Tables for identifying quality improvement aims and tracking the PDSA cycles conducted to reach them.
Sepsis is a life-threatening medical emergency resulting from the body’s response to infection. Early recognition of symptoms and timely intervention can mean the difference between life and death.
If you have concerns or complaints about your kidney care, you have the right to file a grievance.
A grievance is a written or oral communication from an ESRD patient, and/or individual representing an ESRD patient, and/or another party, alleging that an ESRD service received from a Medicare-certified provider did not meet the grievant’s expectations with respect to safety, civility, patient rights and/or clinical standards of care.
You have three options for filing a grievance:
Facilities are required to have a process for addressing patient concerns and complaints. Ask a staff member for the process at your facility. You are not required to use your facility’s grievance process, but we encourage you to do so.
f you are not satisfied with the result of your facility’s process or you do not want to use the facility’s process, you have the right to file a grievance with the Network.
As an ESRD patient, you can file your own grievance. Family members or other representatives can also file grievances for you. To file a grievance with the Network, please call us at 800-262-1514.
Patient Toll-Free Phone Number
800-262-1514
When we receive your grievance, the Network Patient Services department starts working toward a resolution so that you can continue to receive care in a healthy treatment environment. We often ask you to take part in the process because it increases our ability to achieve a positive outcome.
The Network Patient Services department:
You have the right to file an anonymous or confidential grievance. (“Anonymous” means you don’t tell us your name. “Confidential” means you tell us your name but ask us not to share it with the facility.) Your confidentiality is important to us, and we will not share your name with the facility. However, if your anonymous or confidential grievance is about your individual care, our ability to investigate your claims may be limited.
The Network is a nonprofit organization funded by the Centers for Medicare & Medicaid Services (CMS). One of our most important responsibilities is to serve as an unbiased, outside review agency for ESRD grievances. Our primary goal is to resolve grievance cases as successfully as possible for the grievant.
We can:
We cannot:
You also have the option to file a grievance with your state survey agency.
https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/contact-information
While emergency department transfers and hospital admissions/readmissions may be necessary to respond to a LTPAC facility resident’s urgent health crisis, data show that a percentage of these transfers are potentially preventable.
Comagine Health’s ESRD program serves end-stage renal disease patients and providers through:
We are committed to improving care and quality of life for people with kidney disease.
Networks 15 and 18 are two of 18 Networks under contract with CMS to work collaboratively with dialysis professionals, providers and patients to improve patient care. Network 15 operates in Arizona, Colorado, Nevada, New Mexico, Utah, and Wyoming. Network 18 operates in Southern California.
According to Title XVIII Section 1881 of the Social Security Act, we are responsible for:
Welcome to Comagine Health’s ESRD Network. We look forward to working with you.
Use the appropriate steps below to report and manage facility changes.
These forms must be submitted to the Network whenever changes occur. All changes must also be entered into EQRS.
Only provide information for the fields where a change has occurred.
The Centers for Medicare & Medicaid Services (CMS) administers the End Stage Renal Disease Quality Incentive Program (ESRD QIP) to promote high-quality services in renal dialysis facilities. The ESRD QIP links a portion of payment directly to facilities’ performance on quality of care measures.
Visit the ESRD QIP page on CMS.gov for more information.
Dialysis facility staff can access their Performance Score Reports (PSRs) and Performance Score Certificates (PSCs) and participate in the annual preview period via the ESRD Quality Reporting System (EQRS).
In order to submit clarification questions and formal inquiries, facilities must have a Point of Contact established through the HARP/EQRS registration process. Facilities can also apply through HARP/EQRS for facility viewer access to the CMS ESRD QIP system. Facility viewer access allows you to download and review the PSR but does not allow you to submit clarification questions and formal inquiries.
Facilities can access their Dialysis Facility Reports (DFRs) and Quarterly Dialysis Facility Compare (QDFC) Preview Reports on DialysisData.org.
Dialysis facility staff access to DialysisData.org is updated annually by each facility’s local Master Account Holder (MAH). Facilities can update their MAH with the Network by completing the Facility Personnel Update Form. The Network sends updated passwords to MAHs annually.
Comagine Health ESRD provides information, resources and assistance to end-stage renal disease providers in Arizona, Colorado, Nevada, New Mexico, Utah, Wyoming and Southern California.
Please reach out to the Network if you have questions or need assistance.
Please join Comagine Health on Thursday, January 20 at 12 p.m. for a session focusing on opioid prescription tracking and monitoring.
