Please note: results will be posted here January 2017.
Shared Savings and Shared Losses information that will be made available in 2017, after the first Performance year.
- The amount of Shared Savings invested in infrastructure, redesigned care processes and other resources required to improve outcomes, and reduce Medicare costs for beneficiaries with ESRD.
- The total amount of Shared Savings distributed as Shared Savings Payments.
Quality Performance Measures
|Measure Title||NQF #||Measure Steward||CEC Data Source|
|Domain: Patient Safety|
|ESCO Standardized Mortality Ratio||0369||CMS||Claims|
|Documentation of Current Medications in the Medical Record||Adapted from 0419 *1||CMS||Hybrid *2|
|Bloodstream Infection in Hemodialysis Outpatients||1460||CDC||QIP results *3|
|Falls: Screening, Risk Assessment and Plan of Care to Prevent Future Falls||Adapted from 0101||NCQA||Hybrid|
|Domain: Person- and Caregiver-Centered Experience and Outcomes|
|Kidney Disease Quality of Life (KDQOL) Survey||N/A||RAND||Survey|
|Advance Care Plan||Adapted from 0326||NCQA||Hybrid|
|ICH-CAHPS: Nephrologists’ Communication and Caring||0258||AHRQ||QIP results|
|ICH-CAHPS: Quality of Dialysis Center Care and Operations||0258||AHRQ||QIP results|
|ICH-CAHPS: Providing Information to Patients||0258||AHRQ||QIP results|
|ICH-CAHPS: Rating of Kidney Doctors||0258||AHRQ||QIP results|
|ICH-CAHPS: Rating of Dialysis Center Staff||0258||AHRQ||QIP results|
|ICH-CAHPS: Rating of Dialysis Center||0258||AHRQ||QIP results|
|Domain: Communication and Care Coordination|
|ESCO Standardized Hospitalization Ratio for Admissions||1463||CMS||Claims|
|ESCO Standardized Readmission Ratio||2496||CMS||Claims|
|Medication Reconciliation Post Discharge||Adapted from 0554||NCQA||Hybrid|
|Domain: Clinical Quality of Care|
|Diabetes Care: Eye Exam||0055||NCQA||Hybrid|
|Diabetes Care: Foot Exam||0056||NCQA||Hybrid|
|Hemodialysis Adequacy: Minimum Delivered Hemodialysis Dose||0249||CMS||QIP results|
|Proportion of Patients with Hypercalcemia||1454||CMS||QIP results|
|Peritoneal Dialysis Adequacy: Delivered Dose of Peritoneal Dialysis Above Minimum||0318||CMS||QIP results|
|Hemodialysis Vascular Access: Maximizing Placement of Arterial Venous Fistula||0257||CMS||QIP results|
|Hemodialysis Vascular Access: Minimizing Use of Catheters as Chronic Dialysis Access||0256||CMS||QIP results|
|Domain: Population Health|
|Influenza Immunization for the ESRD Population||Adapted from 0226||KCQA||Hybrid|
|Pneumonia Vaccination Status||Adapted from 0043||NCQA||Hybrid|
|Screening for Clinical Depression and Follow-Up Plan||Adapted from 0418||CMS||Hybrid|
|Tobacco Use: Screening and Cessation Intervention||Adapted from 0028||AMA PCPI||Hybrid|
*1 Adapted from…”measures are those with changes from existing specifications such as expanded age ranges (e.g., 18 and older instead of 65 and older) or alternate data sources from the NQF-endorsed measure. Measures with an age stratification (e.g., 18 and older instead of all ages) are not considered adaptations from the NQF endorsed measures.
*2 Hybrid measures use claims and medical record data.
*3The ESRD QIP generates measure results from Medicare claims, the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb), and the National Healthcare Safety Network (NHSN)