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 2012 ESRD QIP Performance Score Certificate (PSC)(File Size 457kb Download File) This document contains a sample of the Payment Year 2012 ESRD QIP Performance Score Certificates that are posted on our secure site.
NEW: Sample Payment Year 2012 ESRD QIP Performance Score Report (PSR)(File Size 603kb Download Final File | File Size 682kb 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 2011 Dialysis Facility Report (File Size 369kb Download File) This document contains a sample of the Dialysis Facility Reports that are posted on our secure site.
Sample 2011 Supplemental Report (File Size 338kb Download File) This document contains a sample of the Supplement to the Dialysis Facility Report that is posted on the secure site. Please note that only facilities that treated 5 or more patients under the age of 18 over the 4 year period will have Table S3.
Sample 2011 State Profile (File Size 303kb Download File) This document contains a sample of the State Profiles that are posted on our secure site.
Sample 2011 Region Profile (File Size 303kb 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 2012 ESRD QIP Performance Score Report (File Size 107kb 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 2011 Dialysis Facility Reports (File Size 475kb 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 Supplement to the 2011 Dialysis Facility Reports (File Size 199kb Download File) This document provides a detailed description of the contents of the supplemental report that will help facilities to interpret the data summaries.
Guide to the 2011 State Profiles (File Size 410kb 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 2011 Region Profiles (File Size 411kb 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 163kb 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 144kb 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 291kb Download File) The list of ICD-9 codes used to identify hospitalizations in Table 2, to identify influenza vaccination in Table 5 and identify comorbid conditions in Table 10 of the DFR. They are also used to identify infection in table S1 of the Supplement to the DFRs. Additional, table S2 in the Supplement also used V-modifiers and Value Code D5 for Kt/V.
FOR DIALYSIS FACILITIES AND STATE SURVEYORS
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