ESRD QIP-Total Performance Scores

$179 / year

This dataset lists Total Performance Scores by facility of the 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.

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

2019-02-08

Version

2019-02-08

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

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 : Nominal
NetworkIndicates the Network.integerlevel : Nominal
Total_Performance_ScoreIndicates the total performance score of all applicable measures.integerlevel : Ratio
State_Avg_Total_Performance_ScoreIndicates the state average total performance score of all applicable measures.integerlevel : Ratio
National_Avg_Total_Performance_ScoreIndicates the national average total performance score of all applicable measures.integerlevel : Ratio
Payment_Reduction_PercentageIndicates the percentage of payment reduced as a result of ESRD QIP survey.numberlevel : Ratio
YearFacility NameCMS Certification NumberAlternate CCNAddress1Address2CityState AbbreviationZip CodeNetworkTotal Performance ScoreState Avg Total Performance ScoreNational Avg Total Performance ScorePayment Reduction Percentage
2019CHILDRENS HOSPITAL DIALYSIS12306133001600 7TH AVENUE SOUTHBIRMINGHAMAL3523383068660.02
2019FMC CAPITOL CITY12500-255 S JACKSON STREETMONTGOMERYAL3610485268660.01
2019GADSDEN DIALYSIS12501-409 SOUTH FIRST STREETGADSDENAL3590184768660.01
2019TUSCALOOSA UNIVERSITY DIALYSIS12502-220 15TH STREETTUSCALOOSAAL3540186168660.0
2019PCD MONTGOMERY12505-1001 FOREST AVENUEMONTGOMERYAL3610685768660.01
2019DOTHAN DIALYSIS12506-216 GRACELAND DR.DOTHANAL3630587068660.0
2019FMC MOBILE12507-2620 OLD SHELL RDMOBILEAL3660787368660.0
2019BIRMINGHAM EAST DIALYSIS12508-1105 EAST PARK DRIVEBIRMINGHAMAL3523586068660.0
2019FMC NORTH ALABAMA12509-1311 N MEMORIAL PKWY #200HUNTSVILLEAL3580185368660.01
2019FMC SELMA12512-905 MEDICAL CENTER PARKWAYSELMAAL3670188568660.0