Dialysis Facility

Davita Bertha Sirk Dialysis Center

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

5820 York Rd

Ste 10

Baltimore, MD 21212

Contact

(410) 532-9311

Certification Date

06/01/1991

Details

CMS Certification Number

212543

Ownership Type

Profit

Number of Dialysis Stations

16

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis No
Home hemodialysis training No
Shifts starting after 5 p.m. No

Quality Measures

Survival Category

As Expected

Hospitalization Category

As Expected

Readmission Category

As Expected

Transfusion Category

As Expected

Waitlist Ratio Category

As Expected

ED Encounters within 30 Days Category

As Expected

Additional Measures

Percentage of Adult HD Patients with Kt/V ≥ 1.2

98%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

40%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

21

Mortality Rate Upper Confidence Limit

34.5

Mortality Rate Lower Confidence Limit

12.7

Hospitalization Measures

Hospitalization Rate

129.1

Hospitalization Rate Upper Confidence Limit

213.8

Hospitalization Rate Lower Confidence Limit

81.3

Readmission Measures

Readmission Rate

33.3

Readmission Rate Upper Confidence Limit

50.3

Readmission Rate Lower Confidence Limit

18.8

Transfusion Measures

Transfusion Rate

63

Transfusion Rate Upper Confidence Limit

154.5

Transfusion Rate Lower Confidence Limit

31.2

Waitlist Measures

Waitlist Ratio

1.64

Waitlist Ratio Upper Confidence Limit

4.21

Waitlist Ratio Lower Confidence Limit

0.45

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

23.1

PPPW Upper Confidence Limit

45.4

PPPW Lower Confidence Limit

9.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.16

SEDR Upper Confidence Limit

2.13

SEDR Lower Confidence Limit

0.67

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.42

ED30 Upper Confidence Limit

2.35

ED30 Lower Confidence Limit

0.73

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.48

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

53.7

Fistula Rate Upper Confidence Limit

72.6

Fistula Rate Lower Confidence Limit

33.5

Long-Term Catheter Measures

Long-Term Catheter Percentage

24

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

6

Percentage of Patients with Serum Phosphorus 3.5-4.5 mg/dL

20

Percentage of Patients with Serum Phosphorus 4.6-5.5 mg/dL

32

Percentage of Patients with Serum Phosphorus 5.6-7.0 mg/dL

25

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

18