Table 3:
Merit-Based Incentive Payment System and ESRD Seamless Care Organization Quality Measure Sets
| Measure Sets | Measure Type |
High Priority |
|---|---|---|
| MERIT-BASED INCENTIVE PAYMENT SYSTEM MEASURES | ||
| Diabetes: Hemoglobin A1c Poor Control (>9%) | Intermediate Outcome | Yes |
| Pediatric Kidney Disease: ESRD patients Receiving Dialysis: Hemoglobin Level < 10g/dL | Intermediate Outcome | Yes |
| Medication Reconciliation Post-Discharge | Process | Yes |
| Advance Care Plan | Process | Yes |
| Documentation of Current Medications in the Medical Record | Process | Yes |
| Functional Outcome Assessment | Process | Yes |
| Falls: Screening for Future Fall Risk | Process | Yes |
| Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days | Outcome | Yes |
| Adult Kidney Disease: Referral to Hospice | Process | Yes |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | Process | No |
| One-Time Screening for Hepatitis C Virus for Patients at Risk | Process | No |
| Zoster (Shingles) Vaccination | Process | No |
| Preventive Care and Screening: Influenza Immunization | Process | No |
| Pneumococcal Vaccination Status for Older Adults | Process | No |
| Diabetes: Medical Attention for Nephropathy | Process | No |
| ESRD Seamless Care Organization Measures | ||
| Hemodialysis Vascular Access: Maximizing Placement of Arterial Venous Fistulas | QIP Process | |
| Hemodialysis Vascular Access: Minimizing Use of Catheters | QIP Process | |
| Bloodstream Infections in Hemodialysis Outpatients | QIP Outcome | |
| Hemodialysis Adequacy: Minimum Delivered Hemodialysis Dose | QIP Outcome | |
| Proportion of Patients with Hypercalcemia | QIP Outcome | |
| Peritoneal Dialysis Adequacy: Delivered Dose of Peritoneal Dialysis Above Minimum | QIP Outcome | |
| In-Center Hemodialysis Consumer Assessment of Health Care Providers and Systems Survey | QIP Outcome | |
| Kidney Disease Quality of Life Survey | Outcome | |
| ESCO Standardized Hospitalization Ratio for Admissions | Outcome | |
| ESCO Standardized Mortality Ratio | Outcome | |
| ESCO Standardized Readmission Ratio | Outcome | |
| Documentation of Current Medications in the Medical Record | Process | |
| Falls: Screening, Risk Assessment, and Plan of Care to Prevent Future Falls | Process | |
| Advance Care Plan | Process | |
| Medication Reconciliation Post Discharge | Process | |
| Diabetes Care: Eye Exam | Process | |
| Diabetes Care: Foot Exam | Process | |
| Influenza Immunization for the ESRD Population | Process | |
| Pneumonia Vaccination Status | Process | |
| Screening for Clinical Depression and Follow-up Plan | Process | |
| Tobacco Use: Screening and Cessation Intervention | Process |
Notes: Abbreviations: ESRD = end-stage renal disease, QIP = quality incentive program, ESCO = ESRD seamless care organization