Public Reporting & Certificates
MIPPA requires that CMS and facilities inform beneficiaries about facility performance under the ESRD QIP. CMS does this in two primary ways:
- Posting information to the Dialysis Facility Compare website and elsewhere
- Requiring dialysis facilities to post a Performance Score Certificate (PSC) that outlines how well it performed under the ESRD QIP
Dialysis Facility Compare
CMS posts each facility’s Total Performance Score and scores on each individual measure through its Dialysis Facility Compare website.
Performance Score Summary Reports
CMS also posts a Performance Score Summary Report (PSSR) data file, a sizeable spreadsheet containing the performance values of each facility for the given Payment Year.
Public Use Data Files
Part of the ESRD QIP rulemaking process includes proposing and finalizing performance values that CMS calculates for each clinical measure, along with the minimum Total Performance Score, for the PY in question. In order for the stakeholder community to repeat and verify the accuracy of CMS’s calculations, CMS releases to the public a sizeable spreadsheet containing the facility-level data used to calculate those percentiles. CMS removes the facility identifiers in these reference files.
- PY 2021 Final Rule
- PY 2021 Proposed Rule
- PY 2020 Final Rule
- PY 2020 Proposed Rule
- PY 2019 Final Rule
- PY 2019 Proposed Rule
- PY 2017 Final Rule
- PY 2017 Proposed Rule
- PY 2016 Final Rule
- PY 2016 Proposed Rule
Performance Score Certificates
MIPPA also requires that CMS furnishes each dialysis facility with a PSC that documents the facility’s Total Performance Score. The law requires that facilities display their PSC in a prominent location within fifteen business days of the PSC’s release. The initial PSC reported facility scores as part of PY 2012; new PSCs will be provided annually thereafter. CMS provides the PSC in English and in Spanish. Sample PSCs can be found from the following list.
- Page last Modified: 02/14/2018 2:23 PM
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