Others titles
- Quality Net ESRD
- ICH CAHPS
- Quality Dialysis
- CMS Quality Improvement Program
Keywords
- Dialysis Facility Compare
- Renal Disease Clinical Measures
- Quality Measures
ESRD QIP-Mineral Metabolism Reporting PY 2018-2019
This dataset lists mineral metabolism 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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Description
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
Data Info
Date Created | 2013-12-19 |
---|---|
Last Modified | 2019-07-30 |
Version | 2019-07-30 |
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 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Year | Indicates the reporting year. | date | - |
Facility_Name | The name of the Dialysis center or Facility. | string | - |
CMS_Certification_Number_CCN | 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 | level : Nominal |
Alternate_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. | string | - |
Address1 | The address of the dialysis center or facility. | string | - |
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 | - |
State_Abbreviation | 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 | - |
Zip_Code | The postal Zip code in the mailing address of the hospital. | integer | level : Ordinal |
Network | Indicates the Network. | integer | level : Nominal |
Measure_Name | Indicates the name of the measure used to calculate the Mineral Metabolism Reporting Score. | string | - |
Mineral_Metabolism_Measure_Score | Identifies the score of Mineral Metabolism Measure. This measure indicates the number of months for which facility reports serum calcium and phosphorus for each Medicare patient. | integer | level : Ratio |
Mineral_Metabolism_Reason_For_No_Score | Indicates the reason for no score of Mineral Metabolism Measure. | string | - |
State_Avg_Mineral_Metabolism_Reporting_Score | Identifies the State average score of Mineral Metabolism Measure. This measure indicates the number of months for which facility reports serum calcium and phosphorus for each Medicare patient. | integer | level : Ratio |
National_Avg_Mineral_Metabolism_Reporting_Score | Identifies the National average score of Mineral Metabolism Measure. This measure indicates the number of months for which facility reports serum calcium and phosphorus for each Medicare patient. | integer | level : Ratio |
Data Preview
Year | Facility Name | CMS Certification Number CCN | Alternate CCN | Address1 | Address2 | City | State Abbreviation | Zip Code | Network | Measure Name | Mineral Metabolism Measure Score | Mineral Metabolism Reason For No Score | State Avg Mineral Metabolism Reporting Score | National Avg Mineral Metabolism Reporting Score |
2019 | CHILDRENS HOSPITAL DIALYSIS | 12306 | 13300.0 | 1600 7TH AVENUE SOUTH | BIRMINGHAM | AL | 35233 | 8 | MINERAL METABOLISM | 9 | 9 | 9 | ||
2019 | FMC CAPITOL CITY | 12500 | 255 S JACKSON STREET | MONTGOMERY | AL | 36104 | 8 | MINERAL METABOLISM | 9 | 9 | 9 | |||
2019 | GADSDEN DIALYSIS | 12501 | 409 SOUTH FIRST STREET | GADSDEN | AL | 35901 | 8 | MINERAL METABOLISM | 9 | 9 | 9 | |||
2019 | TUSCALOOSA UNIVERSITY DIALYSIS | 12502 | 220 15TH STREET | TUSCALOOSA | AL | 35401 | 8 | MINERAL METABOLISM | 10 | 9 | 9 | |||
2019 | PCD MONTGOMERY | 12505 | 1001 FOREST AVENUE | MONTGOMERY | AL | 36106 | 8 | MINERAL METABOLISM | 9 | 9 | 9 | |||
2019 | DOTHAN DIALYSIS | 12506 | 216 GRACELAND DR. | DOTHAN | AL | 36305 | 8 | MINERAL METABOLISM | 9 | 9 | 9 | |||
2019 | FMC MOBILE | 12507 | 2620 OLD SHELL RD | MOBILE | AL | 36607 | 8 | MINERAL METABOLISM | 10 | 9 | 9 | |||
2019 | BIRMINGHAM EAST DIALYSIS | 12508 | 1105 EAST PARK DRIVE | BIRMINGHAM | AL | 35235 | 8 | MINERAL METABOLISM | 9 | 9 | 9 | |||
2019 | FMC NORTH ALABAMA | 12509 | 1311 N MEMORIAL PKWY #200 | HUNTSVILLE | AL | 35801 | 8 | MINERAL METABOLISM | 10 | 9 | 9 | |||
2019 | FMC SELMA | 12512 | 905 MEDICAL CENTER PARKWAY | SELMA | AL | 36701 | 8 | MINERAL METABOLISM | 10 | 9 | 9 |