Sample Reports
Samples of each report showing the structure and content of the report are available below. These are samples only and are not the report for any particular facility, state, or region.
NEW: Sample Payment Year 2013 ESRD QIP Performance Score Certificate (PSC) (File Size 1 MB Download File) This document contains a sample of the Payment Year 2013 ESRD QIP Performance Score Certificates that are posted on our secure site.
NEW: Sample Payment Year 2013 ESRD QIP Performance Score Report (PSR)(File Size 1 MB Download Preview File) This document contains a sample of the Payment Year 2013 ESRD QIP Performance Score Reports that are posted on our secure site.
Sample Payment Year 2012 ESRD QIP Performance Score Certificate (PSC) (File Size 457 KB Download File) This document contains a sample of the Payment Year 2012 ESRD QIP Performance Score Certificates that are posted on our secure site.
Sample Payment Year 2012 ESRD QIP Performance Score Report (PSR)(File Size 1 MB Download Final File | File Size 1 MB Download Preview File) This document contains a sample of the Payment Year 2012 ESRD QIP Performance Score Reports that are posted on our secure site.
Sample 2012 Dialysis Facility Report (File Size 442 KB Download File) This document contains a sample of the Dialysis Facility Reports that are posted on our secure site. Please note that Table 16 is created only for those facilities that treated at least five pediatric patients over the four year period.
NEW: Sample Quarterly Dialysis Facility Compare - Preview for July 2013 Report (File Size 260 KB Download File) This document contains a sample of the Quarterly Dialysis Facility Compare Report that is posted on the secure site.
Sample 2012 State Profile (File Size 375 KB Download File) This document contains a sample of the State Profiles that are posted on our secure site.
Sample 2012 Region Profile (File Size 375 KB Download File) This document contains a sample of the Region Profiles that are posted on our secure site.
Methodology
A guide providing detailed descriptions of the contents of each report is available to help readers in the interpretation of the data summaries.
NEW: Guide to the Payment Year 2013 ESRD QIP Performance Score Report (File Size 133 KB Download File) This document provides a detailed description of the contents of the report that will help facilities to interpret the data summaries.
Guide to the 2012 Dialysis Facility Reports (File Size 501 KB Download File) This document provides a detailed description of the contents of the report that will help facilities to interpret the data summaries.
NEW: Guide to the Quarterly Dialysis Facility Compare Report (File Size 362 KB Download File) This document provides a detailed description of the contents of the report that will help facilities to interpret the data summaries that will be reported on the DFC website.
Guide to the 2012 State Profiles (File Size 115 KB Download File) This document provides a detailed description of the contents of the State Profile that will help readers to interpret the data summaries.
Guide to the 2012 Region Profiles (File Size 114 KB Download File) This document provides a detailed description of the contents of the Region Profile that will help readers to interpret the data summaries.
Technical Notes on the Standardized Mortality Ratio (File Size 163 KB Download File) This is a document describing the statistical methods used in the reports for calculating the SMR. If you are interested in calculating the SMR by hand, please use this Microsoft Excel workbook. Similarly, if you would like to calculate the first year SMR by hand, please use this Microsoft Excel workbook.
Technical Notes on the Standardized Hospitalization Ratio (File Size 305 KB Download File) This is a document describing the statistical methods used in the reports for calculating the SHR. If you are interested in calculating the SHR by hand, you will also need (this Microsoft Excel workbook).
Codes (File Size 1 MB Download File) The list of ICD-9 codes used to identify hospitalizations in Table 2, to identify influenza vaccination in Table 5, to identify dialysis adequacy codes in Table 6, to identify infections in Table 8, and to identify comorbid conditions in Table 11 of the DFR.
FOR DIALYSIS FACILITIES AND STATE SURVEYORS
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