spotlight: the new esrd network program 2013 and beyond qualitynet 2012 | baltimore marriott...

Spotlight: The New ESRD Network Program 2013 and Beyond

QualityNet 2012 | Baltimore Marriott Waterfront HotelDecember 11-13, 2012

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

2

The ESRD Program

The Shaping of Our Program

• The National Priorities for Quality

• Partnership for Patients

• The Three Aims

• Value Based Purchasing

• Redesign Outreach

4

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

5

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

6

The ESRD Population

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

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

The Aims

AIM 1

11

AIM 2

12

AIM 3

13

Reduce Costs of ESRD Care by Improving Care

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 analysis14

Collaboration

• Multiple opportunities for synergy around common goals

15

Network Sharing

16

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

17

In the Beginning

Participating in Healthcare Quality Strategies, Inc. Learning and Action Network

18

Network 3

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

19

Developed Subcommittees

• Added specialized sub-committees– CLABSI

– CAUTI

– SSI

– MDRO/CDIFF

The subcommittees met individually and then reported back to

the Advisory Committee

20

HQSI LAN Benefits

Opened the Silo Doors and Began the

“All Teach - All Learn”

21

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

22

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

23

Opportunities for Collaboration

ESRD Networks, HENs, & QIOs

Creating Abundance

1. What are the common goals of the Networks, QIOs and HENS?

2.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.

26

Share with the Larger Group

• Common goals identified and actions planned for after the Conference.

27

Thank you for beginning and continuing your collaboration!

28

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

29