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Welcome to the December 20 issue of the Quality Insights Renal Network 4 e-newsletter. In this issue, we bring you information about Performance Score Certificates, the upcoming PPS Final Rule call, CMS updates and more. We encourage you to  contact us with any questions, concerns or suggestions.  
FacilityLeadEducationPlease provide us with your feedback on last month's Facility-LED PATIENT EDUCATION
Please take this short survey to let us know what you thought about last month's facility-led patient education topics.  
TopicoftheMonthFACILITY-LED PATIENT EDUCATION TOPIC OF THE MONTH:  medicare parts a through D
We provide a Network 4 Patient Education Sheet each month in 2018. These documents are also located on our website. Please provide all of your patients with this education sheet this month.  Also, we ask that you please encourage your facility's Patient Representatives to pass out this educational information as well. 
What you Need to KNow About ESRD QIP Performance Score Certificates 
The End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) links a dialysis facility's payment to its performance on quality of care measures. CMS will lower a facility's payment by up to two percent for an entire year if it does not meet the minimum Total Performance Score. This Total Performance Score is placed on the facility's Performance Score Certificate. Performance Score Certificates for payment year (PY) 2019, reflects patient care provided in calendar year (CY) 2017.

What is the Performance Score Certificate?
The Performance Score Certificate (PSC) is a document informing patients and their families about how a dialysis facility performed in the ESRD QIP. It is available in English and Spanish. Facilities must post both versions in an area easily visible to patients and their families.

What does the PSC mean to patients?
The purpose of the ESRD QIP is to improve the quality of dialysis care and produce better outcomes for beneficiaries. The PSC provides a picture of how well the facility performed on specific measures, and may help inform the decisions patients make about their care. CMS encourages patients to discuss these results with their physicians and other medical staff at the facility.

When will facilities receive their PSC?
CMS will electronically notify facilities that the PSCs are available for downloading in December of each year. Each facility is responsible for printing the PSC and posting it in a prominent location where patients and caregivers can view it.

When should facilities begin displaying the PSC?
Facilities are required to post their PSCs within 15 days after the certificates are available for downloading

How long does a facility need to display the PSC?
The English and Spanish versions of a facility's PSC will be replaced annually, and must be displayed for the entire year.
When do payment reductions become effective?
Payment reductions are effective January 1, 2019
ESRD QIP Questions and Answers for Patients and Families
ESRD QIP Final Performance Score Reports and Certificates Now Available  
CMS has released the Payment Year (PY) 2019 End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Final Performance Score Reports (PSR) and Performance Score Certificates (PSC).
PY 2019 Final Performance Score Reports
The PY 2019 Final PSR provides information on your facility's performance during 2017 and any payment reduction that CMS will impose for reimbursement on 2019 claims. The Final PSR reflects any applicable revisions applied to your facility's performance scores during the review and correction period and may differ from those displayed during the Preview Period. 
PY 2019 Performance Score Certificates
Each facility is required to download, print, and post both the English and Spanish versions of the PSC in a prominent patient area within fifteen (15) business days of their availability; facilities also must ensure that these documents remain posted throughout 2019.
Save Your Facility's Documents
PY 2019 Final PSRs and PSCs will only be available on EQRS until summer of 2019, when the PY 2020 Preview Period will begin.  We encourage each facility to save an electronic copy of its Final PSR and PSC for reference, reprinting, and reposting throughout the year should the need arise.  Facilities that do not save a copy can request an additional copy by e-mail from the QualityNet Helpdesk, but should expect a delay in receiving the requested documentation. 
If You Have Questions
For further assistance regarding the information contained in this message, please contact the ESRD QIP Support Team using the ESRD QIP Q&A Tool.  If you have questions or concerns regarding use of the ESRD QIP system, please contact the QualityNet Help Desk at or (866) 288-8912 (7:00 AM to 7:00 PM Central Time from Monday through Friday).
UpcomingEventsUpcoming Events
ESRD Quality Incentive Program: CY 2019 ESRD PPS Final Rule Call  

Tuesday, January 15, 2019, from 2 to 3 pm ET
During this call, learn about provisions for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) in the CY 2019 ESRD Prospective Payment System (PPS) final rule. Find out how CMS will conduct ESRD QIP for Payment Years 2021 and 2022.  
CMSUpdatesCMS Updates
NHSN Release Notes 9.2 v2
NHSN Version 9.2 was released this weekend on 12/8/2018. There have been many additions and changes with this release, including analysis updates within the Patient Safety, Healthcare Personnel Safety, Dialysis, Long Term Care, Biovigilance and Outpatient Procedure Components.
Please carefully review the release notes for important details about the changes found in NHSN Version 9.2. CDA Toolkits and Resources.
CMS has published a summary of CY2019 changes to the ESRD QIP and to reimbursement for AKI treatment that were final on November 1, 2018.

Executive Director
Quality Improvement Director
Quality Improvement Coordinator
Quality Improvement Coordinator
Patient Services Coordinator
Data Manager
Administrative Assistant
610 Freedom Business Center,  
Suite 102 
King of Prussia, PA 19406 
(610) 265-2418 
(800) 548-9205 (patients only) 
(610) 783-0374 (fax) 
This bi-weekly e-newsletter will serve as our primary method of communicating important news and updates. We encourage you to visit our Web site for the most up-to-date information or to contact us with questions, comments or suggestions.
This material was prepared by Quality Insights Renal Network 4 under contract with the Centers for Medicare & Medicaid Services (CMS). The contents do not necessarily reflect CMS policy.

Publication No. ESRD4-122018