General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 168 | Tennessee |
| 3 | Clarksville, Tennessee |
| N/A | DCI Cumberland |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 3,143 | Tennessee |
| 55 | Clarksville, Tennessee |
| 28 | DCI Cumberland |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 18.71 | Tennessee |
| 18.33 | Clarksville, Tennessee |
| N/A | DCI Cumberland |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 168 | Tennessee |
| 3 | Clarksville, Tennessee |
| 1 | DCI Cumberland |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| 76 | Tennessee |
| 3 | Clarksville, Tennessee |
| 1 | DCI Cumberland |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| 49 | Tennessee |
| 1 | Clarksville, Tennessee |
| 0 | DCI Cumberland |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 10 | Tennessee |
| N/A | Clarksville, Tennessee |
| 0 | DCI Cumberland |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 135 | Tennessee |
| 2 | Clarksville, Tennessee |
| 0 | DCI Cumberland |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 33 | Tennessee |
| 1 | Clarksville, Tennessee |
| 0 | DCI Cumberland |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 135 | Tennessee |
| 2 | Clarksville, Tennessee |
| 0 | DCI Cumberland |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 33 | Tennessee |
| 1 | Clarksville, Tennessee |
| 0 | DCI Cumberland |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 80.80 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 79.00 | Average |
|---|---|
| 76.00 | Least |
| 82.00 | Most |
| 82.00 | DCI Cumberland |
|---|
ICH CAHPS Admin Score
| 9.60 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.87 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | DCI Cumberland |
|---|
NHSN Event Reporting Score
| 9.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.90 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | DCI Cumberland |
|---|
Measure Scores
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 9.52 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.61 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.33 | Average |
|---|---|
| 8.00 | Least |
| 10.00 | Most |
| 10.00 | DCI Cumberland |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 151 | Achievement |
|---|---|
| 3 | Improvement |
| 14 | Not Available |
| 3 | Achievement |
|---|
| Improvement |
|---|
Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%
| 8.35 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.19 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.00 | Average |
|---|---|
| 7.00 | Least |
| 10.00 | Most |
| 7.00 | DCI Cumberland |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 139 | Achievement |
|---|---|
| 11 | Improvement |
| 18 | Not Available |
| 3 | Achievement |
|---|
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.50 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.00 | Average |
|---|---|
| 6.00 | Least |
| 9.00 | Most |
| 9.00 | DCI Cumberland |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 137 | Achievement |
|---|---|
| 13 | Improvement |
| 18 | Not Available |
| 3 | Achievement |
|---|
| Improvement |
|---|
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.41 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 3.33 | Average |
|---|---|
| 1.00 | Least |
| 5.00 | Most |
| 5.00 | DCI Cumberland |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 144 | Achievement |
|---|---|
| 6 | Improvement |
| 18 | Not Available |
| 3 | Achievement |
|---|
| Improvement |
|---|
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.67 | Average |
|---|---|
| 5.00 | Least |
| 7.00 | Most |
| 7.00 | DCI Cumberland |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | DCI Cumberland |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 153 | As Expected |
|---|---|
| 7 | Worse than Expected |
| 8 | Not Available |
| 3 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 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. |
| 160 | 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. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients Included in Hospitalization Summary
| 440,405 | Total |
|---|---|
| 72.23 | Average |
| 0 | Least |
| 467 | Most |
| 10,215 | Total |
|---|---|
| 61.91 | Average |
| 0 | Least |
| 180 | Most |
| 205 | Total |
|---|---|
| 68.33 | Average |
| 59 | Least |
| 79 | Most |
| 79 | DCI Cumberland |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 1.01 | Average |
|---|---|
| 0.28 | Least |
| 2.53 | Most |
| 0.87 | Average |
|---|---|
| 0.63 | Least |
| 1.08 | Most |
| 0.63 | DCI Cumberland |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 143 | As Expected |
