The ESRD Quality Incentive Program (QIP) was introduced in 2010 in order to improve quality by linking payment to performance. Over the years, QIP has grown to include several measures like adequacy, infections and vascular access. The intent of the QIP is to promote patient health by providing a financial incentive for renal dialysis facilities to deliver high-quality patient care. The QIP does this by setting minimum goals across a selected group of measures, and authorizes payment reductions up to 2% if a facility does not meet or exceed the minimum Total Performance Score (TPS) as set forth by the Centers for Medicare & Medicaid Services (CMS). A facility works to achieve the QIP clinical, safety, and reporting measures to maximize income and promote optimal dialysis-related outcomes. A facility’s performance is made available to patients through public reporting websites and a Total Performance Certificate posted at the facility. For more information about the QIP, please read the AQKC QIP Newsletter.