The annual Dialysis Facility Reports from the Centers for Medicare and Medicaid Services list quality results for each dialysis facility and compare them to the nation. Northwest Kidney Centers summarizes the collective performance of our dialysis facilities, factoring in patients’ age and complicating conditions. Most results below are for all patients although some outcomes (hospitalizations, infections and immunizations) are for Medicare patients only (representing 75 percent of our patients.)
View the reports for each of our dialysis centers >
- Consistently beating the nation. Still have room to improve. Survival, hospitalization, transplantation, vascular access and immunization rates continue the long-term trend of being better than the nation. We match the national average for achieving delivered dose of dialysis. We need to work on lowering our readmissions within 30 days of a prior hospitalization and hemodialysis related infections.
- Longer lives.
Northwest Kidney Centers’ four-year annual patient mortality for 2009-2012 lowered to 18.4 percent compared to the national average of 18.6 percent. Our adjusted mortality, taking into account patient general health conditions, is 4 percent better than the national average. This means 39 more people are alive today because we were better than the national average.
- New patients do much better and care is improving each
year. First-year patient mortality in 2009-2011 was 20.6 percent, compared to the national average of 25.0 percent. Our adjusted mortality rate for first-year dialysis patients, taking into account patient general health conditions for people who are often very vulnerable, is 18 percent better than the nation. The positive gap is widening.
- More transplants. We support kidney transplantation as the preferred form of treatment for many patients. Eight percent of our eligible patients received their first kidney transplant. Our transplant rate is 73 percent higher than the national average. Of the 69 first kidney transplants in 2012 (in people under age 70), 18 were from a living donor and 51 from a deceased donor.
- Fewer hospitalizations and trips to the ER. Still need to reduce readmissions to hospital. Hospital care should be utilized in the most cost-effective manner; we strive to avoid unnecessary admissions. Our patients have 10 percent fewer hospital admissions than the national average. They spent an average of 10 days in the hospital, compared to 14 days nationwide. Our patients had 6 percent fewer emergency department visits than the nation. We are concerned that 31 percent of our patients discharged from the hospital were re-admitted within a month, same as the national average. Teams of staff are working with patients to avoid unnecessary readmissions.
- Effective, safe blood access. The “gold standard” for hemodialysis blood access is a fistula. In 2012, 72 percent of our hemodialysis patients have a fistula in place, compared to 65 percent nationwide. Another common means of blood access, the hemodialysis catheter, is dangerous. Our top quality goal is to eliminate these catheters. In 2012, 15 percent of our patients had a catheter, compared to 20 percent nationwide.
- Good preparation for dialysis. In the 2012 report period, 61 percent of new patients had been under a nephrologist’s care for six months or longer, compared to 47 percent nationally.
- Good protection from influenza. Working to lower healthcare acquired infections. During the 2011-2012 winter flu season, 81 percent of our patients were vaccinated, compared to 70 percent nationally. We aim to reduce hemodialysis related infections which are reported as higher than the national average. Our infection prevention efforts have been redoubled in our facilities to limit potential infections.
We proactively post the full reports publicly on our own website, at www.nwkidney.org/quality.
2012 Performance Reports
2011 Performance Reports
2010 Performance Reports
2009 Performance Reports