General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 288 | Ohio |
| 3 | Lima, Ohio |
| N/A | Lima Memorial Hospital / Dialysis Services |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 4,445 | Ohio |
| 45 | Lima, Ohio |
| 20 | Lima Memorial Hospital / Dialysis Services |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 15.43 | Ohio |
| 15.00 | Lima, Ohio |
| N/A | Lima Memorial Hospital / Dialysis Services |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 288 | Ohio |
| 3 | Lima, Ohio |
| 1 | Lima Memorial Hospital / Dialysis Services |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| 142 | Ohio |
| 2 | Lima, Ohio |
| 1 | Lima Memorial Hospital / Dialysis Services |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| 84 | Ohio |
| 1 | Lima, Ohio |
| 0 | Lima Memorial Hospital / Dialysis Services |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 56 | Ohio |
| N/A | Lima, Ohio |
| 0 | Lima Memorial Hospital / Dialysis Services |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 257 | Ohio |
| 1 | Lima, Ohio |
| 0 | Lima Memorial Hospital / Dialysis Services |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 31 | Ohio |
| 2 | Lima, Ohio |
| 0 | Lima Memorial Hospital / Dialysis Services |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 257 | Ohio |
| 1 | Lima, Ohio |
| 0 | Lima Memorial Hospital / Dialysis Services |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 31 | Ohio |
| 2 | Lima, Ohio |
| 0 | Lima Memorial Hospital / Dialysis Services |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 81.70 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 82.00 | Average |
|---|---|
| 70.00 | Least |
| 100.00 | Most |
| 70.00 | Lima Memorial Hospital / Dialysis Services |
|---|
ICH CAHPS Admin Score
| 9.60 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.83 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Lima Memorial Hospital / Dialysis Services |
|---|
NHSN Event Reporting Score
| 9.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.98 | Average |
|---|---|
| 5.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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 |
| 9.43 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 222 | Achievement |
|---|---|
| 2 | Improvement |
| 64 | Not Available |
| 2 | Achievement |
|---|---|
| 1 | Not Available |
| 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 |
| 8.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 7.00 | Average |
|---|---|
| 7.00 | Least |
| 7.00 | Most |
| 7.00 | Lima Memorial Hospital / Dialysis Services |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 209 | Achievement |
|---|---|
| 9 | Improvement |
| 70 | Not Available |
| 2 | Achievement |
|---|---|
| 1 | Not Available |
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.31 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.50 | Average |
|---|---|
| 4.00 | Least |
| 5.00 | Most |
| 4.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 195 | Achievement |
|---|---|
| 30 | Improvement |
| 63 | Not Available |
| 2 | Achievement |
|---|---|
| 1 | Not Available |
| Improvement |
|---|
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.82 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 3.00 | Average |
|---|---|
| 2.00 | Least |
| 4.00 | Most |
| 2.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 198 | Achievement |
|---|---|
| 23 | Improvement |
| 67 | Not Available |
| 1 | Achievement |
|---|---|
| 1 | Improvement |
| 1 | Not Available |
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.32 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.00 | Average |
|---|---|
| 3.00 | Least |
| 5.00 | Most |
| 3.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.34 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 222 | As Expected |
|---|---|
| 1 | Better than Expected |
| 32 | Worse than Expected |
| 33 | Not Available |
| 2 | As Expected |
|---|---|
| 1 | Not Available |
| 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. |
| 255 | Data Available |
| 16 | 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. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 16,998 | Total |
|---|---|
| 60.49 | Average |
| 0 | Least |
| 383 | Most |
| 259 | Total |
|---|---|
| 86.33 | Average |
| 0 | Least |
| 162 | Most |
| 97 | Lima Memorial Hospital / Dialysis Services |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 1.19 | Average |
|---|---|
| 0.35 | Least |
| 2.26 | Most |
| 1.08 | Average |
|---|---|
| 0.95 | Least |
| 1.21 | Most |
| 0.95 | Lima Memorial Hospital / Dialysis Services |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 218 | As Expected |
|---|---|
| 19 | Better than Expected |
| 19 | Worse than Expected |
| 32 | Not Available |
| 2 | As Expected |
|---|---|
| 1 | Not Available |
| 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. |
| 256 | Data Available |
| 15 | 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. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 82,411 | Total |
|---|---|
| 293.28 | Average |
| 0 | Least |
| 1,620 | Most |
| 1,122 | Total |
|---|---|
| 374.00 | Average |
| 0 | Least |
| 699 | Most |
| 423 | Lima Memorial Hospital / Dialysis Services |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 1.03 | Average |
|---|---|
| 0.27 | Least |
| 3.15 | Most |
| 1.01 | Average |
|---|---|
| 0.91 | Least |
| 1.10 | Most |
| 0.91 | Lima Memorial Hospital / Dialysis Services |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 203 | As Expected |
|---|---|
| 24 | Worse than Expected |
| 61 | Not Available |
| 1 | As Expected |
|---|---|
| 1 | Worse than Expected |
| 1 | Not Available |
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. |
| 234 | Data Available |
| 44 | 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. |
| 5 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 0.60 | Average |
|---|---|
| 0.00 | Least |
| 16.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 5.39 | Average |
|---|---|
| 0.00 | Least |
| 27.00 | Most |
| 3.50 | Average |
|---|---|
| 2.00 | Least |
| 5.00 | Most |
| 2.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 1.20 | Average |
|---|---|
| 0.00 | Least |
| 5.75 | Most |
| 1.59 | Average |
|---|---|
| 1.37 | Least |
| 1.81 | Most |
| 1.81 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 14,278 | Total |
|---|---|
| 51.73 | Average |
| 0 | Least |
| 327 | Most |
| 210 | Total |
|---|---|
| 70.00 | Average |
| 0 | Least |
| 126 | Most |
| 84 | Lima Memorial Hospital / Dialysis Services |
|---|
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 1,604 | Total |
|---|---|
| 0.29 | Average |
| 0 | Least |
| 21 | Most |
| 61 | Total |
|---|---|
| 0.26 | Average |
| 0 | Least |
| 8 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 236 | Data Available |
| 31 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 9 | Data not reported – Call the facility to discuss this quality measure. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 3,224 | Total |
|---|---|
| 13.66 | Average |
| 0 | Least |
| 67 | Most |
| 38 | Total |
|---|---|
| 19.00 | Average |
| 16 | Least |
| 22 | Most |
| 22 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 236 | Data Available |
| 31 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 9 | Data not reported – Call the facility to discuss this quality measure. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 9,714 | Total |
|---|---|
| 35.20 | Average |
| 0 | Least |
| 272 | Most |
| 154 | Total |
|---|---|
| 51.33 | Average |
| 0 | Least |
| 100 | Most |
| 54 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 9,773 | Total |
|---|---|
| 37.02 | Average |
| 0 | Least |
| 246 | Most |
| 152 | Total |
|---|---|
| 50.67 | Average |
| 0 | Least |
| 92 | Most |
| 60 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 10,181 | Total |
|---|---|
| 38.56 | Average |
| 0 | Least |
| 252 | Most |
| 137 | Total |
|---|---|
| 45.67 | Average |
| 1 | Least |
| 82 | Most |
| 54 | Lima Memorial Hospital / Dialysis Services |
|---|
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 |
| 98.95 | Average |
|---|---|
| 88.00 | Least |
| 100.00 | Most |
| 98.50 | Average |
|---|---|
| 97.00 | Least |
| 100.00 | Most |
| 100.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 229 | Data Available |
| 21 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 16 | Data not reported – Call the facility to discuss this quality measure. |
| 10 | The facility does not provide hemodialysis. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 99.08 | Average |
|---|---|
| 83.00 | Least |
| 100.00 | Most |
| 98.00 | Average |
|---|---|
| 98.00 | Least |
| 98.00 | Most |
| 98.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 96.94 | Average |
|---|---|
| 73.00 | Least |
| 100.00 | Most |
| 98.00 | Average |
|---|---|
| 98.00 | Least |
| 98.00 | Most |
