP, or LR-CAS? Changes have been made to the entered data, why aren't the changes displayed? If the data was just entered or changed in the same week, wait for the weekend aggregation and recheck the data on Monday. What does the term classifiable mean for follow-up metric 3? The follow-up entry was submitted correctly and was submitted within the allowable follow-up time frame. This concludes part 2 of 2 of 30-day follow-up metrics 2 and 3, where to look when things go wrong. Thank you for your participation.

30-Day Follow-Up

Metrics 2 and 3

patient entry

follow-up timeframe

dashboard