OMB control number

National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105)

OMB 0938-0926 · HHS/CMS.

OMB 0938-0926

CMS designed the ICH CAHPS survey and measures to enable dialysis patients to make more informed decisions when choosing a dialysis facility, to aid facilities in their quality improvement efforts, and to help CMS monitor the performance of dialysis facilities. CMS publicly reports clinical quality measures and patient experience of care survey results for kidney dialysis centers on Care Compare on Medicare.gov. Public reporting of ICH CAHPS data is refreshed in April and October, with each refresh including a rolling average of the two most recent survey periods available. Both clinical and patient experience of care quality measures enable patients with end-stage renal disease (ESRD) to make informed decisions when choosing a dialysis facility. The ICH CAHPS survey fulfills a requirement of the ESRD Quality Incentive Program (QIP).

The latest form for National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105) expires 2029-02-28 and can be found here.