Increase Quality of Care Archives - Page 12 of 17

What are Dialysis Patients’ Priorities for Quality Information? Insights from DPC Patient Survey

Hannah Bracamonte2024-03-29T01:50:33+00:00March 11th, 2015|Categories: 5-Star Ratings, Article, Quality Incentive Program|

After the Centers for Medicare and Medicaid Services (CMS) announced its plans to release the Dialysis Facility Compare star rating system, DPC began to discuss with its membership what would make such a rating system successful. The two areas that DPC’s Board Members, Patient Ambassadors and membership all rated highest were 1) staff respect/listening and 2) patient education. Staff Respect/Listening: This topic compresses two questions from the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) questionnaire that Medicare requires dialysis patients to complete. It was even more apparent during our focus group discussions of our survey responses how upset [...]

Urge Your Members of Congress to Co-Sponsor the Chronic Kidney Disease Improvement in Research and Treatment Act!

Hannah Bracamonte2024-03-29T01:50:33+00:00March 11th, 2015|Categories: Care Coordination, Dialysis Funding, Medicare Advantage|

Senators Ben Cardin (D-MD), Mike Crapo (R-ID) and Bill Nelson (D-FL) were joined by Representatives Tom Marino (R-PA), John Lewis (D-GA) and Peter Roskam (R-IL) in introducing the Chronic Kidney Disease Improvement in Research and Treatment Act (S. 598/H.R. 1130) to improve the health of kidney patients. If passed, this bill would provide access to Medicare Advantage (MA) plans for dialysis patients. This bill would also enhance current research efforts related to chronic kidney disease (CKD) by: Requiring the Government Accountability Office (GAO) to calculate the overall cost of CKD care, ensure that federal funding for CKD research is appropriate relative to [...]

DPC Elevates Patient Priorities with Medicare Regarding Dialysis Facility Compare Star Ratings

Hannah Bracamonte2024-03-29T01:50:34+00:00February 18th, 2015|Categories: 5-Star Ratings, Comment Letter, Quality Incentive Program|

Elena Balovlenkov, R.N. Technical Lead for Dialysis Facility Compare Centers for Medicare & Medicaid Services 7500 Security Boulevard Mail Stop S3-02-01 Baltimore, MD 21224 Dear Elena: To meet your timeline for raising issues to be brought before the DFC Star Rating TEP, DPC recently conducted a survey of our active patient volunteers asking them to identify priority items for quality measures to be included in both DFC star ratings and the QIP. Per the advice of the Kidney Care Quality Alliance (KCQA) consultant on quality measures, we developed a lengthy list of subjects for measures, and asked patients to choose [...]

Department of Health & Human Services Announces Pay-for-Performance Goals

Hannah Bracamonte2024-03-29T01:50:34+00:00February 4th, 2015|Categories: Article, Quality Incentive Program|

The US Department of Health & Human Services (HHS) recently announced goals for shifting the traditional fee-for-service Medicare payment model to a pay-for-performance model. In a pay-for-performance model, payment is based on the quality rather than quantity of care provided. One HHS goal is to tie 30% of fee-for-service Medicare payments to quality through alternative payment models like Accountable Care Organizations or bundled payments by the end of 2016, and 50% by the end of 2018. The dialysis community has a unique history in this area. Dialysis providers did not used to receive an annual update in their Medicare payments, but [...]

Insights with Jack: Accidental Advocate

Hannah Bracamonte2024-03-29T01:50:34+00:00February 2nd, 2015|Categories: About DPC, Dialysis Funding, Get Involved, Patient's Voice|

By Jack Reynolds, DPC Board Member and Patient Ambassador As it is Ground Hog Day, I thought I would come out of my winter hole and blog once more. March is only four weeks away, and it will be time to visit Washington, D.C. and another chance for Dialysis Patient Citizen Ambassadors to bring our issues and concerns to our elected Congressional Representatives and Senators. Although I have made this journey many times since 2005, I am not a “natural” political advocate; and in fact, if not for a social worker, I may have never become a dialysis citizen at large [...]

DPC Joins Patient Groups in Commenting on the Standardized Readmission Ratio for Dialysis Facilities

Hannah Bracamonte2024-03-29T01:50:34+00:00December 22nd, 2014|Categories: Comment Letter, Quality Incentive Program|

Dialysis Facility Compare Star Ratings Draw First Challenge to CMS Quality Measures Under Data Quality Act

Hannah Bracamonte2024-03-29T01:50:34+00:00December 16th, 2014|Categories: 5-Star Ratings, Press Release|

Skewed geographic distribution of star ratings demonstrates program’s flaws, says Dialysis Patient Citizens WASHINGTON, D.C. (Dec. 16, 2014) — Dialysis Patient Citizens has filed the first challenge to a CMS quality program under the Data Quality Act, contending that the agency’s Dialysis Facility Compare (DFC) star ratings methodology fails to satisfy federal requirements for objectivity and utility in presenting information to the public. The day after being served with the complaint, CMS conceded it should have conducted cognitive testing of this system on consumers, reversing a position the agency had defended for nearly four months. “We felt this challenge was necessary in light of CMS’ continued refusal to [...]

DPC’s Request for Correction complaint to CMS Regarding DFC Star Ratings

Hannah Bracamonte2024-03-29T01:50:34+00:00December 2nd, 2014|Categories: 5-Star Ratings, Comment Letter|

Attached is CCSQ’s courtesy copy of the Request for Correction we filed today under the Data Quality Act challenging the methodology to be used in the DFC Star Ratings. The Data Quality Act and the HHS Information Quality Guidelines promulgated pursuant to the Act have been in existence for approximately as long as CMS has collected and reported quality measures. Over the past decade, no stakeholder has ever filed a Request for Correction with CMS pertaining to quality measurements. We take no joy in being the first, but we feel that the circumstances surrounding the formulation of this program—the lack of [...]

New Dialysis Quality Rules May Bring Small but Noticeable Changes to Your Care

Hannah Bracamonte2024-03-29T01:50:35+00:00November 13th, 2014|Categories: Article, Quality Incentive Program|

The Centers for Medicare and Medicaid Services (CMS) recently finalized the payment rule for the Medicare End Stage Renal Disease (ESRD) program for 2015. Payment rates will stay the same next year. However, changes to the Quality Improvement Program (QIP) system of "pay for performance" are intended to prioritize new aspects of care for ESRD patients; providers are graded on each element of the "QIP" and receive payment reductions if they don't meet Medicare's standard. This means that providers are expected to add emphasis to these new areas in their interactions with patients. Here are some of the new areas being [...]

CMS Responses to Questions and Comments about the Dialysis Facility Compare Star Rating System

Hannah Bracamonte2024-03-29T01:50:35+00:00October 1st, 2014|Categories: 5-Star Ratings, Comment Letter|

CMS thanks the community for their comments and questions about the DFC Star Rating System. All comments have been given serious consideration. This document provides responses to the questions and issues raised by the ESRD community. CMS believes that the Star Rating System will empower consumers with additional quality information. It will also encourage providers to continuously achieve higher quality care. With future releases and enhancements to the DFC website, we will continue fostering an open dialogue to facilitate providing better care for all patients receiving chronic dialysis. We look forward to working with the ESRD community over the coming months [...]

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