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Welcome to the Quality Improvement Learning and Action Networks (LANs)

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The End Stage Renal Disease (ESRD) National Coordinating Center (NCC) supports the Centers for Medicare & Medicaid Services (CMS) national goals and Network Quality Improvement Activities (QIAs) through the development and implementation of national LAN webinar meetings.

LANs bring people together around a shared idea, opportunity, or challenge to offer and request information and experiences to improve an identified topic of discussion. LANs are mechanisms by which large-scale improvement around a goal is fostered, studied, adapted, rapidly spread, and sustained regardless of the change methodology, tools, or time-bounded initiative that is used to achieve the goal. LANs engage communities around an action-based agenda that gains commitments toward the achievement of person-centered outcome-based goals.

To support CMS and ESRD Network QIA goals, the ESRD NCC develops and supports LANs that:

  • Incorporate provider, patient, and stakeholder perspectives.
  • Communicate in a manner that encourages members to behave in ways that align with CMS' desired outcomes.

A Note About QIAs

QIAs assist organizations with monitoring, evaluating, and improving the quality of healthcare delivered in support of patient needs. As part of efforts to meet the CMS national goal to better the quality of care administered to ESRD patients, the CMS national ESRD Network organizations form QIAs that enhance processes and outcomes of patient care by developing, implementing, and evaluating quality improvement interventions. These interventions are supported by ESRD providers, patients, and other active stakeholders.

Access previously held LAN meeting materials and register for upcoming events below!

Overview

BSI QIA LAN meetings support CMS in its efforts to improve the health of all people living with ESRD in the U.S. BSI QIA LAN activities are aimed at reducing the national rate of BSIs in dialysis patients by 50 percent by the year 2023 from the number of BSIs that occurred in 2016. To assist with achieving this goal, BSI QIA LAN meetings highlight the Centers for Disease Control and Prevention (CDC) Core Interventions for Dialysis Bloodstream Infection Prevention.

Upcoming Event

Meeting details to come.


Past Events

March 3, 2020
Bloodstream Infection (BSI) Quality Improvement Activity (QIA) Learning and Action Network (LAN) Event - March 2020 | View Recording

Presenters:

Jonathan Segal, MD
Maria Regnier, RN, MSN, CNN

Biographies:

Jonathan Segal, MD, is a nephrologist at the University of Michigan and is the Medical Review Board Chair for Midwest Kidney Network 11.

Maria Regnier, RN, MSN, CNN, is the Senior Director for the upper Midwest Enterprise Dialysis programs at Sanford Health.  

Presentation Objectives:

The presenters:

  • Discussed why some dialysis facilities have high rates of fistulas despite having patients with many comorbid conditions
  • Discussed how to empower nurses to evaluate fistulas and collaborate with the vascular surgeons to shorten the time a patient has a catheter.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


January 7, 2020
Promoting Bloodstream Infection (BSI) Prevention with Patient-Centered Resources: The Role of the National Patient and Family Engagement (NPFE) Learning and Action Network (LAN) | View Recording

Presenters: 
Sardeliah Pearson
Jerome Bailey, BA
Kim Buettner, BA

Biographies:
Sardeliah Pearson, BSI Affinity Group Subject Matter Expert, was involved with the development and testing of the Test Your Hand Hygiene Knowledge Interactive Tutorial. Ms. Pearson volunteered with the National Patient and Family Engagement (NPFE) LAN for one year and she also volunteers for the ESRD Network 14 of Texas.
Jerome A. Bailey, BA, is the Associate Director of Patient and Family Engagement for the ESRD NCC. Mr. Bailey has been instrumental in forging new pathways for patients to remain connected in the virtual LAN and providing multiple avenues for patients to share their perspectives.
Kim Buettner, BA, is the Associate Director of Patient and Family Engagement for the ESRD NCC. Ms. Buettner leads patient and family engagement efforts by collaborating with ESRD Networks and community stakeholders through person-centered partnerships with renal patients and their family members.

Presentation Objectives:

The presenters:

  • Identified the role of the NPFE-LAN in fostering patient engagement to develop education resources.
  • Discussed resources created by the NPFE-LAN BSI Affinity Group.
  • Shared methods for spreading the resources with patients.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


November 5, 2019
Bloodstream Infection: A Facility's Journey | View Recording

Presenter:  Ashley Rotella, RN, MSN, CDN

Biography: Ms. Rotella is a nurse manager at University Massachusetts Memorial Medical Center in Central Massachusetts (UMMMC), where see oversees inpatient and outpatient dialysis services.

