Network 6
Mission Statement:
To improve the lives of people with or at risk for End Stage Renal Disease by promoting and advancing quality of care.
2011-12 Vascular Access Quality Improvement Project
Project Overview
Training Manual
Webinar Survey http://www.surveymonkey.com/s/AVFWebinar1
Educational Summary Sheet
Facility-Specific Reports (Sample – these reports are available for each facility – this information is sent to Intensive Intervention Facilities Monthly and Intermediate Intervention Facilities quarterly). Sample 101, Sample 102, Sample 105, Sample 106, Sample 107
Fistula First
In 2003, ESRD Networks, the Centers for Medicare & Medicaid Services (CMS), and various other organizations developed a partnership know as Fistula First to increase the AV Fistula utilization among ESRD patients.
At the beginning of the project in October 2003, ESRD Network 6 had 29.2% prevalent AV Fistulas compared to 31.3% nationally. Since that time Network 6 has slowly increased AV Fistula usage. As of May 2009, Network 6 Prevalent AV Fistula rate is 48.1%.
Network 6 is partnering with the dialysis community, vascular access surgeons, nephrologists, and patients to improve AV Fistula rates in the incident and prevalent population.
Staff Resources
Fistula First Data Collection
A primary component of the Fistula First Project is the collection of vascular access data. The Large Dialysis Organizations (LDOs) have collaborated with CMS and developed an automated process that forwards monthly data electronically to the ESRD Networks. Currently all non-LODs must provided quarterly information via CMS Data Collection Software.
- Data Collection Tool Software
- Data Collection Tool Users Guide
- Fistula First Validation Quality Improvement Project - Final Results
Fistula First Resources
- www.fistulafirst.org: The national vascular access website has tools and resources developed by the NVAII.
- Press Release: Study shows that the CMS Fistula First Target of 66% for Prevalent AV Fistulas is Feasible and NOT at the Expense of Increased use of Catheters
- Press Release: Fistula First Breakthrough Initiative Session Open to the Renal Community
- Fistula First
Change Concepts
- Vein Preservation
- Access - Alert and Stop Tools
- FFBI - PICC Line Recommendations
- Fistula First Best Practices
- Fistula First Action Plan
Algorithm : This algorithm was developed
by Network 6 to assist facilities in formulating an action plan based on
“root cause”.
- Fistula First Root Cause Analysis: Action Plan Template
- Cannulation of the Arteriovenous Fistula DVD
- Southeastern Kidney Council Fistula First Toolkit: This toolkit includes information regarding cannulation, clamps, and other vascular access resources for staff to assist in QAPI development.
- Increasing AVFs in ESRD Network 6 - CQI Technical Assistance Training Manual and Resource Guide
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Let's Talk About...Fistulas is a 3-minute multimedia movie about choosing a fistula for hemodialysis access. "We created this short high-impact message to help dialysis patients understand why replacing a hemodialysis catheter with a fistula is so important," explained MEI Executive Director Dori Schatell. "Dialysis professionals can use our movie to start a conversation with patients about converting from a catheter to an arteriovenous fistula (AVF)." The movie is available free in English and Spanish at www.lifeoptions.org/letstalk/
Presentations
- AVF Best Practices - Recorded January 13, 2011- by Leighann Sauls RN, CDN
- Cannulation Techniques & Buttonhole Cannulation Training by Lynda Ball RN, BSN, CNN of Northwest Renal Network
- Vascular Access in Hemodialysis: the 2006 KDOQI Guidelines Update by Lesley Dinwiddie MSN, RN, FNP, CNN
- Buttonhole Damage from Sharp Needles by Deb Brouwer, Kay Bregel, Janet Holland, and Patt Ryder. Approved by the AV Fistula First Practitioner Education Task Group
- Dialysis Technician Training Presentations by Leighann Sauls RN, CDN, Quality Improvement Director of Southeastern Kidney Council
Click on the logo above to access the Fistula First website.