data QUality improvement

CMS mandates dialysis facilities submit ESRD program administrative and clinical data into EQRS, in order for dialysis facilities to meet portions of the Conditions for Coverage for ESRD Dialysis Facilities. All Medicare-certified dialysis facilities, as well as Renal transplant and Veterans Administration facilities, can submit ESRD program administrative and clinical data to CMS in EQRS. EQRS functions as an important data source for ESRD QIP performance measures.
 

Data Star Recognition

As part of the Network's continuing oversight of facility performance measures, the Network has launched a quarterly Data Star Recognition program. Data Star facilities are recognized for achieving data quality improvement goals associated with timely form submissions in EQRS.

Data Stars must meet the following timeliness measures:

• at least 80% of on-time submissions
• meeting one or more of the data quality improvement goals (listed below), AND
• maintaining at least 80% on-time submissions for 3 consecutive months.

in at least one of the following data quality improvement areas/goals:

• Patient admissions entered into EQRS within five (5) business days
• CMS-2728 forms for newly diagnosed chronic patients submitted into EQRS within 45 days of the patient’s admission to your facility
• CMS-2746 forms submitted into EQRS within 14 days of the patient’s date of death

Facilities are recognized at the following levels:

May - June 2022 Data Stars

network Contact

Alison Crittenden
Phone: (804) 320-0004 x2707
acrittenden@qualityinsights.org