Quality Incentive Program (QIP)

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule that

• updates Medicare policies and payment rates for dialysis facilities paid under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and
• strengthens incentives for improved quality of care and better outcomes for beneficiaries diagnosed with ESRD through improvements to the ESRD Quality Incentive Program (QIP). 

• Payment rates for dialysis treatments will increase by 2.1% in CY 2012 (representing the ESRD market basket increase of 3.0% less a productivity adjustment of 0.9%, as required by statute) and
• Under the QIP, payments to individual facilities will be reduced if the facility does not achieve a certain total performance score (based on its performance with respect to measures that assess the quality of dialysis care the facility provided). 

The Network will post updates, tools, and resources below as they become available.

Measures

National Healthcare Safety Network (NHSN)
Adequacy
Vascular Access

Tools & Resources 

Final Rule - Published November 10, 2011, in the Federal Register
CMS Press Release
CMS Fact Sheet

Webinars