Release of Fiscal Year (FY) 2018 End Stage Renal Disease (ESRD) Core Survey Data Worksheet
• ESRD Core Survey Data Worksheet: The ESRD Core Survey Data Worksheet is updated annually to reflect clinical indicators,
outcome goals, and outcome thresholds based on current national data. The Worksheet is used as a surveyor tool while conducting
an on-site dialysis facility survey.
• Worksheet Revision: The instructions for the completion of Section II of the Worksheet, Clinical Outcomes Thresholds Table,
are revised to no longer require that ESRD staff complete this portion of the Worksheet. Surveyors will complete this section
of the Worksheet according to the data contained in the most recent Dialysis Facility Report (DRF) for the ESRD facility being
surveyed, and will use these data to inform the survey process.