Measuring Quality

Measuring Quality

The Centers for Medicare & Medicaid Services (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 End Stage Renal Disease Quality Incentive Program (ESRD QIP), please visit the Laws & Regulations page. Measures for the PY 2026 ESRD QIP are in the tables below:

Table 1: PY 2026 Clinical Care Measure Domain

Kt/V Dialysis Adequacy (Comprehensive)
Standardized Transfusion Ratio (STrR)

Vascular Access Type: Hemodialysis Vascular Access: 

  • Long-term Catheter Rate


Table 2: PY 2026 Care Coordination Measure Domain

Standardized Readmission Ratio (SRR)
Standardized Hospitalization Ratio (SHR)
Percentage of Prevalent Patients Waitlisted (PPPW)
Clinical Depression Screening and Follow-Up


Table 3: PY 2026 Safety Measure Domain

National Healthcare Safety Network (NHSN) Blood Stream Infection (BSI) in Hemodialysis Patients


Table 4: PY 2026 Patient and Family Engagement Domain

In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) Survey

Table 5: PY 2026 Reporting Measure Domain Measure(s)

NHSN Dialysis Event Reporting
Medication Reconciliation (MedRec)
COVID-19 Vaccination Coverage Among Healthcare Personnel (HCP)
Facility Commitment to Health Equity

CMS ESRD Measures Manual

The CMS ESRD Measures Manual (Manual) contains detailed specifications on the ESRD QIP measures and dialysis facility measures reflected in the Care Compare website. The Manual is designed to provide transparent and detailed descriptions of how ESRD QIP and Care Compare 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 are listed below:



Page Last Modified:
01/30/2024 10:16 AM