Skip Navigation

CPM Highlights from the 2005 Annual Report

2005 Annual CPM Report

The ESRD Clinical Performance Measures (CPM) Project, now in its 12th year, is a collaborative national effort between the Centers for Medicare and Medicaid Services (CMS), the ESRD Networks, and ESRD dialysis facilities. This project provides an annual snapshot of care provided to dialysis patients. Data from this project were from the time period of October – December 2004 for HD patients and October 2004 – March 2005 for PD patients. The results are based on a random sample of almost 9000 HD patients and about 1500 PD patients nation-wide. The Network 11 sample was about 500 HD patients and about 100 PD patients. The complete Annual CPM Report can be accessed at the following web site http://www.cms.hhs.gov/CPMProject/.

Adult In-Center Hemodialysis (HD) Patients

HD Adequacy

Measure Network 11     US    
Percent of patients with mean spKt/V≥1.2   88% 91%
Median Kt/V 1.52 1.55
Percent of patients with mean URR≥65% 85% 87%
Median URR 73 73
Median blood pump flow (mL/min) 416 400
Median dialysis session length (min) 210 213

Anemia Management

Measure Network 11     US    
Percent of patients with mean Hgb ≥ 11 g/dL   83% 83%
Median Hgb (g/dL) 12.0 12.0
Percent of patients with mean Hgb < 10 g/dL 6% 6%
Median weekly IV epoetin dose (units/kg/wk) 181 197
Median weekly SC epoetin dose (units/kg/wk) 183 146

Vascular Access

Measure Network 11     US    
Percent of prevalent patients with AVF 37% 39%
Percent incident patients with AVF 36% 37%
Percent of prevalent patients with catheter 32% 27%
Percent of Prevalent patients with catheter ≥ 90 days   25% 21%

Nutrition

Measure Network 11     US    
Percent of patients with serum albumin ≥ 4.0/3.7 g/dL (BCG/BCP)   34% 36%
Percent of patients with serum albumin ≥ 3.5/3.2 g/dL (BCG/BCP)   79% 83%
Median serum BCG albumin (g/dL) 3.8 3.8
Median serum BCP albumin (g/dL) 3.7 3.6