The Delay in Progression of CKD Measure is an outcome measure to assess how well providers delay progression from Stage 4 CKD to end-stage renal disease (ESRD) requiring chronic dialysis.
- Measure TypeLevel Of AnalysisMAT output not attachedAttachedNumerator
The measure outcome is progression from Stage 4 CKD to ESRD requiring chronic dialysis in the measurement year for patients aged 19 and older with stage 4 CKD. The outcome of interest is defined as enrollment in ESRD or ESRD-Dialysis Medicare coverage. Not all possible patient events will be counted in the numerator.
DenominatorThe cohort includes Medicare Fee-For-Service beneficiaries (patients) who are 19 years and older, with Stage 4 CKD, who are not enrolled in Medicare ESRD or ESRD-dialysis, who are not enrolled in Medicare hospice, who have not had a kidney transplant within the past 12 months, and who are being treated by a nephrology practice.
ExclusionsThe cohort excludes patients with advanced or metastatic cancer, defined as specific cancer-related ICD-10 codes from an inpatient encounter.
All information required to stratify the measure resultsOffAll information required to stratify the measure resultsOffTesting Data Sources
- Measure StructureClinical Condition Topic Area
- Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
- Current or planned use(s)Current Use(s)
- Most Recent Endorsement ActivityPrimary Care and Chronic Illness Spring 2023Endorsement StatusE&M Committee Rationale/Justification
Withdrawn by the developer due to the committee not passing the measure on evidence, a must-pass criterion.
- Do you have a secondary measure developer point of contact?OffThe measure developer is NOT the same as measure stewardOffSteward Organization Email
- Detailed Measure SpecificationsNoLogic ModelOffImpact and GapNoFeasibility assessment methodology and resultsNoAddress health equityNoMeasure’s use or intended useNo508 ComplianceOffIf no, attest that all information will be provided in other fields in the submission.Off
Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Spring 2023 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Spring 2023 “Intent to Submit.” Battelle took over the E&M work for the Spring 2023 cycle when developers and/or stewards submitted their full measure information, which for CBE #3753, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2023-06/3753_-_ckd_progression_delay.zip
To close out this E&M cycle, Battelle published the Spring 2023 measures for pre-evaluation public commenting, convened the E&M standing committees for their measure evaluation meetings, launched the Spring 2023 post-comment period, convened the E&M committees for the post-comment meeting, convened the CSAC to render a final endorsement decision, and executed the appeals period.