THE ACCESS — AN ATLAS OF THE U.S. DIALYSIS SYSTEMPLATE VI — FIRST STATE — 07|2026

The Data Map

A DRAWN MAP · ONE DATUM, MANY CONSUMERS

One treatment’s data and everywhere it goes: the facility’s own loops — plan of care, QAPI — then the federal pipes into EQRS, NHSN, and the claims system, the processor that turns values into measure scores, and the same hemoglobin coming back regraded — a star rating, a QIP score, the report a surveyor reads before the visit.

HOW TO READ · ARROW = DATA MOVES · DASHED = THE LOOP BACK — DATA COMES BACK AROUND · HAIRLINE REGION = A NEIGHBORHOOD, NOT A WALL
AN ATLAS OF THE U.S. DIALYSIS SYSTEMWIDE GRAMMAR — LINEAGEPLATE VI
The Data MapFIRST STATE · ED. 001 · 07|2026
CONSEQUENCES — Data Comes Back AroundOUTPUTS — The Same Hemoglobin, RegradedPROCESSOR — UM-KECC (University of Michigan)FEDERAL REPORTING PIPESFACILITY — Internal Consumers (loops back to care)⬤ ORIGIN — The EncounterLOOP: changesnext treatmentLOOP: practicechangesadmits / discharges +forms 2728 · 2746 ·2744CDC-computed measuresLOOP: facilityrevenue → operationspresurvey prepCMS S&C 17-02LOOP: plans ofcorrectionLOOP: qualityimprovement activitiesLOOP: census —back to Level 1journey mapTreatment / MonthlyVisitLabs DrawnHgb, Kt/V, Ca/Phos, AlbClinical Eventsinfections,hospitalizations,access procedures,vitalsPlan of CareIDT reviewPrescription /Protocol ChangesQAPI Dashboardfacility self-gradingQAPI Meeting — monthly(by practice)→ action plansEQRSmonthly clinical data +2728 / 2746 / 2744formsNHSNdialysis eventsurveillance→ CDCMedicare Claims→ MACMeasure CalculationSMR · SHR · STrR ·QIP measure scores(claims/EQRS-based)QIP Total PerformanceScoreDialysis FacilityReport /DFC dataCare CompareStar Rating — PUBLICUSRDSresearch registryPayment Reductionup to 2% — Money Map ⤴State Survey /CertificationESRD NetworkQIA targeting,grievancesPatient Choosinga FacilityESRD Atlas — View 5: The Data Map (Lineage) v1 — one datum, many consumers
MARGIN — RESERVED FOR THE HAND
KEY
A STATION — WHERE DATA RESTS
DATA MOVES
THE LOOP BACK
A NEIGHBORHOOD
THE ACCESS · 07|2026
ED. 001 · DRAWN MAP SRC: CMS EQRS · CDC NHSN · UM-KECC · CMS S&C 17-02
PLATE VI · FIRST STATE DRAWN UNDER THE AUTHOR’S DIRECTION · VERIFIED AGAINST THE ATLAS DATASET
AWAITING THE AUTHOR’S PASS PLATE VII