ESRD QIP-Dialysis Adequacy PY 2018-2020

$179 / year

This dataset lists End-Stage Renal Disease Quality Incentive Program (ESRD QIP) data by facility details, performance rate, Kt/V Dialysis Adequacy Comprehensive measure score, and the state and national average measure scores for the Kt/V Dialysis Adequacy Comprehensive measure for Payment Year (PY) 2018. 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.

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 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.

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

2017-12-13

Last Modified

2020-01-22

Version

2020-01-22

Update Frequency

Quarterly

Temporal Coverage

2018-2020

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.string-
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 KtV Comprehensive Measure Score.string-
Achievement_Measure_RateIndicates the achievement measure rate in percentage.numberlevel : Ratio
KtV_Comprehensive_Measure_ScoreIndicates the score of KtV Comprehensive Measure.integerlevel : Ratio
KtV_Comprehensive_Reason_For_No_ScoreIndicates the reason for no score of KtV Comprehensive Measure.string-
State_Average_KtV_Comprehensive_Measure_ScoreIndicates the state average score of KtV Comprehensive Measure.integerlevel : Ratio
National_Average_KtV_Comprehensive_Measure_ScoreIndicates the national average score of KtV Comprehensive Measure.integerlevel : Ratio
KtV_Adult_Hemodialysis_Achievement_Measure_RateIdentifies the achievement rate in percentage of KtV Adult Hemodialysis Measure.numberlevel : Ratio
KtV_Adult_Hemodialysis_Measure_ScoreIdentifies the score of KtV Adult Hemodialysis Measure. This measure indicates the percent of hemodialysis patient-months with spKt/V greater than or equal to 1.2.integerlevel : Ratio
State_Avg_KtV_Adult_Hemodialysis_Measure_ScoreIdentifies the State Average score of KtV Adult Hemodialysis Measure. This measure indicates the percent of hemodialysis patient-months with spKt/V greater than or equal to 1.2.integerlevel : Ratio
National_Avg_KtV_Adult_Hemodialysis_Measure_ScoreIdentifies the National Average score of KtV Adult Hemodialysis Measure. This measure indicates the percent of hemodialysis patient-months with spKt/V greater than or equal to 1.2.integerlevel : Ratio
KtV_Adult_Peritoneal_Dialysis_Achievement_Measure_RateIdentifies the achievement rate in percentage of KtV Adult Peritoneal Dialysis Measure.numberlevel : Ratio
KtV_Adult_Peritoneal_Dialysis_Measure_ScoreIdentifies the score of KtV Adult Peritoneal Measure. This measure indicates the percent of peritoneal dialysis patient-months with Kt/V greater than or equal to 1.7 Kt/V (dialytic + residual) during the four-month study period.integerlevel : Ratio
State_Avg_KtV_Adult_Peritoneal_Dialysis_Measure_ScoreIdentifies the State Average score of KtV Adult Peritoneal Measure. This measure indicates the percent of peritoneal dialysis patient-months with Kt/V greater than or equal to 1.7 Kt/V (dialytic + residual) during the four-month study period.integerlevel : Ratio
National_Avg_KtV_Adult_Peritoneal_Dialysis_Measure_ScoreIdentifies the National Average score of KtV Adult Peritoneal Measure. This measure indicates the percent of peritoneal dialysis patient-months with Kt/V greater than or equal to 1.7 Kt/V (dialytic + residual) during the four month study period.integerlevel : Ratio
KtV_Pediatric_Hemodialysis_Achievement_Measure_RateIdentifies the achievement rate in percentage of KtV Adult Pediatric Hemodialysis Measure.numberlevel : Ratio
