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Dialysis

The High Costs and Hidden Perils of a Treatment Guaranteed to All

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This database was last updated in June 2016. It should only be used as a historical snapshot. Newer facility data is available at Medicare’s website.

Dialysis Adequacy

A higher number is better. Patients rely on dialysis to remove wastes from their blood. This number reports the percent of patients for whom an adequate amount of urea has been removed. Only in-center hemodialysis patients are counted. Show me details

Not Treated by Nephrologist

Reports the percent of patients who were not under the care of a kidney specialist before starting dialysis treatment. Generally, patients who've been treated by a nephrologist may be better prepared for dialysis. Show me details

Mortality vs. Expected

Compares the number of deaths at this clinic to deaths that might be expected given its patient mix. Reflects adjustments for age, race, ethnicity, sex, diabetes, duration of end-stage renal care, nursing home status, body-mass index and other factors. Show me details

Fistula

A higher number is better. Shows the percent of patients at this facility with a fistula as their only form of vascular access for receiving dialysis. Some studies have shown lower rates of infection among dialysis patients with a fistula. Show me details Graphic: How Does Dialysis Work?

Catheter

A lower number is better. Shows the percent of patients at this facility with a catheter as their only form of vascular access for receiving dialysis.Some studies have shown higher rates of infection among dialysis patients with a catheter. Show me details Graphic: How Does Dialysis Work?

First Year Mortality

A lower number is better. First-year mortality measures patient deaths at the facility during their first year of treatment. Compare it to state and U.S. first-year death rates shown on a facility's profile page. Reported as deaths per 100 patient years, rather than numbers of patients, because some patients are not treated for a full year. Deaths from street drugs or accidents unrelated to treatment are excluded from this rate. Show me details

Transplants vs. Expected

Compares first transplants received by this clinic's patients to an expected number on its patient mix. Patients who get kidney transplants generally have better survival rates than those on dialysis. Factors such as the availability of compatible organs can affect this rate. Show me details

Access-Related Infections

A lower number is better. Measures the percent of this facility's Medicare patients who reported a vascular access infection. Compare to state and national averages on a facility's profile page.

Days in Hospital

Compares total days the clinic's patients were hospitalized to the expected days given its patient mix. Reflects adjustments for age, race, ethnicity, sex, diabetes, duration of end-stage renal care, nursing home status, body-mass index and other factors. Show me details

Septicemia

A lower number is better. Septicemia is an infection from bacteria in the blood that can be a serious health risk. This number measures the percent of this facility's hospitalized patients who had a diagnosis of septicemia. It may include some infections unrelated to dialysis care. Compare to state and national averages on a facility's profile page.

Wait List

A higher number is better. The first step toward a transplant is getting placed on a wait list. This number reports the percent of patients under age 70 who were on the wait list. Compare to state and national averages on a facility's profile page. Many health factors can affect transplant suitability. Show me details

Emergency room visits vs. Expected

Compares the number of emergency room visits made by a clinic's patients to the expected number of visits given its patient mix. Reflects adjustments for age, race, ethnicity, sex, diabetes, duration of end-stage renal care, nursing home status, body-mass index and other factors.

Anemia Control

A higher number is better. Most dialysis patients have anemia. This number reports the percent of this facility's patients who have red blood cell counts within the target range. Show me details

Hospital Admissions

Compares a clinic's hospital admissions to expected hospital admissions given its patient mix. Reflects adjustments for age, race, ethnicity, sex, diabetes, duration of end-stage renal care, nursing home status, body-mass index and other factors. Show me details

Standard Deficiencies

Zero is best. Medicare sets conditions for coverage that address critical areas of health and safety for dialysis, from a facility's physical environment to its overall management. State health agencies conduct inspections. Clinics are supposed to be inspected every three years on average. Facilities cited for standard-level deficiencies must develop plans to correct them.

First Year Mortality vs. Expected

Compares the number of first-year deaths at this clinic to deaths that might be expected given its patient mix. Reflects adjustments for age, race, ethnicity, sex, diabetes, duration of end-stage renal care, nursing home status, body-mass index and other factors. Show me details

Major Deficiencies

Zero is best. Medicare sets conditions for coverage that address critical areas of health and safety for dialysis, from a facility's physical environment to its overall management. State health agencies conduct inspections. Clinics are supposed to be inspected every three years on average. Facilities that do not correct condition-level deficiencies can be terminated from Medicare.

Mortality

A lower number is better. Mortality measures the facility's death rate during the period. Compare it to state and U.S. death rates shown on a facility's profile page. Reported as deaths per 100 patient years, rather than numbers of patients, because some patients are not treated for a full year. Deaths from street drugs or accidents unrelated to treatment are excluded from this rate. Show me details

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