Your health and well-being are our top priority…

facebook.png twitter.png linkedin.png pinterest.png youtube.png Instagram.png

Aronoff's Point Of View: CMS rating system is flawed

Category List


Tag List

Plano (1)
Certified Registered Nurse Infusion (1)
halitosis (1)
North Denton (1)
Nederland (1)
Frosty the Snowman (1)
Toledo Bend Reservoir (1)
Year in Review (5)
Orange, TX (1)
oral hygiene (1)
travel (1)
Five Star rating (1)
dental care (1)
Blizzard 2016 (1)
Mary Bowles (1)
Redesign American Flag (1)
dogs (1)
Protein (2)
RVMLife (1)
Kidney Week (1)
North Texas Acute (1)
Savor the Flavor of Eating Right (1)
DOPPS (1)
Renal Center of North Denton (1)
Southeast flooding (1)
acute nurse (1)
World Kidney Day (7)
RVM Kidney Care (1)
Lobby Day (1)
New Orleans (1)
Dum Dums (1)
Pinterest (1)
dietitian (1)
dialysis patient exercise (1)
Dr. Stuart Kassan (1)
Rugged Maniac (1)
National MS Society (1)
Renal Center of Succasunna (1)
bubble soccer (1)
dialysis (2)
Costa Vida (1)
Citizenship Day (3)
Bone and Joint Expo (1)
Pinnacle award (1)
Renal Adventures (2)
Winter Storm Jonas (1)
gum disease (1)
National Kidney Month (2)
Fitibt (1)
New York Yankees (1)
plasmapheresis (1)
Infusion nurse (2)
Renal Center of Carrollton (1)
Centers for Medicare and Medicaid Services (1)
Home Kidney Care (2)
recipe (2)
video (1)
Renal Center of Orange (1)
MPP Infusion (10)
World Kidney Month (4)
Arthritis Foundation (2)
CMS (2)
Z Constructors (1)
Glass of water (1)
acquisition (1)
Renal Center of Hamilton (3)
JCAHO accreditation (1)
rheumatology (1)
QIRN3 (1)
Renal Center of Trenton (1)
cupcake (1)
the Action Center (1)
Texas Renal Ventures (2)
Positively Protein (3)
pot de creme (1)
apheresis (1)
flu shot (4)
Stroke (2)
cookbook (2)
Fire Prevention Week (1)
RV KidneyCARE (2)
Intern (3)
patient newsletter (3)
Best Place to Work (3)
National Kidney Foundation (5)
BioMed (1)
Renal Center of Passaic (1)
Tracy Moore (1)
NKF walk (2)
Renal Center of Morristown (1)
flu vaccine (3)
Choose My Plate (1)
acute dialysis (1)
Patient Satisfaction Survey (1)
Dallas (1)
Paulding Phelps Award (1)
Fitbit (1)
NKF (2)
back to school (1)
10th anniversary (3)
ANNA (1)
Southlake, TX (1)
Carrollton (1)
Informative Infuser (1)
Accel Rehab hospital (1)
Kidney cookbook (1)
open house (2)
Michelle Weinraub (1)
RV Difference (8)
DaVita (2)
traveling on dialysis (1)
Flower Mound (2)
Saint Barnabas Medical Center (1)
State Legislature (1)
Orange (1)
#GoRed (2)
West Virginia (1)
Renal Center of Port Arthur (1)
NRAA (2)
CRNI (1)
home hemodialysis (1)
Elanderia Rowe (1)
Employee Appreciation (1)
Go Red for Women (5)
retirement (1)
Dr. George Aronoff (4)
Council of Nephrology Social Workers (1)
wrestling (1)
Annual Dialysis Conference (1)
Tuition reimbursement (3)
Renal Center of Bayonne (1)
Internship (3)
dialysis treatment (2)
The Hills (1)
Social Worker (1)
Authentidate (2)
Digna Gutierrez (1)
DaVita Healthcare partners (1)
American Heart Association (6)
exercise (1)
Naveena Redd (2)
Javier Rodriguez (1)
40th anniversary (1)
Children's Hospital (1)
Renal Center of Somerville (3)
Kidney walk (1)
CMS rating system (3)
Renal Center of Beaumont (1)
Kindergarten (1)
Pioneer award (1)
kidney disease exercise (1)
Human Resources (1)
Renal Center of Plano (2)
new dialysis facility (1)
RV Quality Program (3)
Denton police department (1)
meningioma (1)
American Diabetes Association (1)
Mother's Day (1)
Avalon at Edgewater (1)
Officer Orlando HInajosa (1)
Take Your Dog to Work Day (1)
Spring Clinical Meeting (1)
Excellence award (1)
American College of Rheumatology (1)
National Nutrition Month (1)
RV CARE (2)
Infusion Center of Denver (4)
American Society of Nephrology (1)
RVCare (4)
Dr. Parker (1)
Interview (1)
Diane McGinnis (1)
peritoneal dialysis (3)
dialysis center (1)
American Nephrology Nurses' Association (1)
work anniversary (1)
New Jerse (1)
Infusion (6)
Southlake Infusion (1)
Nephrology News (4)
New Jersey (6)
Bonfils blood donation (2)
permanent access (1)
Dr. Aronoff (3)
Port Arthur (1)
RASKAL award (3)
Walk to Cure Arthritis (1)
Naveena Reddy (1)
telehealth services (1)
Do's and Don'ts when interviewing (1)
Kidney Life Dialysis Center (1)
Multiple Sclerosis Society (1)
miss dialysis (2)
World Health Day (1)
smoke alarm (1)
RV Wellness (4)
Heart Disease (2)
ANNA conference (1)
Spirit Award (1)
remote patient monitoring (2)
home dialysis (1)
immunization (2)
RV TLC (1)
construction (2)
nephron (1)
graduates (1)

