ESRD NETWORK 6 2011 ANNUAL REPORT

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INTRODUCTIONThis report is submitted as an annual contract deliverable by the SoutheasternKidney Council, Inc., the Centers for Medicare & Medicaid (CMS) contractor forEnd Stage Renal Disease (ESRD) Network 6, covering Georgia, North Carolina,and South Carolina. The report covers the contract period January 1, 2011 –December 31, 2011. Network 6 encourages facilities to utilize this informationin quality improvement activities.P a g e | 10
Network DescriptionESRD Network ProgramOverviewFigure 1: Geographical map of the ESRD RenalDisease NetworksCongress amended Title XVIII of the Social Security Actin 1978 to establish ESRD Network Organizations.Goals and requirements have evolved over the life of theprogram and today’s Networks provide ESRD healthcarequality oversight and improvement, resolve patientcomplaints and grievances and maintain the ESRDregistry. Centers for Medicare & Medicaid Services(CMS) establish a Statement of Work (SOW) for theNetwork program and currently contracts individuallywith 14 organizations to fulfill those requirements for the18 ESRD Network areas. CMS funds this program bywithholding $.50 per dialysis treatment, pooling the fundsand distributing to the contractors.The Southeastern Kidney Council (SKC), a non-profit501(c) (3) corporation, governed by a volunteer Board ofDirectors, holds the contract for ESRD Network 6. Acoalition of the former ESRD Networks 20 (SouthCarolina and Georgia) and 21 (North Carolina)established the SKC in 1988, and since then have heldthe ESRD Network 6 contract.P a g e | 11
Page 1 and 2: “IMPROVING THE LIVES OF PEOPLE WI
Page 3 and 4: STATEMENT FROM THE BOARD OF DIRECTO
Page 5 and 6: Table of ContentsPREFACE ..........
Page 7 and 8: Contents of Figures and TablesFIGUR
Page 9: DATA TABLES LISTINGDATA TABLE 1: NE
Page 13 and 14: Number of FacilitiesGENERAL POPULAT
Page 15 and 16: Number of PatientsGENERAL POPULATIO
Page 17 and 18: GENERAL POPULATIONESRD FacilitiesAt
Page 19 and 20: CORE VALUESIn achieving our Mission
Page 21 and 22: Quality ImprovementLeighann Sauls R
Page 23 and 24: Board of DirectorsThe Board of Dire
Page 25 and 26: Finance CommitteeIn 2011, the Board
Page 27 and 28: Medical Review BoardThe Medical Rev
Page 29 and 30: CMS NATIONAL GOALS & NETWORK ACTIVI
Page 31 and 32: The Quality of Care Commitment stat
Page 33 and 34: Network 6 Quality Improvement Progr
Page 35 and 36: Number of AVFsNumber of AVF in Use2
Page 37 and 38: Figure 15. AV Fistula Intervention
Page 39 and 40: Report 102 - VascularAccess Ranking
Page 41 and 42: Number of CathtersPROJECT 2: INCREA
Page 43 and 44: Intervention ImplementationSKC empl
Page 45 and 46: Figure 23. Progression of Network 6
Page 47 and 48: Feedback Reports to each focus faci
Page 49 and 50: Immunization Intervention overviewF
Page 51 and 52: Impact of the Southeastern Kidney C
Page 53 and 54: OverviewThe Network meets the expec
Page 55 and 56: Mental Healtho Living and Loving Li
Page 57 and 58: Impact of the Southeastern Kidney C
Page 59 and 60: Medical Review Board and Board of D
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Patient Ambassador Pilot ProgramIn
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ole of Network 6, Dialysis Facility
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Impact of the Southeastern Kidney C
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OverviewIn 2011, Southeastern Kidne
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CMS requires that Networks assume a
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Number of ContactsTechnical Assista
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Number of CallsNumber of CallsThe o
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CMS Goal 4Improve collaboration wit
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A collaborative project is a system
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State Survey AgenciesSoutheastern K
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OverviewSoutheastern Kidney Council
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Data ValidationSoutheastern Kidney
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Technical AssistanceThe Southeaster
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Background and OverviewSoutheastern
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§ 488.606 Alternative sanctions.(a
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Congress extended Medicarecoverage
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Return to routine monitoringHas fac
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2011 Southeastern Kidney Council Sa
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RecommendationsPeople with end stag
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DATA TABLE 1: NETWORK 6 ESRD INCIDE
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DATA TABLE 2: NETWORK 6 ESRD PREVAL
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DATA TABLE 3: NETWORK 6 HOME DIALYS
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DATA TABLE 3: Network 6 HOME DIALYS
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DATA TABLE 4: NETWORK 6 IN-CENTER D
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DATA TABLE 5: NETWORK 6 NUMBER OF R
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DATA TABLE 6: Network 6 NUMBER OF R
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DATA TABLE 7 Network 6 DIALYSIS DEA
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DATA TABLE 8: NETWORK 6 VOCATIONAL
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ESRD NETWORK 6 2011 ANNUAL REPORT

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