General Totals

Number of Dialysis Providers

6,236	Nation
64	Iowa

Total Number of Dialysis Stations

110,108	Nation
851	Iowa

Average Number of Dialysis Stations

17.66	Nation
13.30	Iowa

Services Totals

Total Number Offering Hemodialysis

6,236	Nation
64	Iowa

Total Number Offering Peritoneal Dialysis

3,114	Nation
23	Iowa

Total Number Offering Home Training

1,705	Nation
8	Iowa

Have Shifts after 5pm

1,124	Nation
6	Iowa

Total Number of For Profit Facilities

5,346	Nation
39	Iowa

Total Number of Non Profit Facilities

890	Nation
25	Iowa

Total Number of Chain Owned

5,347	Nation
39	Iowa

Total Number of Not Chain Owned

889	Nation
25	Iowa

Performance Scores

Total Performance Score

Nation

81.97	Average
0.00	Least
100.00	Most

Iowa

84.84	Average
28.00	Least
100.00	Most

ICH CAHPS Admin Score

Nation

9.60	Average
0.00	Least
10.00	Most

Iowa

9.51	Average
0.00	Least
10.00	Most

NHSN Event Reporting Score

Nation

9.80	Average
0.00	Least
10.00	Most

Iowa

9.84	Average
5.00	Least
10.00	Most

Measure Scores

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation

9.52	Average
0.00	Least
10.00	Most

Iowa

9.74	Average
7.00	Least
10.00	Most

Hemoglobin Score Applied

Nation

5,241	Achievement
59	Improvement
936	Not Available

Iowa

50	Achievement
14	Not Available

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation

8.35	Average
0.00	Least
10.00	Most

Iowa

9.08	Average
3.00	Least
10.00	Most

URR Score Applied

Nation

5,034	Achievement
173	Improvement
1,029	Not Available

Iowa

49	Achievement
4	Improvement
11	Not Available

Vascular Catheter Measure Score

Nation

6.26	Average
0.00	Least
10.00	Most

Iowa

5.36	Average
0.00	Least
10.00	Most

Vascular Catheter Score Applied

Nation

4,992	Achievement
337	Improvement
907	Not Available

Iowa

48	Achievement
7	Improvement
9	Not Available

Fistula Measure Score

Nation

5.69	Average
0.00	Least
10.00	Most

Iowa

6.56	Average
0.00	Least
10.00	Most

Fistula Score Applied

Nation

5,011	Achievement
297	Improvement
928	Not Available

Iowa

49	Achievement
5	Improvement
10	Not Available

Vascular Access Combined Measure Score

Nation

6.22	Average
0.00	Least
10.00	Most

Iowa

6.20	Average
0.00	Least
10.00	Most

Mineral Metabolism Reporting Score

Nation

9.08	Average
0.00	Least
10.00	Most

Iowa

8.69	Average
0.00	Least
10.00	Most

Hospitalization Rate

Hospitalization Rate

Nation

5,435	As Expected
54	Better than Expected
282	Worse than Expected
465	Not Available

Iowa

61	As Expected
3	Not Available

Data Availablilty

Nation

5,771	Data Available
232	The number of patients is too small to report. Call the facility to discuss this quality measure.
66	Data not reported – Call the facility to discuss this quality measure.
1	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

61	Data Available
2	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Number of Patients Included in Hospitalization Summary

Nation

440,405	Total
72.23	Average
0	Least
467	Most

Iowa

2,915	Total
45.55	Average
0	Least
152	Most

Standardized Hospitalization Ratio

Nation

1.00	Average
0.07	Least
3.48	Most

Iowa

0.79	Average
0.15	Least
1.29	Most

Survivability Rate

Survival Rate

Nation

4,741	As Expected
462	Better than Expected
520	Worse than Expected
513	Not Available

Iowa

58	As Expected
1	Better than Expected
3	Worse than Expected
2	Not Available

Data Availablilty

Nation

5,723	Data Available
294	The number of patients is too small to report. Call the facility to discuss this quality measure.
38	Data not reported – Call the facility to discuss this quality measure.
15	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

