The DOPPS Practice Monitor (DPM): Reporting Dialysis Clinical Practices in the US

The DOPPS Practice Monitor (DPM) reports representative data in the form of more than 800 regularly updated charts, figures, and data tables. The DPM is based on a sample of over 11,000 patients in more than 200 US hemodialysis facilities.  It provides comparisons and trends over time (representative of the United States as a whole), using weighting techniques.  Data are also provided by race and facility types. Research papers describing the DPM methods and findings have been published. Data are updated every four months, with only a three-to-four-month lag between data collection and Web posting.

The Prospective Payment System (PPS), an initiative of the Centers for Medicare & Medicaid Services (CMS) launched in January 2011, is intended to control dialysis costs through bundled payments (that is, fewer separately billable medications and services). The Quality Incentive Payment (QIP) program, which began in 2012, is the first Medicare program that links provider or facility payments to performance based on achievement of specific quality measures.

The DPM fills an important need, providing a source of timely, representative data, while tracking the effects of the ESRD PPS on dialysis practice. Its findings can serve as an early warning system for possible adverse effects on clinical care and as a basis for patient and dialysis community outreach, editorial comment, and informed advocacy.

DPM data are aggregated across dialysis organizations and facilities. Aggregated trends may not reflect trends in individual dialysis organizations or facilities, and are not intended to provide oversight of performance in individual dialysis organizations or facilities.

 Click here to view the DOPPS Practice Monitor