|---|---|
| 5 | Better than Expected |
| 11 | Worse than Expected |
| 9 | Not Available |
| 3 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 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. |
| 159 | Data Available |
| 4 | 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. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients Included in Survival Summary
| 2,100,956 | Total |
|---|---|
| 344.53 | Average |
| 0 | Least |
| 2,461 | Most |
| 48,012 | Total |
|---|---|
| 290.98 | Average |
| 0 | Least |
| 1,079 | Most |
| 943 | Total |
|---|---|
| 314.33 | Average |
| 256 | Least |
| 362 | Most |
| 362 | DCI Cumberland |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 1.00 | Average |
|---|---|
| 0.33 | Least |
| 2.00 | Most |
| 0.98 | Average |
|---|---|
| 0.84 | Least |
| 1.13 | Most |
| 0.84 | DCI Cumberland |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 142 | As Expected |
|---|---|
| 15 | Worse than Expected |
| 11 | Not Available |
| 3 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 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. |
| 157 | Data Available |
| 9 | 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. |
| 1 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Rate 1 - Average hemoglobin value greater than 12.0 g/dL
| 0.56 | Average |
|---|---|
| 0.00 | Least |
| 64.00 | Most |
| 0.44 | Average |
|---|---|
| 0.00 | Least |
| 13.00 | Most |
| 0.67 | Average |
|---|---|
| 0.00 | Least |
| 2.00 | Most |
| 0.00 | DCI Cumberland |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 4.76 | Average |
|---|---|
| 0.00 | Least |
| 28.00 | Most |
| 8.00 | Average |
|---|---|
| 3.00 | Least |
| 15.00 | Most |
| 6.00 | DCI Cumberland |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 1.14 | Average |
|---|---|
| 0.00 | Least |
| 4.30 | Most |
| 1.26 | Average |
|---|---|
| 0.98 | Least |
| 1.46 | Most |
| 0.98 | DCI Cumberland |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 9,029 | Total |
|---|---|
| 55.05 | Average |
| 0 | Least |
| 153 | Most |
| 185 | Total |
|---|---|
| 61.67 | Average |
| 54 | Least |
| 70 | Most |
| 70 | DCI Cumberland |
|---|
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 1,604 | Total |
|---|---|
| 0.29 | Average |
| 0 | Least |
| 21 | Most |
| 27 | Total |
|---|---|
| 0.17 | Average |
| 0 | Least |
| 4 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 158 | Data Available |
| 3 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Patient(s) who had an average hemoglobin value less than 10.0 g/dL
| 70,587 | Total |
|---|---|
| 12.87 | Average |
| 0 | Least |
| 91 | Most |
| 1,812 | Total |
|---|---|
| 11.47 | Average |
| 0 | Least |
| 47 | Most |
| 35 | Total |
|---|---|
| 11.67 | Average |
| 5 | Least |
| 20 | Most |
| 10 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 158 | Data Available |
| 3 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Dialysis Patients with Hemoglobin Data
| 275,176 | Total |
|---|---|
| 45.44 | Average |
| 0 | Least |
| 283 | Most |
| 6,438 | Total |
|---|---|
| 39.26 | Average |
| 0 | Least |
| 133 | Most |
| 139 | Total |
|---|---|
| 46.33 | Average |
| 42 | Least |
| 52 | Most |
| 52 | DCI Cumberland |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 6,439 | Total |
|---|---|
| 39.50 | Average |
| 0 | Least |
| 133 | Most |
| 147 | Total |
|---|---|
| 49.00 | Average |
| 42 | Least |
| 55 | Most |
| 55 | DCI Cumberland |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 6,585 | Total |
|---|---|
| 40.40 | Average |
| 0 | Least |
| 147 | Most |
| 143 | Total |
|---|---|
| 47.67 | Average |
| 39 | Least |
| 64 | Most |
| 64 | DCI Cumberland |
|---|
Dialysis Adequacy - URR
Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%
| 98.77 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 98.85 | Average |
|---|---|
| 90.00 | Least |
| 100.00 | Most |
| 99.33 | Average |
|---|---|
| 98.00 | Least |
| 100.00 | Most |
| 100.00 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 152 | Data Available |
| 6 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 4 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility does not provide hemodialysis. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Rate #1 - Urea Reduction Ratio greater than or equal to 65%
| 98.79 | Average |
|---|---|
| 57.00 | Least |
| 100.00 | Most |
| 98.66 | Average |
|---|---|
| 89.00 | Least |
| 100.00 | Most |
| 98.67 | Average |
|---|---|
| 98.00 | Least |
| 100.00 | Most |
| 98.00 | DCI Cumberland |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 97.00 | Average |
|---|---|
| 78.00 | Least |
| 100.00 | Most |
| 96.33 | Average |
|---|---|
