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Quality Improvement Activities for 2019

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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 7’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.

2019 QIA Overview

For additional information about Network 7’s QIAs for 2019 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 7 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.



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 7 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 10 transplant centers in the Network 7 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.



Increasing Rates of Patients Dialyzing at Home QIA

 Improving Pain Assessment

Supporting Gainful Employment of ESRD Patients