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Percentage of Prevalent Patients Waitlisted (PPPW)

CBE ID
3695
Project
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
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).

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Care Setting
    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.

    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
    Testing Data Sources
  • Most Recent Endorsement Activity
    Endorsed Renal Spring 2022
    Initial Endorsement
    Next Planned Maintenance Review
    Renal Spring 2026
    Endorsement Status
    Last Updated