ESRD QIP-Vascular Access

$179 / year

This dataset lists hemodialysis patients using an arteriovenous fistula and an intravenous catheter 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.

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

2017-12-13

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_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.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
VAT_Catheter_Achievement_Measure_RateIdentifies the Vascular Access Type (VAT) achievement rate in percentage of Catheter Measure.numberlevel : Ratio
VAT_Catheter_Measure_ScoreIdentifies the score of Vascular Access Type (VAT) Catheter Measure. This measure indicates percentage of patient-months for patients on hemodialysis during the last hemodialysis treatment of month with a catheter continuously for 90 days or longer prior to the last hemodialysis session.integerlevel : Ratio
VAT_Catheter_Reason_For_No_ScoreIndicates the reason for no score of Vascular Access Type (VAT) Catheter Measure.string-
State_Avg_VAT_Catheter_Measure_ScoreIdentifies the State Average score of Vascular Access Type (VAT) Catheter Measure. This measure indicates percentage of patient-months for patients on hemodialysis during the last hemodialysis treatment of month with a catheter continuously for 90 days or longer prior to the last hemodialysis session.integerlevel : Ratio
National_Avg_VAT_Catheter_Measure_ScoreIdentifies the National Average score of Vascular Access Type (VAT) Catheter Measure. This measure indicates percentage of patient-months for patients on hemodialysis during the last hemodialysis treatment of month with a catheter continuously for 90 days or longer prior to the last hemodialysis session.integerlevel : Ratio
VAT_Fistula_Achievement_Measure_RateIdentifies the Vascular Access Type (VAT) achievement rate in percentage of Fistula Measure.numberlevel : Ratio
VAT_Fistula_Measure_ScoreIdentifies the Vascular Access Type (VAT) score of Fistula Measure. This measure indicates the percentage of patient-months on hemodialysis during the last hemodialysis treatment of the month using an autogenous AV fistula with two needles.integerlevel : Ratio
VAT_Fistula_Reason_For_No_ScoreIndicates the reason for no score of Fistula Measure.string-
State_Avg_VAT_Fistula_Measure_ScoreIdentifies the Vascular Access Type (VAT) State Average score of Fistula Measure. This measure indicates the percentage of patient-months on hemodialysis during the last hemodialysis treatment of the month using an autogenous AV fistula with two needles.integerlevel : Ratio
National_Avg_VAT_Fistula_Measure_ScoreIdentifies the Vascular Access Type (VAT) National Average score of Fistula Measure. This measure indicates the percentage of patient-months on hemodialysis during the last hemodialysis treatment of the month using an autogenous AV fistula with two needles.integerlevel : Ratio
Vascular_Access_Combined_Measure_ScoreIdentifies the combined score of Vascular Access Measures.integerlevel : Ratio
Vascular_Access_Combined_Reason_For_No_ScoreIndicates the reason for no score of combined Vascular Access Measures.string-
State_Average_Vascular_Access_Combined_Measure_ScoreIdentifies the State Average Combined score of Vascular Access Type (VAT) Catheter Measure. This measure indicates percentage of patient-months for patients on hemodialysis during the last hemodialysis treatment of month with a catheter continuously for 90 days or longer prior to the last hemodialysis session.integerlevel : Ratio
National_Avg_Vascular_Access_Combined_Measure_ScoreIdentifies the National Average Combined score of Vascular Access Measures. This measure indicates percentage of patient-months for patients on hemodialysis during the last hemodialysis treatment of month with a catheter continuously for 90 days or longer prior to the last hemodialysis session.integerlevel : Ratio
YearFacility_NameCMS_Certification_Number_CCNAlternate_CCNAddress1Address2CityState_AbbreviationZip_CodeNetworkVAT_Catheter_Achievement_Measure_RateVAT_Catheter_Measure_ScoreVAT_Catheter_Reason_For_No_ScoreState_Avg_VAT_Catheter_Measure_ScoreNational_Avg_VAT_Catheter_Measure_ScoreVAT_Fistula_Achievement_Measure_RateVAT_Fistula_Measure_ScoreVAT_Fistula_Reason_For_No_ScoreState_Avg_VAT_Fistula_Measure_ScoreNational_Avg_VAT_Fistula_Measure_ScoreVascular_Access_Combined_Measure_ScoreVascular_Access_Combined_Reason_For_No_ScoreState_Average_Vascular_Access_Combined_Measure_ScoreNational_Avg_Vascular_Access_Combined_Measure_Score
2018FMC - ALGONA163513215 W CALL STALGONAIA505111245655
2018FMC GRAFTON522327245 GREENS PLAZAGRAFTONWV26354535455
2018FMC-VINCENNES162309300 NORTH 1STVINCENNESIN47591945455
2018FMC TROY012529606 BOTTS AVETROYAL3608186.3177539.053545
2018FMC - ARNOLD2725002194 MICHIGAN AVEARNOLDMO630101265555
2018FMC SANDY DIALYSIS39232737139 HWY 26SANDYOR970551665655
2018FMC MARION422557109 MERRITT CTMARIONSC29571618.86550355
2019FMC - ALGONA162563215 W CALL STALGONAIA5051112155165165
2018FMC - SUMMIT1428107320 ARCHER AVENUESUMMITIL605011055555
2018DAVITA - MUNCIE152674820 E MCGALLIARDMUNCIEIN47303945455