Difference between revisions of "End-stage renal disease facility"
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An '''end-stage renal disease facility''' ('''ESRD facility''') is a medical facility that operates to assist people with irreversible loss of kidney function ( | [[File:Dialysis machines by irvin calicut.jpg||thumb|300px|right|Dialysis machines like these may be used in an end-stage renal dialysis facility.]] | ||
An '''end-stage renal disease facility''' ('''ESRD facility''', '''dialysis facility''', or '''dialysis center''') is a medical facility that operates to assist people with irreversible loss of kidney function (stage five), requiring a regular course of dialysis or a kidney transplant to survive. The facility may operate independently, as part of a [[hospital]]-based unit, or as a self-care unit that furnishes only self-dialysis services.<ref name="PedenCHIM">{{cite book |url=http://books.google.de/books?id=aXAJAAAAQBAJ&pg=PA147 |chapter=Chapter 5: Dialysis |title=Comparative Health Information Management |author=Peden, Ann H. |publisher=Cengage Learning |year=2011 |pages=147–176 |isbn=9781133708124 |accessdate=29 March 2014}}</ref> | |||
==ESRD facilities in the United States== | ==ESRD facilities in the United States== | ||
In 1972 the United States Congress passed legislation authorizing the End Stage Renal Disease Program (ESRD) under Medicare. Section 299I of Public Law 92-603, passed on October 30, 1972, extended Medicare coverage to Americans if they had stage five chronic kidney disease (CKD) and were otherwise qualified under Medicare's work history requirements.<ref name="SS92603">{{cite web |url=http://www.socialsecurity.gov/OP_Home/comp2/F092-603.html |title=P.L. 92–603, Approved October 30, 1972 (86 Stat. 1329) |work=Compilation of the Social Security Laws |publisher=Social Security Administration |accessdate=29 March 2014}}</ref> The program officially launched on July 1, 1973. Previously only those over 65 could qualify for Medicare benefits. This entitlement is nearly universal, covering over 90% of all U.S. citizens with severe CKD.<ref name="MedPACESRD">{{cite web |url=http://www.medpac.gov/publications/other_reports/Sept06_MedPAC_Payment_Basics_dialysis.pdf |archiveurl=https://web.archive.org/web/20070721144509/http://www.medpac.gov/publications/other_reports/Sept06_MedPAC_Payment_Basics_dialysis.pdf |format=PDF |title=Outpatient Dialysis Services Payment System |publisher=MedPAC |date=September 2006 |archivedate=21 July 2007 |accessdate=29 March 2014}}</ref> | |||
The [[Centers for Medicare and Medicaid Services]] (CMS) describes four types of ESRD facilities<ref name="CMSESRD">{{cite web |url=http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/DialysisProviders.html |title=End Stage Renal Disease Facility Providers |publisher=Centers for Medicare and Medicaid Services |date=9 April 2013 |accessdate=29 March 2014}}</ref>: | |||
* Renal transplantation center - "a hospital unit which is approved to furnish, directly, transplantation and other medical and surgical specialty services required for the care of ESRD transplant patients" | |||
* Renal dialysis center - "a hospital unit that is approved to furnish the full spectrum of diagnostic, therapeutic, and rehabilitative services required for the care of ESRD dialysis patients" | |||
* Renal dialysis facility - "a unit that is approved to furnish dialysis service(s) directly to ESRD patients" | |||
* Self-dialysis unit - "a unit that is part of an approved renal transplantation center, renal dialysis center, or renal dialysis facility, and which furnishes self-dialysis services" | |||
Patients undergoing dialysis at these facilities require two important documentation steps: the patient assessment and the patient plan of care. U.S. Federal regulation requires a comprehensive 13-point assessment, including current health status, laboratory profile, and nutritional status. Additionally, a comprehensive plan of care must be written, detailing "the services necessary to address the patient's needs" per the previously mentioned patient assessment.<ref name="PedenCHIM" /> | |||
Additionally, CMS implements a quality incentive program for ESRD facilities, reducing payments to those facilities that do not meet or exceed certain performance standards.<ref name="PedenCHIM" /><ref name="CMSQIP">{{cite web |url=http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/index.html |title=ESRD Quality Incentive Program |publisher=Centers for Medicare and Medicaid Services |date=5 March 2014 |accessdate=29 March 2014}}</ref> | |||
