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2004 DEC 27 - (NewsRx.com & NewsRx.net) -- As the number of patients suffering from end-stage renal disease (ESRD) and the cost of their collective care rises, U.S. government agencies are recommending the establishment of payment for quality measures to improve efficiency and increase nationwide uniformity.
Given the significance of potential revisions to performance measures within ESRD, the American Society of Nephrology (ASN) and National Kidney Foundation (NKF) recently analyzed key factors involved in developing a quality-based healthcare program. Their findings appear in the December 2004 issue of the Journal of the American Society of Nephrology (JASN) entitled, "Payment for quality in end-stage renal disease."
This paper, a result of discussions among last winter's working group of healthcare providers, doctors, researchers and government policy officials, examines the ESRD system of payment and whether this system can be modified to promote quality-based care delivery. The most significant issue addressed within the paper is the need to define and measure quality care to facilitate improvement in desired patient outcomes. Another serious concern is the importance of avoiding financial incentives that may lead to "cherry picking" of patients, in which caring for healthier patients may allow defined quality targets to be reached more readily. Other ...