Measuring Quality
CMS develops rules that specify the measures, scoring methodologies, and payment-reduction ranges applicable to each Payment Year (PY). For more information on the rules and regulations for the ESRD QIP Program, please visit the Laws & Regulations page. Measures for the PY 2022 and PY 2023 ESRD QIP can be found in the table below:
Table 1: PY 2022 and PY 2023 Clinical Care Measure Domain
|
Measure(s) |
| Kt/V Dialysis Adequacy (Comprehensive) |
| Standardized Transfusion Ratio (STrR) |
|
Vascular Access Type (Two) · Fistula · Catheter |
| Hypercalcemia |
| Ultrafiltration Rate |
Table 2: PY 2022 and PY 2023 Care Coordination Measure Domain
|
Measure(s) |
| Standardized Readmission Ratio (SRR) |
| Standardized Hospitalization Ratio (SHR) |
| Percentage of Prevalent Patients Waitlisted (PPPW) |
| Clinical Depression Screening and Follow-Up |
Table 3: PY 2022 and PY 2023 Safety Measure Domain
|
Measure(s) |
| NHSN Bloodstream Infection |
| NHSN Dialysis Event Reporting |
| Medication Reconciliation for Patients Receiving Care at Dialysis Facilities (MedRec) |
Table 4: PY 2022 and PY 2023 Patient and Family Engagement Domain
|
Measure(s) |
| ICH CAHPS Survey |
CMS ESRD Measures Manual
The CMS ESRD Measures Manual (Manual) contains detailed specifications on quality measures used in the ESRD QIP and Dialysis Facility Compare (DFC). The Manual is designed to provide transparent and detailed descriptions of how ESRD QIP and DFC measures are calculated, offering the public a comprehensive understanding of how CMS evaluates the quality of care provided by dialysis facilities. Links to the Manuals and other supporting documents can be found below: