ESRD QIP PY 2023 Final PSRs and PSCs: Available on February 10, 2023

Feb 6

February 6, 2023

On February 10, 2023, the Centers for Medicare & Medicaid Services (CMS) will release the Payment Year (PY) 2023 End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Final Performance Score Reports (PSRs) and Performance Score Certificates (PSCs). Authorized facility staff will be able to log into the ESRD Quality Reporting System (EQRS) on this date to view and download these documents.

PY 2023 Final PSR

The PY 2023 Final PSR reflects any applicable revisions to your facility’s performance score from those displayed during the preview period. For PY 2023, there are seven paused clinical measures. As a result of these paused measures, the minimum Total Performance Score (mTPS) a facility can receive to avoid an ESRD QIP penalty for PY 2023 is 83. The seven paused clinical measures include:

Standardized Hospitalization Ratio
Standardized Readmission Ratio
In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems
Long-Term Catheter Rate
Standardized Fistula Rate
Percentage of Prevalent Patients Waitlisted
Kt/V Dialysis Adequacy (Comprehensive)

Additionally, CMS finalized a policy in the Calendar Year (CY) 2023 ESRD Prospective Payment System (PPS) Final Rule to calculate the performance standards for PY 2023 using CY 2019, the most current full calendar year of data. This policy, along with the policy to pause seven clinical measures was established to avoid measure performance impact from the COVID-19 public health emergency.

For details regarding the ESRD QIP PY 2023 scoring and paused measures, please refer to the final rule that was published in the Federal Register on November 7, 2022.

PY 2023 PSC

Facilities are required to download, print, and post both the English and Spanish versions of their PSC in a prominent patient area. PSCs must be posted within 15 business days of their availability and must remain posted throughout the remainder of 2023.

Save Your Facility’s PY 2023 Documents

Each facility should save an electronic copy of their Final PSR and PSC for reference, reprinting, and reposting throughout the year, if needed. The Final PSR and PSC can be accessed via the ESRD QIP user interface (UI) in EQRS. For instructions on how to access the ESRD QIP UI, refer to the PY 2023 ESRD QIP UI Quick Start Guide. For additional information about the PSR, refer to the PY 2023 Guide to the ESRD QIP Performance Score Report document. Both resources are available for download from the QualityNet website: https://qualitynet.cms.gov/esrd/esrdqip.

For Questions or Technical Assistance

For assistance regarding the information contained in this message, please contact the ESRD QIP Team via the QualityNet Q&A Tool. For technical issues with accessing reports in the ESRD QIP UI, please contact the Center for Clinical Standards and Quality (CCSQ) Service Center. The CCSQ Service Center is open Monday-Friday 8 a.m. to 8 p.m. Eastern Time and can be reached via phone at (866) 288-8912, email at q netsupport-esrd@cms.hhs.gov, or by going to CCSQ Support Central.