ESRD Network Update: Challenge and Change

1. ESRD Network Update:Challenge and Change Jerry Fuller, Executive Director Sheila McMaster, MSN, RN, CNN, Quality Improvement Coordinator NaTasha Avery, LMSW, Patient Services Coordinator Network 8, Inc. September 21, 2010

2. Welcome, AHFSA, to the Network 8 region!

3. ESRD Network organizational features and changes Clinical performance measures and accountability Responding to patient concerns and balancing rights with responsibilities Presentation overview

4. Network 8, Inc. will be an effective resource and advocate for all kidney patients, their families and providers, through collaboration with others, to promote quality outcomes and appropriate modes of therapy throughout their lives until the end of life. Mission Statement

5. Founded in 1988 Office is in Jackson, MS Staff of 10.5 FTEs Serve AL, MS, TN 22,500 dialysis patients 350 dialysis facilities 12 transplant hospitals Brief history of our organization

6. 18 regions Some are jointly managed Funded by $.50 holdback per treatment 51,500,000 treatments in 2009 = ~ $26M in the annual pool Contracts awarded by CMS, typically in 3-year cycles Network organizations

7. Board of directors Medical review board Provider council representing facilities Patient advisory committee to give consumer input Network staff Network organizations include

8. Quality Improvement Provider and patient education Complaint hotline and grievance resolution Disaster preparedness and emergency response Information management (national patient database) What we do for CMS

9. Size of the ESRD population, December 2009