Percentage of adult in-center hemodialysis patients in the facility whose average ultrafiltration rate (UFR) is >=13 ml/kg/hour AND who receive an average of <240 minutes per treatment during the calculation period.
Number of patients* from the denominator whose average UFR is >=13 mg/kg/hr (NOT just >13) hour AND who receive an average of <240 minutes per treatment during the calculation period.**
*To address the fact that patients may contribute varying amounts of time to the annual denominator population, results will be reported using a “patient-month” construction.
** The calculation period is defined as the same week that the monthly Kt/V is drawn.
Denominator
1.15 Denominator
Number of adult in-center hemodialysis patients in an outpatient dialysis facility undergoing chronic maintenance hemodialysis during the calculation period.
Exclusions
Exclusions
The following patients are excluded from the denominator population:
1. Patients <18 years of age (implicit in denominator definition).
2. Home dialysis patients (implicit in denominator definition).
3. Patients in a facility <30 days.
4. Patients with >4 hemodialysis treatments during the calculation period.
5. Patients with <7 hemodialysis treatments in the facility during the reporting month.
6. Patients without a completed CMS Medical Evidence Form (Form CMS-2728) in the reporting month.
7. Kidney transplant recipients with a functioning graft.
8. Facilities treating <=25 adult in-center hemodialysis patients during the reporting month.
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