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Quality Improvement Activities

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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.

For additional information about Network 15’s QIAs for 2020 and access to QIA documents, trackers, toolkits and best practices, read more below. Download the ESRD Network 15 2020 QIAs for 2020 (PDF) document.

Getting Started 

To assist with quality improvement (QI) within your organization, review the following videos on QI, finding the root cause, and the Plan-Do-Study-Act (PDSA) cycle:

Use the Root Cause Analysis (RCA): 5 Whys Worksheet (PDF) to find the root cause that may be creating barriers to success, and use the PDSA Worksheet (PDF) to initiate facility solutions. 

If your organization missed a live Learning and Action Network (LAN) call, you may use the Missed LAN Call Worksheet.

New Resource: Getting Back to Me: A Goal-Setting Journey (PDF)

Use this workbook to help patients identify personal goals and set a plan to achieve them. This resource was developed by kidney patients and family members and designed to help restore a sense of dignity and increase self-esteem through goal-setting.

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.

Listings coming soon!

Increasing Rates of Patients Dialyzing at Home

Increasing Rates of Patients on a Transplant Waitlist QIA

Increasing Vaccination Rates

Protect Yourself Vaccination Flyer (1 pager)

This one-page informational flyer highlights facts about the influenza, pneumonia, and hepatitis B vaccines and why vaccines offer protection to dialysis patients.



Protect Yourself Vaccination Flyer (2 pager)

This patient two-page flyer provides information about how vaccines help protect dialysis patients from getting sick and provides facts about the influenza, pneumonia, and hepatitis B vaccines.



Vaccination Best Demonstrated Practices

Review the Vaccination Best Demonstrated Practices with staff and post in an area visible to staff to promote effective vaccination processes in the facility. Implement the best practices as part of the facility’s vaccination plan.



Vaccination Wallet Card

Give this wallet card to your dialysis patients to help them keep track of the important vaccinations they need. 



Vaccines for People on Dialysis

This two-page fact sheet uses simple text and pictures to describe the benefits of vaccinations for dialysis patients. There is a brief section for each: influenza, pneumonia, and hepatitis B vaccinations. Available in six languages.



Why Not Vaccinate Handout

Use this form with patients to identify why patients are choosing not to be vaccinated and develop a plan to address vaccination with patients.



Why Not Vaccinate? (Spanish)

Use this Spanish-language form with patients to identify why patients are choosing not to be vaccinated and develop a plan to address vaccination with patients.



Reducing Long-Term Catheter (LTC) Use

Reducing Rates of Healthcare-Associated Infections (HAIs) QIAs

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.



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.



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.



Supporting Gainful Employment of the ESRD Patient