On Oct. 7, 2015, CMS held a National Provider Call to review what it had learned in the last 10 months about its Dialysis Facility Compare rating system, including conclusions from a report developed by a technical expert panel that met in April to discuss ways to make it better. On Oct. 8, CMS released its yearly “refresh” of the ratings for the more than 5,000 dialysis facilities across the country.
CMS is creating a formalized review process for dialysis facility five star measures. Like those used for the ESRD QIP, these measures will be vetted by the renal community and the National Quality Forum before implementation.
“We want the measures to impact improvement for patients,” said Andress. The measures will be applied to the Dialysis Facility Compare before being considered for the star ratings. “Because a measure has been approved for the DFC doesn’t mean they will or should be included in the star rating,” he noted.
The measures CMS is considering adding to Dialysis Facility Compare are:
- Bloodstream infection in hemodialysis outpatients (NQF #1460)
- CAHPS (Consumer Assessment of Healthcare Providers) In-Center Hemodialysis Survey (NQF #0258)
- Ultrafiltration rate greater than 13 ml/kg/hr
- Pediatric peritoneal dialysis adequacy: Achievement of target Kt/V