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Measuring Quality

CMS makes rules that specify the measures, scoring methodologies, and payment-reduction ranges applicable to each Payment Year (PY).  Measures for the PY 2020 ESRD QIP can be found in the table below:

Table 1: PY 2020 Clinical Domain Measures

Subdomain

Measure(s)

Patient and Family Engagement/ Care Coordination Subdomain

ICH CAHPS Survey

Standardized Readmission Ratio (SRR)

Clinical Care Subdomain

Kt/V Dialysis Adequacy (Comprehensive)

Standardized Transfusion Ratio (STrR)

Standardized Hospitalization Ratio (SHR)

Vascular Access Type (Two)

·         Fistula

·         Catheter

Hypercalcemia

Table 2: PY 2020 Reporting Domain Measures

Subdomain

Measure

N/A

Serum Phosphorus

N/A

Anemia Management

N/A

Pain Assessment and Follow-Up

N/A

Clinical Depression Screening and Follow-Up

N/A

NHSN Healthcare Personnel Immunization

N/A

Ultrafiltration Rate (UFR)

Table 3: PY 2020 Safety Domain Measures

Subdomain

Measure(s)

N/A

NHSN Bloodstream Infection

N/A

NHSN Dialysis Event Reporting

CMS ESRD Measures Manual

The CMS ESRD Measures Manual (Manual) contains detailed specifications on quality measures used in 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:

 

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