| 98.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 9,594 | Total |
|---|---|
| 34.76 | Average |
| 0 | Least |
| 297 | Most |
| 124 | Total |
|---|---|
| 41.33 | Average |
| 0 | Least |
| 76 | Most |
| 48 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 9,360 | Total |
|---|---|
| 35.45 | Average |
| 0 | Least |
| 252 | Most |
| 118 | Total |
|---|---|
| 39.33 | Average |
| 0 | Least |
| 66 | Most |
| 52 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 9,304 | Total |
|---|---|
| 35.24 | Average |
| 0 | Least |
| 257 | Most |
| 95 | Total |
|---|---|
| 31.67 | Average |
| 0 | Least |
| 55 | Most |
| 40 | Lima Memorial Hospital / Dialysis Services |
|---|
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 |
| 87.85 | Average |
|---|---|
| 0.00 | Least |
| 99.00 | Most |
| 61.67 | Average |
|---|---|
| 0.00 | Least |
| 94.00 | Most |
| 91.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 243 | Data Available |
| 12 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 12 | Data not reported – Call the facility to discuss this quality measure. |
| 9 | The facility does not provide hemodialysis. |
| 12 | 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 |
| 54.81 | Average |
|---|---|
| 0.00 | Least |
| 401.00 | Most |
| 72.00 | Average |
|---|---|
| 40.00 | Least |
| 99.00 | Most |
| 77.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 395.01 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 470.33 | Average |
|---|---|
| 54.00 | Least |
| 816.00 | Most |
| 541.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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 |
| 82.00 | Average |
|---|---|
| 18.00 | Least |
| 97.00 | Most |
| 72.50 | Average |
|---|---|
| 67.00 | Least |
| 78.00 | Most |
| 78.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 44 | Data Available |
| 78 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 17 | Data not reported – Call the facility to discuss this quality measure. |
| 137 | The facility does not provide peritoneal dialysis. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The facility does not provide peritoneal dialysis. |
| 1 | The number of patients is too small to report. 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 |
| 4.67 | Average |
|---|---|
| 0.00 | Least |
| 53.00 | Most |
| 24.67 | Average |
|---|---|
| 0.00 | Least |
| 53.00 | Most |
| 21.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 34.76 | Average |
|---|---|
| 0.00 | Least |
| 392.00 | Most |
| 186.00 | Average |
|---|---|
| 0.00 | Least |
| 392.00 | Most |
| 166.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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 |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 8 | 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. |
| 265 | The facility does not provide hemodialysis to pediatric patients. |
| 12 | The facility was not open for the entire reporting period. |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | 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 |
| 0.05 | Average |
|---|---|
| 0.00 | Least |
| 4.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.29 | Average |
|---|---|
| 0.00 | Least |
| 20.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Vascular Catheters
Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer
| 10.76 | Average |
|---|---|
| 0.00 | Least |
| 58.00 | Most |
| 12.55 | Average |
|---|---|
| 0.00 | Least |
| 45.00 | Most |
| 9.67 | Average |
|---|---|
| 4.00 | Least |
| 13.00 | Most |
| 13.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 246 | Data Available |
| 13 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 8 | Data not reported – Call the facility to discuss this quality measure. |
| 9 | The facility does not provide hemodialysis. |
| 12 | 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 |
| 15.31 | Average |
|---|---|
| 0.00 | Least |
| 59.00 | Most |
| 15.50 | Average |
|---|---|
| 15.00 | Least |
| 16.00 | Most |
| 16.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 100,262 | Total |
|---|---|
| 379.78 | Average |
| 0 | Least |
| 2,736 | Most |
| 1,256 | Total |
|---|---|
| 418.67 | Average |
| 0 | Least |
| 753 | Most |
| 503 | Lima Memorial Hospital / Dialysis Services |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 19.27 | Average |
|---|---|
| 0.00 | Least |
| 64.00 | Most |
| 22.00 | Average |
|---|---|
| 21.00 | Least |
| 23.00 | Most |