Tag Cloud

graduatesDOPPSNaveena ReddyimmunizationCMS rating systemSouthlake Infusionflu vaccineDigna GutierrezBest Place to WorkCertified Registered Nurse InfusionNederlandPaulding Phelps AwardCitizenship DaySaint Barnabas Medical CenterANNA conferenceDr. George AronoffDr. AronoffNRAAPositively ProteinAmerican Society of NephrologyWinter Storm JonasCosta VidaDenton police departmentpot de cremeNational Kidney FoundationBone and Joint Exporetirementdialysis treatmentAuthentidateChoose My PlatevideoMPP InfusionWest VirginiaQIRN3Renal Center of OrangeWorld Kidney Dayoral hygieneKidney walkMichelle Weinraubpatient newsletterrheumatologyRV DifferencedialysisZ ConstructorsPort ArthurhalitosisDo's and Don'ts when interviewingNew Jerseygum diseaseAmerican Diabetes AssociationRV Quality ProgramRVM Kidney CareInternCouncil of Nephrology Social WorkersconstructionDr. ParkerOrangeJCAHO accreditationTexas Renal VenturesdogsPatient Satisfaction SurveyWalk to Cure ArthritisMary BowlesANNACMSHeart DiseaseRenal Center of Somervilletravel#GoRed40th anniversaryCRNIInfusion Center of DenverJavier RodriguezapheresisWorld Kidney MonthSocial WorkerFire Prevention Weekdental careOrange, TXDaVitaInfusion nurseDum DumsState LegislatureBioMedSpirit AwardMother's DayAmerican Nephrology Nurses' AssociationRV WellnessExcellence awardperitoneal dialysisSouthlake, TXhome dialysisNephrology NewsRenal Center of HamiltonDallasacute nurseHuman ResourcescupcakeNew OrleansSpring Clinical MeetingNorth DentondietitianNew York YankeesKidney cookbookPioneer awardFitibtRenal Center of PassaicKindergartenmeningiomaFrosty the SnowmanInformative Infuserdialysis patient exercisesmoke alarmAmerican College of RheumatologyChildren's HospitalRenal Center of BayonneRedesign American Flagpermanent accessRV CAREProteinYear in ReviewRenal Center of Trentondialysis centerStrokePinterestremote patient monitoringRenal Center of MorristownGlass of waterRugged Maniacacute dialysisNorth Texas AcuteThe HillsTracy MooreRVCareCarrolltonFive Star ratingPinnacle awardRenal Center of PlanoDiane McGinnisback to schoolBlizzard 2016Renal AdventuresInternshipopen houseNational Kidney Monththe Action CenternephronacquisitionNational Nutrition MonthNew Jersebubble soccerKidney Life Dialysis CenterSoutheast floodingNKFDr. Stuart KassanBonfils blood donationDaVita Healthcare partnersRV KidneyCAREAvalon at EdgewaterHome Kidney Carecookbookkidney disease exercise10th anniversaryFlower MoundOfficer Orlando HInajosaNKF walkRenal Center of Port ArthurInterviewhome hemodialysisSavor the Flavor of Eating RightKidney WeekNational MS SocietyRenal Center of SuccasunnaAnnual Dialysis ConferenceNaveena ReddEmployee Appreciationtelehealth servicesGo Red for WomenAccel Rehab hospitalRenal Center of BeaumontTake Your Dog to Work DayFitbitInfusionexerciseAmerican Heart AssociationRenal Center of CarrolltonCenters for Medicare and Medicaid Servicesflu shotWorld Health DayPlanoTuition reimbursementRASKAL awardLobby Daywork anniversarymiss dialysistraveling on dialysisplasmapheresisRV TLCrecipeToledo Bend ReservoirElanderia RoweRenal Center of North DentonwrestlingMultiple Sclerosis Societynew dialysis facilityArthritis FoundationRVMLife


