ESRD QIP-Dialysis Adequacy PY 2018

$79 / year

This dataset lists ESRD QIP data by facility, % of hemodialysis patient-months with spKt/V >= 1.2; % of peritoneal patient-months with Kt/V >= 1.7 Kt/V (dialytic + residual) during the four-month study period; % of pediatric in-center hemodialysis patient-months with spKt/V >= 1.2. 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

2012-10-23

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
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
Facility_NameCMS_Certification_NumberAlternate_CCN1Address1Address2CityStateZip_CodeNetworkKtV_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
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