Standardised Emergency Department Encounter Ratio (SEDR) for Dialysis Facilities

Identifying Attributes

Care Settings
Rural and Remote Care
Country
United States of America
Publishing Organisation
National Quality Forum
Type of Quality Indicator
Outcome
IOM Quality Dimension
Efficiency
Domain
Resources

Defining Attributes

Definition
Numerator

The observed number of outpatient Emergency Department encounters during the reporting period among eligible adult Medicare patients at a facility.

Denominator

The expected number of Emergency Department encounters among eligible Medicare patients at the facility during the reporting period adjusted for the characteristics of the patients at the facility.

Exclusions

Exclusions that are implicit in the denominator definition include time at risk while a patient:

• Has Medicare Advantage coverage

• Has had ESRD for 90 days or less

• Is less than 18 years of age

The denominator also excludes patient time at risk for calendar months in which a patient is:

• Actively enrolled in hospice at any time during the calendar month

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Claims data

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

National Quality Forum 2022 Key Rural Measures: An Update List of Measures to Advance Rural Health Priorities, Draft 1, page 1-26

Link to Measurement Tools
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
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025