The National Forum of ESRD Networks has published introductory guides to the Dialysis Facility Compare (DFC) internet application that compares facilities on their general characteristics (such as whether they offer home dialysis or stay open after 5 pm), their quality of care (such as how they compare to other facilities on infection control), and the experience of their patients (such as whether patients found their doctors to be caring and to communicate well).
The guides describe what, why, and how a patient might use DFC. Find them at:
In a call with the Networks, CMS has indicated that the ESRD QIP Preview Period for PY2021 will run from July 29, 2020 to 11:59 pm PDT August 31, 2020 (which is 10:59 pm AKDT August 31, 2020, and 12:59 am MDT September 1, 2020), superseding a previously indicated date range of July 15-August 17. CMS has also indicated that the previous limit of one Formal Inquiry per CCN has been relaxed – there is no longer any limit on the number of Formal Inquiries a facility can submit. The advice to submit them early enough to allow CMS to respond, and you to reply, before August 31 is presumably still in effect.
CMS has presented for publication in the Federal Register a new proposed rule on changes to the ESRD PPS/QIP. Public Comment must be received by September 4, 2020. “In addition to the annual technical updates for the ESRD PPS, the proposed rule proposes the following:
“An addition to the ESRD PPS base rate to include calcimimetics in the ESRD PPS bundled payment;
“Changes to the eligibility criteria and determination process for the transitional add-on payment adjustment for new and innovative equipment and supplies (TPNIES);
“The expansion of the TPNIES to include new and innovative capital-related assets that are home dialysis machines;
“A change to the low-volume adjustment eligibility criteria and attestation requirement to account for the COVID-19 PHE;
“An update to the ESRD PPS wage index to adopt the new OMB delineations with a transition period. …
“The following updates to the ESRD QIP:
“Scoring methodology changes to the UFR reporting measure;
“Updates to the NHSN validation study.”
“This proposed rule also provides information received from two manufacturers whose products, a dialyzer and a cartridge for a home dialysis machine, are being considered for TPNIES in CY 2021.”
After you register, you will receive an e-mail containing a unique webinar link and audio details. Do not share the link, as it will be unique to you. If more than one staff member at your facility would like to attend, and you can maintain safe social distancing, you may join as a team. The webinar will cover:
How to access and review your facility’s PSR and PLR.
How CMS calculated your QIP performance scores.
What your TPS means to your facility’s 2021 reimbursement.
CMS has released a FAQ Sheet on Extraordinary Circumstances Exceptions Policy as a resource to answer questions related to the COVID-19 Exceptions and Extensions that were outlined in the March 27, 2020 COVID-19 Quality Reporting Programs Guidance Memo. Find a summary of the Guidance and a link to the FAQ sheet at https://www.qualitynet.org/esrd/esrdqip/participation#tab4.