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Spotlight: The New ESRD Network Program 2013 and Beyond

Spotlight: The New ESRD Network Program 2013 and Beyond. QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012. Objectives. Share the new direction of the ESRD Program Present thumbnail of activities Highlight areas for collaboration

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Spotlight: The New ESRD Network Program 2013 and Beyond

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  1. Spotlight: The New ESRD Network Program 2013 and Beyond QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012

  2. 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

  3. The ESRD Program

  4. The Shaping of Our Program • The National Priorities for Quality • Partnership for Patients • The Three Aims • Value Based Purchasing • Redesign Outreach

  5. 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

  6. 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

  7. The ESRD Population

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

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

  10. The Aims

  11. AIM 1

  12. AIM 2

  13. AIM 3 Reduce Costs of ESRD Care by Improving Care

  14. 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 analysis

  15. Collaboration • Multiple opportunities for synergy around common goals

  16. Network Sharing

  17. 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

  18. Network 3 In the Beginning Participating in Healthcare Quality Strategies, Inc. Learning and Action Network

  19. 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

  20. Developed Subcommittees • Added specialized sub-committees • CLABSI • CAUTI • SSI • MDRO/CDIFF The subcommittees met individually and then reported back to the Advisory Committee

  21. HQSI LAN Benefits Opened the Silo Doors and Began the “All Teach - All Learn”

  22. 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

  23. 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

  24. Opportunities for Collaboration

  25. ESRD Networks, HENs, & QIOs

  26. Creating Abundance 1. What are the common goals of the Networks, QIOs and HENS? • 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.

  27. Share with the Larger Group • Common goals identified and actions planned for after the Conference.

  28. Thank you for beginning and continuing your collaboration!

  29. 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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