Standardized mortality ratio is defined to be the ratio of the number of deaths that occur for Medicare ESRD dialysis patients treated at a particular facility to the number of deaths that would be expected given the characteristics of the dialysis facility’s patients and the national norm for dialysis facilities. This measure is calculated as a ratio but can also be expressed as a rate.
When used for public reporting, the measure calculation will be restricted to facilities with greater than 3 expected deaths in the reporting year. This restriction is required to ensure patients cannot be identified due to small cell size.
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingMAT output not attachedAttachedNumerator
Number of deaths among eligible patients at the facility during the time period.
DenominatorNumber of deaths that would be expected among eligible dialysis patients at the facility during the time period, given the national average mortality rate and the patient mix at the facility.
ExclusionsN/A
All information required to stratify the measure resultsOffAll information required to stratify the measure resultsOffTesting Data Sources
- Measure StructureClinical Condition Topic AreaTarget PopulationMeasure Selection AttributesNational Quality Strategy PrioritiesPatient Safety
- Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
- Current or planned use(s)Current Use(s)
- Most Recent Endorsement ActivityEndorsed Renal Spring Cycle 2020Initial EndorsementNext Planned Maintenance ReviewFall 2025Endorsement StatusLast Updated
- Do you have a secondary measure developer point of contact?OffThe measure developer is NOT the same as measure stewardOffSteward Organization Email
- Detailed Measure SpecificationsNoLogic ModelOffImpact and GapNoFeasibility assessment methodology and resultsNoAddress health equityNoMeasure’s use or intended useNo508 ComplianceOffIf no, attest that all information will be provided in other fields in the submission.Off