1 - Lower limit of hemoglobinOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of pediatric (<18 years old) hemodialysis and peritoneal dialysis patients, with ESRD >=3 months, who have a mean hemoglobin <10 g/dL for a 3 month reporting period, irrespective of ESA use. The hemoglobin value reported at the end of each reporting month (end-of-month hemoglobin) is used for the calculation.
Type: Outcome
2 - Proportion of patients with hypercalcemiaOrganization: Centers for Medicare and Medicaid Services
Description: Proportion of patients with 3-month rolling average of total uncorrected serum calcium greater than 10.2 mg/dL
Type: Outcome
3 - Proportion of patients with hypophosphatemiaOrganization: Centers for Medicare and Medicaid Services
Description: Proportion of patients with 3-month rolling average of serum phosphorus less than 2.5 mg/dL
Type: Outcome
4 - Minimum target spKt/VOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of all pediatric (<18 years old) in-center HD patients who have been on hemodialysis for 90 days or more and dialyzing 3 or 4 times weekly whose delivered dose of hemodialysis (calculated from the last measurements of the month using the UKM or Daugirdas II formula) was a spKt/V>= 1.2 during the reporting period
Type: Outcome
5 - Standardized Hospitalization Ratio for AdmissionsOrganization: Centers for Medicare & Medicaid Services
Description: Risk-adjusted standardized hospitalization ratio for admissions for dialysis facility patients.
Type: Outcome
6 - Standardized Hospitalization Ratio for DaysOrganization: Centers for Medicare & Medicaid Services
Description: Risk-adjusted standardized hospitalization ratio for days for dialysis facility patients.
Type: Outcome
7 - Measurement of nPCROrganization: Centers for Medicare and Medicaid Services
Description: Percentage of pediatric (<18 years) in-center hemodialysis patients (irrespective of frequency of dialysis) with documented monthly nPCR measurements
Type: Process
8 - Hemoglobin process measureOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of all pediatric (<18 years old) hemodialysis patients and peritoneal dialysis patients with ESRD =3 months who have monthly measures for hemoglobin. The hemoglobin value reported for the end of each reporting month (end-of-month hemoglobin) is used for the calculation
Type: Process
9 - IV Antibiotic Therapy (rate)Organization: CMS
Description: CPM I- Six-month rolling average rate of initiating IV antibiotic prescription therapy for newly suspected infection among adult chronic HD patients
Type: Process
10 - Frequency of hemodialysis adequacy measurementOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of all pediatric (<18 years old) patients receiving in-center hemodialysis (irrespective of frequency of dialysis) with documented monthly adequacy measurements (spKt/V) or its components in the calendar month
Type: Process
11 - Method of adequacy measurementOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of pediatric (<18 years old) in-center HD patients (irrespective of frequency of dialysis) for whom delivered HD dose was measured by spKt/V as calculated using UKM or Daugirdas II during the reporting period
Type: Process
12 - Dietary Sodium Reduction AdviceOrganization: Centers for Medicare & Medicaid Services
Description: The proportion of patients who received formal advice on dietary sodium restriction by the renal dietician within the past 90 days.
Type: Process
13 - Sodium Profiling Practice for HemodialysisOrganization: Centers for Medicare & Medicaid Services
Description: The proportion of hemodialysis patients who were not prescribed sodium profiling in the reporting month.
Type: Process
14 - Restriction of Dialysate SodiumOrganization: Centers for Medicare & Medicaid Services
Description: The proportion of hemodialysis patients who were prescribed a dialysate sodium concentration less than or equal to 138 mEq/L in the reporting month.
Type: Process
15 - Utilization of Dialysis Duration of Four Hours or Longer for Patients New to DialysisOrganization: Centers for Medicare & Medicaid Services
Description: The proportion of patients new to hemodialysis (within the first 90 days since initiation of hemodialysis) whose delivered dialysis session length was at least 240 minutes.
Type: Process
16 - Periodic Assessment of Post-Dialysis Weight by NephrologistsOrganization: Centers for Medicare & Medicaid Services
Description: Proportion of patients who have documentation of receiving a new post-dialysis weight prescription from a nephrologist in the reporting month.
Type: Process
17 - Utilization of High Ultrafiltration Rate for Fluid RemovalOrganization: Centers for Medicare & Medicaid Services
Description: The proportion of patients who did not receive an ultrafiltration (UF) rate greater than or equal to 15 mg/kg/hr in the reporting month.
Type: Process
18 - Anemia process measureOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of all pediatric (<18 years old) hemodialysis and peritoneal dialysis patients prescribed an ESA at any time during the study period or who have a Hb<11.0 g/dL in at least one month of the study period for whom serum ferritin concentration and percent transferrin saturation (TSAT) are measured at least once in a three-month period
Type: Process
19 - Iron therapyOrganization: Centers for Medicare and Medicaid Services
Description: Percentage of all pediatric (<18 years old) hemodialysis and peritoneal dialysis patients with hemoglobin<11.0 g/dL and in whom simultaneous values of serum ferritin concentration was <100 ng/ml and TSAT<20% who received IV iron or were prescribed oral iron within the following three months
Type: Process
20 - Clinically Confirmed Infection (percentage)Organization: Centers for Medicare and Medicaid Services
Description: Six-month rolling average prevalence of clinically confirmed infection among HD patients prescribed IV antibiotics
Type: Process