Presentation Objectives:

The presenter:

  • Discussed BSI trends at UMMMC over the last five years.
  • Explained the transition of BSI tools utilized over the last several years.
  • Described the current state of BSI prevention at UMMMC.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


September 3, 2019
Infection Prevention in the Dialysis Unit | View Recording

Presenters: Helen Rosales, RN, BSN, CNN, Jinkee Borja, RN, BSN, CNN, Marek Patyniak, RN, BSN, and Barry Rubin, BA, RN

Biographies: Ms. Rosales is a clinical resource leader at Maricopa Integrated Health System (MIHS) in Glendale, Arizona.

Ms. Borja is a clinical resource leader for the in-patient acute dialysis facility at MIHS in Glendale, Arizona.

Mr. Patyniak is a clinical resource leader at MIHS in Glendale, Arizona.

Mr. Rubin is the facility manager of a 60-patient home dialysis unit serving east Phoenix and eastern Arizona. He is also the clinical practice administrator at MIHS in Glendale, Arizona.

Presentation Objectives:

The speakers:

  • Presented access infection rate in Maricopa Integrated Health Center dialysis unit from a historical perspective.
  • Described supplies and tools implemented to help lower the infection rate.
  • Described innovative staff practices that helped reduced BSI rates.
  • Described infection prevention education for renal dialysis patient population.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


July 2, 2019
How We Decreased Our Standardized Infection Rate by 50% | View Recording

Presenters: Karen Kelley, MHA, BSN, RN, CNN, Cindy Martineau, RN, BS, Melissa Hoffmeyer, RN, BSN, and Angela Harju, BS, CCHT

Biographies: Ms. Kelley is the dialysis director at Upper Peninsula Health System (UPHS) Portage Dialysis in Hancock, Michigan.

Ms. Martineau is the assistant dialysis director at UPHS Portage Dialysis in Hancock, Michigan.

Ms. Hoffmeyer is the clinical care coordinator at UPHS Portage Dialysis in Hancock, Michigan.

Ms. Harju is the dialysis coordinator at UPHS Portage Dialysis in Hancock, Michigan.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • Explain how UPHS Portage Dialysis strictly implemented the Centers for Disease Control and Prevention (CDC) guidelines.
  • Discuss new product research, staff training and implementation.
  • Discuss the use of CDC Dialysis Collaborative Audit tools with management and peers.
  • Describe several ways to engage patients in reducing the infection rate.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


May 7, 2019
Infection Control in the World of Dialysis | View Recording

Presenter: Tina Renew

Biography: Ms. Renew is an administrative assistant with US Renal Care in Griffin, Georgia.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • Identify reasons dialysis patients are at higher risk for infections than the general population.
  • Describe the Five Moments for Hand Hygiene in the hemodialysis ambulatory care setting.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


March 5, 2019
Are Your BSI Rates Still A Problem? | View Recording

Presenter: Rochelle Whitmore, MSN, RN, CRRN

Biography: Ms. Whitmore is the renal dialysis program director at McLaren Northern Michigan in Petoskey, Michigan.

Presentation Objectives:

  • Describe one innovative practice that could help lower bloodstream infection rate.
  • List the low, moderate, and high-risk signs and symptoms of sepsis and the recommended actions to take at each level.
  • Describe the potential benefits of using the Outpatient Dialysis Early Warning Screen.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


January 8, 2019
Infection Prevention: It's Everyone’s Job | View Recording

Presenter: Peggy Bushey, RN, CDN

Biography: Ms. Bushey is the renal nurse supervisor at University of Vermont Medical Center in Burlington, Vermont.

Presentation Objectives:

  • Gain a better understanding of the Centers for Disease Control and Prevention initiatives and how they affect dialysis.
  • Identify two things you can do right now in your facility to improve your infection prevention practices.
  • Identify one action you can take to increase the likelihood of sustainability of your infection prevention initiatives.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


2018 BSI QIA LAN Archive

Overview

Home Modality QIA LAN meetings support CMS in its effort to improve the health of all people living with ESRD in the U.S. The LAN’s activities advance the CMS goal of increasing the number of ESRD patients dialyzing at home to 16 percent by the year 2023 from the 2016 national average of 12 percent. To assist with achieving this goal, Home Modality QIA LAN meetings highlight the 7 Steps to Home Dialysis.

Upcoming Event

Meeting details to come.


Past Events

Growing Home Dialysis | View Recording

Presenters: 
Tushar Chopra, M.D., FASN

Biography:

Tushar Chopra, M.D., FASN is the medical director of University of Virginia Staunton Dialysis unit in Staunton, Virginia. Dr. Chopra is also an assistant professor of medicine, division of nephrology at the University of Virginia Health System.

