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Percentage of Prevalent Patients Waitlisted (PPPW)

CBE ID
3695
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2026
1.3 Measure Description

This measure tracks the percentage of patients in each dialysis practitioner group practice who were on the kidney or kidney-pancreas transplant waitlist. Results are averaged across patients prevalent on the last day of each month during the reporting year.

Please note, this measure is at the dialysis practitioner level (the clinician who receives the Monthly Capitation Payment for overseeing dialysis care).

The proposed measure is a directly standardized percentage, which is adjusted for covariates (e.g. age and risk factors).

        • 1.14 Numerator

          The numerator is the adjusted count of patient months in which the patient at the dialysis practitioner group practice is on the kidney or kidney-pancreas transplant waitlist as of the last day of each month during the reporting year.

        • 1.15 Denominator

          All patient-months for patients who are under the age of 75 in the reporting month and who are assigned to a dialysis practitioner group practice according to each patient’s treatment history during a given month during the reporting year.

        • Exclusions

          Exclusion that are implicit in the denominator include: 

          • Patients who were at age 75 or older in the reporting month
          • Patients who were admitted to a skilled nursing facility (SNF) during the month of evaluation were excluded from that month; 
          • Patients who were admitted to a skilled nursing facility (SNF) within one year of dialysis initiation according to form CMS-2728
          • Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period
          • Patients with dementia
        • Most Recent Endorsement Activity
          Endorsed Renal Spring 2022
          Initial Endorsement
          Last Updated
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email
          Steward Organization Copyright

          N/A