ESRD NETWORK 6 2011 ANNUAL REPORT

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SKC notifies provider (Nurse Manager, MedicalDirector), offers educational materials andtechnical assistance & requests Action PlanWas ActionPlan sent?NoHas SKC notifiedMedical Directorof missing plan?NoSKC notifies MedicalDirector and sets duedateYesYesSKC notifies CMS andState SurveyorYesDoes facilityrefuse to sendplan?NoSKC considers sanctionAction Planacceptable?NoIs this a resubmit?NoSKC provides technicalassistance, asks for new planYesYesIs facility making agood faith effort*?YesSKC monitors facility progressNo*Evaluated by a Board of your peersSKC conducts site visitSKC notifies CMS & State SurveyorSKC considers sanctionP a g e | 96
Return to routine monitoringHas facilityreached goal?YesReturn to focusedreview monitoringNoHas facility madesignificant*progress?YesNo*Evaluated by a Board of your peers. Time not toexceed 1 yearHas facility hadenough time toprogress*?NoReturn to “WasAction Plan Sent?”YesHas BOD/MRBtalked to MedicalDirector?NoBOD/MRB/Other calls MedicalDirectorMed Dir/ facilitycommitted toimprovement?YesRevisedAction PlanrequestedYesNoYesHas staff visitedfacility?NoStaff visits/providestechnical assistanceRegulatoryissuesidentified.NoMed Dir / facilitycommitted toimprovement?YesHas BOD/MRB/Other visitedfacility?NoBOD/MRB/Other visitsYesSKC refers to StateSurvey AgencyReturn to StateSurveyor AdministersRegulationYesSKC ConsidersSanctionNoMed Dir / facilitycommitted toimprovement?YesP a g e | 97
Page 1 and 2:
“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
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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 and 94: § 488.606 Alternative sanctions.(a
Page 95: Congress extended Medicarecoverage
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
Page 145 and 146: DATA TABLE 8: NETWORK 6 VOCATIONAL
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DATA TABLE 8: NETWORK 6 VOCATIONAL
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ESRD NETWORK 6 2011 ANNUAL REPORT

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