62	Data Available
1	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Number of Patients Included in Survival Summary

Nation

2,100,956	Total
344.53	Average
0	Least
2,461	Most

Iowa

12,970	Total
202.66	Average
0	Least
817	Most

Standardized Mortality Ratio

Nation

1.02	Average
0.00	Least
3.29	Most

Iowa

1.02	Average
0.44	Least
2.01	Most

Anemia Management

Patient Transfusions Rate

Nation

4,983	As Expected
27	Better than Expected
358	Worse than Expected
868	Not Available

Iowa

43	As Expected
3	Worse than Expected
18	Not Available

Data Availablilty

Nation

5,468	Data Available
654	The number of patients is too small to report. Call the facility to discuss this quality measure.
65	Data not reported – Call the facility to discuss this quality measure.
3	CMS determined that the percentage was not accurate.
46	The facility was not open for the entire reporting period.

Iowa

46	Data Available
17	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Performance Rate 1 - Average hemoglobin value greater than 12.0 g/dL

Nation

0.56	Average
0.00	Least
64.00	Most

Iowa

0.26	Average
0.00	Least
3.00	Most

Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL

Nation

4.99	Average
0.00	Least
62.00	Most

Iowa

5.45	Average
0.00	Least
20.00	Most

Standarized Transfusion Ratio

Nation

1.01	Average
0.00	Least
7.15	Most

Iowa

1.19	Average
0.16	Least
6.07	Most

Number of Patients in Summary

Nation

378,886	Total
62.56	Average
0	Least
349	Most

Iowa

2,417	Total
37.77	Average
0	Least
126	Most

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation

1,604	Total
0.29	Average
0	Least
21	Most

Iowa

7	Total
0.14	Average
0	Least
2	Most

Data Availablilty

Nation

5,486	Data Available
401	The number of patients is too small to report. Call the facility to discuss this quality measure.
181	Data not reported – Call the facility to discuss this quality measure.
2	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

50	Data Available
13	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Patient(s) who had an average hemoglobin value less than 10.0 g/dL

Nation

70,587	Total
12.87	Average
0	Least
91	Most

Iowa

613	Total
12.26	Average
0	Least
52	Most

Data Availablilty

Nation

5,486	Data Available
401	The number of patients is too small to report. Call the facility to discuss this quality measure.
181	Data not reported – Call the facility to discuss this quality measure.
2	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

50	Data Available
13	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Number of Dialysis Patients with Hemoglobin Data

Nation

275,176	Total
45.44	Average
0	Least
283	Most

Iowa

1,910	Total
29.84	Average
0	Least
102	Most

Number of Hemoglobin Eligible Patients - Performance Period

Nation

274,010	Total
47.04	Average
0	Least
274	Most

Iowa

1,949	Total
30.94	Average
0	Least
119	Most

Number of Hemoglobin Eligible Patients - Baseline Period

Nation

279,098	Total
47.91	Average
0	Least
317	Most

Iowa

1,914	Total
30.38	Average
0	Least
117	Most

Dialysis Adequacy - URR

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation

98.77	Average
0.00	Least
100.00	Most

Iowa

99.45	Average
94.00	Least
100.00	Most

Data Availablilty

Nation

5,394	Data Available
346	The number of patients is too small to report. Call the facility to discuss this quality measure.
237	Data not reported – Call the facility to discuss this quality measure.
1	CMS determined that the percentage was not accurate.
92	The facility does not provide hemodialysis.
166	The facility was not open for the entire reporting period.

Iowa

53	Data Available
10	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Performance Rate #1 - Urea Reduction Ratio greater than or equal to 65%