==Further reading== | |||
For a more global look at dialysis centers: | |||
* {{cite web |url=http://biomed.brown.edu/Courses/BI108/2006-108websites/group04emergingeconomies/esrd.html |title=Dialysis in Emerging Economies |author=Hinkfuss, A.; Sherwin, A.; Hu, C.; Kirac, I.; Murray, M. |publisher=Brown University Division of Biology and Medicine |date=2006}} | |||
==References== | ==References== | ||
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<!---Place all category tags here--> | <!---Place all category tags here--> | ||
[[Category:Healthcare | [[Category:Healthcare settings]] | ||
Latest revision as of 19:40, 4 August 2014
An end-stage renal disease facility (ESRD facility, dialysis facility, or dialysis center) is a medical facility that operates to assist people with irreversible loss of kidney function (stage five), requiring a regular course of dialysis or a kidney transplant to survive. The facility may operate independently, as part of a hospital-based unit, or as a self-care unit that furnishes only self-dialysis services.[1]
ESRD facilities in the United States
In 1972 the United States Congress passed legislation authorizing the End Stage Renal Disease Program (ESRD) under Medicare. Section 299I of Public Law 92-603, passed on October 30, 1972, extended Medicare coverage to Americans if they had stage five chronic kidney disease (CKD) and were otherwise qualified under Medicare's work history requirements.[2] The program officially launched on July 1, 1973. Previously only those over 65 could qualify for Medicare benefits. This entitlement is nearly universal, covering over 90% of all U.S. citizens with severe CKD.[3]
The Centers for Medicare and Medicaid Services (CMS) describes four types of ESRD facilities[4]:
- Renal transplantation center - "a hospital unit which is approved to furnish, directly, transplantation and other medical and surgical specialty services required for the care of ESRD transplant patients"
- Renal dialysis center - "a hospital unit that is approved to furnish the full spectrum of diagnostic, therapeutic, and rehabilitative services required for the care of ESRD dialysis patients"
- Renal dialysis facility - "a unit that is approved to furnish dialysis service(s) directly to ESRD patients"
- Self-dialysis unit - "a unit that is part of an approved renal transplantation center, renal dialysis center, or renal dialysis facility, and which furnishes self-dialysis services"
Patients undergoing dialysis at these facilities require two important documentation steps: the patient assessment and the patient plan of care. U.S. Federal regulation requires a comprehensive 13-point assessment, including current health status, laboratory profile, and nutritional status. Additionally, a comprehensive plan of care must be written, detailing "the services necessary to address the patient's needs" per the previously mentioned patient assessment.[1]
Additionally, CMS implements a quality incentive program for ESRD facilities, reducing payments to those facilities that do not meet or exceed certain performance standards.[1][5]
Further reading
For a more global look at dialysis centers:
- Hinkfuss, A.; Sherwin, A.; Hu, C.; Kirac, I.; Murray, M. (2006). "Dialysis in Emerging Economies". Brown University Division of Biology and Medicine. http://biomed.brown.edu/Courses/BI108/2006-108websites/group04emergingeconomies/esrd.html.
References
- ↑ 1.0 1.1 1.2 Peden, Ann H. (2011). "Chapter 5: Dialysis". Comparative Health Information Management. Cengage Learning. pp. 147–176. ISBN 9781133708124. http://books.google.de/books?id=aXAJAAAAQBAJ&pg=PA147. Retrieved 29 March 2014.
- ↑ "P.L. 92–603, Approved October 30, 1972 (86 Stat. 1329)". Compilation of the Social Security Laws. Social Security Administration. http://www.socialsecurity.gov/OP_Home/comp2/F092-603.html. Retrieved 29 March 2014.
- ↑ "Outpatient Dialysis Services Payment System" (PDF). MedPAC. September 2006. Archived from the original on 21 July 2007. https://web.archive.org/web/20070721144509/http://www.medpac.gov/publications/other_reports/Sept06_MedPAC_Payment_Basics_dialysis.pdf. Retrieved 29 March 2014.
- ↑ "End Stage Renal Disease Facility Providers". Centers for Medicare and Medicaid Services. 9 April 2013. http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/DialysisProviders.html. Retrieved 29 March 2014.
- ↑ "ESRD Quality Incentive Program". Centers for Medicare and Medicaid Services. 5 March 2014. http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/index.html. Retrieved 29 March 2014.
