Section 1881(h) of the Social Security Act, as amended by Section 153(h) of the Medicare Improvements for Patients and Providers Act, authorizes the establishment of a quality incentive program for renal dialysis facilities. Beginning in CY 2016, renal dialysis facilities have been required to collect and submit data on quality reporting measures to CMS using Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb); in CY 2018, this was increased to eight quality reporting measures. In CY 2020, we launched the End-Stage Renal Disease Quality Reporting System (EQRS), which contains the functionalities of the three legacy ESRD Systems, including CROWNWeb, in one global application, and aims to provide ongoing support to the ESRD user community to foster accurate and timely monthly data submission. The measures required for reporting under the ESRD Quality Incentive Program are designed to reflect the appropriate level of care and the most important areas of service furnished by renal dialysis facilities. Measure data are intended to be publicly reported.
US Code:
42 USC 1395
Name of Law: Social Security Act
US Code: 42 USC 1395; section 1881 Name of Law: Social Security Act
As discussed above, the ESRD QIP has consistently refined its measure set since the inception of the ESRD QIP in CY 2011. For the CY 2026 ESRD PPS final rule, we are removing the Facility Commitment to Health Equity reporting measure, the Screening for Social Drivers of Health reporting measure, and the Screen Positive Rate for Social Drivers of Health reporting measure. Due to these finalized changes to the ESRD QIP measure set, the number of data elements per patient year will decrease from 136 to 121 data elements. Using the most recently available data for the number of ESRD patients and facilities nationwide, the corresponding reporting burden will decrease from the currently approved estimate of approximately 2.9 million hours to 2.5 million hours in PY 2028 across all dialysis facilities. Averaged out over the three years, the annual burden hours are 863,173.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form CMS-10569 EQRS Global App
CMS-10569 Supporting Statement B EQRS CY 2026 (11-13-2025).docx
: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network