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. 2019 May/Jun;34(3):243-250.
doi: 10.1177/1062860618796310. Epub 2018 Sep 18.

Patient Satisfaction Is Associated With Dialysis Facility Quality and Star Ratings

Abhijit V Kshirsagar  1 , Amir Alishahi Tabriz  1 , Heejung Bang  2 , Shoou-Yih D Lee  3
Affiliations

Patient Satisfaction Is Associated With Dialysis Facility Quality and Star Ratings

Abhijit V Kshirsagar et al. Am J Med Qual. 2019 May/Jun.

Abstract

The Dialysis Facility Compare Star Rating and the Quality Incentive Program (QIP) generate separate performance scores from clinical measures, and the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS) survey evaluates patient satisfaction across 6 separate domains related to nephrologists, dialysis facility, and information transmission. This study examined the relationship of the 3 measures for US clinics, modeling the 6 ICH-CAHPS domains as independent variables and QIP and star ratings as dependent variables. Among 3176 dialysis clinics, domains assessing dialysis facility and information transmission had a consistently stronger relationship with QIP and star ratings than the domains assessing nephrologists: QIP, β (95% CI) = 1.62 (1.26-1.97) for dialysis facility staff rating, 0.70 (0.35-1.05) for nephrologists; star rating, odds ratio (95% CI) = 1.38 (1.29-1.49) for dialysis facility staff rating, 1.17 (1.09-1.25) for nephrologists. Patient satisfaction is associated with dialysis care quality, with surprising differences between nephrologists and dialysis facilities.

Keywords: CAHPS; dialysis; quality; star ratings.

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Conflict of interest statement

Declaration of Conflict of Interests

The authors declare that there are no conflicts of interests.

Figures

Figure 1:
Figure 1:
CAHPS domains: 1: Patients-nephrologists’ communication and caring 2: Patients-rating of the nephrologist 3: Patients-quality of dialysis center care and operations 4: Patients-rating of the dialysis facility 5: Patients-rating of the dialysis center staff 6: Providing information to patients Beta and odds ratio were adjusted peritoneal dialysis, home dialysis, profit status, chain status, number of stations, and region. See footnotes in Tables 2 and 3.
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References

    1. Centers for Medicare and Medicaid Services (CMS), HHS. Medicare program; end-stage renal prospective payment system. Final rule. Fed Regist. 2010;75:49029–49214. - PubMed
    1. Centers for Medicare and Medicaid Services (CMS), HHS. Medicare program; end-stage renal disease quality incentive program. Final rule. Fed Regist. 2011;76:627–646. - PubMed
    1. Dialysis Facility Compare Ratings Refresh. https://www.cms.gov/Medicare/End-Stage-Renal-Disease/ESRDGeneralInformat... (Accessed January 9, 2017).
    1. Agency for Healthcare Quality and Research. In-center hemodialysis consumer assessment of healthcare and providers survey. https://www.ahrq.gov/cahps/surveys-guidance/ich/index.html (accessed June 1, 2017).
    1. Centers for Medicare and Medicaid Services (CMS), HHS. Medicare program; end-stage renal disease prospective payment system, and quality incentive program. Final rule. Fed Regist. 2015;80:68967–68977. - PubMed

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