The resources below offer support for the ESRD QIP, Dialysis Facility Compare, Star Ratings, and Dialysis Facility Reports for performance assessment and improvement.
End stage renal disease (ESRD) quality improvement activities (QIAs) are designed to assist dialysis facilities and transplant centers to achieve optimal clinical outcomes and experience of care for all dialysis and kidney transplant patients. The Network's QIAs are focused on enhancing the quality of service for Medicare beneficiaries by:
- Gathering information systematically to clarify issues or problems.
- Implementing interventions to achieve improvements.
- Measuring quality outcomes.
- Incorporating the patient voice in all activities to maximize learning
and cooperation between providers and patients through shared decision-making.
- Supporting the spread of best practices.
To support facilities with identifying barriers, examining solutions and monitoring for rapid cycle improvement, the Network has created the Rapid Cycle Improvement Training Resource (PDF) to guide facilities through the quality improvement process.
For additional information about Network 7’s QIAs for 2020 and access to QIA documents, trackers, toolkits and best practices, read more below.
- NW7 QIA Overview (PDF)
The Centers for Medicare & Medicaid Services (CMS) issued a Final Rule on October 28, 2016 that made changes to the ESRD QIP, beginning with payment years (PYs) 2019 and 2020. The Final Rule also updated payment policies and rates for the ESRD Prospective Payment System (PPS) for 2017.View Resource
CMS Announces Extension of the First Quarter 2017 National Healthcare Safety Network (NHSN) Reporting Deadline
CMS Announces Extension of the First Quarter 2017 National Healthcare Safety Network (NHSN) Reporting Deadline for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Reporting- The Centers for Medicare & Medicaid Services (CMS) would like to announce an extension of the 2017...View Resource
CMS Memo: Clarifying PY 2020 Performance Period for ESRD QIP NHSN Personnel Influenza Vaccination Reporting Measure
As a part of the Skilled Nursing Facility (SNF) PPS proposed rule released in May 2017, CMS proposes to correct the performance period for the NHSN Healthcare Personnel Influenza Vaccination Reporting Measure for Payment Year (PY) 2020.View Resource
This site helps you find and compare Medicare-certified dialysis facilities. You can see how each facility compares to others based on star ratings, services offered, and quality of care. This tool is especially helpful if you are on vacation and need to find a temporary facility.
Dialysis Facility Compare (DFC)* is a webpage on the Centers for Medicare and Medicaid Services (CMS) website. Information contained on DFC comes from: Medicare claims, CROWNWeb, NHSN, and ICH CAHPS Surveys. Facilities have the opportunity to preview quarterly DFC Reports and submit questions and comments prior to this data being published on the DFC website. DFC allows patients to review quality measures for Medicare-approved dialysis facilities including:
Bone and mineral levels
The DFC website also lets patients search for Medicare-approved dialysis facilities based on location such as city, state, or specific zip code.
Questions from facilities about their quality measures listed on Dialysis Facility Compare should be sent to the ESRD Quality Measures Helpdesk at DialysisData@umich.edu.
If data about a facility such as name, address, phone number, or services, etc., is incorrect on the DFC website, or has changed, please contact your Network to make updates.
* Note: DFC attempts to include all Medicare-certified dialysis facilities; however, it may take several months for newly-approved dialysis facilities to appear on this site. Also, there are a few dialysis facilities operating without Medicare certification, and these facilities are NOT listed on DFC.View Resource
This document provides helpful tips for dialysis facilities that use social media. It includes sample tweets, posts, and even graphics you can share.View Resource
CMS has developed social media toolkits, available in English and Spanish, to encourage healthcare professionals, dialysis centers, patients, and their caregivers to use Dialysis Facility Compare as a valuable and reliable resource for information relevant to kidney care. The messages included in...View Resource
DialysisData.org houses the Dialysis Facility Reports (DFRs) and the Dialysis Facility Compare Reports (DFCs) that include information about directly actionable practice patterns such as dose of dialysis, vascular access, and anemia management, as well as patient outcomes (such as mortality, hospitalization, and transplantation) that can be used to inform and motivate reviews of practices.
Annual Dialysis Facility Reports (DFRs) and quarterly Dialysis Facility Compare (DFC) Reports are made available to facilities, State Survey Agencies, and Regional Offices online at dialysisdata.org which replaces the old DialysisReports.org website. Only authorized users can access the reports.
Facilities can use the DFR and DFC reports to assist in their quality improvement efforts; state surveyors use the DFR data when deciding which facilities to survey. Facilities are given a chance to preview and comment upon these reports. The quality measures from the reports are posted on the Dialysis Facility Compare website which is used by dialysis patients to review and compare characteristics and quality information on dialysis facilities in the United States. Facilities are also assigned a Star Rating which is solely based on a bell-curve comparison to other facilities.
General notes about accessing DFRs and DFC Reports
- Facility Administrators are designated as Master Account Holders (MAH) for the Dialysis Data website, and are responsible for setting up other user’s accounts for this website.
- Each year all facility-user accounts (including those of the MAH) are disabled. Shortly thereafter, Facility Administrators receive updated passwords and information for enabling existing and new users, and setting permissions for all users (including themselves.)
- University of Michigan Kidney Epidemiology and Cost Center (UM KECC) oversees the Dialysis Data website and, with some help from Networks, oversees the process of providing IDs and Passwords, and accessing the DFRs.
- FAQs can be found on the Dialysis Data website regarding the login process, general information, and the Star Ratings associated with DFC measures.
- Sample reports as well as the methodology and technical documentation can be found on the dialysisdata.org website.
Questions should be directed to the UM KECC helpdesk by sending an email to DialysisData@umich.edu or calling 855.764.2885.View Resource
Newsblasts are simple and short articles that address important issues currently trending in the Dialysis Helpdesk inbox. In February 2015, the Dialysis Helpdesk began disseminating newsblasts on a monthly basis, towards the end of each month. Refer to the newsblast archive for answers to frequently asked questions, deadline reminders, and breaking news that you may have missed.View Resource
Due to security requirements, on October 10, 2016, all dialysis data website Master Account Holder (MAH) passwords were reset, and all user accounts were disabled. View resource for more information.View Resource
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) In-Center Hemodialysis Survey is designed to measure the experiences of people receiving in-center hemodialysis (ICH) care from Medicare-certified dialysis facilities. This is the official website for news, information, and training about the ICH CAHPS Survey.View Resource
The National Healthcare Safety Network (NHSN), managed by the Centers for Disease Control and Prevention (CDC), is a secure, internet-based system which tracks healthcare-associated infections (HAIs). NHSN provides data to identify problem areas and measure progress of prevention efforts, with the...View Resource
This website provides step-by step guidance for enrolling in NHSN.View Resource
These are the slides from a Centers for Disease Control and Prevention presentation that discusses improving and using data for infection monitoring using the NHSN Dialysis Event Surveillance.View Resource
This document provides an overview of monthly dialysis event surveillance.View Resource
The ESRD QIP is a pay-for-performance program developed by CMS to improve the quality of care provided to ESRD patients by providing a financial incentive for renal facilities to deliver high-quality patient care. The program’s specific quality measures, standards, weights, and formulas will...View Resource
This document provides guidance to members of the end stage renal disease (ESRD) community when posing questions and comments about the recent Centers for Medicare & Medicaid Services (CMS) release of the CMS ESRD Measures Manual.View Resource