Improving the care of ESRD patients: a success story

Health Care Financ Rev. Summer 2003;24(4):89-100.


Medicare's health care quality improvement program (HCQIP) is a national effort to improve beneficiaries' quality of care. The end stage renal disease (ESRD) HCQIP was implemented in 1994 in response to criticism about the poor quality of care received by ESRD patients. Quality improvement efforts initiated by the ESRD Networks and dialysis providers in response to the HCQIP have demonstrated substantial improvement in care for dialysis patients. This article describes the evolution of the ESRD HCQIP and its successful application in the ESRD program.

MeSH terms

  • Adult
  • Aged
  • Centers for Medicare and Medicaid Services, U.S.
  • Hematocrit
  • Humans
  • Kidney Failure, Chronic / economics
  • Kidney Failure, Chronic / therapy*
  • Medicare / standards*
  • Middle Aged
  • Program Development
  • Program Evaluation
  • Quality Assurance, Health Care / organization & administration*
  • Quality Indicators, Health Care
  • Renal Dialysis / adverse effects
  • Renal Dialysis / standards*
  • Serum Albumin / analysis
  • United States
  • Urea / analysis


  • Serum Albumin
  • Urea