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Quality Improvement Activities

Diverse Support Group Hispanic Senior Couple

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.

To support facilities with identifying barriers, examining solutions and monitoring for rapid cycle improvement, the Network has created the Rapid Cycle Improvement Training Resource (PDF) to guide facilities through the quality improvement process.

For additional information about Network 17’s QIAs for 2020 and access to QIA documents, trackers, toolkits and best practices, read more below. 

Reducing Rates of Bloodstream Infections QIAs

Reducing Bloodstream Infections (BSIs) 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

Reducing Long-Term Catheter (LTC) Use

The goals of the Network 17 LTC QIA are to:

  • Achieve a 2 percentage point improvement facilities with LTC >20%.
  • 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.

Increasing Rates of Patients on a Transplant Waitlist QIA

Considering a Transplant? Let's Get Started!

This tri-fold brochure can easily fit into a pocket and can be used to track progress and keep details organized as a patient prepares for transplant evaluation.

Network 17 2019/2020 Transplant Referral Guide

The Transplant Referral Guide is a tool to help guide dialysis patients,
their family members and care partners to the transplant centers that could
most likely meet their needs. It provides location and contact information, as well as easy-to-compare eligibility criteria for the transplant centers in the Network 17 service area.

Quality Assessment and Performance Improvement (QAPI) Quality Improvement Activity (QIA) Monitoring Form

Use the Quality Assessment and Performance Improvement (QAPI) Quality Improvement Activity (QIA) Monitoring Form for tracking education, referrals, work-ups, and waitlist status for transplant and for discussion of progress toward goals during QAPI meetings.

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 Waitlist 2019 Webinar and Slides

2019 Increase Rates of Patients on a Transplant Waitlist Quality Improvement Activity (QIA) Webinar View PowerPoint Slides (PDF) Watch Recorded Webinar

Transplant Refusal Follow-up: Why Not Consider a Transplant

Use this one-page document to educate patients and understand the reasons patients are refusing to be referred for transplant.

5 Steps to Transplant Tracker

Use the 5 Steps to Transplant Tracker (XLSX) for tracking patients through the 5 step waitlist process, documenting contacts with transplant centers, monitoring active/inactive status and identifying barriers. 


Increasing Rates of Patients Dialyzing at Home QIA

Improving Pain Assessment QIA

Supporting Gainful Employment of ESRD Patients QIA