General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 190 | Michigan |
| 1 | Three Rivers, Michigan |
| N/A | FMC - Three Rivers |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 3,344 | Michigan |
| 12 | Three Rivers, Michigan |
| 12 | FMC - Three Rivers |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 17.60 | Michigan |
| 12.00 | Three Rivers, Michigan |
| N/A | FMC - Three Rivers |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 190 | Michigan |
| 1 | Three Rivers, Michigan |
| 1 | FMC - Three Rivers |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| 101 | Michigan |
| N/A | Three Rivers, Michigan |
| 0 | FMC - Three Rivers |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| 69 | Michigan |
| N/A | Three Rivers, Michigan |
| 0 | FMC - Three Rivers |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 36 | Michigan |
| N/A | Three Rivers, Michigan |
| 0 | FMC - Three Rivers |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 161 | Michigan |
| 1 | Three Rivers, Michigan |
| 1 | FMC - Three Rivers |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 29 | Michigan |
| N/A | Three Rivers, Michigan |
| 0 | FMC - Three Rivers |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 161 | Michigan |
| 1 | Three Rivers, Michigan |
| 1 | FMC - Three Rivers |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 29 | Michigan |
| N/A | Three Rivers, Michigan |
| 0 | FMC - Three Rivers |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 81.41 | Average |
|---|---|
| 40.00 | Least |
| 100.00 | Most |
| 94.00 | Average |
|---|---|
| 94.00 | Least |
| 94.00 | Most |
| 94.00 | FMC - Three Rivers |
|---|
ICH CAHPS Admin Score
| 9.60 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.88 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | FMC - Three Rivers |
|---|
NHSN Event Reporting Score
| 9.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.91 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | FMC - Three Rivers |
|---|
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 |
| 9.58 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | FMC - Three Rivers |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 167 | Achievement |
|---|---|
| 4 | Improvement |
| 19 | Not Available |
| 1 | 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 |
| 8.39 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | FMC - Three Rivers |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 163 | Achievement |
|---|---|
| 3 | Improvement |
| 24 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.94 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | FMC - Three Rivers |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 164 | Achievement |
|---|---|
| 7 | Improvement |
| 19 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.15 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.00 | Average |
|---|---|
| 8.00 | Least |
| 8.00 | Most |
| 8.00 | FMC - Three Rivers |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 161 | Achievement |
|---|---|
| 10 | Improvement |
| 19 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.81 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.00 | Average |
|---|---|
| 9.00 | Least |
| 9.00 | Most |
| 9.00 | FMC - Three Rivers |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.40 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 163 | As Expected |
|---|---|
| 20 | Worse than Expected |
| 7 | Not Available |
| 1 | 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. |
| 183 | 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. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 14,770 | Total |
|---|---|
| 78.56 | Average |
| 0 | Least |
| 282 | Most |
| 55 | Total |
|---|---|
| 55.00 | Average |
| 55 | Least |
| 55 | Most |
| 55 | FMC - Three Rivers |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 1.11 | Average |
|---|---|
| 0.37 | Least |
| 2.37 | Most |
| 1.09 | Average |
|---|---|
| 1.09 | Least |
| 1.09 | Most |
| 1.09 | FMC - Three Rivers |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 160 | As Expected |
|---|---|
| 11 | Better than Expected |
| 11 | Worse than Expected |
| 8 | Not Available |
| 1 | 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. |
| 182 | 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. |
| 1 | CMS determined that the percentage was not accurate. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 68,084 | Total |
|---|---|
| 362.15 | Average |
| 0 | Least |
| 1,346 | Most |
| 232 | Total |
|---|---|
| 232.00 | Average |
| 232 | Least |
| 232 | Most |
| 232 | FMC - Three Rivers |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 0.99 | Average |
|---|---|
| 0.39 | Least |
| 1.77 | Most |
| 0.98 | Average |
|---|---|
| 0.98 | Least |
| 0.98 | Most |
| 0.98 | FMC - Three Rivers |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 161 | As Expected |
|---|---|
| 9 | Worse than Expected |
| 20 | Not Available |
| 1 | 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. |
| 172 | Data Available |
| 15 | 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. |
| 1 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 0.61 | Average |
|---|---|
| 0.00 | Least |
| 24.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 5.55 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 1.01 | Average |
|---|---|
| 0.17 | Least |
| 2.22 | Most |
| 0.68 | Average |
|---|---|
| 0.68 | Least |
| 0.68 | Most |
| 0.68 | FMC - Three Rivers |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 12,160 | Total |
