ESRD NETWORK 6 2011 ANNUAL REPORT

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Information ManagementMargo Clay MIS, Director of Information ManagementMs. Clay leads the Information Management Department, ensuring timely and accurate data submissionand entry. Ms. Clay is the Security Point of Contact for the Network and maintains the BusinessContinuity and Contingency Plan.Nadine Reinheimer, Mary Rhodes, and Donna Irwin, Information Management CoordinatorsMs. Reinheimer, Ms. Rhodes, and Ms. Irwin conduct data entry and validation. They provide technicalassistance to facilities regarding Information Management in the areas of data collection, completion, andsubmission of organizational forms.M. Ahinee Amamoo, Senior Health Outcomes and Evaluation AnalystMs. Amamoo is responsible for identifying disparities between desired and actual outcomes in patient careand the underlying contributing factors. She assists in the design of interventions and educational projectsto improve patient outcomes and analyzes results to evaluate the effectiveness. Ms. Amamoo works withthe MRB, QI Director, Executive Director and other staff to design data collection, analysis and reportingtools. Ms. Amamoo joined the Network August 2011.COMMITTEESOne of the greatest strengths of the ESRD Network program is the expertise and guidance provided bythe volunteers serving on our Boards and Committees. These dedicated ESRD patients and nephrologyprofessionals identify regional concerns and ideas for projects. The Southeastern Kidney Council staffwork closely with these volunteers to design and implement the programs most beneficial to the patients inthe area. Every committee includes multiple patient members to ensure opportunities for patients to voicetheir ideas and opinions. The Committees incorporate these into goal setting and project design. TheNetwork has numerous procedures in place to address any potential conflicts of interest, which includehaving all volunteers sign confidentiality and conflict of interest statements and blinding all materials toensure unbiased review and discussion.Network CouncilThe Network Council includes one representative from every dialysis and transplant center in the Networkplus all Consumers committee members on the Board of Directors for 623 members. The members serveas liaisons between the Network and the facilities, offer input on Network activities and elect the membersof the Board of Directors.P a g e | 22
Board of DirectorsThe Board of Directors (BOD) manages and governs the business of the Southeastern Kidney Council.They are responsible for hiring the Executive Director, appointing members of the Medical Review Board,Finance Committee and Consumer Committee and approving the Southeastern Kidney Council’s workplans and budgets.The Network Council elects the members of the Board of Directors (Table 4). The Network Bylaws requirethe Board to have a well-balanced composition of Professionals and Consumers. The Board of Directorsselects the chairpersons for the Medical Review Board and Consumer Committee. The Board of Directorsmet face-to-face twice in 2011 with the following accomplishments and activities:Elected members to the 2011-2012 Medical Review Board and Consumer CommitteeEvaluated Executive DirectorProvided financial and program oversight for the Network contractReviewed and approved Medical Review Board and Committee activities and reportsReviewed and made edits to the Annual ReportReviewed the current Statement of Work and Network Work PlanApproved the recipient of the Chuck Brown Memorial AwardReviewed and approved the Network Internal Quality Improvement plan and outcomesReviewed the Network 6 Annual CMS EvaluationP a g e | 23
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 and 10: DATA TABLES LISTINGDATA TABLE 1: NE
Page 11 and 12: Network DescriptionESRD Network Pro
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: Quality ImprovementLeighann Sauls R
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 59 and 60: Medical Review Board and Board of D
Page 61 and 62: Patient Ambassador Pilot ProgramIn
Page 63 and 64: ole of Network 6, Dialysis Facility
Page 67 and 68: OverviewIn 2011, Southeastern Kidne
Page 69 and 70: CMS requires that Networks assume a
Page 71 and 72: 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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Impact of the Southeastern Kidney C
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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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Impact of the Southeastern Kidney C
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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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