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ESRD QIP, Dialysis Facility Compare, Star Ratings, and Dialysis Facility Reports

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The resources below offer support for the ESRD QIP, Dialysis Facility Compare, Star Ratings, and Dialysis Facility Reports for performance assessment and improvement.


End stage renal disease (ESRD) quality improvement activities (QIAs) are designed to assist dialysis facilities and transplant centers to achieve optimal clinical outcomes and experience of care for all dialysis and kidney transplant patients. The Network's QIAs are focused on enhancing the quality of service for Medicare beneficiaries by:

  • Gathering information systematically to clarify issues or problems.
  • Implementing interventions to achieve improvements.
  • Measuring quality outcomes.
  • Incorporating the patient voice in all activities to maximize learning
    and cooperation between providers and patients through shared decision-making.
  • Supporting the spread of best practices.

To support facilities with identifying barriers, examining solutions and monitoring for rapid cycle improvement, the Network has created the Rapid Cycle Improvement Training Resource (PDF) to guide facilities through the quality improvement process.

For additional information about Network 7’s QIAs for 2020 and access to QIA documents, trackers, toolkits and best practices, read more below.

Changes to the ESRD Quality Incentive Program (QIP) and 2017 ESRD Payment Bundle

The Centers for Medicare & Medicaid Services (CMS) issued a Final Rule on October 28, 2016 that made changes to the ESRD QIP, beginning with payment years (PYs) 2019 and 2020. The Final Rule also updated payment policies and rates for the ESRD Prospective Payment System (PPS) for 2017.

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CMS Announces Extension of the First Quarter 2017 National Healthcare Safety Network (NHSN) Reporting Deadline

CMS Announces Extension of the First Quarter 2017 National Healthcare Safety Network (NHSN) Reporting Deadline for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Reporting- The Centers for Medicare & Medicaid Services (CMS) would like to announce an extension of the 2017...

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CMS Memo: Clarifying PY 2020 Performance Period for ESRD QIP NHSN Personnel Influenza Vaccination Reporting Measure

As a part of the Skilled Nursing Facility (SNF) PPS proposed rule released in May 2017, CMS proposes to correct the performance period for the NHSN Healthcare Personnel Influenza Vaccination Reporting Measure for Payment Year (PY) 2020.

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Dialysis Data FAQs

This website lists questions and answers about ESRD data reports.

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Dialysis Facility Compare

This site helps you find and compare Medicare-certified dialysis facilities. You can see how each facility compares to others based on star ratings, services offered, and quality of care.  This tool is especially helpful if you are on vacation and need to find a temporary facility.

Dialysis Facility Compare (DFC)* is a webpage on the Centers for Medicare and Medicaid Services (CMS) website. Information contained on DFC comes from:  Medicare claims, CROWNWeb, NHSN, and ICH CAHPS Surveys. Facilities have the opportunity to preview quarterly DFC Reports and submit questions and comments prior to this data being published on the DFC website. DFC allows patients to review quality measures for Medicare-approved dialysis facilities including:

Anemia management
Dialysis adequacy
Bloodstream Infections
Vascular Access
Bone and mineral levels
Hospitalization rates
Death rates
The DFC website also lets patients search for Medicare-approved dialysis facilities based on location such as city, state, or specific zip code.

Questions from facilities about their quality measures listed on Dialysis Facility Compare should be sent to the ESRD Quality Measures Helpdesk at

If data about a facility such as name, address, phone number, or services, etc., is incorrect on the DFC website, or has changed, please contact your Network to make updates.

 * Note: DFC attempts to include all Medicare-certified dialysis facilities; however, it may take several months for newly-approved dialysis facilities to appear on this site. Also, there are a few dialysis facilities operating without Medicare certification, and these facilities are NOT listed on DFC.

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Dialysis Facility Compare Social Media Toolkit for Dialysis Centers

This document provides helpful tips for dialysis facilities that use social media. It includes sample tweets, posts, and even graphics you can share.

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Dialysis Facility Compare Social Media Toolkit for Physicians

CMS has developed social media toolkits, available in English and Spanish, to encourage healthcare professionals, dialysis centers, patients, and their caregivers to use Dialysis Facility Compare as a valuable and reliable resource for information relevant to kidney care. The messages included in...

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Dialysis Facility Reports Website houses the Dialysis Facility Reports (DFRs) and the Dialysis Facility Compare Reports (DFCs) that include information about directly actionable practice patterns such as dose of dialysis, vascular access, and anemia management, as well as patient outcomes (such as mortality, hospitalization, and transplantation) that can be used to inform and motivate reviews of practices.

Annual Dialysis Facility Reports (DFRs) and quarterly Dialysis Facility Compare (DFC) Reports are made available to facilities, State Survey Agencies, and Regional Offices online at which replaces the old website. Only authorized users can access the reports.

