Hemodialysis Adequacy 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 (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 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 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

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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

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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

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