Archive

Aronoff's Point Of View: CMS rating system is flawed

Feb 05, 2015

Dr.-George-Aronoff.jpgThis month the Centers for Medicare and Medicaid Services (CMS) added a Five-Star Quality Rating System to the Medicare Dialysis Facility Compare (DFC) website. The new rating system has been severely criticized by dialysis providers and patient advocacy groups. DFC was originally launched in 2001 to help consumers, their families, and caregivers compare dialysis units more easily. DFC provides general information about dialysis clinics, best clinical practices, hospitalizations and deaths. Unfortunately, DFC has not been as useful as it was originally hoped. Studies of DFC indicate that many patients and their families find it difficult to understand the descriptions of quality measures on the main web pages. I have been told that the DFC website is accessed more often by dialysis providers than dialysis patients.

Developing a five-star rating system to help Medicare beneficiaries make more informed choices about their dialysis care is a good idea. Many of us use similar ratings to choose restaurants, hotels, and even consumer products. Rating systems provide useful information when they accurately report information about those factors that are most important to our decisions about a product. For example, we expect that a five-star restaurant would have food that tastes better than a three-star restaurant and that the service at a five-star restaurant would be excellent.

Major criticisms of CMS's five-star dialysis unit rating system focus on whether CMS is accurately measuring factors that are important to dialysis patients and reporting them fairly. CMS has chosen to use data that were collected for far different purposes than to compare the quality of care among dialysis clinics. Many of these measures have little impact on patients' lives or their experience of care in a dialysis clinic. In addition, CMS has used very complicated methods to analyze the information making it almost impossible for individual clinics or patients to understand that there may be no real difference between a three-star dialysis unit and a five-star dialysis unit or even a one-star unit. Similar criticism has been leveled at other CMS five-star rating systems and has limited their usefulness to beneficiaries.

With all these flaws, I would still congratulate five-star units. They probably are doing something right. At the same time, I would encourage one- and two-star units to try to understand how the data that CMS used might have fallen short and how they might improve their patients' care and dialysis experience. A dialysis unit rating system could be helpful to our patients and their families. It is disappointing that CMS didn't take the opportunity to get this right.

Dr. George Aronoff is the Chief Medical Officer at Renal Ventures Management.  Dr. Aronoff comes from the University of Louisville School of Medicine, where he served as the Chief of the Nephrology Division for 23 years and as the Vice Chair of Medicine for Clinical Affairs. He currently holds the position of Professor of Medicine and Pharmacology there. Dr. Aronoff has 30 years of experience in designing and performing clinical research in hemodialysis, peritoneal dialysis, transplant and CKD patients.

- Read Dr. Aronoff's thoughts about how the CMS rating system can be improved



Tags:
Category: Blogs