7/17+ DFR Review Period, DFC Notes

The University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) will post FY2019 Dialysis Facility Reports at https://dialysisdata.org/ for facility comments starting July 17, 2018.  The comment period ends on August 15, 2018.  Facilities must use their DialysisData.org Master Account Holder (MAH) password to create and/or enable staff accounts on DialysisData.org in order to review and comment on their DFR.  If you do not know your MAH password, contact your Network.

UM-KECC has also recently published an updated Technical Notes on the Updated Dialysis Facility Compare Star Rating Methodology.  Find it at https://dialysisdata.org/sites/default/files/content/Methodology/UpdatedDFCStarRatingMethodology.pdf.

CMS will suppress from public view some DFC and Star-Ratings data for impacted facilities in counties that were designated by FEMA as a major disaster area because of the 2017 wildfires.  For information on this see https://dialysisdata.org/sites/default/files/content/News/Natural%20Disaster%20Supression%20FAQs.pdf.

ESRD QIP and DFC Updates

CMS has completed its April refresh of the facility data in Dialysis Facility Compare (DFC).  Details about this update can be found at https://data.medicare.gov/data/dialysis-facility-compare, and the newly updated DFC database and current five-star facility ratings can be found at https://www.medicare.gov/dialysisfacilitycompare/.

CMS also recently updated its web page on Technical Specifications for ESRD QIP Measures to include the CY2018 ESRD PPS Final Rule, and links to Technical Measure Specifications through PY2021.  Find this page at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/061_TechnicalSpecifications.html.

CDC also recently updated its web page on NHSN and CMS ESRD QIP Rule and its page on the nine Core Interventions that they recommend for reducing BSI.  Find these pages at https://www.cdc.gov/nhsn/faqs/dialysis/faq-esrd-qip.html and https://www.cdc.gov/dialysis/prevention-tools/core-interventions.html.

 

DFC January Update

CMS has announced that new data on the care quality of dialysis facilities is now available on Dialysis Facility Compare (DFC), the website that allows patients and health centers to view and compare quality data about dialysis facilities.  CMS uses this data, organized into a series of measures, to create a 5-Star Rating system that can help patients make educated decisions about where to get their dialysis treatments, as well as to assist them in speaking with their healthcare team regarding their care.

The January revision has updated information for Standardized Transfusion Ratios, Standardized Mortality Ratios, Standardized Hospitalization Ratios, Standardized Readmission Ratios, vascular access types (fistula and catheter), bloodstream infections, hemoglobin management, and the CAHPS survey on in-center hemodialysis patient experience.  The July 2017 DFC data for dialysis adequacy, hypercalcemia, serum phosphorus, and the facility Star Ratings will remain until the next update.

Find DFC at https://www.medicare.gov/dialysisfacilitycompare/#.

If you’re computer-savvy, you can download supplementary DFC data from https://data.medicare.gov/data/dialysis-facility-compare.

QIP/DFC Measures Manual

CMS has published the 2o17 edition of the CMS ESRD Measures Manual, which details how the PY2017 (CY2017) QIP and October 2017 DFC Star Ratings are calculated.  The Manual includes information on the new Kt/V and NHSN QIP measures, TPS calculation, PY2020, and changes to DFC and Star Rating calculations.  Find a copy of the CMS press release, which includes links to the Manual and supporting material, at  https://s3-us-west-2.amazonaws.com/nwrn.org/files/QIP/CMS%2CQIP.061617.pdf .