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 you Need to KNow About ESRD QIP Performance Score Certificates
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