My Image

Rogosin Kidney Care Alliance, LLC

End-Stage Renal Disease Seamless Care Organization

RKCA ESCO'S PERFORMANCE ON QUALITY MEASURES

Under the Comprehensive ESRD Care Model, participating organizations will be held financially accountable for delivering high quality care and improving the health outcomes of their matched beneficiaries. As such, the RKCA ESCO will be required to report on a variety of care delivery and health outcome measures across the continuum of care, not only for those related to ESRD services.
As the CEC Initiative progresses, RKCA will be providing performance data on the following CEC-defined measures:


Measure Title

NQF #

Measure Steward

CEC Data Source

Domain: Patient Safety

ESCO Standardized Mortality Ratio

0369

CMS

Claims and CMS administrative data

Documentation of Current Medications in the Medical Record

Adapted 04191

CMS

Hybrid2

Bloodstream Infection in Hemodialysis Outpatients

1460

CDC

QIP results3

Falls: Screening, Risk Assessment and Plan of Care to Prevent Future Falls

Adapted 0101

NCQA

Hybrid

Domain: Person- and Caregiver-Centered Experience and Outcomes

Kidney Disease Quality of Life (KDQOL) Survey

N/A

RAND

Survey

Advance Care Plan

Adapted 0326

NCQA

Hybrid

ICH-CAHPS: Nephrologists’ Communication and Caring

0258

AHRQ

QIP results

ICH-CAHPS: Quality of Dialysis Center Care and Operations

0258

AHRQ

QIP results

ICH-CAHPS: Providing Information to Patients

0258

AHRQ

QIP results

ICH-CAHPS: Rating of Kidney Doctors

0258

AHRQ

QIP results

ICH-CAHPS: Rating of Dialysis Center Staff

0258

AHRQ

QIP results

ICH-CAHPS: Rating of Dialysis Center

0258

AHRQ

QIP results

Domain: Communication and Care Coordination

ESCO Standardized Hospitalization Ratio for Admissions

1463

CMS

Claims and CMS administrative data

ESCO Standardized Readmission Ratio

2496

CMS

Claims and CMS administrative data

Medication Reconciliation Post Discharge

Adapted 0554

NCQA

Hybrid

Domain: Clinical Quality of Care

Diabetes Care: Eye Exam

0055

NCQA

Hybrid

Diabetes Care: Foot Exam

0056

NCQA

Hybrid

Hemodialysis Adequacy: Minimum Delivered Hemodialysis Dose

0249

CMS

QIP results

Proportion of Patients with Hypercalcemia

1454

CMS

QIP results

Peritoneal Dialysis Adequacy: Delivered Dose of Peritoneal Dialysis Above Minimum

0318

CMS

QIP results

Hemodialysis Vascular Access: Maximizing Placement of Arterial Venous Fistula

0257

CMS

QIP results

Hemodialysis Vascular Access: Minimizing Use of Catheters as Chronic Dialysis Access

0256

CMS

QIP results

Domain: Population Health

Influenza Immunization for the ESRD Population

Adapted 0226

KCQA

Hybrid

Pneumonia Vaccination Status

Adapted 0043

NCQA

Hybrid

Screening for Clinical Depression and Follow-Up Plan

Adapted 0418

CMS

Hybrid

Tobacco Use: Screening and Cessation Intervention

Adapted 0028

AMA PCPI

Hybrid

Table Notes


 

1 An Adapted measure is a measure with changes to the specifications for the NQF-endorsed version of the measure, such as expanded age ranges (e.g., 18 and older instead of 65 and older) or alternate data sources for the measure. Measures with an age stratification (e.g., 18 and older instead of all ages) are not considered adaptations from the NQF endorsed measures.

2 Hybrid measures use claims and medical record data. The ESCO is responsible for reporting on the portion of the measure that requires use of medical record data.

3The ESRD QIP generates measure results from Medicare claims, the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb), and the National Healthcare Safety Network (NHSN).

Measure Steward Legend


The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.