12/22 DFC* TEP Nominations Wanted

CMS seeks nominations and self-nominations for a Technical Expert Panel to recommend potential quality measures to include in the Dialysis Facility Compare Star Ratings.  Patients and professionals with a wide variety of experience and expertise are invited, including patient and healthcare perspectives, methodology, QI and performance measurement, and disparities.  Nominations are due by December 22, 2016.  For more information see https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html#422 .

DFC Changes Published

CMS has published changes to DFC, detailed at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-10-28.html .  ICH-CAHPS, Standardized BSI Ratio (SIR), and Pediatric PD Kt/V have been added to DFC, but not to the Star Ratings.  Changes have been made to the way the Star Ratings are calculated, and adjustments have been made to the way the Vascular Access, Kt/V, Standardized Readmission Ratio (SRR), and Hypercalcemia components of the Star Ratings are measured.  All of these changes are included in the DFC update made October 28, 2016.

8/19 New QDFC Preview Deadline

CMS has discovered an error in the calculation of the Standardized Readmission Ratio (SRR) that affects most facilities.  The measure has been recalculated and is available for preview in your facility’s 

  • DFC: Quarterly DFC Preview for October Report  
  • DFR: FY 2017 Dialysis Facility Report 

on https://www.DialysisData.org .  The footer of these Reports will note the August 2016 production date.

Some planned readmissions were inadvertently excluded.  In the recalculation, 11% of facilities nationwide show an absolute difference in SRR of more than 0.05.  About 100 facilities changed SRR category on DFC.  Use the Comments & Inquiries tab on https://www.DialysisData.org if you have questions on the SRR recalculation.

Because of this error, the Preview Period will be extended to August 19 at 5 PM ET to allow review of the updated Reports.  The SRR information is the only change to the Reports.  Refer to https://nwrnbulletins.wordpress.com/2016/07/15/815-dfcdfr-comments-due/ for more instructions if necessary.

8/15 DFC/DFR Comments Due

QDFC-Preview for October 2016 reports and FY2017 DFRs will be available to Networks and facilities beginning July 15, 2016 on the secure website, https://www.DialysisData.org .  Facilities can preview reports and submit questions about the data reported in their QDFC preview report and DFR, including comments for State Surveyors, until August 15, 2016.  All comments, inquiries, and questions must be submitted using the required comment forms:

  • DFC Comment for CMS
  • DFR Comment for State Surveyor
  • DFR Comment for UM-KECC

Via https://www.DialysisData.org .  Only authenticated users who have been granted permission to submit DFC and DFR comments by their dialysis data website Master Account Holder will be able to perform this action.

6/22 DFC Star Updates Webinar

On June 22, 2016 at 1pm ET, CMS will present a one-hour webinar on 2016 Dialysis Facility Compare – Star Ratings Refresh Overview.  The webinar will summarize the updated methodology for calculating DFC Star Ratings.  Subject matter experts will discuss the Pediatric PD Kt/V measure and the NHSN Standardized BSI Ratio.  CMS will also review patient experience surveys such as the ICH-CAHPS Survey.  Register at https://attendee.gotowebinar.com/register/7046115087984632835 .  For questions about registration, email CMSQualityTeam@ketchum.com .