world-class physician leadership - davita€¦ · davita® is committed to partnering with highly...

D A V I T A C L I N I C A L L E A D E R S H I P

VP, Clinical ResearchMahesh Krishnan, MD

VP, Integrated ServicesStephen McMurray, MD

VP, Clinical Risk SupportRobert Merrell, MD, FACP

VP, Clinical A� airsHome ModalitiesJohn Moran, MD, FACP

VP, Medical A� airsRobert Provenzano, MD, FACP

VP, Clinical Support Services John Robertson, MD

VP, Clinical Support Services David B. Van Wyck, MD

Chief Medical O� cerAllen R. Nissenson, MD, FACP

World-ClassPhysician LeadershipPhysicians who choose to partner with DaVita® have direct access to some of the world’s leading clinical experts in various areas of kidney care. DaVita’s clinical team, including the O� ce of the Chief Medical O� cer (OCMO), the Physician Council, Group Medical Directors and our physician partners, work together to identify and resolve clinical issues.

Together with our teammates, our clinical leaders strive to identify and recommend clinically sound and e� ective practices for our physician partners in our more than 1,800 dialysis centers. When determining our approach to care at DaVita, our clinical leadership team continuously innovates new and better ways to address patients’ kidney care issues, as well as their co-morbid conditions.

O� ce of the Chief Medical O� cer

To discuss international partnership opportunitiescontact us at [email protected] or visit DaVita.com

International Partnerships with DaVita

VP, Medical A� airsMark Kaplan, MD

CLINICAL LEADERSHIP

Clinical Management Team

Leading ClinicalInnovation & Improvement

The O� ce of the Chief Medical O� cer collaborates with a cross-functional team of clinical operations experts to improve the quality of care our patients receive. DaVita® physician partners, clinical educators, dietitians, nurses and others work together to develop and implement initiatives consistently across our dialysis centers. From driving fi stula compliance to standardizing clinical education and training for tens of thousands of teammates, these initiatives are linked to better outcomes, reduced hospitalizations, lower mortality rates and improved quality of life for our patients.

Through this dedication to innovation, DaVita has achieved 11 consecutive years of improved clinical outcomes and raised the bar for care in the U.S.

D A V I T A C L I N I C A L L E A D E R S H I P


Sr Director of Biomed ServicesTed Kasparek


VP of Clinical EducationSusie Juarez

Director of Corporate ComplianceStephanie Motter

VP of Clinical Support Services Maribeth Sommer

VP of Clinical Improvement Abbe Volz

VP of Clinical Management & Vendor RelationsShaun Collard

VP of Clinical Support ServicesDebbie Benner

VP of Clinical ImprovementIrina Goykhman

Director of Quality ManagementGinger Hanson

Sr Director of Clinical Services Nancy Culkin

Our CompanyDaVita® Inc., is a Fortune 500® company and a leading provider of kidney care in the United States.As of March 31, 2012, DaVita operated or provided administrative services at 1,841 dialysis facilities, with more than 36,500 teammates (employees) serving approximately 145,000 patients. The company’s leadership development initiatives and social responsibility e� orts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

Through intensive collaboration, we and our physician partners are “moving the needle” on integrated clinical care through innovations that benefi t nephrologists and their patients. Together, we have achieved clinical outcomes that have improved continuously for more than a decade and, in many key areas measuring quality dialysis care, lead the nation. DaVita is also a leader in alternative treatment modalities, medication management and cutting-edge research.

• A dedicated service provider expanding internationally• Award-winning training and leadership development programs• Leaders in alternative treatment modalities, patient education and cutting-edge research

Our CultureWe consider DaVita to be a community fi rst, and a company second. Our teammates work with our physician partners to provide superior patient care and build a healthy, sustainable community.

• Support for achieving high-quality outcomes• Commitment to hiring and retaining the best

caregivers for our patients• Leadership development, performance recognition

and a community environment for teammates• A vision of becoming a role model for healthcare

by providing innovative, integrated care and strong economic value for society

Our MissionTo be the Provider, Partner and Employer of Choice

Our Core Values• Service Excellence• Integrity• Team • Continuous Improvement• Accountability• Fulfi llment• Fun

C O M P A N Y O V E R V I E W



Leading clinical qualityPhysicians at DaVita® have achieved superior clinical outcomes for their patients in theUnited States. Overall, DaVita’s outcomes have improved for 11 consecutive years and are thebest or among the best in virtually every category reported publicly in the U.S. We believe that by providing the support physicians need, we can help them improve the lives of our more than 145,000 chronically ill patients. Together we have implemented multiple quality improvements measures that have made the di� erence, including an in-house benchmarking tool and a nationally recognized vaccination program.

