: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network

SUBJECT: ESRD QIP Data Validity and Reliability Study – Request for Medical Records

The Centers for Medicare & Medicaid Services (CMS) contracted with XXXXX to assess the accuracy of the Clinical Performance Measures (CPM) data entered into the CROWNWeb system. We will also validate positive blood culture “candidate dialysis events” to assess the accuracy of the Dialysis Event data entered into the Center for Disease Control (CDC) National Healthcare Safety Network (NHSN) system.

Facilities that will be randomly selected to participate in this effort should submit their patient medical records using the following options:

PDF Submission using QualityNet, or as other options use Flash Drive, DVD, CD; or Paper Submission

Mail your information to

Attention: ESRD QIP DV&R Project

More detailed information about how to send information securely will be provided in the request letters sent using QualityNet to your facility. All questions should be directed to the Project Coordinator, either by email at XXXXXX or by phone at XXXXX.

Among the findings of the Calendar Year 2017 study is that data for Access Type, Kt/V and Session Date failed some of the quality checks that were applied to CROWNWeb data. Consequently, the percent correct matching results were lower than expected in these instances.

RELI recommends to facilities that want to maximize their percent correct matching outcomes should:

1. Ensure that data for all required fields are entered in CROWNWeb; and

2. Check that entered data values are consistent with other data values (e.g., Session Date value is not before the Admit Date value or after the Discharge Date value).