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Learning and Action Networks

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A Learning and Action Network (LAN) is a way to achieve large-scale improvement by bringing together people from within a community, including both healthcare providers and patients, to work together. It creates opportunities for sharing ideas, learning and problem solving in a given area. Network 17 currently has an active Healthcare-Associated Infections (HAI) LAN, as well as supporting national LAN activities related to Patient Engagement.

LANs are hosted by the End Stage Renal Disease (ESRD) National Coordinating Center, but invitations to join the LANs come from the Network. If you are interested in joining a LAN, please contact the Network to receive an invitation.

Healthcare-Associated Infections

Bloodstream Infection (BSI) QIA LAN April 3, 2018

Bloodstream Infection (BSI) Quality Improvement Activity (QIA) LAN Webinars

Locate and download PowerPoint slide decks and recorded webinars from all of the 2018 BSI QIA LAN meetings below:

BSI QIA LAN Identified Best Practices

As best practices are identified by the Network, they and any associated resources will be found here:

Identified during the June 5, 2018 BSI QIA LAN event:

Identified during the April 3, 2018 BSI QIA LAN event:

  • Practice Scrub the Hub disinfection.
  • Use a chlorhexidine-impregnated sponge dressing to catheter exit site.

Identified during the January 29, 2018 BSI QIA LAN event:

  • Posting of the CDC’s Days Since Last Bloodstream Infection poster in an area visible to patients, family members and staff. The poster can be found here.
  • Encouraging patient compliance with access washing prior to treatment. Facilities can utilize the Infection Prevention: Washing Your Vascular Access handout created by the Network to educate patients on this important topic. The handout is available in QIA toolkits here.     

BSI QIA LAN Resources



Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers

This resource provide notes in a checklist format for clinical managers to utilize for environmental surface disinfection.



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Home Dialysis

Home Dialysis

Home Dialysis Quality Improvement Activity (QIA) LAN Webinars

Home Dialysis QIA LAN Identified Best Practices

As best practices are identified by the Network, they and any associated resources will be found here:

Identified during the June 3, 2018 Home Dialysis QIA LAN:

  • Engage all in-center and home staff using the team approach when providing patient educational “touch points” over the course of several treatments.
    • Education provided by the nurses, Interdisciplinary Team (IDT), and the hosting of a Lobby Day, was key to an in-center patient making an informed decision to dialyze at home.
  • Utilize a tracker for timely follow-up of patients transitioning through the 7-Steps to home training.
  • Create a process to re-interest in-center patients, new patients and staff on the options of dialyzing at home.
    • First provide home modality education to in-center staff then identify one teammate to be the in-center Home Champion.

Identified during the April 10, 2018 Home Dialysis QIA LAN:

  • Select an in-center staff member to serve as a Home Champion.
  • Consider a new approach that includes the Interdisciplinary Team (IDT) asking, “Why not home?” to all new patients.
  • Host a Lobby Day that includes a Patient Advocate.
  • Provide individualized patient education in collaboration with the home dialysis team.

Identified during the February 5, 2018 Home Dialysis QIA LAN:

  • Approach all in-center patients for interest, including patients who have not expressed interest in the past.
  • Provide home dialysis education to staff.
  • Provide the Nephrologist with home dialysis educational opportunities and resources for improved understanding of Peritoneal Dialysis.
  • Build a relationship with local surgeons.

Home Dialysis QIA LAN Resources

Additional resources related to increasing rates of patients dialyzing at home can be found on the Network website here.



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Transplant

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Patient Experience of Care (PEOC) QIA LAN

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Population Health: Focus on Pain Management LAN

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End Stage Renal Disease (ESRD) National Coordinating Center (NCC)

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Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader.

ESRD Network 17