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Quality Improvement Activities for 2019

Diverse Support Group Patient with Doctor

End stage renal disease (ESRD) quality improvement activities (QIAs) are designed to assist dialysis facilities and transplant centers to achieve optimal clinical outcomes and experience of care for all dialysis and kidney transplant patients. Network 15’s QIAs are focused on enhancing the quality of service for Medicare beneficiaries by:

  • Gathering information systematically to clarify issues or problems.
  • Implementing interventions to achieve improvements.
  • Measuring quality outcomes.
  • Incorporating the patient voice in all activities to maximize learning 
    and cooperation between providers and patients through shared decision-making.
  • Supporting the spread of best practices.

Click here to access the ESRD Network 15 2019 Quality Improvement Activity (QIA) Overview for details on each of this years QIAs. 

For additional information about Network 15’s QIAs for 2019 and access to QIA documents, trackers, toolkits and best practices, read more below.

Getting Started

With information about participation and other important details,Tips for Success can help you get started with all your QIAs. 

Use the QIA Calendar to stay abreast of important dates to remember for the current month, including webinars, reporting deadlines, and education release dates.

The National Learning and Action Network (LAN) Casting Call provides information on the opportunities for dialysis and transplant patients and staff to participate in the unique teach and learn environment of the QIA LANs. 

Use the Root Cause Analysis (RCA): 5 Whys Worksheet to guide you through doing an RCA. 

Use the Patient Feedback Tool, available in English and Spanish, to guage patients' perceptions of the effectivenss of educational materials provided.

Building an ESRD Community and Mapping the Future: Progress Updates

Each month the Network will provide updates on progress toward meeting our mutual QIA goals. Click the reporting month listed below to view each QIA's baseline, goal, and rate for the QIA facilities as a whole:


Reducing Rates of Healthcare-Associated Infections (HAIs) QIAs

Reducing Bloodstream Infections (BSIs) Only Group

The goals of the Network 15 BSI QIA are to:

  • Demonstrate either a 10% (Mountain Lions) or a 20% (Cheetahs) relative reduction in the pooled mean rate of BSIs in the targeted QIA facilities, depending on the focus group.
  • Involve patients in Learning and Action Network (LAN) meetings and activities.
  • Engage focus facilities in Heath Information Exchanges (HIEs)
  • Partnerships to improve health data communication
  • Achieve 100% facility completion rate for National Healthcare Safety Network (NHSN) training. 

Reducing Long-Term Catheter (LTC) Use and BSIs

The Centers for Medicare & Medicaid Services (CMS) has set LTC use reduction as a primary focus for QIAs because:

  • LTCs have a significant association with morbidity and mortality due to high infection rates.
  • Arteriovenous fistulas (AVFs) provide improved vascular access because they:
    • Last longer.
    • Require less rework/fewer repairs.
    • Are linked with lower rates of infection, hospitalization, and death.

The goals of the Network 15 BSI/LTC QIA are to:

  • Demonstrate a 20% relative reduction rate of BSIs in the targeted QIA facilities.
  • Achieve a 2 percentage point improvement facilities with LTC >15%.
  • Promote patient, family, and caregiver engagement within the facilities.
  • Achieve 100% facility completion rate for National Healthcare Safety Network (NHSN) training.
  • Engage focus facilities in HIEs.
  • Involve patients and caregivers in LAN meetings and activities.

4 Ways to Get Ahead of Sepsis

This Centers for Disease Control and Prevention (CDC) infographic, aimed at patients, addresses what sepsis is and steps that can be taken to prevent it.

Stay Healthy. Protect Yourself From Sepsis.

This Centers for Disease Control and Prevention (CDC) fact sheet, aimed at patients, addresses what sepsis is, its symptoms and risk factors, and steps that can be taken to prevent it.

Get Ahead of Sepsis Fact Sheets and Brochures Available for Spanish-Speaking Patients, Families, and Caretakers

The Centers for Disease Control and Prevention (CDC) now has Get Ahead of Sepsis materials, including fact sheets and brochures for patients and families, available for download in Spanish.

Sepsis is a medical emergency. These new Spanish-language materials help patients and their loved ones learn the risks, spot the signs and symptoms, and act fast if they suspect sepsis.

Increasing Rates of Patients Dialyzing at Home

Increasing Rates of Patients on a Transplant Waitlist QIA

Supporting Gainful Employment of the ESRD Patient