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Developing dialysis facility-specific performance measures for public reporting.

Pamela R Frederick1, Naomi L Maxey, Steven B Clauser

  • 1pfrederick@cms.hhs.gov

Health Care Financing Review
|December 26, 2002
PubMed
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The Balanced Budget Act mandated quality reporting for dialysis services, leading to the "Dialysis Facility Compare" system. This initiative set a precedent for public reporting in Medicare.

Area of Science:

  • Healthcare Quality Measurement
  • Public Health Policy
  • Renal Medicine

Background:

  • The Balanced Budget Act (BBA) of 1997 mandated the Centers for Medicare & Medicaid Services (CMS) to establish a quality measurement and reporting system for dialysis services by the year 2000.
  • A tight deadline necessitated a rapid development approach for performance measures.
  • This led to the creation of the "Dialysis Facility Compare" initiative.

Purpose of the Study:

  • To describe the development and implementation process of the "Dialysis Facility Compare" performance measures.
  • To outline the lessons learned from this rapid-cycle quality measurement initiative.
  • To provide a template for future public reporting systems within the Medicare Program.

Main Methods:

  • A rapid-cycle measurement development process was employed to create facility-specific quality metrics.

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  • Performance measures were designed for public release to inform patients and providers.
  • The process focused on timely development within a strict regulatory timeframe.

    • Main Results:

    • The "Dialysis Facility Compare" system was successfully implemented, providing public quality data for dialysis facilities.
    • This initiative served as a foundational model for subsequent public reporting programs for other healthcare providers under Medicare.
    • The rapid development process proved effective in meeting regulatory deadlines.

    Conclusions:

    • The rapid-cycle development approach was effective in meeting the BBA's requirements for dialysis quality reporting.
    • "Dialysis Facility Compare" established a successful precedent for public transparency in healthcare quality.
    • Lessons learned from this process can inform the design of future quality measurement and reporting initiatives in healthcare.