ESRD NETWORK 6 2011 ANNUAL REPORT

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Trend AnalysesSoutheastern Kidney Council enters all contacts received into the SIMS database, recordingdates opened and closed/resolved/referred, type of complaint, type of caller, issues discussedand resolution reached. This allows profiling by facility, state, demographics and reason for call.Southeastern Kidney Council trends contact data in six key ways:Caller StateAffiliation such as Large Dialysis Organizations or Non-Large Dialysis OrganizationsAge and RaceContact ClassificationArea of Concern/SubcodeInvoluntary DischargesInterventions are developed to target geographical areas or providers such as on-line trainingmodules, trainings/presentations provided by Southeastern Kidney Council. SoutheasternKidney Council Medical Review Board reviews the trends, provides feedback, and interventions.Southeastern Kidney Council also has an internal process for data trends. It trends data tomonitor and improve its internal processes as part of its IQI process. Indicators include the timebetween opening and resolving all contacts as well as the completeness and accuracy ofcontacts data recorded.P a g e | 72
Number of CallsNumber of CallsThe overall bar graphs (Figures 33 & 34) represent the types of calls during the year by quarterfor beneficiaries and facilities. For Beneficiary calls, most calls in 2011 concerned the quality oftheir care or the dialysis facility environment. The next most frequent complaint for beneficiarieswas the Professionalism of the facility staff and providers. Similarly, most facility calls in 2011were concerning staff and Professionalism, with the next most frequent type of concernregarding requests for Educational materials.50Beneficiary/Representative Calls byCategory by Quarter4030201002011 Q1 2011 Q2 2011 Q3 2011 Q4QuarterQual of Care/EnviEdu/InfoProf/StaffReimbursTrans/DischAbuse/DisruptOtherFigure 33. Network Beneficiary Call Contacts by Type and QuarterFacility Contacts by Category by Quarter2502001501005002011 Q1 2011 Q2 2011 Q3 2011 Q4QuarterQual of Care/EnviEdu/InfoProf/StaffReimbursTrans/DischAbuse/DisruptOtherTech Asst - QITech Asst IMFigure 34. Network Facility Call Contacts by Type and QuarterP a g e | 73
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“IMPROVING THE LIVES OF PEOPLE WI
Page 3 and 4:
STATEMENT FROM THE BOARD OF DIRECTO
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Table of ContentsPREFACE ..........
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Contents of Figures and TablesFIGUR
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DATA TABLES LISTINGDATA TABLE 1: NE
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Network DescriptionESRD Network Pro
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Number of FacilitiesGENERAL POPULAT
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Number of PatientsGENERAL POPULATIO
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GENERAL POPULATIONESRD FacilitiesAt
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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 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: Number of ContactsTechnical Assista
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
Page 85 and 86: Data ValidationSoutheastern Kidney
Page 87 and 88: Technical AssistanceThe Southeaster
Page 91 and 92: Background and OverviewSoutheastern
Page 93 and 94: § 488.606 Alternative sanctions.(a
Page 95 and 96: Congress extended Medicarecoverage
Page 97 and 98: Return to routine monitoringHas fac
Page 99 and 100: 2011 Southeastern Kidney Council Sa
Page 101 and 102: RecommendationsPeople with end stag
Page 103 and 104: DATA TABLE 1: NETWORK 6 ESRD INCIDE
Page 105 and 106: DATA TABLE 2: NETWORK 6 ESRD PREVAL
Page 107 and 108: DATA TABLE 3: NETWORK 6 HOME DIALYS
Page 109 and 110: 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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