ESRD NETWORK 6 2011 ANNUAL REPORT

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AVF RatePROJECT 1: INCREASING AVFs THROUGH FOCUS ON INCIDENT PATIENTSAND USING EXISTING AVFsThe majority of 2011 QI program activities focused on the promotion of AV fistulacreation and use among Network patients. Although the Network 6 fistula use ratehas increased from less than 30% to approximately 55% as of 12/2011 during thetenure of our previous Fistula First Breakthrough Initiative activities over the past tenyears, Network 6 has had the lowest current fistula usage rate among all Networks. InJune 2011, the Medical Review Board’s intensified efforts to increase AV fistula userate to meet the CMS March 2012 goal of 55.4%.The MRB developed an innovative approach to address the low AVF rates, whichrequired the active participation of the corporate leadership of the Large DialysisOrganizations (LDO) within the Network. The Network held introduction and updatemeetings with the Chief Medical Officer (CMO) of each LDO to discuss theintervention and the Network expectations and progress. In addition, the Networkconducted monthly meetings with the Regional/Divisional Vice-presidents(RVP/DVPs) of the LDOs to discuss monthly- self-reported vascular access data, rootcauses and action plans and to discuss actions for recalcitrant facilities. The VascularAccess Subcommittee (VASC) of the Network Medical Review Board reviews theintervention data monthly to monitor the progress of the interventions.Vascular Access Success: Increasing AVF UseThrough the implementation of the vascular access project, Network 6 was able to surpass theCMS AV Fistula rate goal within 4 months of implementation of the interventions. Whencompared to the intervention baseline, Network 6 achieved the following improvements as ofDecember 2011:‣ Achieving the CMS March 2012 AV Fistula rate goal of 55.4% by November 2011(Figure 11)‣ 1,570 more AV FISTULA in use (Figure 12)‣ 1,481 more AV FISTULA in place (Figure 13)‣ 6.7% more facilities reaching the CMS goal of 66% (Figure 14)66.0%61.0%56.0%Network 6 AVF Rate Monthly Goals to obtain theCMS AVF Goal 55.4% by March 2012 vs Actual Performance52.8% 53.1% 53.4% 53.8% 54.1% 54.3% 54.8% 55.3% 55.5% 55.7%Where weneed to beWhere We Are51.0%46.0%41.0%52.8% 53.0% 53.3% 53.5% 53.7% 53.9% 54.2% 54.4% 54.6% 54.8% 55.1% 55.3% 55.5%36.0%MonthFigure 11. Network 6 AV Fistula Rate Intervention Progression ChartP a g e | 34
Number of AVFsNumber of AVF in Use20,00019,500AVF in Use for Prevalent Patients by MonthJanuary 2011- December 201119,00018,50018,00017,50017,000Jan Feb Mar Apr May June July Aug Sept Oct Nov DecNumber of AVF in Use 18,27 18,25 18,492 18,726 18,878 19,071 19,161 19,242 19,407 19,574 19,716 19,848MonthFigure 12. Network 6 2011 Number of AV Fistulas In Use by Month2200021500Measure of AVF in Place for Network 6January 2011- December 201121000205002000019500Jan Feb Mar Apr May June July Aug Sept Oct Nov DecNumber of AVF 20343 20419 20700 20965 21081 21210 21258 21378 21515 21586 21744 21824MonthFigure 13. Network 6 2011 Number of AV Fistulas Placed by monthP a g e | 35
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 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: Network 6 Quality Improvement Progr
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
Page 73 and 74: Number of CallsNumber of CallsThe o
Page 75 and 76: CMS Goal 4Improve collaboration wit
Page 77 and 78: A collaborative project is a system
Page 79 and 80: State Survey AgenciesSoutheastern K
Page 83 and 84: 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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