ESRD NETWORK 6 2011 ANNUAL REPORT

2011 Southeastern Kidney Council SanctionsThe Quality Improvement initiatives of the Southeastern Kidney Council identified a facility with pooroutcomes in anemia management, fistula placement and immunization. The Medical Review Boardworked with the facility to develop action plans and protocols in all three areas to assist the facilitywith improving their patient outcomes. However, the facility failed to show improvement in theareas. The Medical Review Board asked the State Surveyor to review the facility in December2010. The state confirmed the issues and cited four Immediate Jeopardy Conditions. Afterpermission from CMS, Network 6 conducted joint site visit with state surveyors and reviewed charts,QA/QI meeting notes and outcomes. The team identified multiple concerns with facility’s inadequateprotocols, failure to follow protocols, failure to review lab data and failure in documentation.Following the joint site visit, the State Surveyors opted to terminate Medicare coverage of the facilityand notified the facility and patients of planned Medicare termination. Network 6 staff went on site3/15/2011-3/17/2011 to assist with the placement of 50 patients from this clinic to alternate facilities.The facility closed on 3/17/2011.P a g e | 99