ESRD QIP PY 2022 Final PSRs and PSCs: Now Available Online

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The Centers for Medicare & Medicaid Services (CMS) has released the Payment Year (PY) 2022 End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Final Performance Score Reports (PSRs) and Performance Score Certificates (PSCs). Authorized facility staff may log into the ESRD Quality Reporting System (EQRS) to view and download these documents.

PY 2022 Final PSR
The PY 2022 Final PSR documents your facility’s performance during 2020 but excludes the months for which CMS granted an exception under the ESRD QIP in response to the COVID-19 Public Health Emergency (PHE). For details regarding months included in individual measure calculations, please refer to the ESRD QIP FAQs: Exceptions for Dialysis Facilities Affected by COVID-19 document: https://www.cms.gov/files/document/covid-qip-esrd-faqs.pdf.

The PY 2022 Final PSR reflects any applicable revisions to your facility’s performance scores from those displayed during the preview period. Additionally, “N/A” or “Not Applicable” will display in place of a score or payment reduction (no dialysis facility will receive a payment reduction for PY 2022). For additional details regarding the ESRD QIP PY 2022 scoring, please refer to the final rule that was published in the Federal Register on November 8, 2021.

What to expect: A systemic issue was identified during the PY 2022 Preview Period regarding missing lab values and treatment data. Due to the resolution of this issue, some facilities may notice changes in their Kt/V, Ultrafiltration Rate, Hypercalcemia, and Medication Reconciliation measures on their PY 2022 Final Period reports compared to the PY 2022 Preview Period reports.

PY 2022 PSC
Total Performance Scores (TPS) will not be calculated for PY 2022, and PSCs will display “N/A” or “Not Applicable” in place of a TPS.  Although the PSCs will display “N/A,” facilities are still required to download, print, and post both the English and Spanish versions in a prominent patient area. PSCs must be posted within 15 business days of their availability and must remain posted throughout the remainder of 2022.

Save Your Facility’s PY 2022 Documents
Each facility should save an electronic copy of their Final PSR and PSC for reference, reprinting, and reposting throughout the year should the need arise. The Final PSR and PSC can be accessed via the ESRD QIP user interface (UI) in EQRS. For instructions on how to access the ESRD QIP UI, refer to the PY 2022 ESRD QIP UI Quick Start Guide. For additional information about the PSR, refer to the PY 2022 Guide to the ESRD QIP Performance Score Report document. Both resources are available for download from the QualityNet website: https://qualitynet.cms.gov/esrd/esrdqip.

For Questions or Technical Assistance
For assistance regarding the information contained in this message, please contact the ESRD QIP Team via the QualityNet Q&A Tool. For technical issues with accessing reports in the ESRD QIP UI, please contact the QualityNet Service Center Monday-Friday 8 a.m.-8 p.m. Eastern Time via phone at: (866) 288-8912 or via email at: qnetsupport-esrd@hcqis.org.