Presentation Objectives:

After attending this presentation, attendees were able to:

  • Develop a road map for kidney health.
  • List two benefits of urgent start.
  • Discuss advantages of a transitional care unit.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


January 14, 2020
Promoting Home Dialysis with Patient-Centered Resources: The Role of the National Patient and Family Engagement (NPFE) Learning and Action Network (LAN) | View Recording

Presenters: 
Renita Peck
Jerome Bailey, BA
Kim Buettner, BA

Biographies:
Ms. Peck is a Subject Matter Expert with the Home Affinity Group and helped develop the Let’s Talk Home Dialysis conversation cards.
Jerome A. Bailey, BA, is the Associate Director of Patient and Family Engagement for the ESRD NCC. Mr. Bailey has been instrumental in forging new pathways for patients to remain connected in the virtual LAN and providing multiple avenues for patients to share their perspectives.
Kim Buettner, BA, is the Associate Director of Patient and Family Engagement for the ESRD NCC. Ms. Buettner leads patient and family engagement efforts by collaborating with ESRD Networks and community stakeholders through person-centered partnerships with renal patients and their family members.

Presentation Objectives:

The presenters:

  • Identified the role of the NPFE-LAN in fostering patient engagement to develop education resources.
  • Discussed home resources created by the NPFE-LAN Home Affinity Group and share methods for spreading the resources to patients.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


November 12, 2019
How to Grow to Grow Your Home Program  | View Recording

Presenters: Alan Africa, RN and Gale Schulke, RN, CDN

Biographies: Mr. Africa is the in-center manager for Satellite Healthcare San Mateo, California.

Ms. Schulke is the home program manager for Satellite Healthcare WellBound San Mateo, California.

Presentation Objectives:

The speakers:

  • Described how to develop a collaborative relationship between in-center and home.
  • Discussed a variety of ways to grow a home program.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course


September 10, 2019
Promoting Home Dialysis: Methods for Success | View Recording

Presenter: Wendy Woods, RN

Biography: Ms. Woods is the Chief Executive Officer for Kidney Kare Inc. in Jacksonville, Florida.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • Differentiate the different types of home dialysis.
  • Understand the various platforms for promoting home dialysis in social media.
  • Define the tools that can be used when promoting home dialysis to physicians.
  • Promote home dialysis to ESRD chronic kidney disease patients.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


July 9, 2019
In-Center Hemodialysis to Peritoneal Dialysis Conversions | View Recording

Presenter: Debra Bowser, RN

Biography: Ms. Bowser is a group facility administrator with DaVita Wofford Dialysis in Greenville, South Carolina.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • Explain the in-center hemodialysis Home Ambassador program and roll out.
  • Discuss how DaVita Wofford Dialysis had ten home conversions in 2018.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


May 14, 2019
Telemedicine and Home Dialysis: Our Future Together | View Recording

Presenter: Nupur Gupta, MD

Biography: Dr. Gupta is a nephrology specialist at Indiana University Health in Indianapolis, Indiana. She also serves as the medical director of DaVita Home Dialysis of Indianapolis.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • List the pros and cons of telehealth use related to home dialysis modalities.
  • Discuss the regulations and requirements of home program set-up and use.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


March 12, 2019
Transitional Care Unit | View Recording

Presenter: Susan Cooper, LCSW

Biography: Ms. Cooper is a clinical social worker at Home Dialysis of Santa Fe in Santa Fe, New Mexico.

Presentation Objectives:

  • Be able to describe a transitional care unit.
  • Identify two forms of home patient education. 
  • Discuss the importance of including staff/team, how to include family/support systems and why it’s important.
  • Discuss method for root cause analysis, and how to complete a plan-do-study-act worksheet based on the findings.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


January 15, 2019
Home Hemodialysis | View Recording

Presenter: Rachid Daoui, MD

Biography: Dr. Daoui is chief of the nephrology division at Saratoga Hospital in Saratoga, New York. He also serves as the home dialysis program director at Dialysis Clinic, Inc.'s Rubin Dialysis Center in Clifton Park, New York.

Presentation Objectives:

  • Identify two benefits of more frequent hemodialysis.
  • Name three factors that make for a good home hemodialysis candidate.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


2018 Home Modality QIA LAN Archive

Overview

Transplant QIA LAN meetings support CMS in its effort to improve the health of all people living with ESRD in the U.S. The Transplant QIA LAN activities focus on increasing the percentage of ESRD patients on the transplant waitlist to 30 percent by the year 2023 from the 2016 national average of 18.5 percent. To assist with achieving this goal, Transplant QIA LAN meetings highlight the Steps in the Kidney Transplant Process.