|---|---|
| 65.03 | Average |
| 0 | Least |
| 249 | Most |
| 45 | Total |
|---|---|
| 45.00 | Average |
| 45 | Least |
| 45 | Most |
| 45 | FMC - Three Rivers |
|---|
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 1,604 | Total |
|---|---|
| 0.29 | Average |
| 0 | Least |
| 21 | Most |
| 65 | Total |
|---|---|
| 0.37 | Average |
| 0 | Least |
| 11 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | FMC - Three Rivers |
|---|
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. |
| 177 | Data Available |
| 9 | 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 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 2,384 | Total |
|---|---|
| 13.47 | Average |
| 0 | Least |
| 52 | Most |
| 3 | Total |
|---|---|
| 3.00 | Average |
| 3 | Least |
| 3 | Most |
| 3 | FMC - Three Rivers |
|---|
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. |
| 177 | Data Available |
| 9 | 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 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 9,477 | Total |
|---|---|
| 50.68 | Average |
| 0 | Least |
| 189 | Most |
| 32 | Total |
|---|---|
| 32.00 | Average |
| 32 | Least |
| 32 | Most |
| 32 | FMC - Three Rivers |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 9,535 | Total |
|---|---|
| 51.54 | Average |
| 0 | Least |
| 175 | Most |
| 33 | Total |
|---|---|
| 33.00 | Average |
| 33 | Least |
| 33 | Most |
| 33 | FMC - Three Rivers |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 10,034 | Total |
|---|---|
| 54.24 | Average |
| 0 | Least |
| 198 | Most |
| 34 | Total |
|---|---|
| 34.00 | Average |
| 34 | Least |
| 34 | Most |
| 34 | FMC - Three Rivers |
|---|
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 |
| 98.81 | Average |
|---|---|
| 91.00 | Least |
| 100.00 | Most |
| 100.00 | Average |
|---|---|
| 100.00 | Least |
| 100.00 | Most |
| 100.00 | FMC - Three Rivers |
|---|
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. |
| 174 | Data Available |
| 7 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 5 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility does not provide hemodialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 98.94 | Average |
|---|---|
| 91.00 | Least |
| 100.00 | Most |
| 100.00 | Average |
|---|---|
| 100.00 | Least |
| 100.00 | Most |
| 100.00 | FMC - Three Rivers |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 97.44 | Average |
|---|---|
| 73.00 | Least |
| 100.00 | Most |
| 100.00 | Average |
|---|---|
| 100.00 | Least |
| 100.00 | Most |
| 100.00 | FMC - Three Rivers |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 9,256 | Total |
|---|---|
| 49.50 | Average |
| 0 | Least |
| 170 | Most |
| 37 | Total |
|---|---|
| 37.00 | Average |
| 37 | Least |
| 37 | Most |
| 37 | FMC - Three Rivers |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 9,299 | Total |
|---|---|
| 50.26 | Average |
| 0 | Least |
| 160 | Most |
| 35 | Total |
|---|---|
| 35.00 | Average |
| 35 | Least |
| 35 | Most |
| 35 | FMC - Three Rivers |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 9,381 | Total |
|---|---|
| 50.71 | Average |
| 0 | Least |
| 180 | Most |
| 34 | Total |
|---|---|
| 34.00 | Average |
| 34 | Least |
| 34 | Most |
| 34 | FMC - Three Rivers |
|---|
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 |
| 87.75 | Average |
|---|---|
| 0.00 | Least |
| 97.00 | Most |
| 91.00 | Average |
|---|---|
| 91.00 | Least |
| 91.00 | Most |
| 91.00 | FMC - Three Rivers |
|---|
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. |
| 167 | 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. |
| 11 | CMS determined that the percentage was not accurate. |
| 2 | The facility does not provide hemodialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 75.75 | Average |
|---|---|
| 0.00 | Least |
| 318.00 | Most |
| 63.00 | Average |
|---|---|
| 63.00 | Least |
| 63.00 | Most |
| 63.00 | FMC - Three Rivers |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 566.61 | Average |
|---|---|
| 0.00 | Least |
| 1,945.00 | Most |
| 440.00 | Average |
|---|---|
| 440.00 | Least |
| 440.00 | Most |
| 440.00 | FMC - Three Rivers |
|---|
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 |
| 83.43 | Average |
|---|---|
| 24.00 | Least |
| 99.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | FMC - Three Rivers |
|---|
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. |
| 30 | Data Available |
| 41 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 21 | Data not reported – Call the facility to discuss this quality measure. |
| 10 | CMS determined that the percentage was not accurate. |
| 86 | The facility does not provide peritoneal dialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | The facility does not provide peritoneal dialysis. |
| 7 | The facility was not open for the entire reporting period. |
Number of Adult PD Patients with Kt/V Data
| 6.12 | Average |
|---|---|
| 0.00 | Least |
| 172.00 | Most |
| 5.90 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 43.95 | Average |
|---|---|
| 0.00 | Least |
| 435.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
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 |
| 93.00 | Average |
|---|---|
| 93.00 | Least |
| 93.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | FMC - Three Rivers |
|---|
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 |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 20 | Data not reported – Call the facility to discuss this quality measure. |
