United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2003-10-08 monographic deposited born digital 63 p. GA 1.13:GAO-04-63 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-04-63 P0b002ee180396307 f:d0463 DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-04-63 machine generated eng fdlp REPORT GAOREPORTS-GAO-04-63 GAO-04-63 Diseases Health care facilities Health care services Health surveys Patient care services Inspection Noncompliance Performance measures Dialysis Quality-of-care Medicare Program Other Written Product A08680 Most patients with end-stage renal disease (ESRD) must rely on dialysis treatments to compensate for kidney failure. Currently, over 222,000 ESRD patients visit dialysis centers several times a week to have toxins removed from their bloodstreams. While dialysis care has improved overall, questions remain regarding the quality of care provided by some of the nation's roughly 4,000 ESRD facilities. We examined (1) the extent and nature of quality of care problems identified at dialysis facilities, (2) the effectiveness of state survey agencies in ensuring that quality issues are uncovered, corrected, and stay corrected, and (3) the extent to which the Centers for Medicare & Medicaid Services (CMS) funds, monitors, and assists state survey activities related to dialysis care. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-04-63/html/GAOREPORTS-GAO-04-63.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-04-63/pdf/GAOREPORTS-GAO-04-63.pdf GAO-04-63 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-04-63 Other Written Product GAO-04-63; Dialysis Facilities: Problems Remain in Ensuring Compliance with Medicare Quality Standards; Diseases Health care facilities Health care services Health surveys Patient care services Inspection Noncompliance Performance measures Dialysis Quality-of-care Medicare Program