Nation

98.79	Average
57.00	Least
100.00	Most

Iowa

99.25	Average
92.00	Least
100.00	Most

Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%

Nation

97.27	Average
34.00	Least
100.00	Most

Iowa

96.58	Average
81.00	Least
100.00	Most

Number of Hemodialysis Patients with URR Data

Nation

269,264	Total
44.46	Average
0	Least
297	Most

Iowa

1,789	Total
27.95	Average
0	Least
102	Most

Number of URR Eligible Patients - Performance Period

Nation

265,552	Total
45.59	Average
0	Least
273	Most

Iowa

1,875	Total
29.76	Average
0	Least
111	Most

Number of URR Eligible Patients - Baseline Period

Nation

256,555	Total
44.04	Average
0	Least
283	Most

Iowa

1,750	Total
27.78	Average
0	Least
107	Most

Dialysis Adequacy - Adult HD

Adult hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation

88.05	Average
0.00	Least
100.00	Most

Iowa

92.24	Average
78.00	Least
99.00	Most

Data Availablilty

Nation

5,616	Data Available
188	The number of patients is too small to report. Call the facility to discuss this quality measure.
160	Data not reported – Call the facility to discuss this quality measure.
22	CMS determined that the percentage was not accurate.
84	The facility does not provide hemodialysis.
166	The facility was not open for the entire reporting period.

Iowa

58	Data Available
3	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.
2	CMS determined that the percentage was not accurate.

Number of Adult HD Patients with Kt/V Data

Nation

69.74	Average
0.00	Least
641.00	Most

Iowa

45.61	Average
0.00	Least
141.00	Most

Number of Adult HD Patient-Months with Kt/V Data

Nation

507.90	Average
0.00	Least
3,182.00	Most

Iowa

323.94	Average
0.00	Least
1,116.00	Most

Dialysis Adequacy - Adult PD

Adult Peritoneal Dialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.7

Nation

80.98	Average
0.00	Least
99.00	Most

Iowa

86.82	Average
69.00	Least
94.00	Most

Data Availablilty

Nation

1,189	Data Available
1,272	The number of patients is too small to report. Call the facility to discuss this quality measure.
598	Data not reported – Call the facility to discuss this quality measure.
18	CMS determined that the percentage was not accurate.
2,993	The facility does not provide peritoneal dialysis.
166	The facility was not open for the entire reporting period.

Iowa

11	Data Available
8	The number of patients is too small to report. Call the facility to discuss this quality measure.
2	Data not reported – Call the facility to discuss this quality measure.
2	CMS determined that the percentage was not accurate.
41	The facility does not provide peritoneal dialysis.

Number of Adult PD Patients with Kt/V Data

Nation

6.12	Average
0.00	Least
172.00	Most

Iowa

5.27	Average
0.00	Least
48.00	Most

Number of Adult PD Patient-Months with Kt/V Data

Nation

46.35	Average
0.00	Least
1,533.00	Most

Iowa

38.00	Average
0.00	Least
377.00	Most

Dialysis Adequacy - Ped. HD

Pediatric hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation

84.15	Average
63.00	Least
94.00	Most

Iowa

N/A	Average
N/A	Least
N/A	Most

Data Availablilty

Nation

13	Data Available
207	The number of patients is too small to report. Call the facility to discuss this quality measure.
313	Data not reported – Call the facility to discuss this quality measure.
5,535	The facility does not provide hemodialysis to pediatric patients.
2	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

4	The number of patients is too small to report. Call the facility to discuss this quality measure.
6	Data not reported – Call the facility to discuss this quality measure.
54	The facility does not provide hemodialysis to pediatric patients.

Number of Pediatric HD Patients with Kt/V Data

Nation

0.10	Average
0.00	Least
15.00	Most

Iowa

0.08	Average
0.00	Least
2.00	Most

Number of Pediatric HD Patient-Months with Kt/V Data

Nation

0.54	Average
0.00	Least
112.00	Most

Iowa

0.25	Average
0.00	Least
8.00	Most

Vascular Catheters

Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer

Nation

10.76	Average
0.00	Least
58.00	Most

Iowa

12.39	Average
0.00	Least
36.00	Most

Data Availablilty

Nation

5,671	Data Available
184	The number of patients is too small to report. Call the facility to discuss this quality measure.
127	Data not reported – Call the facility to discuss this quality measure.
1	CMS determined that the percentage was not accurate.
87	The facility does not provide hemodialysis.
166	The facility was not open for the entire reporting period.