| 162 | The facility does not provide hemodialysis to pediatric patients. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 0.14 | Average |
|---|---|
| 0.00 | Least |
| 14.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.87 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | FMC - Three Rivers |
|---|
Vascular Catheters
Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer
| 10.76 | Average |
|---|---|
| 0.00 | Least |
| 58.00 | Most |
| 9.96 | Average |
|---|---|
| 0.00 | Least |
| 33.00 | Most |
| 3.00 | Average |
|---|---|
| 3.00 | Least |
| 3.00 | Most |
| 3.00 | FMC - Three Rivers |
|---|
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. |
| 179 | Data Available |
| 4 | 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. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 12.89 | Average |
|---|---|
| 0.00 | Least |
| 40.00 | Most |
| 2.00 | Average |
|---|---|
| 2.00 | Least |
| 2.00 | Most |
| 2.00 | FMC - Three Rivers |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 99,129 | Total |
|---|---|
| 535.83 | Average |
| 0 | Least |
| 1,837 | Most |
| 388 | Total |
|---|---|
| 388.00 | Average |
| 388 | Least |
| 388 | Most |
| 388 | FMC - Three Rivers |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 14.88 | Average |
|---|---|
| 2.00 | Least |
| 42.00 | Most |
| 2.00 | Average |
|---|---|
| 2.00 | Least |
| 2.00 | Most |
| 2.00 | FMC - Three Rivers |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 71,724 | Total |
|---|---|
| 387.70 | Average |
| 0 | Least |
| 1,443 | Most |
| 263 | Total |
|---|---|
| 263.00 | Average |
| 263 | Least |
| 263 | Most |
| 263 | FMC - Three Rivers |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 61.43 | Average |
|---|---|
| 20.00 | Least |
| 86.00 | Most |
| 71.00 | Average |
|---|---|
| 71.00 | Least |
| 71.00 | Most |
| 71.00 | FMC - Three Rivers |
|---|
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. |
| 179 | Data Available |
| 4 | 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. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 60.14 | Average |
|---|---|
| 33.00 | Least |
| 98.00 | Most |
| 70.00 | Average |
|---|---|
| 70.00 | Least |
| 70.00 | Most |
| 70.00 | FMC - Three Rivers |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 107,815 | Total |
|---|---|
| 582.78 | Average |
| 0 | Least |
| 1,934 | Most |
| 445 | Total |
|---|---|
| 445.00 | Average |
| 445 | Least |
| 445 | Most |
| 445 | FMC - Three Rivers |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 56.05 | Average |
|---|---|
| 30.00 | Least |
| 91.00 | Most |
| 58.00 | Average |
|---|---|
| 58.00 | Least |
| 58.00 | Most |
| 58.00 | FMC - Three Rivers |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 104,794 | Total |
|---|---|
| 566.45 | Average |
| 0 | Least |
| 2,055 | Most |
| 375 | Total |
|---|---|
| 375.00 | Average |
| 375 | Least |
| 375 | Most |
| 375 | FMC - Three Rivers |
|---|
Hypercalcemia
Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL
| 2.36 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 2.63 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 3.00 | Average |
|---|---|
| 3.00 | Least |
| 3.00 | Most |
| 3.00 | FMC - Three Rivers |
|---|
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. |
| 178 | Data Available |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 5 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | 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 |
| 15,454 | Total |
|---|---|
| 82.64 | Average |
| 0 | Least |
| 326 | Most |
| 57 | Total |
|---|---|
| 57.00 | Average |
| 57 | Least |
| 57 | Most |
| 57 | FMC - Three Rivers |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 130,922 | Total |
|---|---|
| 700.12 | Average |
| 0 | Least |
| 3,159 | Most |
| 502 | Total |
|---|---|
| 502.00 | Average |
| 502 | Least |
| 502 | Most |
| 502 | FMC - Three Rivers |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 16,708 | Total |
|---|---|
| 89.35 | Average |
| 0 | Least |
| 336 | Most |
| 60 | Total |
|---|---|
| 60.00 | Average |
| 60 | Least |
| 60 | Most |
| 60 | FMC - Three Rivers |
|---|
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. |
| 181 | Data Available |
| 4 | 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 was not open for the entire reporting period. |
| 1 | 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 |
| 139,563 | Total |
|---|---|
| 746.33 | Average |
| 0 | Least |
| 3,257 | Most |
| 515 | Total |
|---|---|
| 515.00 | Average |
| 515 | Least |
| 515 | Most |
| 515 | FMC - Three Rivers |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 10.06 | Average |
|---|---|
| 3.00 | Least |
| 21.00 | Most |
| 12.00 | Average |
|---|---|
| 12.00 | Least |
| 12.00 | Most |
| 12.00 | FMC - Three Rivers |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 29.69 | Average |
|---|---|
| 17.00 | Least |
| 49.00 | Most |
| 32.00 | Average |
|---|---|
| 32.00 | Least |
| 32.00 | Most |
| 32.00 | FMC - Three Rivers |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 32.90 | Average |
|---|---|
| 19.00 | Least |
| 51.00 | Most |
| 19.00 | Average |
|---|---|
| 19.00 | Least |
| 19.00 | Most |
| 19.00 | FMC - Three Rivers |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 18.37 | Average |
|---|---|
| 2.00 | Least |
| 34.00 | Most |
| 21.00 | Average |
|---|---|
| 21.00 | Least |
| 21.00 | Most |
| 21.00 | FMC - Three Rivers |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 8.97 | Average |
|---|---|
| 0.00 | Least |
| 22.00 | Most |
| 16.00 | Average |
|---|---|
| 16.00 | Least |
| 16.00 | Most |
| 16.00 | FMC - Three Rivers |
|---|