| 95.00 | Least |
| 97.00 | Most |
| 95.00 | DCI Cumberland |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 6,292 | Total |
|---|---|
| 38.37 | Average |
| 0 | Least |
| 112 | Most |
| 135 | Total |
|---|---|
| 45.00 | Average |
| 41 | Least |
| 53 | Most |
| 53 | DCI Cumberland |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 6,240 | Total |
|---|---|
| 38.28 | Average |
| 0 | Least |
| 116 | Most |
| 144 | Total |
|---|---|
| 48.00 | Average |
| 41 | Least |
| 60 | Most |
| 60 | DCI Cumberland |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 6,063 | Total |
|---|---|
| 37.20 | Average |
| 0 | Least |
| 121 | Most |
| 140 | Total |
|---|---|
| 46.67 | Average |
| 37 | Least |
| 65 | Most |
| 65 | DCI Cumberland |
|---|
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
| 88.05 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 90.24 | Average |
|---|---|
| 35.00 | Least |
| 100.00 | Most |
| 93.33 | Average |
|---|---|
| 91.00 | Least |
| 97.00 | Most |
| 97.00 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 154 | Data Available |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility does not provide hemodialysis. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Adult HD Patients with Kt/V Data
| 69.74 | Average |
|---|---|
| 0.00 | Least |
| 641.00 | Most |
| 59.79 | Average |
|---|---|
| 0.00 | Least |
| 272.00 | Most |
| 72.00 | Average |
|---|---|
| 66.00 | Least |
| 81.00 | Most |
| 69.00 | DCI Cumberland |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 439.32 | Average |
|---|---|
| 0.00 | Least |
| 1,232.00 | Most |
| 531.00 | Average |
|---|---|
| 483.00 | Least |
| 613.00 | Most |
| 613.00 | DCI Cumberland |
|---|
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
| 80.98 | Average |
|---|---|
| 0.00 | Least |
| 99.00 | Most |
| 84.71 | Average |
|---|---|
| 65.00 | Least |
| 97.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 28 | Data Available |
| 30 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 14 | Data not reported – Call the facility to discuss this quality measure. |
| 92 | The facility does not provide peritoneal dialysis. |
| 4 | The facility was not open for the entire reporting period. |
| 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. |
| 2 | Data not reported – Call the facility to discuss this quality measure. |
Number of Adult PD Patients with Kt/V Data
| 6.12 | Average |
|---|---|
| 0.00 | Least |
| 172.00 | Most |
| 5.76 | Average |
|---|---|
| 0.00 | Least |
| 69.00 | Most |
| 5.00 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.00 | DCI Cumberland |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 43.32 | Average |
|---|---|
| 0.00 | Least |
| 577.00 | Most |
| 35.33 | Average |
|---|---|
| 0.00 | Least |
| 73.00 | Most |
| 33.00 | DCI Cumberland |
|---|
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
| 84.15 | Average |
|---|---|
| 63.00 | Least |
| 94.00 | Most |
| 94.00 | Average |
|---|---|
| 94.00 | Least |
| 94.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 1 | Data Available |
| 3 | 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. |
| 158 | The facility does not provide hemodialysis to pediatric patients. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | The facility does not provide hemodialysis to pediatric patients. |
| 4 | CMS determined that the percentage was not accurate. |
Number of Pediatric HD Patients with Kt/V Data
| 0.10 | Average |
|---|---|
| 0.00 | Least |
| 15.00 | Most |
| 0.12 | Average |
|---|---|
| 0.00 | Least |
| 11.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | DCI Cumberland |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.56 | Average |
|---|---|
| 0.00 | Least |
| 66.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | DCI Cumberland |
|---|
Vascular Catheters
Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer
| 10.76 | Average |
|---|---|
| 0.00 | Least |
| 58.00 | Most |
| 12.26 | Average |
|---|---|
| 1.00 | Least |
| 34.00 | Most |
| 7.67 | Average |
|---|---|
| 5.00 | Least |
| 11.00 | Most |
| 7.00 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 154 | Data Available |
| 7 | 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 | The facility does not provide hemodialysis. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Period - Catheter Rate
| 12.54 | Average |
|---|---|
| 0.00 | Least |
| 63.00 | Most |
| 13.96 | Average |
|---|---|
| 1.00 | Least |
| 34.00 | Most |
| 8.67 | Average |
|---|---|
| 7.00 | Least |
| 12.00 | Most |
| 7.00 | DCI Cumberland |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 67,335 | Total |
|---|---|
| 413.10 | Average |
| 0 | Least |
