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

The Stakeholder Matrix

A GENERATED VIEW · WHO FEEDS WHAT, WHO IS SCORED BY WHOM

Rows are stakeholders; columns are the data systems and registries. Every filled cell cites the relationship in the dataset. An empty cell is a finding, not a gap: that stakeholder has no direct line to that system.

FOOTNOTES — TRACEABILITY (EVERY CELL CITES ITS SOURCE)
[R16] Facilities file CMS-2728 in EQRS within 45 days of first outpatient dialysis (submitted, not just saved). (HSAG; Alliant)
[R17] Facilities file CMS-2746 death notification within 14 days of death. (HSAG)
[R18] Facilities submit CMS-2744 annual facility survey to the Network via EQRS. (Quality Insights)
[R19] Facilities submit monthly clinical data (Kt/V, Hgb, vascular access, ultrafiltration) to EQRS. Per MyCROWNWeb: window “opens ... the first day of the month and closes approximately two months after the end of the reporting month” — monthly clinical closures continue as under CROWNWeb. (mycrownweb.org)
[R20] Facilities report Dialysis Events (BSI) to NHSN; Q1 due Jun 30, Q2 Sep 30, Q3 Dec 31, Q4 Mar 31 (rolls to next business day). Facilities >10 in-center HD patients only. (CDC)
[R21] EQRS clinical/reporting data feed QIP scoring. (CMS)
[R22] NHSN BSI/dialysis-event data feed QIP measures. (CDC; CMS)
[R23] Claims data feed QIP claims-based measures (SHR, SRR, etc.). (CMS)
[R24] Facility/EQRS/claims data flow to USRDS for the Annual Data Report. (USRDS)
[R28] Transplant centers report waitlist and transplant data to OPTN/UNOS. (OPTN)
[R32] CDC shares dialysis-facility NHSN data with CMS for QIP compliance files. (CDC)
[R42] NHSN is operated by CDC. (CDC)
[R51] USRDS is funded by NIDDK within NIH/HHS. (USRDS)
[R56] Care Compare star ratings refreshed periodically for public reporting. (data.cms.gov)
[R60] USRDS Annual Data Report published each fall (2025 ADR released Dec 10, 2025). (USRDS)
[R61] NHSN dialysis-event reporting scored quarterly with fixed deadlines tied to QIP. (CDC)
[R63] ESRD Networks manage patient attribution (admit/discharge reconciliation), monitor and resolve facility data-quality issues, and review/finalize facility CMS-2744 Annual Facility Surveys within EQRS. Continuous data management; 2744 review concentrates annually. (ESRD Network Statement of Work; CMS EQRS documentation)
[R65] MACs adjudicate ESRD claims and post processed claims into Medicare claims systems, where they become the claims data consumed downstream (QIP via R23, USRDS via R25). (Medicare Claims Processing Manual (Pub. 100-04), Ch. 8)
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