Performance Improvement 2008. How Identify End Stage Renal Disease Facilities Needing Quality Improvement?


Researchers assessed the availability of data that End Stage Renal Disease (ESRD) Networks can use to identify quality improvement needs of end stage renal disease care facilities. Researchers limited the scope of their study to data available to Networks, because Networks are, legislatively and contractually, the primary entities responsible to oversee quality improvement. Patients with ESRD rely on dialysis treatment to compensate for kidney failure. To help monitor and improve quality of care, CMS oversees ESRD facilities through contracts with State survey and certification agencies and ESRD Networks.

Researchers analyzed information from three sources: data that measured the quality of care provided by ESRD facilities available to all Networks, documentation regarding how Networks use quality of care data to identify facilities with quality improvement needs, and structured interviews with all Networks and CMS staff responsible for the oversight of quality improvement in ESRD facilities. Researchers considered whether Networks could use the data to identify quality improvement needs for specific facilities, whether comprehensive quality data was provided, and whether the information was current.

The study concluded that each source of data has limitations. CMS began to provide a streamlined source of data that could assist Networks to identify facilities with quality improvement needs.

Report Title: Availability of Quality of Care Data in the Medicare End Stage Renal Disease Program,
Agency Sponsor:
OS-OIG, Office of Inspector General
Federal Contact:
Claire Barnard, 202-205-9523
Performer: Office of Inspector General

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"PerformanceImprovement2008.pdf" (pdf, 1.29Mb)

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