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Avoidance of Utilization of High Ultrafiltration Rate (>/= 13 ml/kg/hour)

CBE ID
2701
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2024
1.6 Measure Description

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.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.9 Care Setting
      1.14 Numerator

      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.

      1.15 Denominator

      Number of adult in-center hemodialysis patients in an outpatient dialysis facility undergoing chronic maintenance hemodialysis during the calculation period.

      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.

      Most Recent Endorsement Activity
      Endorsed Renal Fall Cycle 2020
      Initial Endorsement
      Last Updated
      Steward Organization
      Kidney Care Quality Alliance
      Steward POC email
      Steward Organization Copyright

      ©2020 Kidney Care Quality Alliance. All Rights Reserved.

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