ESRD Quality Incentive Program

End Stage Renal Disease Quality Incentive Program

“The first of its kind in Medicare, this program changes the way CMS pays for the treatment of patients with ESRD by linking a portion of payment directly to facilities’ performance on quality of care measures.”

The End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) provides an important lever for safety, value, and quality for CMS by promoting high-quality care delivered by outpatient dialysis facilities treating patients with ESRD.

The first of its kind in Medicare, this program changes the way CMS pays for the treatment of ESRD patients by linking a portion of payment directly to facilities’ performance on quality care measures. The ESRD QIP will reduce payments to ESRD facilities that do not meet or exceed certain performance standards.

The ESRD QIP relies upon facility-provided data in CROWNWeb for a number of its measures. CROWNWeb is the primary data source for some ESRD QIP measures, and is a supporting source of data for many others.

For more information about the program, see http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/index.html.

If you have questions about the program after reviewing this content, you may reach the CMS ESRD QIP staff by emailing ESRDQIP@cms.hhs.gov.

New End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Reporting Deadlines in CROWNWeb

The Calendar Year (CY) 2017 End-Stage Renal Disease Prospective Payment System (ESRD PPS) Final Rule requires facilities to report in CROWNWeb prior to the close of the clinical month, rather than by a specific date. In the future, all CROWNWeb reporting and attestations for the ESRD QIP will be due by the closure of the last clinical month of the reporting period in for CROWNWeb.

The first reporting period of the ESRD QIP Payment Year (PY) 2019 Pain Assessment and Follow-Up reporting measure is now August 31, 2017, at 11:59 PM Eastern Time. For future deadline information, please refer to the monthly editions of the CROWNWeb Newsletter or this page.

CMS Releases ESRD QIP Performance Score Reports for PY 2017

CMS has released the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Payment Year (PY) 2017 Final Performance Score Reports (PSR) for outpatient dialysis facilities. The Final PSR finalizes your facility’s performance, including any revisions from the Preview Period. In addition, PY 2017 performance and payment-reduction information for all facilities will be posted on Dialysis Facility Compare and the ESRD QIP section of CMS’s website.

Facilities should access their accounts via QualityNet.org to retrieve their final PSRs, along with their Performance Score Certificates (PSC).

If you have any questions about the final PSR or the program in general, please contact the ESRD QIP team at ESRDQIP@cms.hhs.gov.

Resources

ESRD QIP Guide
End Stage Renal Disease Quality Incentive Program 3.0 Payment Year 2018 Quick Start Guide PDF

  • ESRD QIP 3.0 System Preview Period Training PDF and recording.


Last updated: August 1, 2017 at 10:11 am