particular facility, the the first ESRD service until the Medical Evidence Form as patient must meet one patient dies or the data institutionalized and SNF/Long Term of the two criteria: collection cutoff date is reached. Care Facility, respectively, or who - The patient is on the For each patient, a new record is had evidence of admission to a kidney or created each time he/she skilled nursing facility based on the transplant changes facility or treatment MDS before their first service date waitlist or modality. Each record and were not discharged prior to - The patient has represents a time period initiation of dialysis were identified received a living donor associated with a specific as SNF patients. transplant modality and dialysis facility. Hospice status is determined from a CROWNWeb is the primary basis separate CMS file that contains final for placing patients at dialysis action claims submitted by Hospice facilities and dialysis claims are providers. Once a beneficiary elects used as an additional source. Hospice, all Hospice related claims Information regarding first ESRD will be found in this file, regardless if service date, death, and the beneficiary is in Medicare transplant is obtained from or in a Medicare managed CROWNWeb (including the CMS care plan. Patients are identified as Medical Evidence Form (Form receiving hospice care if they have CMS-2728) and the Death any final action claims submitted to Notification Form (Form Medicare by hospice providers in the and Medicare claims, as current month. well as the Organ Procurement and Transplant Network (OPTN) and the Social Security Death Master File. The denominator of the SWR for a given facility represents the number of expected events (waitlistings or living-donor transplants) at the facility. The estimation of this expected number accounts for the up time and risk profile of each patient. The risk profile is quantified through covariate effects estimated through Cox
particular facility, the patient must meet one of the two criteria: - The patient is on the kidney or transplant waitlist or - The patient has received a living donor transplant the first ESRD service until the patient dies or the data collection cutoff date is reached. For each patient, a new record is created each time he/she changes facility or treatment modality. Each record represents a time period associated with a specific modality and dialysis facility. CROWNWeb is the primary basis for placing patients at dialysis facilities and dialysis claims are used as an additional source. Information regarding first ESRD service date, death, and transplant is obtained from CROWNWeb (including the CMS Medical Evidence Form (Form CMS-2728) and the Death Notification Form (Form and Medicare claims, as well as the Organ Procurement and Transplant Network (OPTN) and the Social Security Death Master File. The denominator of the SWR for a given facility represents the number of expected events (waitlistings or living-donor transplants) at the facility. The estimation of this expected number accounts for the time and risk profile of each patient. The risk profile is quantified through covariate effects estimated through Cox Medical Evidence Form as institutionalized and SNF/Long Term Care Facility, respectively, or who had evidence of admission to a skilled nursing facility based on the MDS before their first service date and were not discharged prior to initiation of dialysis were identified as SNF patients. Hospice status is determined from a separate CMS file that contains final action claims submitted by Hospice providers. Once a beneficiary elects Hospice, all Hospice related claims will be found in this file, regardless if the beneficiary is in Medicare or in a Medicare managed care plan. Patients are identified as receiving hospice care if they have any final action claims submitted to Medicare by hospice providers in the current month. up