Better Care for the Individual through Beneficiary and Family Centered Care

An Interactive Session with Focus on AIM 1 Domains 4 & 5

December 11, 20124:00-5:00 PM

Presenters: Crystal Russell, Bev Hoek

QualityNet 2012 | Baltimore Marriott Waterfront HotelDecember 11-13, 2012

What We would like to Accomplish

• Review the Requirements of AIM 1 Domains 4 and 5

• Review the expected outcomes, measures, and timelines

• Share Insights, and ideas for innovation and boldness

• Leave the Session with a Plan of Action

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How to “Be” Today

• Focus on aligning with the goals of the Redesigned ESRD Network Contract – AIM 1 Domains 4 and 5

• Actively Engage in Hearing and Sharing thoughts and creativity,and new ideas

• Preparing to implement at least one idea or action gleaned from this presentation.

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Domain 4 :Vascular Access Management

Thinking Outside the Proverbial Box – What New Direction will you be taking for this continuing work? What are the challenges that you face as we approach 68%?

Vascular Access Management

• Improve AV Fistula Rates for Prevalent Patients

• Reduce Catheter Rates

• Support Facility Reporting

• Spread Best Practices

• Provide Technical Support

• Recommend Sanctions

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What are Your Best Ideas for Vascular Access Management in 2013 and Beyond ?

• What New Direction will you be taking for this continuing work?

• What are the challenges that you face as we approach 68%? How do you plan to overcome these Challenges?

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Domain 5 Patient Safety Healthcare Acquired Infections:

Patient Safety Healthcare- Acquired Infections (HAI’s)

Support National Healthcare Safety Network (NHSN) Enrollment and Reporting

90% of Dialysis Facilities Enrolled (Monthly Goals)75% of the monthly goal for enrollment achieved 80% of Facilities Reporting for at least 6-months (Monthly

Goals)75% of the Monthly Goals for reporting achieved Provide education and support with the enrollment processVerify accuracy and timeliness of facility data in the NHSN

databaseGroup Administrator RoleConduct QIA – based on trending and tracking of collected data

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Establish HAI LAN –

Establish – Collaborate – or Both

One Network’s Perspective

• Join your States’ QIO HAI LAN– Collaborate with other healthcare providers

– Invite Dialysis Leaders to join QIO LAN

• Develop your own HAI LAN – Seek participation of healthcare providers working on

HAI or CLABSIs

– Rapid cycle improvement…planning and implementation

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Reduce Rates of Dialysis Facility Event

• QIA – Implementation based on data from NHSN

• Involve 20% of facilities and at least 5% of the Network patient population

• Demonstrate a 5% relative Improvement Rate on the Dialysis Facility Primary Measure – Report Monthly

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What are your Best Ideas?

• What strategies are you preparing to implement to Achieve Successful NHSN Enrollment in Your Network?

• How can you overcome Obstacles in this process?

• What facility Best Practices in reporting have you seen?

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Drawing to a Close Our Commitment and Hopes for 2013

Commitment:

Respond to Questions & Post answers on NCC website by January 4, 2013

HOPE

Together - Fully engage in the Excitement and Challenges of Our Work for 2013

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Questions

Thank-You

Happy Holidays

Contact Information:

crystal.russell@cms.hhs.gov (404-562-7175)

kathleen.egan@cms.hhs.gov (774-413-9946)

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