- Quality Net ESRD
- ICH CAHPS
- Quality Dialysis
- CMS Quality Improvement Program
- Dialysis Facility Compare
- Renal Disease Clinical Measures
- Quality Measures
ESRD QIP-Anemia Management Reporting PY 2018
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.
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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.
About this Dataset
John Snow Labs; Centers for Medicare and Medicaid Services;
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Dialysis Facility Compare, Renal Disease Clinical Measures, Quality Measures
Quality Net ESRD, ICH CAHPS, Quality Dialysis, CMS Quality Improvement Program
|Facility_Name||The name of the Dialysis center or facility.||string||required : 1|
|CMS_Certification_Number||Center 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.||integer||required : 1level : Nominal|
|Alternate_CCN1||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.||string||-|
|Address1||The address of the dialysis center or facility.||string||required : 1|
|Address2||The second address of the dialysis center or facility.||string||-|
|City||The city name in the location address of the facility being identified.||string||required : 1|
|State||The 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||required : 1|
|Zip_Code||The postal Zip code in the mailing address of the hospital.||integer||required : 1level : Ordinal|
|Network||Indicates the Network.||integer||required : 1level : Nominal|
|Measure_Name||Indicates the name of the measure used to calculate the Anemia Management Reporting Score.||string||required : 1|
|Anemia_Management_Reporting_Score||Identifies 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.||integer||level : Ratio|
|State_Avg_Anemia_Management_Reporting_Score||Identifies 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.||integer||required : 1level : Ratio|
|National_Avg_Anemia_Management_Reporting_Score||Identifies 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.||integer||required : 1level : Ratio|