The University of Michigan Kidney and Epidemiology Cost Center (UM-KECC), develops, maintains, and updates the End Stage Renal Disease (ESRD) Quality Measures for the Centers for Medicare and Medicaid Services (CMS), under the Quality Measure Development and Maintenance contract with CMS. These include the Dialysis Facility Care Compare (DFCC) Measures and the development of new quality measures that will be implemented in the future. Several of CMS’s current and new Quality Measures will be used by CMS in the CMS ESRD Quality Incentive Program (QIP). In addition, UM-KECC works with CMS’s Measures Management System (MMS) in the development, evaluation, and reporting of the current ESRD Quality Measures.

Ongoing Technical Expert Panels

The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to develop facility-level measures in the area of mineral and bone disorder. The contract number is 75FCMC18D0041, task order number 75FCMC23F0001. As part of its measure development process, the University of Michigan Kidney Epidemiology and Cost Center convenes groups of stakeholders who contribute direction and thoughtful input to the measure developer during measure development and maintenance. 

TEP Membership List

Conference Call Schedule and Agendas

Conferences calls are scheduled for:

  • January 29th 2024, 1:00-4:00pm EDT (10:00-1:00pm PDT)
  • February 23rd 2024, 1:00-4:00pm EDT (10:00-1:00pm PDT)
  • February 26th 2024, 1:00-4:00pm EDT (10:00-1:00pm PDT)
  • March 6th 2024, 1:00-4:00pm EDT (10:00-1:00 PDT)

Past Measure Development and Implementation Activities 

Summary of Public Comment on New Measures to be reported on Dialysis Facility Compare

Read the Public Comment Summary Report from the 2018 comment period

Read the Public Comment Summary Report from the 2017 comment period 

Read the DFCC and Star Rating Candidate Measures Public Comment Summary Report from the 2016 comment period

Read the Public Comment Summary from the 2015 comment period

 

Patient Reported Outcomes Report

The Centers for Medicare & Medicaid Services (CMS) tasked the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) with developing recommendations that investigate avenues for acquiring the evidence, data, and infrastructure necessary to implement patient-centered measures and patient reported outcomes.  Read the Patient Reported Outcomes Report.

Patient Reported Outcomes Focus Group Summary Report

The Centers for Medicare & Medicaid Services (CMS) tasked the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to convene focus groups to review draft questions on patient safety and patient life goals. The Patient Reported Outcomes Focus Group Summary Report summarizes the feedback received from both patient and provider specific focus groups on draft questions sets for patient safety and patient life goals. Read the Patient Reported Outcomes Focus Group Summary Report.

 

Technical Expert Panel Summary Reports

Functional Status (May 2014)

DFCC Star Ratings (April 2015)

Access to Kidney Transplantation (April 2015)

Vascular Access (April 2015)

Evaluation of Potential Prevalent Comorbidity Adjustments: Standardized Hospitalization Ratio and the Standardized Mortality Ratio (September 2015)

Emergency Department Visits (May 2016)

DFCC Star Ratings (February 2017)

Patient-Reported Outcomes (May 2017)

Medication Reconciliation and Management (July 2017)

Physician Level Measures (February 2018)

DFCC Star Ratings (June 2019)
 

Effective Availability and Utilization of Home Dialysis Modalities (June 2021)

Practitioner Level Measurement of Effective Access to Kidney Transplantation (September 2021)

Dialysis Facility Quality of Patient Care Star Ratings (March 2022)

 

Quality Measure Information

CMS and UM-KECC submitted 15 measures for NQF review in 2015, 11 of which received endorsement. The specifications for each measure are listed below. For information on how measures are implemented on DFCC, please see the Guide to the Quarterly Dialysis Facility Care Compare Reports on the DFCC Methods page.

In addition, CMS and UM-KECC submitted 5 measures to NQF for review in 2016. Those measures are also included below.

Dialysis Adequacy

Vascular Access

Mineral and Bone Disorder

Mortality

Hospitalization/Readmission

Anemia Management

*Currently publically reported on the Dialysis Facility Care Compare (DFCC) Website

**Currently publically reported only in the DFCC Downloadable Database on Data.Medicare.Gov