Upcoming Event

Meeting details to come.


Past Events

January 21, 2020

Promoting Transplant with Patient-Centered Resources: The Role of the National Patient and Family Engagement (NPFE) Learning and Action Network (LAN) | View Recording

Presenters: Timmy Nelson, Jerome Bailey, BA, and Kim Buettner, BA

Biographies: Mr. Nelson is a former Kidney Transplant Affinity Group Subject Matter Expert. Mr. Bailey is the Associate Director of Patient and Family Engagement for the ESRD NCC. Kim Buettner is the Associate Director of Patient and Family Engagement for the ESRD NCC.

Presentation Objectives:

The speakers:

  • Identified the role of the NPFE-LAN in fostering patient engagement to develop education resources.
  • Discussed resources created by the NPFE-LAN Transplant Affinity Group and share methods for spreading the resources to patients.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC). Click here to register for the LMC and then access the course.


November 19, 2019
Transplant in Rural Communities| View Recording

Presenters: Carolyn Kennedy, LCSW and Krrynne Vincent, MSN, RN

Biographies: Ms. Kennedy is a licensed clinical social worker for American Renal Associates of Plattsburg and Elizabethtown, New York.

Ms. Vincent is the clinical manager of American Renal Associates of Plattsburg, New York.

Presentation Objectives:

The speakers:

  • Defined the empowered patient.
  • Discussed establishing patient to patient support groups.
  • Described the power of persuasion to help patients understand the impact of transplant.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


September 17, 2019
The Role of the Dialysis Unit Beyond Education: Successful Care Coordination to Transplant | View Recording

Presenters: Jennifer Gander, PhD, and Amy Brannan, RN

Biographies: Dr. Gander is a clinical epidemiologist with Kaiser Permanente in Atlanta, Georgia.

Ms. Brannan, RN is a clinical manager with Fresenius Kidney Care in Smithfield, North Carolina.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • Gain an understanding about the disparities and challenges in kidney transplantation.
  • Improve knowledge of the tools available to you and your patients that will help the patients explore the option of kidney transplantation.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


July 16, 2019
City Dialysis Transplant Journey | View Recording

Presenter: Courtney Rodgers, LCSW

Biography: Ms. Rodgers is a clinical social worker at Fresenius Medical Care City Center in New York, New York.

Presentation Objectives:

By the end of this presentation, individuals will be able to:

  • Explain the barriers to patients being referred, evaluated, or listed for transplant.
  • Identify processes to minimize barriers to transplant referral.
  • Evaluate if the new processes increased the number of patients waitlisted for transplant.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


May 21, 2019
Transplant: The Hope and the Wait | View Recording

Presenter: Chanda Mehta, LCSW, M.Ed.

Biography: Ms. Mehta is a clinical social worker at Fresenius Medical Care in Palatine, Illinois.

Presentation Objectives:

The speaker:

  • Discussed different transplant initiatives taken by the Fresenius Medical Care clinical team to increase transplants in their patient population.
  • Provided insight into the perspectives of recently transplanted patients, including:
    • Some of the challenges they faced.
    • Their experiences during transplant.
    • How they view their life now.
  • Addressed the importance of ongoing communication with transplant centers.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


March 19, 2019
Best Practices on Promoting Kidney Transplant in the Dialysis Setting | View Recording

Presenter: Hannah Graves, LMSW

Biography: Ms. Graves is a social worker at Fresenius Kidney Care in Hiram, Georgia.

Presentation Objectives:

  • Feel confident to discuss kidney transplant as a treatment option for all dialysis patients.
  • Understand how to refer, support, and achieve active listing status for a patient.
  • Understand keys to success when assisting dialysis patients to kidney transplant.
  • Understand the interdisciplinary approach to achieving kidney transplant.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


January 22, 2019
Applying Best Practices and Theory to Improving Transplant Discussions | View Recording

Presenter: Christina Goalby, MSW

Biography: Ms. Goalby is the manager of transplant initiatives and lead trainer at Health Literacy Media in St. Louis, Missouri.

Presentation Objectives:

  • Understand the need for better transplant education for end stage renal disease patients and their support systems.
  • Explain what the Trans-theoretical Model of Behavioral Change theory is and how it can be applied to helping patients pursue transplant and living donation.
  • Review health literate transplant and living donation education and resources to help patients make informed treatment choices.

One Continuing Education Credit Opportunity:

Click here if you are already registered in the Learning Management Center (LMC).

Click here to register for the LMC and then access the course.


2018 Transplant QIA LAN Archive

Patient Experience

MMO LAN

Population Health

QIA Innovators Program