Ultrafiltration Rates and the Quality Incentive Program: Proposed Measure Definitions and Their Potential Dialysis Facility Implications
Magdalene M. Assimon, Julia Wenger, Lily Wang, Jennifer E. Flythe
Abstract
Rapid ultrafiltration rates are associated with adverse outcomes among patients on hemodialysis. The Centers for Medicare and Medicaid Services is considering an ultrafiltration rate quality measure for the ESRD Quality Incentive Program. Two measure developers proposed ultrafiltration rate measures with different selection criteria and specifications. We aimed to compare the proposed ultrafiltration rate measures and quantify dialysis facility operational burden if treatment times were extended to lower ultrafiltration rates.
Topics & Concepts
Ultrafiltration (renal)Measure (data warehouse)IncentiveDialysisQuality (philosophy)Incentive programBusinessOperations managementComputer scienceMedicineChemistryEconomicsInternal medicineData miningChromatographyMicroeconomicsPhilosophyEpistemologyDialysis and Renal Disease ManagementCentral Venous Catheters and HemodialysisAcute Kidney Injury Research