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. 2003 Summer;24(4):89-100.

Improving the care of ESRD patients: a success story

William M McClellan  1 , Diane L Frankenfield, Pamela R Frederick, Steven D Helgerson, Jay B Wish, Jonathan R Sugarman
Affiliations

Improving the care of ESRD patients: a success story

William M McClellan et al. Health Care Financ Rev. 2003 Summer.

Abstract

Medicare's health care quality improvement program (HCQIP) is a national effort to improve beneficiaries' quality of care. The end stage renal disease (ESRD) HCQIP was implemented in 1994 in response to criticism about the poor quality of care received by ESRD patients. Quality improvement efforts initiated by the ESRD Networks and dialysis providers in response to the HCQIP have demonstrated substantial improvement in care for dialysis patients. This article describes the evolution of the ESRD HCQIP and its successful application in the ESRD program.

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Figures

Figure 1
Figure 1. Percent of Adult In-Center Hemodialysis Patients with Mean URR 65 Percent or More, by Networks: 1993
Figure 2
Figure 2. Percent of Adult In-Center Hemodialysis Patients with Mean Hematocrit 30 Percent or More, by Networks: 1993
Figure 3
Figure 3. Percent of Adult In-Center Hemodialysis Patients with Mean URR 65 Percent or More, or Mean Kt/V 1.2 or More: 1993-2000
Figure 4
Figure 4. Percent of Adult In-Center Hemodialysis Patients with Mean Hematocrit 30 Percent or More: 1993-1998
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References

    1. Centers for Medicare & Medicaid Services. 2001 Annual Report ESRD Clinical Performance Measures Project. 2001 Dec; Internet address: http://www.cms.gov/esrd/1.asp. (Accessed 2003.)
    1. Centers for Medicare & Medicaid Services. Internet address: http://www.cms.hhs.gov (Accessed 2003.)
    1. Centers for Medicare & Medicaid Services. Internet address: http://www.cms.hhs.gov/ESRD/asp (Accessed 2003.)
    1. Centers for Medicare & Medicaid Services. Internet address: http://www.Medicare.gov/dialysis/home.asp (Accessed 2003.)
    1. Chassin MR. Quality of Health Care, Part 3: Improving the Quality of Care. New England Journal of Medicine. 1996 Oct;335(14):1060–1063. - PubMed

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