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Standardized Hospitalization Ratio for Dialysis Facilities (SHR)

CBE ID
1463
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2025
1.3 Measure Description

The standardized hospitalization ratio is defined to be the ratio of the number of hospital admissions that occur for Medicare ESRD dialysis patients treated at a particular facility to the number of hospitalizations 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 5 patient years at risk in the reporting year. This restriction is required to ensure patients cannot be identified due to small cell size.

        • 1.14 Numerator

          Number of inpatient hospital admissions among eligible patients at the facility during the reporting period.

        • 1.15 Denominator

          Number of hospital admissions that would be expected among eligible patients at the facility during the reporting period, given the patient mix at the facility.

        • Exclusions

          N/A

        • OLD 1.12 MAT output not attached
          Attached
        • Most Recent Endorsement Activity
          Endorsed All-Cause Admissions and Readmissions Spring Cycle 2020
          Initial Endorsement
          Last Updated
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email
              • Risk Adjustment
                Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off