Other key indicators*:

57.00%53.00%

70.00%63.00%

85.20%80.60%

40.70%35.00%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

DaVita Nation Minus DaVita

83.70%83.40%

Phosphorus 3.5 - 5.5

Calcium 8.4 - 9.5

Calcium 8.4 - 10.2

Albumin ≥ 4.0

Albumin ≥ 3.5

Immunization data –2010 USRDS Annual Data Report (2008 data). Other measures: National Q4 2008 eLabs Report. Q4 2010 DaVita data replicated from claims data

36%

19%

% Immunized forPneumococcal

Pneumonia

% Immunizedfor Infl uenza

DaVita Nation-DaVita

73%62%

0% 10% 20% 30% 40% 50% 60% 70% 80%

DaVita 2010 U.S. vaccination rate = 90%

• Adequacy (Kt/V <1.2) has improved by 60% since 2000

• Fistula rate has improved by 83% since 2002• CVC rate has improved by 27% since 2007

• Gross Mortality has decreased by 15% since 2001• The DaVita Quality Index (DQI), a proprietary

benchmark, measures overall clinical performancein one score per facility and is correlated with decreased mortality

*Data refl ects U.S. outcomes only.

U.S. Clinical Outcomes



C L I N I C A L O U T C O M E S

E� cient and Cost-E� ectiveHospital Dialysis ServicesAs a dedicated service provider, DaVita® helps hospitals achieve superior outcomes, operational e� ciencies and cost savings through sta� and patient education, as well as global purchasing power among diverse suppliers.

Cost savings

• 6.1% reduction in length of stay (0.5 days)

• Partners have realized savings of~ $82 per treatment equivalence

• 110% reduction overall

• 45% reduction for renal relateddiagnosis-related group (DRG)

Cost per treatment

Outsourcing savingsDischarge planning savings

Average Cost Per Tx with

In-House Dialysis

Average Cost Per Tx with DaVita

The average hospital saves34% per treatment

when partnering with DaVita

16%

18%

100%

80%

60%

40%

20%

0%

Inpatient clinical servicesPatient/Hospital

sta� servicesPartnership

opportunities

Hemodialysis Apheresis Discharge planning

Comprehensivepatient education

Hospitalsta� training

Vascular Access /ASC

CRRT ResearchPeritoneal dialysis

Outpatient JointVentures

DaVita’s breadth of services cover*

75% of patients are“more involved” in

their own careDaVita Discharge Planning Survey May, 2011

94% of patients would“choose the same hospital again”

as a result of their dialysis care


*As of July 2011

• Over 950 Hospital partners • 1,841 Outpatient clinics


H O S P I T A L S E R V I C E S

Physician and Business PartnershipsDaVita® is committed to partnering with highly qualifi ed clinical professionals. Our objective in engaging the best consulting physicians is to ensure that we provide high-quality care for all of our patients.

Physician partners at DaVita are advised on new clinical initiatives and protocols, sta� training and medical supply selection. They are also connected with other nephrology leaders and colleagues, through a vast network of DaVita medical partners — extending the boundaries of their knowledgeand practice.

By partnering with DaVita, physicians enjoy a range of benefi ts, including:• Stature. A relationship with DaVita comes with the stability of a provider that has a proven

track record but continues to grow and evolve.

• Initiatives and protocols that drive patient care. We are committed to innovating clinical programs that help our physician partners consistently achieve clinical outcomes that are the best or among the best in virtually every category.

DaVita prides itself on being the “Partner of Choice” and is the most experienced partner inthe industry, with more jointly owned dialysis centers than all other dialysis providers combined.This is primarily due to our unique focus on our physician partners, our integrated clinical and business systems, and the benefi ts of DaVita’s operational and management programs.

Benefi ts of a partnership with DaVita:• Experienced partner to share in the risks,

rewards and responsibilities

• Industry-leading clinical outcomes,initiatives and research

• Staff development and retention

• Local leadership and experience

It is important to note that the business purpose of a dialysis partnership is to identify a counterpart with a commitment to creating an outstanding operation, the capability to help do so, and the resources to drive growth for the center. Business partners are never limited in where they can refer patients, including a competitor’s clinic or center.

P A R T N E R S H I P O P P O R T U N I T I E S



A Global Approach toAdvancing Kidney CareDaVita Clinical Research® (DCR®) is one of the largest renal research providers in the world, o� ering comprehensive services across the entire spectrum of the drug development cycle, from early discovery through post-approval marketing commitments.

Our expertise:• Preclinical (genomic and proteomic studies)

• Phase 1 clinical trials with our inpatient clinic in Minneapolis

• Outpatient clinical trials through partnerships

• Health economics and outcomes research(economic modeling, commercial reimbursement and formulary placement)

• Safety surveillance (REMS programs)

• DCR has more than 20 years of experience in renal research with a full range of services: - Biorepository Services (building the largest collection of genomic, metabolomic and proteomic data in renal patients) - Clinical Development - Phase I inpatient and outpatient studies - Central Laboratory - Clinical Informatics - Medical Communications - Advisory Committee Preparation Services

DCR has partnered with physicians to deliver important research results and to publishclinically relevant posters, abstracts and manuscripts. We have also participated in clinicaltrials of investigational and marketed drugs and devices.

DCR strives to bring value-added research services to DaVita-a� liated physicians whosupport the mission to advance the knowledge and practice of kidney care.



C L I N I C A L R E S E A R C H

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