Hemodialysis Adequacy Urea Reduction Ratio (URR)
NQF Endorsement Status Not Endorsed
NQF ID 9999
Measure Type Process
Measure Content Last Updated 2021-06-30
Info As Of Not Available
Properties
Description This measure reports the percentage of eligible Medicare in-center hemodialysis (HD) patients with a median urea reduction ratio (URR) of at least 65%.
Numerator The number of eligible Medicare in-center hemodialysis patients with a median urea reduction ratio (URR) category greater than or equal to 65%. Patients from the denominator are included in the numerator if the median of their monthly URR category indicates a value of at least 65%.
Denominator Number of eligible Medicare in-center hemodialysis patients at the facility during the measurement period (baseline or performance). The denominator will include all in-center hemodialysis patients 18 years and older with ESRD for 183 days or longer, and whose last claim of the month for the patient at the facility indicates thrice-weekly in-center hemodialysis with a valid URR reading.
Denominator Exclusions Claims are excluded if any of the following criteria are met: Patient is less than 18 years old as of the start of the claim, or Patient has fewer than 7 dialysis sessions per month (HCPCS modifier=G6), or Patient is in the first 182 days of ESRD as of the start of the claim, or Patient is on home hemodialysis or peritoneal dialysis (PD) according to the claim, or Patient is on frequent hemodialysis (see below), or Patient has fewer than 4 months of eligible claims at a facility in the measurement period. Frequent hemodialysis claims are identified for exclusions in three ways: If the claim covers 7 or fewer days, the claim must have had fewer than 4 sessions documented. If the claim covers more than 7 days, the claim must have had a rate of fewer than 4 sessions per week. The beginning date of the claim must not have occurred in a month during which the SIMS database recorded the patient s modality as frequent
Report Generated: Tue Sep 28 06:37:40 EDT 2021 | Page 1
Hemodialysis Adequacy Urea Reduction Ratio (URR)
in-center hemodialysis (defined as 5 or more dialysis sessions per week).
Rationale Not Available
Evidence Not Available
Developer/Steward
Steward Centers for Medicare & Medicaid Services (CMS)
Contact Not Available
Measure Developer Not Available
Development Stage Fully Developed
Characteristics
Measure Type Process
Meaningful Measure Area Not Available
Healthcare Priority Promoting the most effective Prevention and Treatment Practices for the Leading Causes of Mortality eCQM Spec Available Not Available
NQF Endorsement Status Not Endorsed
NQF ID 9999
Last NQF Update Not Available
Target Population Age 18+
Target Population Age (High) Not Available
Target Population Age (Low) 18
Reporting Level Not Available
Report Generated: Tue Sep 28 06:37:40 EDT 2021 | Page 2
Hemodialysis Adequacy Urea Reduction Ratio (URR)
Conditions End Stage Renal Disease (ESRD)
Subconditions Not Available
Care Settings Dialysis Facility; Facility
Groups
Core Measure Set Not Available
Measure Links
Measure Program: End-Stage Renal Disease Quality Incentive Program
Info As Of Not Available
Program / Model Notes
Data Sources Not Specified
Purposes Not Available
Quality Domain Not Available
Reporting Frequency Not Available
Impacts Payment Not Available
Reporting Status Inactive
Data Reporting Begin Date Not Available
Data Reporting End Date 2015-01-01
Report Generated: Tue Sep 28 06:37:40 EDT 2021 | Page 3
Hemodialysis Adequacy Urea Reduction Ratio (URR)
Measure Program Links https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/index
Milestones
Milestone: Removed
Effective Date 2015-01-01
Comments Not Available
Milestone: Implemented
Effective Date 2012-01-01
Comments Not Available
Milestone Links http://www.gpo.gov/fdsys/pkg/FR-2010-08-12/pdf/2010-18466.pdf
Milestone: Finalized
Effective Date 2010-08-12
Comments Not Available
Milestone Links http://www.gpo.gov/fdsys/pkg/FR-2010-08-12/pdf/2010-18466.pdf
Milestone: Reference
Effective Date 1900-01-01
Comments Not Available
Milestone Links https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment- Instruments/ESRDQIP/Downloads/Final-PY-2013-Technical-Measure- Specifications.pdf
Report Generated: Tue Sep 28 06:37:40 EDT 2021 | Page 4