Measuring Quality

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 2024 ESRD QIP can be found in the table below:

Table 1: PY 2024 Clinical Care Measure Domain

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

Vascular Access Type (Two)

·         Fistula

·         Catheter

Ultrafiltration Rate


Table 2: PY 2024 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 2024 Safety Measure Domain

NHSN Bloodstream Infection
NHSN Dialysis Event Reporting
Medication Reconciliation for Patients Receiving Care at Dialysis Facilities (MedRec)


Table 4: PY 2024 Patient and Family Engagement Domain



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:



Page Last Modified:
11/13/2023 10:12 AM