““Who We Are”Who We Are”

ObjectivesObjectives

From this webinar we hope you will From this webinar we hope you will be able to:be able to:

Define the role of ESRD networksDefine the role of ESRD networks Discuss the different departments of Discuss the different departments of

NW 14 and their responsibilitiesNW 14 and their responsibilities Describe the function of the Patient Describe the function of the Patient

Advisory Council (PAC) and the Advisory Council (PAC) and the importance to patients. importance to patients.

ESRD Network of TexasESRD Network of Texas

““Who We Are” webinarWho We Are” webinar• Glenda Harbert, Executive Director• Kelly Shipley, Quality Improvement Director• Nathan Muzos, Information Management Director• Debbie O’Daniel, Office Manager• Angie Wieler, Quality Improvement Coordinator• Treneva Parks, Patent Services Coordinator• Andrea Fichtner, Outreach Coordinator• Doris Wilson, Data Clerk/Receptionist• Leigh Husni, Special Projects•Carolyn Atkins, Quality Improvement Nurse• Kathleen Prewitt, Data Clerk• Grant Kingsley, Social Worker

What about What about ESRD ESRD

Networks?Networks?

ESRD Network ESRD Network ProgramProgram

Established in 1978 by CongressEstablished in 1978 by Congress Currently 18 NetworksCurrently 18 Networks NW 14 is and most NW’s are non-profit NW 14 is and most NW’s are non-profit

organizations governed by volunteers organizations governed by volunteers from the renal communityfrom the renal community

3-year contracts with Statement of Work 3-year contracts with Statement of Work defined by CMSdefined by CMS

Funding from 50 cents withheld per Funding from 50 cents withheld per treatment treatment

www.esrdnetworks.orgwww.esrdnetworks.org

Goals For the ESRD Goals For the ESRD NetworksNetworks

Improve quality and safety of dialysis related services

Improve independence, quality of life and rehabilitation (to the extent possible) through transplantation, use of self-care modalities, in-center self care through end of life

Improve collaboration with providers to ensure achievement of goals through most efficient and effective means possible, recognizing differences and associated possibilities/capabilities

Improve collection, reliability, timeliness, and use of data to measure processes of care and outcomes; maintain patient registry

Improve patient perception of care and experience of care and resolve patient’s complaints and grievances

Goals For the ESRD Goals For the ESRD NetworksNetworks

MissionMission Support quality dialysis and kidneySupport quality dialysis and kidney

transplant healthcare throughtransplant healthcare through

patient services, education, qualitypatient services, education, quality

improvement and data exchange.improvement and data exchange.

Nephrologists

Dialysis and Kidney Transplant Patients

Transplant Surgeons

Nurses

Dietitians

Social Workers

Executive Committee

Nephrologists

Nurse

Facility Administrator

Patient

Medical Review Board

ESRD Network of Texas Volunteer Boards/Committees

Patient Advisory Committee

In-Center HemoPeritoneal Dialysis

Transplant

Caregivers

Nephrologists Ruben Velez, MD, Chair

Robert Hootkins, MD, Chair Emeritus

Donald Molony, MDClyde Rutherford, MD

Mohanram Narayanan, MDNavid Saigal, MDMazen Arar, MD

Samhar I. Al - Akash, MD

Transplant SurgeonOsama Gaber, MDGreg Jaffers, MD

TechnicianJohn Dahlin

Executive Committee

Melvin Laski, MD, Chair

Manny Alvarez, MD, Chair

Elect

Richard Gibney, MD, Chair

Emeritus

Robert Hootkins, MD

Larry McGowan, BA

Laura Yates, RN,CNN

Leigh Anne Tanzberger

Charles Orji, MD

NursesCamille May, RN, CNN

Kaylynne Duran, RNTrish White, RN, CNN

Debbie Heinrich, RN, CDN

DietitiansJane Louis, RD, LD

Jennie House, RD, LD

Social WorkersMary Beth Callahan, LMSW

Martha Donaho, LMSW

PatientsAnna GonzalezDiane Morgan

Medical Review Board

End Stage Renal Disease Network of Texas Committees

The 18 ESRD Networks The 18 ESRD Networks serveserve

386,940 living dialysis patients as of 12/31/2006 4,886 Home Hemodialysis 29,335 Peritoneal Dialysis

199,419 new patients in 2009 5,580 dialysis and 244 transplant

facilities

37,595 patients at the end of March 2011

505 dialysis and 23 transplant facilities 8 Full time and 4 part time staff

ESRD Network of Texas also known as Network 14

The ESRD The ESRD Networks Networks Provide...Provide...