KtV_Pediatric_Hemodialysis_Measure_ScoreIdentifies the score of KtV Pediatric Hemodialysis Measure. This measure indicates the percent of pediatric in-center hemodialysis patient-months with spKt/V greater than or equal to 1.2.integerlevel : Ratio
State_Avg_KtV_Pediatric_Hemodialysis_Measure_ScoreIdentifies the State Average score of KtV Pediatric Hemodialysis Measure. This measure indicates the percent of pediatric in-center hemodialysis patient-months with spKt/V greater than or equal to 1.2.integerlevel : Ratio
National_Avg_KtV_Pediatric_Hemodialysis_Measure_ScoreIdentifies the National Average score of KtV Pediatric Hemodialysis Measure. This measure indicates the percent of pediatric in-center hemodialysis patient-months with spKt/V greater than or equal to 1.2.integerlevel : Ratio
KtV_Pediatric_Peritoneal_Dialysis_Achievement_Measure_Rateidentifies the Achievement rate of KtV Pediatric Peritoneal Dialysis Measures.numberlevel : Ratio
KtV_Pediatric_Peritoneal_Dialysis_Measure_ScoreIdentifies the Dialysis score of KtV Pediatric Peritoneal Measures.integerlevel : Ratio
State_Avg_KtV_Pediatric_Peritoneal_Dialysis_Measure_ScoreIdentifies the State Average score of KtV Pediatric Peritoneal Dialysis Measure.integerlevel : Ratio
National_Avg_KtV_Pediatric_Peritoneal_Dialysis_Measure_ScoreIdentifies the National Average score of KtV Pediatric Peritoneal Dialysis Measure.integerlevel : Ratio
KtV_Dialysis_Adequacy_Combined_Measure_ScoreIdentifies the combined score of KtV Dialysis Adequacy Measures.integerlevel : Ratio
National_Avg_KtV_Dialysis_Adequacy_Combined_Measure_ScoreIdentifies the National Average Combined score of KtV Dialysis Adequacy Measures.integerlevel : Ratio
YearFacility NameCMS Certification NumberAlternate CCNAddress1Address2CityState AbbreviationZip CodeNetworkMeasure NameAchievement Measure RateKtV Comprehensive Measure ScoreKtV Comprehensive Reason For No ScoreState Average KtV Comprehensive Measure ScoreNational Average KtV Comprehensive Measure ScoreKtV Adult Hemodialysis Achievement Measure RateKtV Adult Hemodialysis Measure ScoreState Avg KtV Adult Hemodialysis Measure ScoreNational Avg KtV Adult Hemodialysis Measure ScoreKtV Adult Peritoneal Dialysis Achievement Measure RateKtV Adult Peritoneal Dialysis Measure ScoreState Avg KtV Adult Peritoneal Dialysis Measure ScoreNational Avg KtV Adult Peritoneal Dialysis Measure ScoreKtV Pediatric Hemodialysis Achievement Measure RateKtV Pediatric Hemodialysis Measure ScoreState Avg KtV Pediatric Hemodialysis Measure ScoreNational Avg KtV Pediatric Hemodialysis Measure ScoreKtV Pediatric Peritoneal Dialysis Achievement Measure RateKtV Pediatric Peritoneal Dialysis Measure ScoreState Avg KtV Pediatric Peritoneal Dialysis Measure ScoreNational Avg KtV Pediatric Peritoneal Dialysis Measure ScoreKtV Dialysis Adequacy Combined Measure ScoreNational Avg KtV Dialysis Adequacy Combined Measure Score
2018CHILDRENS HOSPITAL DIALYSIS1230613300.01600 7TH AVENUE SOUTHBIRMINGHAMAL3523387788983.669.09897
2018FMC CAPITOL CITY12500255 S JACKSON STREETMONTGOMERYAL36104898.949.0778899897
2018GADSDEN DIALYSIS12501409 SOUTH FIRST STREETGADSDENAL35901899.6910.07788998107
2018TUSCALOOSA UNIVERSITY DIALYSIS12502220 15TH STREETTUSCALOOSAAL35401898.989.0778899897
2018PCD MONTGOMERY125051001 FOREST AVENUEMONTGOMERYAL36106899.5410.077100.010.088998107
2018DOTHAN DIALYSIS12506216 GRACELAND DR.DOTHANAL36305898.368.07797.3210.08899887
2018FMC MOBILE125072620 OLD SHELL RDMOBILEAL36607898.729.0778899897
2018BIRMINGHAM EAST DIALYSIS125081105 EAST PARK DRIVEBIRMINGHAMAL35235899.5910.07788998107
2018FMC NORTH ALABAMA125091311 N MEMORIAL PKWY #200HUNTSVILLEAL35801896.596.0778899867
2018FMC SELMA12512905 MEDICAL CENTER PARKWAYSELMAAL36701894.53.0778899837