Project Agreements/Contracts due back to the Network by January 31, 2017
ESRD Networks are tasked by the Centers for Medicare & Medicaid Services (CMS) to support your facility’s goals in providing safe, effective, efficient, patient-centered, timely, and equitable care. Increasing the number of patients receiving dialysis via arteriovenous fistulas (AVF) and reducing long-term catheter (LTC) use for dialysis access is key to providing optimum care for your patients. A dialysis patient is identified as having a LTC when he or she has been dialyzed with a catheter for 90 days or longer, regardless of whether the catheter has been replaced. We want to help you to continue to deliver excellent care to your patients and to meet these important goals. These efforts: Result in improved patient care; Minimize loss of revenue due to hospitalizations related to catheter complications; Help ensure that your facility receives maximum reimbursement through the Quality Incentive Program; Improve your facility’s rating on the Dialysis Facility Compare website.
- Each hemodialysis facility’s LTC rate should be less than or equal to 10%. (Network QIA Focus)
- Each hemodialysis facility’s AVF rate should be equal to or greater than 68% If your facility has a LTC rate above 10% as of September 2015 you are required to participate in the Network’s Vascular Access Quality Improvement Activity, which runs throughout the year, with an end date for this year’s activity of September of 2016.The requirements for this project are detailed in the Vascular Access Project Guides under each ESRD Network specific area. The Network will support your efforts and follow your progress throughout the project period.
AIM: To decrease rates of long-term catheters (LTC) use (catheters in use for equal to or less than 90%) among prevalent patients by 2%
Baseline: First and second quarter of 2016 (January through June 2016) to re-measure in September 2017 based on first and second quarter of 2017 (December 2016 through May 2017)
Goal and Timeline: The goal of this project is to decrease the Long Term catheter rates in the target facilities by 2% with an optimal goal of less than or equal to a 10% LTC rate in each clinic.
Tools and Resources
Algorithm Management of Patients with Central Venous Catheters - Provided by the Network
Catheter Reduction Tool - Long Term Catheter Rate (LTC) Monthly Progress Measure
Facility List 2017 - Facilities involved in the 2017 LTC Reduction QIA
FFCL - Access Planning Manual - Life for a Lifetime Planning for Your Vascular Access Manual - Created by the ESRD NCC
Patient Appointment Tracker - Provided by Network to be used as a resource
Provider CVC Progress Tracker - Provided by Network to be used as a resource
Notification Letter - 2017 VA QIA is provided by the network to facilities involved in project
Patient Ambassador Job Description - Description of Patient Ambassador role in the LTC QIA
Patient Choice Form - Created by Network to be completed by patient
Project Inclusion Letter and Timeline - Provided by the network to assist provider with the 2017 timeline
Project Guide - VAQIA project Guide Created by the Network
Vascular Access Data Cleanup in CROWNWeb - Data obtained from CW to assist providers
NNI VA Monitoring and Surveillance - Article from Nephrology News and Issues