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ESRD- HD Adequacy CPM III: Minimum Delivered Hemodialysis Dose for ESRD hemodialysis patients undergoing dialytic treatment for a period of 90 days or greater.

CBE ID
0250
1.5 Project
Renal Consensus Standards Endorsement Maintenance
Endorsement Status
Endorsement Removed
1.0 New or Maintenance
Maintenance
1.1 Measure Structure
Single Measure
Previous Endorsement Cycle
Full Year 2011
Is Under Review
No
1.6 Measure Description

Percentage of all adult (>= 18 years old) patients in the sample for analysis who have been on hemodialysis for 90 days or more and dialyzing thrice weekly, and have a residual renal function (if measured in the last three months) less than 2 ml/min/1.73m2), 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.

Measure Specs
General Information
1.7 Measure Type
Outcome
1.3 Electronic Clinical Quality Measure (eCQM)
No
1.8 Level of Analysis
Facility
1.9 Care Setting
Post-Acute Care
1.20 Types of Data Sources
Claims Data
1.14 Numerator

Number of patients in denominator 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.

1.15 Denominator

All adult (>= 18 years old) patients in the sample for analysis who have been on hemodialysis for 90 days or more and dialyzing thrice weekly and whose RRF is unmeasured or whose RRF<2 ml/min/1.73m2 (if measured in the last three months).

Exclusions

Patients on HD less than 90 days. Patients with RRF >2 ml/min/1.73m2 (measured in the last three months). Patients not in thrice weekly dialysis.

Most Recent Endorsement Activity
Measure Retired and Endorsement Removed Renal Consensus Standards Endorsement Maintenance 2011
Initial Endorsement
Last Updated
Removal Date
Steward Organization
Centers for Medicare & Medicaid Services
Steward POC email
Helen.Dollar-Maples@cms.hhs.gov
Risk Adjustment
No risk adjustment or risk stratification
Use
6.1.2 Current or Planned Use(s)
Public Reporting
Quality Improvement (Internal to the specific organization)
6.1.3 Current Use(s)
Public Reporting
Quality Improvement (Internal to the specific organization)
Public Comments