Adjusted percentage of adult hemodialysis patient-months using an autogenous arteriovenous fistula (AVF) as the sole means of vascular access.
Measure Specs
General Information
Numerator
The numerator is the adjusted count of adult patient-months using an AVF as the sole means of vascular access as of the last hemodialysis treatment session of the month.
Denominator
All patient-months for patients at least 18 years old as of the first day of the reporting month who are determined to be maintenance hemodialysis patients (in-center and home HD) for the entire reporting month at the same facility.
When used for public reporting, the measure calculation will be restricted to facilities with at least 11 patients in the reporting month. This restriction is required to ensure patients cannot be identified due to small cell size.
Exclusions
Exclusions that are implicit in the denominator definition include:
• Pediatric patients (<18 years old)
• Patients on Peritoneal Dialysis
• Patient-months with in-center or home hemodialysis for less than a complete reporting month at the same facility
In addition, the following exclusions are applied to the denominator:
Patients with a catheter that have limited life expectancy:
• Patients under hospice care in the current reporting month
• Patients with metastatic cancer in the past 12 months
• Patients with end stage liver disease in the past 12 months
• Patients with coma or anoxic brain injury in the past 12 months
Public Comments