Social Risk Factors May Influence Dialysis Quality Measures and Financial Penalties Interview with:
"Plugged into dialysis" by Dan is licensed under CC BY 2.0Andrew C. Qi,  Medical student

Karen E. Joynt Maddox MD MPH
Assistant professor of medicine
Washington University School of Medicine
Saint Louis, Missouri. What is the background for this study?  

Response: The End-Stage Renal Disease Quality Incentive Program (ESRD QIP) is a Medicare program that evaluates dialysis facilities in the U.S. based on a set of quality measures, and penalizes low-performing facilities. We’ve seen a growing understanding of how social risk factors like poverty and race/ethnicity impact patient outcomes in other settings, making it difficult for providers caring for disadvantaged populations to perform as well in these kinds of pay-for-performance programs. We were interested in seeing if this was the case for dialysis facilities as well, especially since patients receiving dialysis are already a vulnerable population.

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