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
Measure(s) |
Kt/V Dialysis Adequacy (Comprehensive) |
Standardized Transfusion Ratio (STrR) |
Vascular Access Type (Two) · Fistula · Catheter |
Hypercalcemia |
Ultrafiltration Rate |
Table 2: PY 2024 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 2024 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 2024 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:
Downloads
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ESRD Measures Manual v9.0 (PDF) -
ESRD Measures Manual v8.2 (PDF) -
ESRD Measures Manual v8.1 (PDF) -
ESRD Measures Manual v8.0 (PDF) -
ESRD Measures Manual v7.1 (PDF) -
ESRD Measures Manual v7.0 (PDF) -
ESRD Measures Manual v6.1 (PDF) -
ESRD Measures Manual v6.0 (PDF) -
ESRD Measures Manual v5.2 (PDF) -
ESRD Measures Manual v5.1 (PDF) -
ESRD Measures Manual v5.0 (PDF) -
ESRD Measures Manual v4.0 (PDF) -
ESRD Measures Manual v3.1 (PDF) -
ESRD Measures Manual v2.0 (PDF) -
ESRD Measures Manual v 1.0 (PDF) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes - Manual v7.1 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes - Manual v6.1 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes - Manual v5.2 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes – Manual v4.0 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes—Manual v3.0 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes—Manual v2.5 (ZIP) -
ESRD QIP Summary Payment Years 2022-2025 (PDF) -
ESRD QIP Summary Payment Years 2021-2024 Updated (PDF) -
ESRD QIP Summary: Payment Years 2019 - 2024 (PDF) -
ESRD QIP Summary: Payment Years 2016 – 2020 (PDF) -
ESRD QIP Summary: Payment Years 2014 - 2018 (PDF) -
ESRD QIP Summary: Payment Years 2012 - 2016 (PDF) -
ESRD Manual v 1.0 Webinar Slides (PDF) -
ESRD Manual v 1.0 Webinar Transcript (PDF) -
Fact Sheet: QIP PY 2015 Measures List (PDF) -
Fact Sheet: QIP Fact Sheet for PY 2013-14 (Includes Measures) (PDF) -
Fact Sheet: ESRD PPS for CY 2011 (Includes QIP PY 2012 Measures) (PDF)