End stage renal disease (ESRD) is a permanent failure of the kidneys that is most often caused by diabetes or high blood pressure. Patients with ESRD must receive dialysis or a kidney transplant to stay alive. Dialysis is the process of artificially removing excess fluid and toxins from the blood, a process normally done by the kidneys. Without dialysis these toxins will build up in the blood causing serious health problems and eventually death.
What is the QIP?
The Centers of Medicare & Medicaid Services (CMS) began their ESRD Quality Incentive Program (QIP) in 2008 through a series of reforms. QIP is a performance-based incentive program and was the first of its kind in the United States. The program was designed to promote high quality services in outpatient dialysis facilities to patients with ESRD. The CMS ESRD QIP will reduce payments to facilities that do not meet or exceed QIP performance standards. The maximum payment reduction that can be applied by CMS is two percent.
2014 CMS ESRD QIP Results
Every year since its creation, the CMS ESRD QIP has published public performance results for dialysis facilities across the country. In 2014 DaVita dialysis centers ranked highest in the nation above all other dialysis providers with 98.4% of all centers ranking in the top clinical performance tier. QIP takes into account three major clinical areas when scoring facilities: anemia management, urea reduction ratio and vascular management. Many of these services are delivered by dialysis nurses and dialysis technicians. By the end of 2012 DaVita reported that 99.4 percent of all their patients were above the 65 percent baseline.
About DaVita Dialysis Centers
DaVita HealthCare Partners Inc. is a Fortune 500 company and one of the leaders of kidney care services in the United States. As of March 2014 there were 2,098 outpatient DaVita dialysis centers across the country, serving more than 165,000 patients. Because of the aging population and increased frequency of diabetes in the U.S. dialysis has been in growing demand. DaVita is one the top providers for dialysis services, proven with the 2014 CMS ESRD QIP results.