Ownership: DaVita
Chain Owned: Yes
Profit Status: Profit
Certification Date: April 23, 2018
Network Affiliation: 15
CMS Star Rating: 2
DaVita Sandia Peak Dialysis
10410 Copper Pointe Way Ne
ALBUQUERQUE, NM 87123 [Bernalillo county]
(505) 299-0657
DaVita
April 23, 2018
As a reminder, code definitions can also be viewed in the following PDF, if ours are not clear enough: Dialysis PDF
Survival Data Code: 001
Indicates whether the facility had sufficient patient survival data available or the reason why data is not available.
Patients in Survival Summary: 145
The number of patients included in the facility's survival summary, reflecting the facility's overall patient survival rate.
Mortality Rate: 27.
Represents the mortality rate of the facility calculated per 100 patient-years based on available data.
SHR Date: 01Jan2022-31Dec2022
The date on which the Standardized Hospitalization Ratio (SHR) data was collected for the facility.
Hospital Category Text: As Expected
Categorizes the facility's hospitalization occurrences as 'Better', 'Worse', or 'As Expected' compared to national benchmarks.
Hospital Data Code: 001
Indicates the availability of data regarding the facility's hospitalization rates and reasons if data is not available.
Patients in Hospitalization Summary: 44
Number of patients included in the analysis for the facility's hospitalization summary, indicating overall hospitalization trends.
Hospitalization Rate: 136
The facility’s hospitalization rate per 100 patient-years, providing insight into the frequency of hospitalizations for patients.
SRR Date: 01Jan2022-31Dec2022
The date when the Standardized Readmission Ratio (SRR) was assessed for the facility.
Hospital Readmission Category: As Expected
Classifies the facility's readmission rates as 'Better', 'Worse', or 'As Expected' compared to a standard.
Hospital Readmission Data Code: 001
Indicates if there is enough data to assess the facility's readmission rates and provides the reason if data is lacking.
Patients in Readmission Summary: 31
The count of patients considered in the calculation of the facility’s readmission summary.
Readmission Rate: 13.
This rate indicates how often patients from the facility are readmitted to a hospital after discharge, per 100 discharges.
SWR Date: 01Jan2019-31Dec2021
Represents the date for the Standardized Waitlist Ratio data collection, reflecting the facility's performance in managing transplant waitlists.
SWR Category: As Expected
Categorization of the facility's performance on the standardized waitlist ratio as 'Better', 'Worse', or 'As Expected'.
Transplant Data Code: 001
Indicates the availability and completeness of the data regarding transplant waitlisting at the facility.
Patients for SWR: 23
The number of patients at the facility who are part of the standardized waitlist ratio calculation for kidney transplants.
Transplant Waitlist Ratio: 0.4
A metric that compares the number of patients who were waitlisted for a first kidney transplant at the facility against a national standard.
PPPW Category: As Expected
Reflects the facility's performance in the percentage of prevalent patients waitlisted for transplantation compared to expectations.
Transplant Waitlist Data Code: 001
Indicates the availability of data for the percentage of prevalent patients waitlisted for transplantation.
Patients for PPPW: 35
Number of prevalent patients at the facility who are on the waitlist for a kidney transplant.
Prevalent Patients Waitlisted: 20.
The percentage of patients at the facility who are on the waitlist for a kidney transplant.
SEDR Date: 01Jan2022-31Dec2022
The collection date for the Standardized Emergency Department Ratio data, reflecting emergency visit frequencies.
SEDR Category: As Expected
Categorizes the facility's emergency department visit rates as 'Better', 'Worse', or 'As Expected' based on a standard ratio.
ED Data Code: 001
Represents the availability of data on the facility’s emergency department visits and reasons for any unavailability.
Patients in SEDR Summary: 25
Number of patients included in the calculation of the facility's Standardized Emergency Department Ratio.
Standard ED Ratio: 0.7
A metric used to compare the facility's rate of emergency department visits to a national standard.
ED30 Date: 01Jan2021-31Dec2022
Date marking the period of data collection for the ratio of emergency department visits occurring within 30 days of hospital discharge.
ED30 Category: As Expected
Classification of the facility’s performance regarding emergency department visits within 30 days post-discharge.
ED30 Data Code: 001
Indicates whether there was sufficient data to calculate the facility's rate of post-discharge ED visits within 30 days.
Hospitalizations in ED30 Summary: 20
The count of hospital discharges that were considered for calculating the facility's ED30 ratio.
