Information for Professionals
Water Quality Testing Chart - April 2013
Network 14 Projects/Facility Reporting Requirements Overview Document – Revised April 2011
2012 ESRD Network Facility Run Charts
The following run charts are using 2011 ESRD Network 14 data.
- Instructions for Run Charts
- Adult HD Dialysis Specific Run Charts
- Adult PD Dialysis Specific Run Charts
2010 Quality of Care Indicators Project
The ESRD Network of Texas, Inc. 2010 (2009 Data) Quality of Care Indicators Project is the continuation of a collaborative effort between the ESRD Network and the Texas dialysis community. Since 1996 the QIR facility specific charts has provided a unique opportunity for Texas dialysis facilities to compare core indicators and patient care processes to statewide averages. Whenever possible, national averages or clinical practice guideline recommendations are provided. Such review allows dialysis professionals to identify opportunities for improvement in their facility's processes of care.
- 2011 Adult Quality of Care Indicators Results
- 2010 Pediatric Quality of Care Indicators Results
- ELAB Project: National 2009 and Trends Elab Report
Quality Improvement Tools
- HD Adequacy QAPI Tips
HD Pediatric Facility Report Card
2011 PD Pediatric Facility Report Card
- Resources for Pediatrics
- National Kidney Foundation K/DOQI Guidelines:
- Juarez-Congelosi, M., Orellana, P., & Goldstein, S. L. (2007). Normalized Protein Catabolic Rate Versus Serum Albumin as a Nutrition Status Marker in Pediatric Patients Receiving Hemodialysis, Journal of Renal Nutrition, Vol 17, No 4 (July), 269 – 274
- Orellana, P., Juarez-Congelosi, M., & Goldstein,
S. L. (2005). Intradialytic
Parenteral Nutrition Treatment and Biochemical Marker
Assessment for Malnutrition in Adolescent Maintenance
Hemodialysis Patients, Journal of Renal Nutrition,
Vol 15, No 3 (July), 312 – 317
- 2011 HD Pediatric Facility Report Card
Dialysis Facility Specific Quality Management Program
Quality Assessment and Performance Improvement (QAPI) is a process of continually striving to improve. Whenever the Quality Management (QM)Committee notes that actual performance does not meet desired, QI activities should be initiated. The following are employed:
1. Identify specific needs for improvement.
- This can be accomplished by comparing actual performance with desired performance (whether it is in the area of clinical outcomes, water quality, put on time, staff retention).
- Many sources are available to describe desired performance; i.e., professional practice guidelines, national standards, as well as locally developed goals. Contact the Network QM staff if assistance is needed.
2. For each specific improvement project, establish a Quality Team consisting of 3-5 people who actually work in the process that is to be improved.
- Give the team a clear charge as to what they are expected to accomplish along with an expected timeframe. Describe the desired change or outcome in one or two sentences.
3. Provide the resources, motivation, and training needed by the teams to identify causes, plan changes and then monitor for improvement.
4. The dialysis facility must develop, implement, maintain, & evaluate an effective, data-driven QAPI program with participation by the professional members of the Interdisciplinary Team (IDT).
5. Key elements of a comprehensive QAPI program include: Tracking, trending, analyzing, intervening, reassessing and continuous monitoring of all aspects of facility operations.“
Network 14 Comprehensive
Facility Assessment Tool – December 2009
Network 14 Sample Resources for QAPI:
Monthly Meeting Tool – Developed by Network 7/Adapted by Network
- Please contact the Network QI Department to schedule a training session – Arlene Ramsaran email@example.com
- PD QAPI Tool - Developed by Network7/Distributed by Network 14
- QAPI Framework – Developed by Network 7/Distributed by Network 14
- ESRD Network of Texas, Inc. Quality Management Criteria & Standards – Revised March 2011
- Sample Action Plan – July 2011
- Adverse Patient Occurrences (APO)
- Mortality Review Form and Tracking Tool
- Peritonitis Reporting and Tracking Document – April 2002
National ESRD Patient Safety Initiative
The National ESRD Patient Safety Initiative is a partnership between the Forum of ESRD Networks (Forum), the National Patient Safety Foundation (NPSF), and the Renal Physicians Association (RPA)
Comprehensive Interdisciplinary Patient Assessment Tool
Developed by the American Nephrology Nurses’ Association and the National Kidney Foundation, the Comprehensive Interdisciplinary Patient Assessment Tool was developed to meet the new condition (2008 Conditions for Coverage (CfCs) for End-Stage Renal Disease Facilities) requiring that a comprehensive interdisciplinary patient assessment be completed on all patients new to their facility.
- Click the above icon for access to Network 14's, Five Diamond Patient Safety Program.
- Fistula First
- ESRD Quality Improvement Resources
- Past Quality Improvement Projects
- Dialysis Care Modules