ESRD QIP State and National Average Measure Scores

$79 / year

This dataset includes facility details, measure score, and the state and national average measure scores for the six measures included in the Payment Year 2018 End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP). These measures specifically include facility addresses, facility names, states and average national and state measure scores.

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 includes six measure scores for Clinical Depression Screening and Follow-up, Standardized Transfusion Ratio, Standardized Readmission Ratios, Pain Assessment and Follow-up, National Healthcare Safety Network Healthcare Personnel Influenza Vaccination and NHSN bloodstream infection for PY 2018.

According to CMS, nearly 30% of beneficiaries with ESRD experience significant symptoms of depression, which can lead to low energy, fatigue, sleep disturbance, and anorexia. Additionally, according to Paul L. Kimmel, MD, of the Division of Renal Diseases and Hypertension at George Washington University Medical Center, depression is the most common psychological disorder in patients with ESRD.

Transfusion avoidance has been the cornerstone of anemia treatment for patients with kidney disease, direct measurement of red blood cell transfusion use to assess dialysis facility anemia management performance is reasonable. Administration of transfusions to dialysis patients reflects medical practice both within and outside the dialysis unit. Some transfusions may be deemed unavoidable and transfusion practices are subject to considerable regional variation. Reducing hospital readmission rates is a clinical and policy priority, but little is known about variation in rates of readmission after major surgery and whether these rates at a given hospital are related to other markers of the quality of surgical care.

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tools on each visit and documentation of a follow-up plan when pain is present. This measure is to be reported at each denominator eligible visit occurring during the performance period for patients seen during the performance period. There is no diagnosis associated with this measure. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

The Advisory Committee on Immunization Practices (ACIP) recommends that all healthcare personnel (HCP) and persons in training for healthcare professions should be vaccinated annually against influenza. Persons who are infected with influenza virus, including those with subclinical infection, can transmit influenza virus to persons at higher risk for complications from influenza. Vaccination of HCP has been associated with reduced work absenteeism and with fewer deaths among nursing home patients and elderly hospitalized patients. 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, Dialysis Facilities, Dialysis Facility Compare, Renal Disease Clinical Measures, Quality Measures, Linking Quality to Payment, Quality Net ESRD, Healthcare Professions, Medicare Facilities, Quality Incentive Program (QIP)

Other Titles

ESRD QIP State and National Average Measure Scores for PY 2018, Average Measure Scores for ESRD QIP, CMS Quality Improvement Program, ESRD QIP for Value Based Purchasing Program

Name Description Type Constraints
Facility_NameThe name of the Dialysis center or facility.string-
CMS_Certification_Number_CCNCenter 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.integerlevel : Nominal
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
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.stringrequired : 1
Zip_CodeThe postal Zip code in the mailing address of the hospital.integerrequired : 1 level : Nominal
NetworkIndicates the network.integerrequired : 1 level : Nominal
Measure_NameIndicates the name of the specific measure.string-
Achievement_Measure_RateIndicates the achievement rate for the specific measure scores.numberlevel : Ratio
Measure_ScoreIdentifies the score of the specific measures.integerlevel : Ratio
State_Average_Measure_ScoreIdentifies the score of State Average Measure.integerlevel : Ratio
National_Average_Measure_ScoreIdentifies the score of National Average Measure.integerlevel : Ratio
Facility_NameCMS_Certification_Number_CCNAlternate_CCNAddress1Address2CityState_AbbreviationZip_CodeNetworkMeasure_NameAchievement_Measure_RateMeasure_ScoreState_Average_Measure_ScoreNational_Average_Measure_Score
FMC TROY012521606 BOTTS AVETROYAL360818STRR0.654855
FMC - ALGONA162564215 W CALL STALGONAIA5051112STRR55
FMC - NIXA262611121 N MASSEYNIXAMO6571412STRR0.725765
FMC EDISON3126102 OLSEN AVEEDISONNJ88203STRR0.1381065
DCI UKIAH552690275 S ORCHARDUKIAHCA9548217STRR0.74765
RCG PARIS392759633 STONE AVEPARISTX7546014STRR0.431055
DCI PARIS4425641101 KELLEY DRPARISTN382428STRR1.209345
FMC GRAFTON522301245 GREENS PLAZAGRAFTONWV263545STRR45
FMC WILCOX012583229 CAMDEN BYPASSCAMDENAL367268STRR1555
FMC-VINCENNES152675300 NORTH 1STVINCENNESIN475919STRR65