ED30 Ratio: 2.1
This ratio indicates the rate of emergency department visits within 30 days after hospital discharge, providing insight into post-discharge care.
SIR Date: 01Jan2022-31Dec2022
The date when the Standardized Infection Ratio (SIR) was reported, reflecting the facility's infection control performance.
Infection Category: As Expected
Categorizes the facility's infection rates compared to national benchmarks, such as 'Better', 'Worse', or 'As Expected'.
Infection Data Code: 001
Indicates the availability of data on the facility’s infection rates for the reporting period.
Infection Ratio: 0
The facility’s ratio of observed-to-expected infections, standardized against a national benchmark.
Fistula Category: As Expected
Provides a category for the facility's use of fistulas in dialysis treatment, such as 'Better', 'Worse', or 'As Expected'.
Fistula Data Code: 001
Indicates the availability of data for the facility's fistula use and the reason if it's not available.
Patients in Fistula Summary: 27
The number of patients included in the analysis for the facility's fistula usage rates.
Fistula Rate: 58.
The rate at which fistulas are used for vascular access in the facility, a key quality measure for dialysis care.
Vaccination Dates: 01Jan2023-31Mar2023
The dates during which vaccination data was collected, important for understanding vaccination adherence over time.
Vaccination Data Code: 001
Indicates whether vaccination data is available for the facility and if not, why it is missing.
Vaccination Percentage: 78
The percentage of healthcare personnel at the facility who are adherent with COVID-19 vaccination guidelines.
Adult HD Kt/V Data Code: 001
Indicates the availability of hemodialysis Kt/V data, which measures dialysis adequacy, for adults in the facility.
Adult HD With Kt/V: 25
The number of adult patients on hemodialysis who have a Kt/V ratio, an important measure of dialysis effectiveness, above a specified threshold.
Adult HD Months Kt/V: 187
The cumulative count of patient-months for which the Kt/V data for adult hemodialysis patients is available.
Adult HD Kt/V Over 1.2: 95
The percentage of adult hemodialysis sessions with a Kt/V value equal to or exceeding 1.2, indicating the effectiveness of dialysis treatments.
Adult PD Kt/V Data Code: 001
Indicates if there is sufficient data for the Kt/V ratio for adult patients undergoing peritoneal dialysis at the facility.
Adult PD With Kt/V: 17
The number of adult peritoneal dialysis patients who have Kt/V data available, essential for evaluating dialysis adequacy.
Adult PD Months Kt/V: 146
The number of patient-months reported for adult peritoneal dialysis Kt/V data, indicating the amount of data collected over time.
Adult PD Kt/V Over 1.7: 97
Shows the percentage of adult peritoneal dialysis sessions with a Kt/V ratio of 1.7 or higher, which is a benchmark for adequate dialysis.
Ped HD Kt/V Data Code: 259
Denotes the availability of pediatric hemodialysis Kt/V data, a measure critical for assessing the adequacy of treatments in children.
Ped HD With Kt/V: 0
The number of pediatric patients on hemodialysis with available Kt/V data, essential for pediatric dialysis care quality assessments.
Ped HD Months Kt/V:
Total patient-months for pediatric hemodialysis patients for which Kt/V data is recorded.
Ped HD Kt/V Over 1.2:
Percentage of pediatric hemodialysis treatments where the Kt/V ratio meets or exceeds the 1.2 adequacy threshold.
Ped PD Kt/V Data Code: 259
The data availability code for pediatric peritoneal dialysis Kt/V, which is crucial for monitoring the quality of dialysis in children.
Ped PD With Kt/V: 0
The count of pediatric peritoneal dialysis patients for whom Kt/V data is available at the facility.
Ped PD Months Kt/V:
The aggregate of patient-months for which pediatric peritoneal dialysis Kt/V data has been collected.
Ped PD Kt/V Over 1.8:
The percentage of pediatric peritoneal dialysis treatments achieving a Kt/V ratio of at least 1.8, which signifies adequate dialysis effectiveness.
Medicare Hgb Less 10:
Represents the percentage of Medicare patients with average hemoglobin (Hgb) levels less than 10.0 g/dL, indicating potential anemia management issues.
Hgb Less 10 Data Code: 199
Indicates whether data on patients with Hgb less than 10 g/dL is available and the reason for unavailability if applicable.
Medicare Hgb Over 12:
Shows the percentage of Medicare patients with average hemoglobin levels greater than 12.0 g/dL, relevant for managing risks associated with high hemoglobin levels.
