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

CBE ID
2701
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2024
1.3 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.

        • 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
          Kidney Care Quality Alliance
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