Financial Information

  • PY3 – January 2018 through December 2018
    • Total Loss Relative to Benchmark: -$727,629.23 (-1.30%)
    • Total Shared Savings Realized by ESCO: $0.00
    • Amount of Shared Savings Invested in Infrastructure: $0.00 (savings realized were lower than the operational budget)
    • Amount of Shared Savings Distributed as Shared Savings Payments: $0.00 (savings realized were lower than the operational budget)

Quality Performance Measures

Measure Title NQF # Measure Steward CEC Data Source ESCO Performance Rate Mean Performance Rate for All ESCOs
Domain: Patient Safety    
ESCO Standardized Mortality Ratio 0369 CMS Claims 1.064 0.932
Falls: Screening, Risk Assessment, and Plan of Care to Prevent Future Falls Adapted from 0101 NCQA Hybrid 97.32%

100.00%

93.18%

96.21%

98.65%

93.69%

Domain: Person- and Caregiver-Centered Experience and Outcomes    
Advance Care Plan Adapted from 0326 NCQA Hybrid 98.78% 97.14%
ICH-CAHPS: Nephrologists’ Communication and Caring 0258 AHRQ QIP results 69.86% 67.85%
ICH-CAHPS: Quality of Dialysis Center Care and Operations 0258 AHRQ QIP results 66.85% 61.90%
ICH-CAHPS: Providing Information to Patients 0258 AHRQ QIP results 84.22% 79.23%
ICH-CAHPS: Rating of Kidney Doctors 0258 AHRQ QIP results 62.32% 59.92%
ICH-CAHPS: Rating of Dialysis Center Staff 0258 AHRQ QIP results 63.10% 66.85%
ICH-CAHPS: Rating of Dialysis Center 0258 AHRQ QIP results 69.43% 66.26%
Domain: Communication and Care Coordination    
Medication Reconciliation Post Discharge Adapted from 0554 NCQA Hybrid 91.96% 77.67%
Domain: Clinical Quality of Care    
Diabetes Care: Eye Exam 0055 NCQA Hybrid 76.92% 43.65%
Diabetes Care: Foot Exam 0056 NCQA Hybrid 92.13% 84.85%
Domain: Population Health    
Influenza Immunization for the ESRD Population Adapted from 0226 KCQA Hybrid 88.08% 85.38%
Pneumonia Vaccination Status Adapted from 0043 NCQA Hybrid 90.75% 91.85%
Screening for Clinical Depression and Follow-Up Plan Adapted from 0418 CMS Hybrid 96.58% 93.26%
Tobacco Use: Screening and Cessation Intervention Adapted from 0028 AMA PCPI Hybrid 97.57% 94.48%

*1 Adapted from…” measures are those with changes from existing specifications such as expanded age ranges (e.g., 18 and older instead of 65 and older) or alternate data sources from the NQF-endorsed 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.

*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)

  • PY2 – January 2017 through December 2017
    • Total Losses Relative to Benchmark – $1,226,057.94 (-3.89%)
    • Total Shared Losses Realized by ESCO – $613,028.97
    • Amount of Shared Savings Invested in Infrastructure – $0.00 (savings realized were lower than the operational budget)
    • Amount of Shared Savings Distributed as Shared Savings Payments –$0.00 (savings realized were lower than the operational budget)

Quality Performance Measures

Measure Title NQF # Measure Steward CEC Data Source ESCO Performance Rate Mean Performance Rate for All ESCOs
Domain: Patient Safety    
ESCO Standardized Mortality Ratio 0369 CMS Claims 1.144 0.935
Falls: Screening, Risk Assessment and Plan of Care to Prevent Future Falls Adapted from 0101 NCQA Hybrid 90.68%

100.00%

12.12%

93.33%

97.95%

21.90%

Domain: Person- and Caregiver-Centered Experience and Outcomes    
Advance Care Plan Adapted from 0326 NCQA Hybrid 94.85% 93.20%
ICH-CAHPS: Nephrologists’ Communication and Caring 0258 AHRQ QIP results 72.78% 67.74%
ICH-CAHPS: Quality of Dialysis Center Care and Operations 0258 AHRQ QIP results 61.58% 61.52%
ICH-CAHPS: Providing Information to Patients 0258 AHRQ QIP results 80.69% 79.28%
ICH-CAHPS: Rating of Kidney Doctors 0258 AHRQ QIP results 65.90% 59.03%
ICH-CAHPS: Rating of Dialysis Center Staff 0258 AHRQ QIP results 57.82% 60.61%
ICH-CAHPS: Rating of Dialysis Center 0258 AHRQ QIP results 65.59% 65.77%
Domain: Communication and Care Coordination    
Medication Reconciliation Post Discharge Adapted from 0554 NCQA Hybrid 63.49% 38.75%
Domain: Clinical Quality of Care    
Diabetes Care: Eye Exam 0055 NCQA Hybrid 2.00% 22.48%
Diabetes Care: Foot Exam 0056 NCQA Hybrid 90.78% 62.93%
Domain: Population Health    
Influenza Immunization for the ESRD Population Adapted from 0226 KCQA Hybrid 74.18% 77.74%
Pneumonia Vaccination Status Adapted from 0043 NCQA Hybrid 69.92% 72.25%
Screening for Clinical Depression and Follow-Up Plan Adapted from 0418 CMS Hybrid 90.20% 85.43%
Tobacco Use: Screening and Cessation Intervention Adapted from 0028 AMA PCPI Hybrid 94.04% 85.91%

*1 Adapted from…” measures are those with changes from existing specifications such as expanded age ranges (e.g., 18 and older instead of 65 and older) or alternate data sources from the NQF-endorsed 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.

*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)