1. Anemia Management (HD) Percent of Patients with HGB > 10 & < 12 g/dL 2011 % Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _ MRB QOC Cut-Point > 50% pts

2. Anemia Management – Severe Anemia (HD) Percent of Patients with HGB < 10 g/dL 2011 % Facility Name: _____________________ Provider/CCN#: _ _ - _ _ _ _ MRB QOC Cut-Point < 20% pts

3. Anemia Management (HD) Percent of Patients with Ferritin > 200ng & < 500ng 2011 % Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _

4. Anemia Management (HD) Percent of Patients with TSAT > 20% 2011 % Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _ MRB QOC Cut-Point >70% pts

5. Average Lapsed Time Between Admission of New Patients and Initiation of ESA Dosing Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _ # of Days

6. Average Lapsed Time Between Receiving Hemoglobin Lab Value 12 gm/dl and ESA Dosage Adjustment Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _ # of Days

7. Monthly Trending of Missed EPO Doses Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _

8. Monthly Trending of Rationale for Missed ESA Doses Facility Name: _______________________ Provider/CCN#:_ _ - _ _ _ _