Information ManagementInformation Management Quality ImprovementQuality Improvement Community Information and ResourcesCommunity Information and Resources Patient ServicesPatient Services Administrative Administrative

Information Management Information Management (Data ) Department(Data ) Department

Maintaining national ESRD registryMaintaining national ESRD registry 2728 Medical Evidence Form2728 Medical Evidence Form Patient Activity RosterPatient Activity Roster 2746 Death Form2746 Death Form 2744 Facility Survey2744 Facility Survey Facility information/servicesFacility information/services

Reporting to the renal community Reporting to the renal community on trends in ESRD careon trends in ESRD care

Quality Improvement Quality Improvement DepartmentDepartment

Collecting and Distributing data Collecting and Distributing data feedback reports to facilitiesfeedback reports to facilities Clinical Performance MeasuresClinical Performance Measures Quality of Care Indicators ReportQuality of Care Indicators Report Transplant RatesTransplant Rates Vocational Rehabilitation RatesVocational Rehabilitation Rates Dismissed Patients/ComplaintsDismissed Patients/Complaints

Conducting QI projects and Conducting QI projects and activities on specific areas of careactivities on specific areas of care Fistula First ProjectFistula First Project Clinical Performance Measures (CPM)Clinical Performance Measures (CPM) Dismissed Patients InitiativeDismissed Patients Initiative Transplant education/encouragement initiativeTransplant education/encouragement initiative

Quality Improvement Quality Improvement DepartmentDepartment

Providing professional Providing professional education education Annual meetingAnnual meeting Fistula First ConferencesFistula First Conferences Professionalism, DPC Professionalism, DPC

Offering technical assistance to Offering technical assistance to facilitiesfacilities QI In-services/Audits/ToolsQI In-services/Audits/Tools Data form completion WorkshopsData form completion Workshops Community PracticeCommunity Practice Difficult Patients/SituationsDifficult Patients/Situations Rules/RegulationRules/Regulation

Patient Services Patient Services DepartmentDepartment

Resolving complaintsResolving complaints Providing patient educationProviding patient education Assisting patients to locate Assisting patients to locate

dialysis servicesdialysis services

Community Outreach Community Outreach ServicesServices

Patient NewslettersPatient Newsletters Professional NewslettersProfessional Newsletters Disaster CoalitionDisaster Coalition Outreach to Patient and Outreach to Patient and

Professional OrganizationsProfessional Organizations Patient Advisory Committee Patient Advisory Committee

(PAC) liaison(PAC) liaison Network Patient Network Patient

Representative (NPR)Representative (NPR)

Administrative Administrative DepartmentDepartment

Information on other NetworksInformation on other Networks Assistance with Federal and State rules Assistance with Federal and State rules

and regulationsand regulations Department handles accounting issues, Department handles accounting issues,

purchasing, Network office equipment purchasing, Network office equipment repairs, Network staffing issues (Human repairs, Network staffing issues (Human Resources)Resources)

Information on opening of new facilitiesInformation on opening of new facilities Media request and legal issuesMedia request and legal issues

We’re Here to Help We’re Here to Help ESRD Patients and ESRD Patients and

Facilities!Facilities! Questions or ConcernsQuestions or Concerns Patient Education ResourcesPatient Education Resources Professional Education Professional Education

ResourcesResources Assistance – Completing FormsAssistance – Completing Forms Clearinghouse and Referrals!Clearinghouse and Referrals! Assisting with patient and/or Assisting with patient and/or

facility concerns, complaints, or facility concerns, complaints, or grievances.grievances.

Gloria Lang-Jones, Chair, San Antonio, TexasJorge Garcia, Chair Elect, McAllen, TexasAna Rodriguez, Secretary, Kyle, TexasDianne Thomas, Activities Coordinator, Dallas, TexasFrances Carroll, Lubbock, TexasGigi Cooper, Houston, TexasAnna Gonzalez, San Antonio, TexasDanny Knight, Waxahachie, TexasPerry Sanders, Arlington, TexasLeigh Anne Tanzberger, Sugar Land, TexasLinda Thompson, Yorktown, TexasLesia Timmons, Tyler, Texas

Patient Advisory Committee

Please welcome Ana Gonzalez, past PAC chair

Please welcome Danny Knight PAC Member-At-Large

How do I become a PAC member

Send a letter of interest to the Network office

ANDHave your facility Social Worker, your facility administrator, OR your Nephrologist send the Network office a letter of recommendation

The ESRD Network of Texas, Inc.4040 McEwen Rd, Suite 350

Dallas, Texas 75244972-503-3215 * Fax 972-503-3219* Patient Toll Free Number 1-877

886-4435info@nw14.esrd.net * www.esrdnetwork.org