Spotlight: The New ESRD Network Program 2013 and Beyond

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

Objectives

• Share the new direction of the ESRD Program

• Present thumbnail of activities

• Highlight areas for collaboration

• Discuss opportunities in small groups that include ESRD Network, QIO and HEN team members

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The ESRD Program

The Shaping of Our Program

• The National Priorities for Quality

• Partnership for Patients

• The Three Aims

• Value Based Purchasing

• Redesign Outreach

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Moving Quality Forward

• Quality Improvement

• Conditions for Coverage

• Survey Program

• Payment & Coverage Policy and the Quality Incentive Program

• National Initiatives and Campaigns

• Quality Measurement and Public Reporting

• Grants

• Demonstrations

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The Role of the ESRD Network Program

• Serve as a catalyst for quality improvement and beneficiary centered care

• Meet statutory directives– Sound medical practice

– The right care, the right modality and setting

– Grievance evaluation and resolution

– Patient rehabilitation

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The ESRD Population

Distribution of General (Fee-for-Service) Medicare Patients & Costs for CKD, CHF, Diabetes, & ESRD, 2000 & 2010Figure p.1 continued (Volume 2)

All-cause Rehospitalization or Death within 30 Days after Live Hospital Discharge in Patients Age 66 & Older, by Population, 2010Figure 3.10 (Volume 2)

The Aims

AIM 1

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AIM 2

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AIM 3

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Reduce Costs of ESRD Care by Improving Care

Approaches

• New Innovative methods

• Rapid Cycle Quality Improvement

• Campaigns/marketing plan

• Quality Improvement Activities

• Learning and Action Networks– Two Tier Patient Engagement LAN

– HAI LAN

• Partner Engagement

• Education

• Trending and analysis14

Collaboration

• Multiple opportunities for synergy around common goals

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Network Sharing

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Network 8

• QSource Transitions of Care Communities

• QSource and Network 8 have a long history of cooperative activities in Tennessee

• Dialysis facilities and Network included with other stakeholders in meetings in multiple communities

• Dialysis staff actively participated in  the first community and others plan to participate in the next three regions

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In the Beginning

Participating in Healthcare Quality Strategies, Inc. Learning and Action Network

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Network 3

HQSI’s HAI Advisory Committee

• Began in August 2011

• Members included– NJDOH

– APIC

– NJ Hospitals

– Pharmacists

– NJHA

• Met approximately every 2 months

• In person or by conference call

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Developed Subcommittees

• Added specialized sub-committees– CLABSI

– CAUTI

– SSI

– MDRO/CDIFF

The subcommittees met individually and then reported back to

the Advisory Committee

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HQSI LAN Benefits

Opened the Silo Doors and Began the

“All Teach - All Learn”

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HQSI LAN Benefits

• Became the framework for QIRN3’s LAN in Puerto Rico

• September 13, 2012, Educational Program with the NJ North and South Chapters of APIC – Goal was to enhance communication between the dialysis

community and the ICP to improve NHSN reporting

– Approximately 150 attendees participated, all but one NJ county was represented by an APIC member

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HQSI LAN Benefits

• September 20, 2012, CUSP training for NW staff and six dialysis units in Chicago sponsored by the NJHA and HRET – December 4, 2012, On the CUSP: Stop BSI- Sustainability

for ESRD Patients. 1st Cohort conference call to Roll Out CUSP Training

for NJ dialysis units

– January 15, 2013, 1st Cohort’s CUSP training program

– July 2013, 2nd Cohort of dialysis facilities will be trained in CUSP methodology

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Opportunities for Collaboration

ESRD Networks, HENs, & QIOs

Creating Abundance

1. What are the common goals of the Networks, QIOs and HENS?

2.Where are the opportunities to partner? Begin to make offers.

3. Identify 1-2 follow up actions to occur after the QualityNet meeting has ended.

Write down your action items and set a target completion date.

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Share with the Larger Group

• Common goals identified and actions planned for after the Conference.

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Thank you for beginning and continuing your collaboration!

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Contact Information

• Teresa Casey – mary.casey@cms.hhs.gov

• Kathleen Egan – kathleen.egan@cms.hhs.gov

• Jerry Fuller – jfuller@nw8.esrd.net

• Chris Brown – chrisbrown@nw3.esrd.net

• Elena Balovlenkov – elena.belovlenkov@cms.hhs.gov

• Crystal Russell- crystal.russell@cms.hhs.gov

• Renee Dupee – renee.dupee@cms.hhs.gov

• Melissa Dorsey – melissa.dorsey@cms.hhs.gov

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