What to Do if You Experience a Health Problem at Home

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): End-Stage Renal Disease Quality Incentive Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Consumer Experience

Defining Attributes

Definition

Percentage of responses to: Has dialysis centre staff ever told you what to do if you experience a health problem at home? 1 Yes 2 No.

Numerator
Denominator

Patients with ESRD receiving ICHD at sampled facility for the past 3 months or longer are included in the sample frame. The denominator for each question is the sample patients that responded to the particular question

Exclusions

The following patients are excluded in the count of 30 eligible patients: • Patients less than 18 years old (see Section 3.1.3) on the last day of the sampling window (see ichcahps.org for dates) for the semiannual survey • Patients not receiving ICHD • Patients receiving ICHD from their current facility for less than 90 days • Patients receiving hospice care • Patients currently residing in an institution, such as jail or prison • Patients who receive ICHD at a nursing home or skilled nursing facility where they reside (as opposed to travelling to an ICHD facility)

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Surveys
Data Collection Methods

Two semi-annual administrations of patient surveys

Frequency of Data Collection
6 monthly
Frequency of Data Collection in Days
182
Reporting Methods

Publicly-reported ICH CAHPS results will be based on two semi-annual administrations of patient surveys. CMS will publish ICH CAHPS results on the Dialysis Facility Compare website: www.medicare.gov/Dialysisfacilitycompare/search.aspx.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools

In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) Survey - NQF #0258

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026