Percentage of adult hemodialysis patient-months using a catheter continuously for three months or longer for vascular access.
Measure Specs
General Information
Numerator
The numerator is the number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer as of the last hemodialysis session of the reporting month.
Denominator
All 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 complete 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 on 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