Iowa

61	Data Available
2	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Performance Period - Catheter Rate

Nation

12.54	Average
0.00	Least
63.00	Most

Iowa

15.87	Average
0.00	Least
43.00	Most

Performance Period - Number of Catheter Patient Months

Nation

2,822,013	Total
484.47	Average
0	Least
2,871	Most

Iowa

20,129	Total
319.51	Average
0	Least
1,151	Most

Baseline Period - Catheter Rate

Nation

15.13	Average
0.00	Least
82.00	Most

Iowa

19.58	Average
5.00	Least
60.00	Most

Baseline Period - Number of Catheter Patient Months

Nation

2,011,527	Total
345.33	Average
0	Least
2,281	Most

Iowa

13,855	Total
219.92	Average
0	Least
852	Most

Arteriovenous Fistulae

Percentage of Patients with Arteriovenous Fistulae in Place

Nation

63.16	Average
0.00	Least
100.00	Most

Iowa

65.00	Average
38.00	Least
86.00	Most

Data Availablilty

Nation

5,671	Data Available
184	The number of patients is too small to report. Call the facility to discuss this quality measure.
127	Data not reported – Call the facility to discuss this quality measure.
1	CMS determined that the percentage was not accurate.
87	The facility does not provide hemodialysis.
166	The facility was not open for the entire reporting period.

Iowa

61	Data Available
2	The number of patients is too small to report. Call the facility to discuss this quality measure.
1	Data not reported – Call the facility to discuss this quality measure.

Performance Period - Fistula Rate

Nation

62.10	Average
0.00	Least
98.00	Most

Iowa

65.20	Average
41.00	Least
84.00	Most

Performance Period - Number of Fistula Patient Months

Nation

3,060,336	Total
525.38	Average
0	Least
3,083	Most

Iowa

21,866	Total
347.08	Average
0	Least
1,245	Most

Baseline Period - Fistula Rate

Nation

57.98	Average
3.00	Least
100.00	Most

Iowa

59.84	Average
28.00	Least
81.00	Most

Baseline Period - Number of Fistula Patient Months

Nation

2,906,552	Total
498.98	Average
0	Least
3,197	Most

Iowa

20,239	Total
321.25	Average
0	Least
1,233	Most

Hypercalcemia

Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL

Nation

2.36	Average
0.00	Least
96.00	Most

Iowa

1.39	Average
0.00	Least
15.00	Most

Data Availablilty

Nation

5,707	Data Available
221	The number of patients is too small to report. Call the facility to discuss this quality measure.
141	Data not reported – Call the facility to discuss this quality measure.
1	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

59	Data Available
5	The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patients in Summary

Nation

487,975	Total
80.58	Average
0	Least
494	Most

Iowa

3,020	Total
47.19	Average
3	Least
158	Most

Number of Patient Months in Summary

Nation

4,102,316	Total
677.40	Average
0	Least
4,454	Most

Iowa

25,052	Total
391.44	Average
3	Least
1,349	Most

Serum Phosphorus

Number of Patients in Serum Phosphorus Summary

Nation

514,568	Total
84.97	Average
0	Least
524	Most

Iowa

3,211	Total
50.17	Average
3	Least
166	Most

Data Availablilty

Nation

5,727	Data Available
211	The number of patients is too small to report. Call the facility to discuss this quality measure.
131	Data not reported – Call the facility to discuss this quality measure.
1	CMS determined that the percentage was not accurate.
166	The facility was not open for the entire reporting period.

Iowa

60	Data Available
4	The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patient Months in Summary

Nation

4,294,671	Total
709.16	Average
0	Least
4,692	Most

Iowa

26,095	Total
407.73	Average
6	Least
1,395	Most

Percentage of Adult Patients with SP Less Than 3.5 mg/dL

Nation

10.46	Average
0.00	Least
44.00	Most

Iowa

10.58	Average
1.00	Least
20.00	Most

Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl

Nation

28.52	Average
0.00	Least
54.00	Most

Iowa

31.50	Average
19.00	Least
51.00	Most

Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl

Nation

31.56	Average
3.00	Least
57.00	Most

Iowa

31.35	Average
20.00	Least
45.00	Most

Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl

Nation

19.11	Average
0.00	Least
48.00	Most

Iowa

17.47	Average
6.00	Least
29.00	Most

Percentage of Adult Patients with SP Greater Than 7.0 mg/dl

Nation

10.36	Average
0.00	Least
70.00	Most

Iowa

8.98	Average
1.00	Least
22.00	Most