Dialysis Facility

Davita Oshkosh West Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

Dialysis Unit

855 North Westhaven Drive

Oshkosh, WI 54904

Contact

(920) 303-0650

Certification Date

04/02/2004

Details

CMS Certification Number

522560

Ownership Type

Profit

Number of Dialysis Stations

10

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
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

Not Available

ED Encounters within 30 Days Category

As Expected

Additional Measures

Percentage of Adult HD Patients with Kt/V ≥ 1.2

99%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

12%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

19.7

Mortality Rate Upper Confidence Limit

30.1

Mortality Rate Lower Confidence Limit

13

Hospitalization Measures

Hospitalization Rate

91.5

Hospitalization Rate Upper Confidence Limit

169.8

Hospitalization Rate Lower Confidence Limit

51.9

Readmission Measures

Readmission Rate

19.9

Readmission Rate Upper Confidence Limit

37.7

Readmission Rate Lower Confidence Limit

7.6

Transfusion Measures

Transfusion Rate

28.3

Transfusion Rate Upper Confidence Limit

133.8

Transfusion Rate Lower Confidence Limit

8.4

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

12.1

PPPW Upper Confidence Limit

44.1

PPPW Lower Confidence Limit

2.4

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.27

SEDR Upper Confidence Limit

2.28

SEDR Lower Confidence Limit

0.73

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.88

ED30 Upper Confidence Limit

1.97

ED30 Lower Confidence Limit

0.27

Standardized Infection Ratio (SIR)

SIR

0.53

SIR Upper Confidence Limit

1.44

SIR Lower Confidence Limit

0.13

Fistula Measures

Fistula Rate

69.6

Fistula Rate Upper Confidence Limit

88.7

Fistula Rate Lower Confidence Limit

49.2

Long-Term Catheter Measures

Long-Term Catheter Percentage

22

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

10

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

34

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

30

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

15

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

11