| 1,322 | Most |
| 1,541 | Total |
|---|---|
| 513.67 | Average |
| 430 | Least |
| 665 | Most |
| 665 | DCI Cumberland |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 17.03 | Average |
|---|---|
| 0.00 | Least |
| 34.00 | Most |
| 9.67 | Average |
|---|---|
| 5.00 | Least |
| 17.00 | Most |
| 5.00 | DCI Cumberland |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 47,856 | Total |
|---|---|
| 293.60 | Average |
| 0 | Least |
| 976 | Most |
| 1,145 | Total |
|---|---|
| 381.67 | Average |
| 274 | Least |
| 564 | Most |
| 564 | DCI Cumberland |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 62.53 | Average |
|---|---|
| 32.00 | Least |
| 88.00 | Most |
| 54.67 | Average |
|---|---|
| 50.00 | Least |
| 60.00 | Most |
| 60.00 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 154 | Data Available |
| 7 | 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 | The facility does not provide hemodialysis. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Period - Fistula Rate
| 62.10 | Average |
|---|---|
| 0.00 | Least |
| 98.00 | Most |
| 61.27 | Average |
|---|---|
| 35.00 | Least |
| 98.00 | Most |
| 56.00 | Average |
|---|---|
| 49.00 | Least |
| 61.00 | Most |
| 61.00 | DCI Cumberland |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 72,526 | Total |
|---|---|
| 444.94 | Average |
| 0 | Least |
| 1,393 | Most |
| 1,619 | Total |
|---|---|
| 539.67 | Average |
| 469 | Least |
| 679 | Most |
| 679 | DCI Cumberland |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 57.02 | Average |
|---|---|
| 37.00 | Least |
| 86.00 | Most |
| 55.67 | Average |
|---|---|
| 49.00 | Least |
| 61.00 | Most |
| 57.00 | DCI Cumberland |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 68,597 | Total |
|---|---|
| 420.84 | Average |
| 0 | Least |
| 1,384 | Most |
| 1,629 | Total |
|---|---|
| 543.00 | Average |
| 412 | Least |
| 771 | Most |
| 771 | DCI Cumberland |
|---|
Hypercalcemia
Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL
| 2.36 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 2.11 | Average |
|---|---|
| 0.00 | Least |
| 12.00 | Most |
| 1.00 | Average |
|---|---|
| 1.00 | Least |
| 1.00 | Most |
| 1.00 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 161 | Data Available |
| 1 | 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. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients in Summary
| 487,975 | Total |
|---|---|
| 80.58 | Average |
| 0 | Least |
| 494 | Most |
| 11,317 | Total |
|---|---|
| 69.01 | Average |
| 0 | Least |
| 202 | Most |
| 215 | Total |
|---|---|
| 71.67 | Average |
| 63 | Least |
| 77 | Most |
| 75 | DCI Cumberland |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 97,885 | Total |
|---|---|
| 596.86 | Average |
| 0 | Least |
| 1,842 | Most |
| 1,989 | Total |
|---|---|
| 663.00 | Average |
| 571 | Least |
| 737 | Most |
| 737 | DCI Cumberland |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 11,942 | Total |
|---|---|
| 72.82 | Average |
| 0 | Least |
| 189 | Most |
| 237 | Total |
|---|---|
| 79.00 | Average |
| 69 | Least |
| 86 | Most |
| 86 | DCI Cumberland |
|---|
Data Availablilty
| 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. |
| 160 | Data Available |
| 2 | 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. |
| 4 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patient Months in Summary
| 4,294,671 | Total |
|---|---|
| 709.16 | Average |
| 0 | Least |
| 4,692 | Most |
| 101,791 | Total |
|---|---|
| 620.68 | Average |
| 0 | Least |
| 1,700 | Most |
| 2,106 | Total |
|---|---|
| 702.00 | Average |
| 603 | Least |
| 794 | Most |
| 794 | DCI Cumberland |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 9.07 | Average |
|---|---|
| 2.00 | Least |
| 22.00 | Most |
| 7.00 | Average |
|---|---|
| 6.00 | Least |
| 8.00 | Most |
| 8.00 | DCI Cumberland |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 26.50 | Average |
|---|---|
| 15.00 | Least |
| 40.00 | Most |
| 25.00 | Average |
|---|---|
| 22.00 | Least |
| 30.00 | Most |
| 23.00 | DCI Cumberland |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 32.17 | Average |
|---|---|
| 22.00 | Least |
| 48.00 | Most |
| 35.33 | Average |
|---|---|
| 30.00 | Least |
| 41.00 | Most |
| 30.00 | DCI Cumberland |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 19.94 | Average |
|---|---|
| 5.00 | Least |
| 36.00 | Most |
| 19.67 | Average |
|---|---|
| 18.00 | Least |
| 23.00 | Most |
| 23.00 | DCI Cumberland |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 12.30 | Average |
|---|---|
| 2.00 | Least |
| 24.00 | Most |
| 13.00 | Average |
|---|---|
| 9.00 | Least |
| 17.00 | Most |
| 17.00 | DCI Cumberland |
|---|