ESRD NETWORK 6 2011 ANNUAL REPORT

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OverviewThe Network 6 continued its collaborations with providers and facilities to ensure CMS goals 1to 3 were achieved in the most efficient and effective manner by utilizing several methods ofeducation and technical assistance such as:Broadcast FaxesNetwork WebsiteWebEx SeminarsMeetings and WorkshopsThe Southeastern Kidney Council distributes updates via broadcast fax and posts materials onthe Network website, www.esrdnetwork6.org. Samples of the notifications include:Conditions for Coverage UpdatesCenters for Medicare & Medicaid Services UpdatesDialysis Facility ReportsIn 2011, the website had 17,773 visits and over 48,000 views. The Network 6 website(www.MYSKC.org) contains a wealth of information including:Toolkits for clinical quality improvementBest practicesQAPI assistanceData reportsPresentations and trainingsAnnouncements of live meetingsRecorded WebEx trainingsOn-line training modulesConditions for Coverage and Interpretive GuidelinesFDA alertsPatient Education materialsLinks to other sites including CMS and Dialysis Facility CompareP a g e | 76
A collaborative project is a systematic approach to healthcare quality improvement in whichteams of healthcare providers test and measure practice innovations. They share theirexperiences in an effort to accelerate learning and widespread implementation of best practices.The Southeastern Kidney Council collaborated with the following groups in 2011:Dialysis and Transplant FacilitiesNetwork 6 utilized Vascular Access collaboration with the community of Athens, GA to includeFMC, DaVita and non-LDOs to focus on vascular access barriers. Forty-three (43) Nurses,PCTs, Regional Administrators, and other facility staff attended the workshops from 12 areafacilities.Network 6 presented, “Increasing AVFs in Network 6”, a vascular access training for IntensiveIntervention facilities in Raleigh, NC. Forty-five (45) participants attended including LDO RVPs,DVPs and their colleagues, Network 6 staff, Consumer and Medical Review Board members.Network 6 presented Cannulation training at the request of FMC in Georgia. It included 49attendees from 13 different GA Medicare Provider Numbers, Acute Dialysis Center, andCorporate reps and 30 Nurses, 16 Patient Care Technicians, and 3 Corporate Representatives.Forty-two (42) participants completed the evaluation. The majority (95%) of participants statedthat the difficulty level of the meeting content was appropriate and 78% of participants rated theworkshop content as excellent, and the remaining 22% rated it as satisfactory. Data from preandpost-evaluation surveys suggested that participants increased their knowledge aboutvascular access. Participants improved their knowledge in all topic areas, including how toassess vascular access, how to identify a maturing AVF, when to evaluate a fistula for nonmaturation,and who should be involved in-patient care.Network 6, the Chief Medical Officers, Regional Vice Presidents and Divisional Vice Presidentsof the Large Dialysis Organizations within our region formed a unique collaboration in 2011.Network 6 hosted “Increasing AVFs through Focus on Incident Patients and Using Existing AVFistulas” and each RVP/DVP participated in a face-to-face meeting in Atlanta, Georgia onNovember 10, 2011. Each region presented a PowerPoint Presentation on successes andbarriers.The use of WebEx as a mode of communication and teaching resource was effective.Comments from participants about the medium included “WebEx is excellent medium to reachthe most people while managing costs and very effective - easy to log into.”The Southeastern Kidney Council recognizes that the dialysis and transplant facilities in thearea are key partners to improving care and need to be engaged in the process. To remindfacilities of this expectation and to document this relationship, every facility signs an annualQuality of Care Commitment statement, which explains their role in achieving Network and CMSgoals.P a g e | 77
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“IMPROVING THE LIVES OF PEOPLE WI
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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
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Quality ImprovementLeighann Sauls R
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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 and 72: Number of ContactsTechnical Assista
Page 73 and 74: Number of CallsNumber of CallsThe o
Page 75: CMS Goal 4Improve collaboration wit
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
Page 123 and 124: DATA TABLE 4: NETWORK 6 IN-CENTER D
Page 125 and 126: DATA TABLE 4: NETWORK 6 IN-CENTER D
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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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