Measuring Quality
The Centers for Medicare & Medicaid Services (CMS) develops rules that specify the measures, scoring methodologies, and payment-reduction ranges applicable to each Payment Year (PY). For more information on the rules and regulations for the End Stage Renal Disease Quality Incentive Program (ESRD QIP), please visit the Laws & Regulations page. Measures for the PY 2026 ESRD QIP are in the tables below:
Table 1: PY 2026 Clinical Care Measure Domain
Measures: |
Kt/V Dialysis Adequacy (Comprehensive) |
Standardized Transfusion Ratio (STrR) |
Vascular Access Type: Hemodialysis Vascular Access:
|
Table 2: PY 2026 Care Coordination Measure Domain
Measures |
Standardized Readmission Ratio (SRR) |
Standardized Hospitalization Ratio (SHR) |
Percentage of Prevalent Patients Waitlisted (PPPW) |
Clinical Depression Screening and Follow-Up |
Table 3: PY 2026 Safety Measure Domain
Measures |
National Healthcare Safety Network (NHSN) Blood Stream Infection (BSI) in Hemodialysis Patients |
Table 4: PY 2026 Patient and Family Engagement Domain
Measures |
In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) Survey |
Table 5: PY 2026 Reporting Measure Domain Measure(s)
Measures |
Hypercalcemia |
NHSN Dialysis Event Reporting |
Medication Reconciliation (MedRec) |
COVID-19 Vaccination Coverage Among Healthcare Personnel (HCP) |
Facility Commitment to Health Equity |
CMS ESRD Measures Manual
The CMS ESRD Measures Manual (Manual) contains detailed specifications on the ESRD QIP measures and dialysis facility measures reflected in the Care Compare website. The Manual is designed to provide transparent and detailed descriptions of how ESRD QIP and Care Compare measures are calculated, offering the public a comprehensive understanding of how CMS evaluates the quality of care provided by dialysis facilities. Links to the Manuals and other supporting documents are listed below:
Downloads
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ESRD Measures Manual v10.0 (PDF) -
ESRD Measures Manual v9.1 (PDF) -
ESRD Measures Manual v9.0 (PDF) -
ESRD Measures Manual v8.2 (PDF) -
ESRD Measures Manual v8.1 (PDF) -
ESRD Measures Manual v8.0 (PDF) -
ESRD Measures Manual v7.1 (PDF) -
ESRD Measures Manual v7.0 (PDF) -
ESRD Measures Manual v6.1 (PDF) -
ESRD Measures Manual v6.0 (PDF) -
ESRD Measures Manual v5.2 (PDF) -
ESRD Measures Manual v5.1 (PDF) -
ESRD Measures Manual v5.0 (PDF) -
ESRD Measures Manual v4.0 (PDF) -
ESRD Measures Manual v3.1 (PDF) -
ESRD Measures Manual v2.0 (PDF) -
ESRD Measures Manual v 1.0 (PDF) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes- Manual 8.2 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes - Manual v7.1 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes - Manual v6.1 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes - Manual v5.2 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes – Manual v4.0 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes—Manual v3.0 (ZIP) -
International Statistical Classification of Diseases and Related Health Problems (ICD) codes—Manual v2.5 (ZIP) -
ESRD QIP Summary Payment Years 2024-2026 (PDF) -
ESRD QIP Summary Payment Years 2023-2026.pdf (PDF) -
ESRD QIP Summary Payment Years 2022-2025 (PDF) -
ESRD QIP Summary Payment Years 2021-2024 Updated (PDF) -
ESRD QIP Summary: Payment Years 2019 - 2024 (PDF) -
ESRD QIP Summary: Payment Years 2016 – 2020 (PDF) -
ESRD QIP Summary: Payment Years 2014 - 2018 (PDF) -
ESRD QIP Summary: Payment Years 2012 - 2016 (PDF) -
ESRD Manual v 1.0 Webinar Slides (PDF) -
ESRD Manual v 1.0 Webinar Transcript (PDF) -
Fact Sheet: QIP PY 2015 Measures List (PDF) -
Fact Sheet: QIP Fact Sheet for PY 2013-14 (Includes Measures) (PDF) -
Fact Sheet: ESRD PPS for CY 2011 (Includes QIP PY 2012 Measures) (PDF)