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Quality Improvement Activities for 2018

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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 17’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 17’s QIAs for 2018 and access to QIA documents, trackers, toolkits and best practices, read more below.

Reducing Rates of Healthcare-Associated Infections (HAIs) QIAs

Reducing Bloodstream Infections (BSIs) Only Group

The goals of the Network 17 BSI QIA are to:

  • Demonstrate a 20% relative reduction in the pooled mean rate of BSIs in the targeted QIA facilities.
  • 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 7 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.



Monitoring BSIs

Following are links to tools that will assist you in achieving your BSI monitoring goals: CDC Resources CDC Core InterventionsThese Core Interventions have been proven to reduce dialysis-related BSIs. Apply these interventions when using the Audit Tools and Checklists. CDC Core Intervention...



Increasing Rates of Patients on a Transplant Waitlist QIA

PDSA Cycle Intervention Tool

Use this Plan-Do-Study-Act (PDSA) tool to guide you in your transplant QIA rapid-cycle improvement process.



Tips for Engaging Patients and Hosting a Successful Transplant Lobby Day

This one-pager provides simple, easy-to-follow steps for hosting a successful Transplant Lobby Day. 



Transplant Refusal Follow-up: Why Not Consider a Transplant

Use this one-page document to educate patients who have previously refused a transplant.



Transplant Waitlist QIA Monthly Tracker

Use the Transplant Waitlist QIA Tracker to document QIA data for reporting progress/status to the Network monthly. Reports to the Network are due by the 5th of the following month.



Increasing Rates of Patients Dialyzing at Home QIA

Improving Pain Assessment QIA