Hgb Over 12 Data Code: 199
Provides data availability status for hemoglobin levels over 12 g/dL, including reasons for data unavailability.
Patients with Hgb Data: 10
The total number of dialysis patients for whom hemoglobin data is recorded, crucial for monitoring and managing anemia.
Hypercalcemia Data Code: 001
Indicates the availability of data on hypercalcemia, which is important for managing calcium levels to prevent bone and heart issues.
Hypercalcemia Patients: 41
Number of patients experiencing hypercalcemia, with serum calcium levels greater than 10.2 mg/dL.
Hypercalcemia Months: 334
The number of patient-months during which hypercalcemia was monitored or detected in the facility.
Hypercalcemia Percentage: 0
Percentage of patients with serum calcium levels above 10.2 mg/dL, which can help assess the management of mineral metabolism disorders.
Serum Phos Data Code: 001
Indicates if there is sufficient data regarding patients' serum phosphorus levels and the reason for any data gaps.
Medicare Hgb Less 10:
Indicates the percentage of Medicare patients at the facility with hemoglobin levels less than 10 g/dL, which can signal under-management of anemia.
Hgb Less 10 Data Code: 199
Provides data availability status for reporting hemoglobin levels less than 10 g/dL in patients.
Medicare Hgb Over 12:
Shows the percentage of Medicare patients whose hemoglobin levels are above 12 g/dL, potentially indicating over-treatment.
Hgb Over 12 Data Code: 199
Data availability code that informs whether sufficient data was available to report on patients with hemoglobin levels over 12 g/dL.
Patients with Hgb Data: 10
The total number of patients for whom hemoglobin data has been recorded and analyzed.
Hypercalcemia Data Code: 001
Indicates if data regarding hypercalcemia (high blood calcium levels) is available and the reason if not.
Hypercalcemia Patients: 41
Number of patients identified with hypercalcemia, a condition that can affect bone health and cardiovascular function.
Hypercalcemia Months: 334
Total number of patient-months that were assessed for hypercalcemia at the facility.
Hypercalcemia Percentage: 0
The percentage of total patient-months during which patients were recorded with serum calcium levels greater than 10.2 mg/dL.
Serum Phos Data Code: 001
Data code indicating the availability of serum phosphorus data and reasons for any data gaps.
Serum Phos Patients: 45
Count of patients at the facility who have been assessed for serum phosphorus as part of their treatment monitoring.
Serum Phos Months: 347
Total number of patient-months for which serum phosphorus levels were monitored at the facility.
Phos Less 3.5: 6
Percentage of patients with serum phosphorus levels below 3.5 mg/dL, which might indicate under-mineralization risks.
Phos 3.5 to 4.5: 31
Percentage of patients with serum phosphorus levels within the target range of 3.5 to 4.5 mg/dL, considered optimal for kidney disease patients.
Phos 4.6 to 5.5: 37
Percentage of patients with serum phosphorus levels from 4.6 to 5.5 mg/dL, indicating potential for mild hyperphosphatemia.
Phos 5.6 to 7.0: 19
Shows the percentage of patients with higher phosphorus levels ranging from 5.6 to 7.0 mg/dL, which can lead to health complications if persistent.
Phos Over 7.0: 7
Indicates the percentage of patients with serum phosphorus levels over 7.0 mg/dL, a concern for severe hyperphosphatemia.
Catheter Data Code: 001
This code identifies the availability of data on long-term catheter use in the facility, and reasons for any data unavailability.
Catheter Patients: 27
Number of patients at the facility who are using a catheter for dialysis access, which is generally considered a less preferred method due to higher infection risks.
Catheter Months: 189
The total number of patient-months during which patients at the facility were using catheters for dialysis.
Catheter Percentage: 28
The percentage of total patient-months that catheters were used as vascular access, a critical quality measure for assessing dialysis care.
nPCR Data Code: 259
Indicates whether data on normalized protein catabolic rate (nPCR) is available, which helps assess the nutritional status of dialysis patients.
nPCR Patients: 0
The number of patients at the facility for whom nPCR data is available, reflecting the adequacy of their protein intake.
nPCR Months:
The count of patient-months for which nPCR data has been collected, offering insights into the long-term nutritional management of patients.
Ped HD nPCR:
Percentage of pediatric hemodialysis patients with an nPCR indicating adequate dietary protein intake, crucial for growth and health in young patients.