| 21.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 73,617 | Total |
|---|---|
| 278.85 | Average |
| 0 | Least |
| 2,064 | Most |
| 791 | Total |
|---|---|
| 263.67 | Average |
| 0 | Least |
| 472 | Most |
| 319 | Lima Memorial Hospital / Dialysis Services |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 59.52 | Average |
|---|---|
| 21.00 | Least |
| 98.00 | Most |
| 52.00 | Average |
|---|---|
| 43.00 | Least |
| 59.00 | Most |
| 54.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 246 | Data Available |
| 13 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 8 | Data not reported – Call the facility to discuss this quality measure. |
| 9 | The facility does not provide hemodialysis. |
| 12 | 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 |
| 58.39 | Average |
|---|---|
| 18.00 | Least |
| 95.00 | Most |
| 53.00 | Average |
|---|---|
| 48.00 | Least |
| 58.00 | Most |
| 48.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 108,820 | Total |
|---|---|
| 412.20 | Average |
| 0 | Least |
| 2,868 | Most |
| 1,374 | Total |
|---|---|
| 458.00 | Average |
| 9 | Least |
| 806 | Most |
| 559 | Lima Memorial Hospital / Dialysis Services |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 53.61 | Average |
|---|---|
| 13.00 | Least |
| 100.00 | Most |
| 45.50 | Average |
|---|---|
| 38.00 | Least |
| 53.00 | Most |
| 38.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 106,831 | Total |
|---|---|
| 404.66 | Average |
| 0 | Least |
| 2,905 | Most |
| 1,146 | Total |
|---|---|
| 382.00 | Average |
| 8 | Least |
| 680 | Most |
| 458 | Lima Memorial Hospital / Dialysis Services |
|---|
Hypercalcemia
Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL
| 2.36 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 2.78 | Average |
|---|---|
| 0.00 | Least |
| 19.00 | Most |
| 1.50 | Average |
|---|---|
| 1.00 | Least |
| 2.00 | Most |
| 1.00 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 252 | Data Available |
| 17 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 7 | Data not reported – Call the facility to discuss this quality measure. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 19,159 | Total |
|---|---|
| 69.42 | Average |
| 0 | Least |
| 455 | Most |
| 267 | Total |
|---|---|
| 89.00 | Average |
| 0 | Least |
| 157 | Most |
| 110 | Lima Memorial Hospital / Dialysis Services |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 155,517 | Total |
|---|---|
| 563.47 | Average |
| 0 | Least |
| 3,821 | Most |
| 2,095 | Total |
|---|---|
| 698.33 | Average |
| 0 | Least |
| 1,158 | Most |
| 937 | Lima Memorial Hospital / Dialysis Services |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 19,978 | Total |
|---|---|
| 72.38 | Average |
| 0 | Least |
| 461 | Most |
| 287 | Total |
|---|---|
| 95.67 | Average |
| 0 | Least |
| 168 | Most |
| 119 | Lima Memorial Hospital / Dialysis Services |
|---|
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. |
| 252 | Data Available |
| 15 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 9 | Data not reported – Call the facility to discuss this quality measure. |
| 12 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 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 |
| 160,917 | Total |
|---|---|
| 583.03 | Average |
| 0 | Least |
| 3,893 | Most |
| 2,231 | Total |
|---|---|
| 743.67 | Average |
| 0 | Least |
| 1,225 | Most |
| 1,006 | Lima Memorial Hospital / Dialysis Services |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 9.94 | Average |
|---|---|
| 3.00 | Least |
| 23.00 | Most |
| 11.00 | Average |
|---|---|
| 8.00 | Least |
| 14.00 | Most |
| 14.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 28.72 | Average |
|---|---|
| 14.00 | Least |
| 49.00 | Most |
| 25.00 | Average |
|---|---|
| 25.00 | Least |
| 25.00 | Most |
| 25.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 31.77 | Average |
|---|---|
| 19.00 | Least |
| 51.00 | Most |
| 27.50 | Average |
|---|---|
| 27.00 | Least |
| 28.00 | Most |
| 27.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 19.31 | Average |
|---|---|
| 3.00 | Least |
| 42.00 | Most |
| 26.00 | Average |
|---|---|
| 23.00 | Least |
| 29.00 | Most |
| 23.00 | Lima Memorial Hospital / Dialysis Services |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 10.26 | Average |
|---|---|
| 1.00 | Least |
| 25.00 | Most |
| 11.00 | Average |
|---|---|
| 10.00 | Least |
| 12.00 | Most |
| 12.00 | Lima Memorial Hospital / Dialysis Services |
|---|