Better Care for the Individual through Beneficiary and Family Centered Care

1. Better Care for the Individual through Beneficiary and Family Centered Care An Interactive Session with Focus on AIM 1 Domains 4 & 5 December 11, 2012 4:00-5:00 PM Presenters: Crystal Russell, Bev Hoek QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012

2. 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

3. 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.

4. 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%?

5. Vascular Access Management • Improve AV Fistula Rates for Prevalent Patients • Reduce Catheter Rates • Support Facility Reporting • Spread Best Practices • Provide Technical Support • Recommend Sanctions

6. 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?

7. Domain 5 Patient Safety Healthcare Acquired Infections:

8. 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 process • Verify accuracy and timeliness of facility data in the NHSN database • Group Administrator Role • Conduct QIA – based on trending and tracking of collected data

9. 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

10. 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

11. 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?

12. 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

13. Questions Thank-You Happy Holidays Contact Information: crystal.russell@cms.hhs.gov (404-562-7175) kathleen.egan@cms.hhs.gov (774-413-9946)