Fistula First - Local Information & Data
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cHAMPION Facilities
The following providers attained a consistent prevalent AV Fistula rate for hemodialysis patients of 66% or greater from July 2010 to June 2011 due to their enthusiastic support, which far surpasses the KDOQI guidelines and the CMS national goal:
Connecticut
Maine
Massachusetts
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New Hampshire
Rhode Island
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nETWORK #1
Prevalent AVF Rates by State
January 2011 - November 2011
Source: Provider Monthly Vascular Access Reports
Vascular Access WebEx Presentations
On July 7, 2009 and July 9, 2009, the Network of New England hosted two WebEx presentations on Vascular Access. To view the presentations, please click on the topics below.
Program Objectives:
• Discuss clinical issues related to the care of
the ESRD patient vascular access
• Expand your current knowledge base in improving access assessment
skills
• Discuss practical approaches to establishing a Button Hole cannulation
site
Note: The hyperlink first goes to ifmcevents.webex.com and the Media Player is installed or updated as needed. The Player will launch and begin playing the file.
Vascular
Access Assessment Skills
Debbie Brouwer, RN
The
Button-Hole Technique
Kay Bregel, RN
In 2005, Centers for Medicare and Medicaid Services (CMS) launched an initiative
to significantly improve the use of AV fistulae (AVF) for hemodialysis patients.
Project Background
The goal is to achieve an AVF rate of 50% or greater for incident patients,
and 65% for prevalent patients, which is based on KDOQI
Guidelines. CMS has partnered with all 18 ESRD Networks, the Institute
for Healthcare Improvement, and ESRD stakeholders from around the country.
Thirteen
concept changes have been identified*.The Network encourages each provider
to review the list and embrace one of these concepts as a “doable”
local quality improvement project. Network staff are willing to share ideas
and tools to help you. The Network is also developing a new database of
the names and addresses of your Vascular Surgeons and Intervention Radiologists
to receive informationand datafeedback on their collective performance in
promoting AVF Placement.
* Two new change concepts have been added:
12)
Modified hospital systems to detect CKD and promote AV fistula planning
& placement
13)
Support patient efforts to live the best possible quality of life through
self management