Facilities can use the DFR and DFC reports to assist in their quality improvement efforts; state surveyors use the DFR data when deciding which facilities to survey. Facilities are given a chance to preview and comment upon these reports. The quality measures from the reports are posted on the Dialysis Facility Compare website which is used by dialysis patients to review and compare characteristics and quality information on dialysis facilities in the United States. Facilities are also assigned a Star Rating which is solely based on a bell-curve comparison to other facilities.  

General notes about accessing DFRs and DFC Reports

  • Facility Administrators are designated as Master Account Holders (MAH) for the Dialysis Data website, and are responsible for setting up other user’s accounts for this website.
  • Each year all facility-user accounts (including those of the MAH) are disabled. Shortly thereafter, Facility Administrators receive updated passwords and information for enabling existing and new users, and setting permissions for all users (including themselves.) 
  • University of Michigan Kidney Epidemiology and Cost Center (UM KECC) oversees the Dialysis Data website and, with some help from Networks, oversees the process of providing IDs and Passwords, and accessing the DFRs.
  • FAQs can be found on the Dialysis Data website regarding the login process, general information, and the Star Ratings associated with DFC measures.
  • Sample reports as well as the methodology and technical documentation can be found on the website.

Questions should be directed to the UM KECC helpdesk by sending an email to or calling 855.764.2885.

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Dialysis NHSN Helpdesk: Newsblast Archive

Newsblasts are simple and short articles that address important issues currently trending in the Dialysis Helpdesk inbox. In February 2015, the Dialysis Helpdesk began disseminating newsblasts on a monthly basis, towards the end of each month. Refer to the newsblast archive for answers to frequently asked questions, deadline reminders, and breaking news that you may have missed. 

View Resource Master Account Holder (MAH) Password Reset Information

Due to security requirements, on October 10, 2016, all dialysis data website Master Account Holder (MAH) passwords were reset, and all user accounts were disabled. View resource for more information.

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ESRD QIP Frequently Asked Questions (FAQs)

This is an informal document prepared by CMS to address frequently asked questions about the ESRD QIP program.

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ESRD QIP Summary Payment Years 2019–2024

The Centers for Medicare & Medicaid Services (CMS) administers the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) to promote high-quality care by outpatient dialysis facilities treating patients with ESRD.

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ESRD Quality Incentive Program

The Centers for Medicare & Medicaid Services (CMS) administers the ESRD QIP to promote high-quality services in outpatient dialysis facilities treating patients with ESRD. This page includes FAQs, milestones, and program details.

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The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) In-Center Hemodialysis Survey is designed to measure the experiences of people receiving in-center hemodialysis (ICH) care from Medicare-certified dialysis facilities. This is the official website for news, information, and training about the ICH CAHPS Survey.

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National Healthcare Safety Network

The National Healthcare Safety Network (NHSN), managed by the Centers for Disease Control and Prevention (CDC), is a secure, internet-based system which tracks healthcare-associated infections (HAIs). NHSN provides data to identify problem areas and measure progress of prevention efforts, with the...

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NHSN 5-Step Enrollment for Outpatient Dialysis Facilities

This website provides step-by step guidance for enrolling in NHSN.

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NHSN Continuing Education Training

Continuing Education (CE) credits are now available for the 2016 NHSN Training webstream videos!

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NHSN Dialysis Event Surveillance: Improving and Using Data for Infection Monitoring: Presentation

These are the slides from a Centers for Disease Control and Prevention presentation that discusses improving and using data for infection monitoring using the NHSN Dialysis Event Surveillance.

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NHSN Enrollment Slides from the CDC

This PowerPoint presentation provides information about NHSN Enrollment.

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NHSN Facility Enrollment Checklist

This is the NHSN enrollment checklist for dialysis facilities.

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NHSN Quick Reference for Monthly Dialysis Event Surveillance

This document provides an overview of monthly dialysis event surveillance.

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Quality Incentive Program (QIP)

The ESRD QIP is a pay-for-performance program developed by CMS to improve the quality of care provided to ESRD patients by providing a financial incentive for renal facilities to deliver high-quality patient care. The program’s specific quality measures, standards, weights, and formulas will...

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QualityNet Resources

Centers for Medicare & Medicaid Services (CMS) QualityNet resources provides helpful materials to dialysis facilities participating in the ESRD Quality Incentive Program.

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Reminders for NHSN Dialysis Component Users

Upcoming CMS ESRD QIP deadlines for 2015 Dialysis Event data.

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The ESRD QIP: What every facility should know

This webinar provides a comprehensive overview of the ESRD Quality Incentive Program and practical guidance on interpreting and sharing the QIP Performance Score Certificate.

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User Guide for the CMS ESRD Measures Manual JIRA Feedback System

This document provides guidance to members of the end stage renal disease (ESRD) community when posing questions and comments about the recent Centers for Medicare & Medicaid Services (CMS) release of the CMS ESRD Measures Manual.

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