Journal
AMERICAN JOURNAL OF KIDNEY DISEASES
Volume 60, Issue 5, Pages S5-S17Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1053/j.ajkd.2012.07.002
Keywords
Quality Incentive Program (QIP); US Centers for Medicare & Medicaid Services (CMS); clinical measures; anemia; hemodialysis adequacy; vascular access type
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Funding
- Takeda Pharmaceuticals International, Inc
- Affymax Inc
- Boston University School of Medicine and Spire Learning
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The US Centers for Medicare & Medicaid Services end-stage renal disease Quality Incentive Program (QIP) is a pay-for-performance program that reduces dialysis center payments by up to 2% for suboptimal patient care. In January 2012, the performance year began for payment year 2014, bringing significant changes to the QIP by introducing 6 quality indicators (3 clinical measures and 3 reporting measures) and a new scoring methodology. To succeed under the new QIP, dialysis facilities must meet 3 clinical measures that assess anemia management, hemodialysis adequacy, and vascular access type in patients receiving dialysis treatment, as well as 3 reporting measures that involve the reporting of dialysis safety events, attestation of administering a patient satisfaction survey, and attestation of patient mineral metabolism monitoring. To help dialysis providers reach these targets, this article provides an overview of the 3 clinical measures and the QIP scoring methodology, as well as a description of patient claims that are excluded when the scores for these measures are calculated. Strategies and solutions that address provider- and patient-related factors also are discussed to help ensure that more dialysis centers meet the new QIP clinical measures for performance year 2012/payment year 2014. Am J Kidney Dis. 60(5)(S1):S5-S13. (c) 2012 by the National Kidney Foundation, Inc.
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