Corporate Compliance

OIG to CMS: Improve collection of End Stage Renal Disease quality-of-care data

Healthcare Auditing Weekly, November 28, 2006

A new OIG report recommends that CMS improve collection of clinical performance measures to address quality of care in End Stage Renal Disease (ESRD) programs.

The OIG assessed the extent to which data are available to ESRD networks to assist them in identifying ESRD facilities with quality-improvement needs.

The study found that while networks have access to multiple sources of data about quality of care, the networks lack facility-specific, comprehensive, and current clinical performance measures.

In 2000, CMS stated that it was developing a Core Data Set project that would collect facility-specific data on a comprehensive set of clinical performance measures. However, CMS has faced technical and resource challenges and the implementation of the Core Data Set project is not complete.

"Under the current system, networks' abilities to ensure that all patients in all facilities receive quality care may be impaired," according to the OIG report.

To read the complete report "Availability of Quality of Care Data in the Medicare End Stage Renal Disease Program," click here.

    Strategies for Health Care Compliance
  • Strategies for Health Care Compliance

    News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...

  • Compliance Monitor

    This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...

  • Medicare Weekly Update

    Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...

  • Medicare Update for Physician Services

    Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...

Most Popular

Related Articles