ESRD QIP-Anemia Management Reporting PY 2018-2019

$179 / year

This dataset lists anemia management data used by End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) to assess dialysis facility performance. The ESRD QIP rewards outpatient dialysis or ESRD facilities treating patients with ESRD with incentive payments for the quality of care they give to people with Medicare. The program also reduces payments to ESRD facilities that don’t meet or exceed certain performance standards.

Complexity

The Centers for Medicare & Medicaid Services (CMS) administers the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) to promote high-quality services in outpatient dialysis facilities treating patients with ESRD. As the first of its kind in Medicare, this program changes the way CMS pays for the treatment of patients with ESRD by linking a portion of payment directly to facilities’ performance on quality of care measures. These types of programs are known as “pay-for-performance” or “value-based purchasing” (VBP) programs.
The ESRD QIP will reduce payments to ESRD facilities that do not meet or exceed certain performance standards. The maximum payment reduction CMS can apply to any facility is two percent. This reduction will apply to all payments for services performed by the facility receiving the reduction during the applicable payment year (PY).
Payment reductions result when a facility’s overall score on applicable measures does not meet established standards. CMS publicly reports facility ESRD QIP scores; these scores are available online on Dialysis Facility Compare. In addition, each facility is required to display a Performance Score Certificate that lists its Total Performance Score, as well as its performance on each of the quality measures identified for that year.
The foundation, principles, and mechanisms guiding the ESRD QIP will remain the same over time, but the program’s specific quality measures, standards, weights, and formulas will change from year to year.

Date Created

2014-12-12

Last Modified

2019-02-08

Version

2019-02-08

Update Frequency

Annual

Temporal Coverage

2018-2019

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Dialysis Facility Compare, Renal Disease Clinical Measures, Quality Measures

Other Titles

Quality Net ESRD, ICH CAHPS, Quality Dialysis, CMS Quality Improvement Program

NameDescriptionTypeConstraints
YearIndicates the reporting year.date-
Facility_NameThe name of the Dialysis center or facility.string-
CMS_Certification_NumberCenter for Medicare & Medicaid Services (CMS) certification number (CCN). Identification number of the facility within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility.integerlevel : Nominal
Alternate_CCNIdentification number of the facility within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility.string-
Address1The address of the dialysis center or facility.stringrequired : 1
Address2The second address of the dialysis center or facility.string-
CityThe city name in the location address of the facility being identified.string-
State_AbbreviationThe two-letter abbreviations of the state in the mailing address of the ambulatory center. This includes information on hospitals in different U.S states.string-
Zip_CodeThe postal Zip code in the mailing address of the hospital.integerlevel : Ordinal
NetworkIndicates the Network.integerlevel : Nominal
Measure_NameIndicates the name of the measure used to calculate the Anemia Management Reporting Score.string-
Anemia_Management_Reporting_ScoreIdentifies the score of Anemia Management Measure. This measure indicates the number of months for which facility reports ESA dosage (as applicable) and hemoglobin/hematocrit for each Medicare patient.integerlevel : Ratio
Anemia_Management_Reason_For_No_ScoreIdentifies the reason for no score of Anemia Management Measure.string-
State_Avg_Anemia_Management_Reporting_ScoreIdentifies the State Average score of Anemia Management Measure. This measure indicates the number of months for which facility reports ESA dosage (as applicable) and hemoglobin/hematocrit for each Medicare patient.integerlevel : Ratio
National_Avg_Anemia_Management_Reporting_ScoreIdentifies the National Average score of Anemia Management Measure. This measure indicates the Number of months for which facility reports ESA dosage (as applicable) and hemoglobin/hematocrit for each Medicare patient.integerlevel : Ratio
YearFacility NameCMS Certification NumberAlternate CCNAddress1Address2CityState AbbreviationZip CodeNetworkMeasure NameAnemia Management Reporting ScoreAnemia Management Reason For No ScoreState Avg Anemia Management Reporting ScoreNational Avg Anemia Management Reporting Score
2019CHILDRENS HOSPITAL DIALYSIS1230613300.01600 7TH AVENUE SOUTHBIRMINGHAMAL352338ANEMIA MANAGEMENT101010
2019FMC CAPITOL CITY12500255 S JACKSON STREETMONTGOMERYAL361048ANEMIA MANAGEMENT101010
2019GADSDEN DIALYSIS12501409 SOUTH FIRST STREETGADSDENAL359018ANEMIA MANAGEMENT101010
2019TUSCALOOSA UNIVERSITY DIALYSIS12502220 15TH STREETTUSCALOOSAAL354018ANEMIA MANAGEMENT101010
2019PCD MONTGOMERY125051001 FOREST AVENUEMONTGOMERYAL361068ANEMIA MANAGEMENT101010
2019DOTHAN DIALYSIS12506216 GRACELAND DR.DOTHANAL363058ANEMIA MANAGEMENT101010
2019FMC MOBILE125072620 OLD SHELL RDMOBILEAL366078ANEMIA MANAGEMENT101010
2019BIRMINGHAM EAST DIALYSIS125081105 EAST PARK DRIVEBIRMINGHAMAL352358ANEMIA MANAGEMENT101010
2019FMC NORTH ALABAMA125091311 N MEMORIAL PKWY #200HUNTSVILLEAL358018ANEMIA MANAGEMENT101010
2019FMC SELMA12512905 MEDICAL CENTER PARKWAYSELMAAL367018ANEMIA MANAGEMENT101010