ESRD NETWORK 6 2011 ANNUAL REPORT

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§ 488.610 Notice of appeal rights: Alternative sanctions. If CMS proposes to apply analternative sanction specified in § 488.606(b), the following rules apply:(a) CMS gives the facility notice of the proposed alternative sanction and 15 days in which torequest a hearing.(b) If the facility requests a hearing, CMS provides an informal hearing by a CMS official who wasnot involved in making the appealed decision.(c) During the informal hearing, the facility—(1) May be represented by counsel;(2) Has access to the information on which the allegation was based; and(3) May present, orally or in writing, evidence and documentation to refute the finding offailure to participate in Network activities and pursue Network goals.(d) If the written decision of the informal hearing supports application of the alternative sanction,CMS provides the facility and the public, at least 30 days before the effective date of the alternativesanction, a written notice that specifies the effective date and the reasons for the alternativesanction.P a g e | 94
Congress extended Medicarecoverage to ESRD & set programgoalsCMS translates law into Federal RegulationState Survey Agency AdministersRegulationsCMS translates law into ESRD NetworkContractSoutheastern Kidney Council (SKC) signscontract with CMS to administer ESRDNetwork #6SKC notifies providers of CMS expectationsand goalsSKC provides educational materials andtechnical assistance to help providers meetgoalsSKC refers to State Survey AgencySKC monitors performance of all providersYesYesDoes provider meetCMS / Network goals?NoIs the issue regulatory orimmediate & serious?NoP a g e | 95
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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
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Finance CommitteeIn 2011, the Board
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Medical Review BoardThe Medical Rev
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CMS NATIONAL GOALS & NETWORK ACTIVI
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The Quality of Care Commitment stat
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Network 6 Quality Improvement Progr
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Number of AVFsNumber of AVF in Use2
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Figure 15. AV Fistula Intervention
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Report 102 - VascularAccess Ranking
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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
Page 85 and 86: Data ValidationSoutheastern Kidney
Page 87 and 88: Technical AssistanceThe Southeaster
Page 91 and 92: Background and OverviewSoutheastern
Page 93: § 488.606 Alternative sanctions.(a
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 139 and 140: DATA TABLE 5: NETWORK 6 NUMBER OF R
Page 141 and 142: DATA TABLE 6: Network 6 NUMBER OF R
Page 143 and 144: 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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