ESRD QIP-Anemia Management Reporting PY 2018

$79 / year

This dataset lists anemia management data used by ESRD 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

2018-05-03

Version

2018-05-03

Update Frequency

Quarterly

Temporal Coverage

2018

Spatial Coverage

United States

Source

John Snow Labs => Centers for Medicare and Medicaid Services

Source License URL

John Snow Labs Standard License

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

Name Description Type Constraints
Facility_NameThe name of the Dialysis center or facility.stringrequired : 1
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.integerrequired : 1 level : Nominal
Alternate_CCN1Identification 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.stringrequired : 1
StateThe two-letter abbreviations of the state in the mailing address of the ambulatory center. This includes information on hospitals in different U.S states.stringrequired : 1
Zip_CodeThe postal Zip code in the mailing address of the hospital.integerrequired : 1 level : Ordinal
NetworkIndicates the Network.integerrequired : 1 level : Nominal
Measure_NameIndicates the name of the measure used to calculate the Anemia Management Reporting Score.stringrequired : 1
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
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.integerrequired : 1 level : 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.integerrequired : 1 level : Ratio
Facility_NameCMS_Certification_NumberAlternate_CCN1Address1Address2CityStateZip_CodeNetworkMeasure_NameAnemia_Management_Reporting_ScoreState_Avg_Anemia_Management_Reporting_ScoreNational_Avg_Anemia_Management_Reporting_Score
FMC TROY012520606 BOTTS AVETROYAL360818ANEMIA MANAGEMENT101010
FMC EDISON3126092 OLSEN AVEEDISONNJ88203ANEMIA MANAGEMENT101010
FMC - NIXA262610121 N MASSEYNIXAMO6571412ANEMIA MANAGEMENT101010
DCI PARIS4425621101 KELLEY DRPARISTN382428ANEMIA MANAGEMENT101010
RCG PARIS452748633 STONE AVEPARISTX7546014ANEMIA MANAGEMENT101010
DCI UKIAH552689275 S ORCHARDUKIAHCA9548217ANEMIA MANAGEMENT101010
DCI MONROE3126002 RESEARCH WAYMONROENJ88313ANEMIA MANAGEMENT101010
DCI ALBANY112509337 FIFTH AVE.ALBANYGA317016ANEMIA MANAGEMENT101010
DAVITA - GARY1525214802 BROADWAYGARYIN464089ANEMIA MANAGEMENT101010
FMC - ALGONA162563215 W CALL STALGONAIA5051112ANEMIA MANAGEMENT1010