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!
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.
January 8, 2019
Infection Prevention: Everyone’s Job | Register
- Gain a better understanding of the Centers for Disease Control and Prevention (CDC) initiatives and how they affect our dialysis world.
- Identify 2 things you can do right now in your facility to improve your infection prevention practices.
- Identify 1 actions you can take to increase the likelihood of sustainability of your infection prevention initiatives.
October 2, 2018
Long-Term Catheter Reduction | View Recording
- Identify past barriers and issues with arteriovenous fistula (AVF) creation and central venous catheter (CVC) removal.
- Discuss solutions Tri-State Dialysis put in place to lower CVC rate.
- Examine best practices found during this effort.
- Review Tri-State Dialysis’ success in decreasing CVC rate in the unit.
August 7, 2018
Infection Prevention: Teamwork is the Key | View Recording
- Discuss the importance of involving an interdisciplinary team, including patient representatives, in infection reduction.
- Utilize National Healthcare Safety Network (NHSN)/CDC tools for effective hand hygiene to avoid infection.
- Share audit results from monitoring and observations to focus on what was working to eliminate infections.
June 5, 2018
Environmental Cleaning and Disinfection | View Recording
- Describe the relationship between the healthcare environment and infection prevention.
- Review the CDC recommendations to reduce HAIs in the dialysis setting.
- Identify practices to reduce the risk of environmentally-related HAIs.
April 3, 2018
Pathway to Hemodialysis Catheter Related Bloodstream Infection (CRBSI) Reduction | View Recording
- Define challenges of the acute kidney injury/failure, ESRD, and nursing home or long-term ambulatory care (LTAC) patient population.
- Highlight recognized issues contributing to the increase of BSI rates and hospitalization.
- Identify how to improve collaboration with other healthcare providers.
January 29, 2018
Reducing Bloodstream Infections and Sepsis | View Recording
- Promote implementation of the CDC-recommended core interventions for dialysis BSI prevention.
- Share best practices in reducing healthcare-associated infections (HAIs), BSIs, and sepsis.
- Discuss sepsis assessment tool development and implementation within one dialysis unit in the Midwest Kidney Network (ESRD Network 11).
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.
January 15, 2019
Home Dialysis | Register
- Identify 2 benefits of more frequent hemodialysis.
- Name 3 factors that make for a good home hemodialysis candidate.
October 9, 2018
Caregiver Coffee and Home Dialysis | View Recording
- Provide history and purpose of Caregiver Coffee.
- Outline Caregiver Coffee structure and participation.
- Identify role of family liaison.
- Review the process TCH’s Interdisciplinary Team (IDT) follows to support patients’ dialysis modality selection.
- Highlight when and how TCH reeducates patients and families on home modality options.
August 14, 2018
Tools for Approaching Patients About Home Dialysis | View Recording
- Outline the role of emotions in patient modality choice.
- Explain why "What Matters to You?" is a vital question to ask patients.
- Describe how to use the MATCH-D and My Life, My Dialysis Choice decision aid.
June 12, 2018
Care Innovation "A Transitional Care Unit" | View Recording
- Identify what happens to patients in the first year of dialysis in the U.S.
- Educate attendees about the concept of a transitional care unit.
- Highlight how to set up a transitional care unit.
April 10, 2018
Bringing Patients Home | View Recording
- Share best practices that increase patients' awareness of and interest in home dialysis.
- Review education strategies that build and/or strengthen relationships between staff and patients to overcome barriers.
- Describe patient-centered activities that identify gaps between patients' goals and current quality of life.
- Discuss strategies for overcoming barriers that impact a patient's perceived suitability for home modalities.
- Share approaches that decrease home admission wait time through collaboration between regional home programs.
February 5, 2018
Making PD Possible for More Patients | View Recording
- Share demonstrated practices for peritoneal dialysis (PD) growth.
- Understand how planned and urgent starts impact PD growth.
- Learn about in-center hemodialysis (ICHD) to PD conversions.
- Examine patient retention.
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.
January 22, 2019
Applying Best Practices and Theory to Improving Transplant Discussions | Register
- Understand the need for better transplant education for ESRD patients and their support systems.
- Explain what the Trans-theoretical Model of Behavioral Change (TTM) 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.
October 16, 2018
Kidney transplantation and roles of the Organ Procurement and Transplantation Network (OPTN) | View Recording
- Provide overview of the Organ Procurement and Transplantation Network (OPTN) and allocation of deceased donor kidneys.
- Outline living donor kidney transplantation options.
- Identify general criteria for kidney candidate evaluation and acceptance.
- Share informational resources available from United Network for Organ Sharing (UNOS).
August 21, 2018
Kidney Transplant Workup | View Recording
- Identify patient referral process.
- Define first initial phone contact with a patient.
- Outline transplant work up process.
- Highlight importance of care partner support.
- Discuss transplant recipient expectations throughout work up and once listed.
- Identify barriers/hurdles patients may have prior to starting transplant process.
- Discuss listing process, barriers, and requirements.
June 19, 2018
Transplant from the Clinic's Perspective | View Recording
- Learn importance of regularly monitoring patients and their transplant status.
- Identify barriers to transplant.
- Understand the importance of utilization and coordination with the Interdisciplinary Team (IDT) and community resources to facilitate a successful transplant process.
April 17, 2018
Patients Helping Patients Navigate the Seven Steps to Wait Listing | View Recording
- Discuss how the mechanisms of transplant (seven steps toward transplant wait listing) were identified and the common barriers encountered at each step.
- Describe the role of a patient navigator and how this model can be utilized to create peer-to-peer patient engagement activities to assist patients in working through the process for transplant wait listing.
- List interventions to overcome barriers with a peer-to-peer approach or hemodialysis unit assistance.
- Discuss the value added in utilizing a patient to help other patients in getting wait listed.
February 20, 2018
Creating a Successful Transplant Outreach Program | View Recording
- Describe the transplant center's approach to increase patient and staff engagement in the kidney transplant process.
- Identify the key responsibilities of a transplant surgeon designee.
- Discuss the evolution of the Transplant Surgeon Designee Program created and developed by Saint Barnabas Medical Center.