Quality Improvement Activities (QIA)

Be the Voice-Be the Change: ICH CAHPS QIA

ICH CAHPS logo ICH CAHPS logo

Twice a year, a patient experience of care survey is issued to in-center hemodialysis patients. The abbreviated name of the survey is ICH CAHPS which stands for Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey. ICH CAHPS is part of the ESRD QIP. The Be the Voice-Be the Change QIA, co-designed by patient subject matter experts, will aid a group of facilities that scored low on one of the ICH CAHPS questions to improve scores. A variety of strategies will be used including monthly surveys and staff and patient activities.

Network Project Lead:
Kelly Shipley, QI Director, office (469) 916-3803, email kshipley@nw14.esrd.net

For resources please click here

CORE: Long Term Catheter (LTC) QIA

LTC logo LTC logo

Due to a high mortality and complication rates associated with catheters, CMS has set a national long-term catheter goal of 10% or less for ESRD providers. Long-term catheters are catheters used for ninety days or more as a vascular access for hemodialysis. The CORE QIA concentrates on a group of facilities with long-term catheter rates above 10% with a goal of a 3% reduction.  This QIA is stratified into focus areas with corresponding interventions including regional meetings with providers,  facility-level root cause analysis, improvement plans, patient engagement, and decreasing catheter associated bloodstream infections.

Network Project Lead:
Dany Anchia, QI Coordinator, office (469) 916-3813, email danchia@nw14.esrd.net

For resources please click here

Don't Wait, Vaccinate: Vaccinations QIA

Vaccination Logo Vaccination Logo

One of Network 14's AIM 1 Healthcare-Associated Infection QIAs is aimed at improving the rates of patients that have been vaccinated for Pneumococcal Pneumonia and Hepatitis B while reducing disparities. Our goal is to encourage providers and motivate patients to get vaccinated.

Network Project Lead:
Dany Anchia, QI Coordinator, office (469) 916-3813, email danchia@nw14.esrd.net

For resources please click here

 

 

Grievance QIA

Grievance Logo Grievance Logo

One of Network 14’s AIM 1 goals is to conduct a quality improvement initiative with the grievance process.  Our goals are to foster patient and family involvement, give patients and families a voice in all activities, and encourage a patient perspective within the renal community as a whole.  Although patients do have the right to contact the Network at any time without first addressing the facility, many grievances can be resolved at the dialysis –facility level when a level of trust and assurance is attained. 

Network Project Lead:
Rechelle Brown, Patient Services Director, office (469) 916-3808, email rbrown@nw14.esrd.net

For resources please click here

Home Referrals QIA

Home logo Home logo

Network 14 AIM 2 QIA is aimed at developing and implementing a quality improvement project utilizing home dialysis data in order to improve referral rates for home modalities with an emphasis in reducing disparities.

Network Project Lead:
Javoszia Sterling, Outreach Coordinator, office (469) 916-3800, email jsterling@nw14.esrd.net

For resources please click here

 

Hypercalcemia QIA

Hypercalcemia logo Hypercalcemia logo

The QIP QIA is a focus on the hypercalcemia clinical measure. Improvement in this project is tailored specifically to root causes that are identified in the facility practices and patient population, and includes a patient engagement piece that will highlight areas of opportunity in communication.

Network Project Lead:
Lydia Omogah, QI Specialist, office (469) 916-3802, email LOmogah@nw14.esrd.net

For resources please click here

Infection Detection: Blood Stream Infection (BSI) QIA

BSI logo BSI logo

The BSI QIA is aimed at reducing bloodstream infection rates within those Network 14 facilities with the highest BSI rates. Improvement will be obtained by utilizing observation audits, CDC Core Interventions, and the facility selection of a patient engagement activity.

Network Project Lead
Lydia Omogah, QI Specialist, office (469) 916-3802, email LOmogah@nw14.esrd.net

For resources please click here

Culture Exchange: NHSN Data Quality QIA

NHSN QIA Logo NHSN QIA Logo

The 2016 and  2017 Network 14 AIM 3 QIA, NHSN Data Quality QIA, is aimed at developing and implementing a quality improvement project utilizing NHSN data analysis to increase the facility reporting of PBCs among dialysis patients that are identified within one calendar day following a hospital admission and improve communication between hospitals and dialysis facilities to promote seamless transitions in care among the health care settings. The monitoring phase for the QIA will occur from 2nd half of 2017 through 2020.

Network Project Lead
Kelly Shipley, QI Director, office (469) 916-3803, email kshipley@nw14.esrd.net

For resources please click here

Hold the Gain -SUSTAIN

Sustainability is about ensuring that the improvements you have made will last. In order for these enhancements to be lasting, we must establish a plan for sustainability. We all want these changes and improvements to become part of the culture in your facility.

To maintain the gains your facility has achieved by participating in this QIA, there are important considerations that must be made regarding the processes that have been put into place:

  • What can be done to ensure the most successful interventions will become part of the culture in your facility?
  • How will you ensure that these steps will continuously support your current processes?
  • Will this require that you modify training in your facility?
  • How will you track these interventions to ensure improvements in performance measures are sustained?
  • If you have a corporate partner, what is their role in supporting this sustainability plan?

 

For resources please click here