OMB control number
National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105)
OMB 0938-0926 · HHS/CMS.
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.
Document Name |
|---|
Supporting Statement B |
Supporting Statement A |
| Revision of a currently approved collection | 2025-11-26 | ||
| Revision of a currently approved collection | 2025-07-16 | ||
| Extension without change of a currently approved collection | 2025-04-29 | ||
|
Approved with change |
Extension without change of a currently approved collection | 2022-07-18 | |
|
Approved without change |
Extension without change of a currently approved collection | 2019-11-19 | |
|
Approved with change |
Revision of a currently approved collection | 2016-09-28 | |
|
Approved without change |
Reinstatement with change of a previously approved collection | 2013-07-09 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2004-07-23 |