Below is a sample of the Preview Report for the Quarterly Dialysis Facility Care Compare (QDFCC). This document shows the structure and content of a report, but it is a sample only and does not contain the data for any particular facility, state, or region.
Below are the Guides for the Quarterly Dialysis Facility Care Compare (QDFCC) Preview Report and the New Measures Table in the Quarterly Dialysis Facility Compare (QDFCC) Preview Report. These documents provide a detailed description of the contents of the QDFCC Report that will help facilities to interpret the data summaries that will be reported on the DFCC website.
QDFCC Diagnosis Codes
Diagnosis Codes Used in Standardized Mortality Ratio (SMR) and Standardized Hospitalization Ratio (SHR)
This document lists the ICD-10 codes for prevalent comorbidities used in the DFCC Standardized Mortality Ratio and Standardized Hospitalization Ratio quality measure calculations for dialysis facilities.
Diagnosis Codes Used in Standardized Readmission Ratio (SRR)
This document lists the Standardized Readmissions Ratio ICD-10 codes used in quality measure calculations for dialysis facilities. The file includes a separate tab for each exclusions.
Diagnosis Codes Used in Standardized Emergency Department Encounter Ratio (SEDR) and Standardized Emergency Departmnet Encounters Occuring within 30 Days of Hospital Discharge Ratio (ED30)
This document lists the ICD-10 codes used in the calculation of Standardized Emergency Department Encounter Ratio (SEDR) and Standardized Emergency Department Encounters Occurring within 30 Days of Hospital Discharge Ratio (ED30).
Diagnosis Codes Used in Transfusion, Vascular Access Types, and Dialysis Adequacy
The list of all codes (i.e., ICD-10, HCPCS) used to calculate the following measures reported in the QDFCC Reports: Transfusions, Vascular Access Types, and Dialysis Adequacy.
The Measure Information Forms (MIFs) that describe the specifications for each measure reported on DFCC can be found on the ESRD Measures page.
Star Rating Measure Scoring Tables and Instructions
Below are the Star Rating Measure Scoring Tables and Instructions documents for both the Quality of Patient Care Star Rating currently displayed on Dialysis Facility Care Compare on Medicare.gov (released October 2020), and the new modified version of the star rating being privately previewed beginning in February 2023. These both provide additional information to support the data displayed in the QDFCC report and the Guide to the QDFCC Report. In the documents, you can follow the instructions to calculate individual measure scores and review where your facility lies within each measure score, domain score, and final score for star rating. The tables can be used to identify areas for improvement for future star ratings.
Below are the Technical Notes on the Star Rating Methodology for the Quality of Patient Care Star Rating implemented for the current display on Dialysis Facility Care Compare on Medicare.gov (released October 2020) and the modified version of the Star Rating being privately previewed beginning in February 2023.
Previous Star Rating Technical Documentation
Technical Notes on the DFCC Star Rating Original Methodology
This document describes the original statistical methods used in the DFCC to calculate the October 2015 Star Rating.
Technical Notes on the Updated DFCC Star Rating Methodology
This document describes the updated statistical methods used in the DFCC to calculate the Star Rating. This methodology was used for the October 2016 – April 2018 star rating releases. This methodology was replaced with the October 2018 release.
This document describes the updated DFCC Star Rating Methodology that was implemented in the October 2018 DFCC Star Rating Release. The current DFCC Star Rating continues to use this updated methodology.
Previous Star Rating FAQ
CMS Responses to Questions and Comments about the Dialysis Facility Compare (DFCC) Star Ratings
This document provides responses to the questions and issues raised by the ESRD community about the Star Rating system.