Home Therapies and Transplant Wait list   
Quality Improvement Activities (QIAs)
For questions or technical assistance, please contact:
Home Therapies and 
Transplant QIA Lead:
Anna Bennett
Quality Improvement Coordinator/Emergency Manager

Oversight:
Jeanine Pilgrim, BSHSM
Quality Improvement Director

QI Team:
Novlet Russell-English, RN,BSN
Quality Improvement
Coordinator
John Cocchieri
Quality Improvement Data Coordinator
(516) 209-5515
ACTION REQUIRED:
Reporting & Feedback:
 
Treatment Options QIAs
MSR Worksheet PDF
Online Reporting Form

Due  by 
February 28, 2019
RESOURCES:

National ESRD NCC Resources:

Webpage/LAN Recordings

 

Network Resources:

Transplant webpage
Home Therapies  Webpage

 

Provider Insider Articles: 

Transplant

Home Therapies

 

Stakeholder Links:
Steps Overview
Transplant Steps: 
  1. Interest in transplantation
  2. Referral call to transplant center
  3. First visit to transplant center
  4. Transplant center work up
  5. Successful transplant candidate
  6. On waiting or evaluate living donor
Home Therapies Steps: 
  1. Patient interest in home dialysis
  2. Educational session to determine the patient's preference of home modality
  3. Patient suitability for home modality determined by a nephrologist with expertise in home dialysis therapy
  4. Assessment for appropriate access placement
  5.  Placement of appropriate access
  6. Patient accepted for home modality training
  7. Patient begins home modality training
January/February 2019
 
To: All Home Therapies QIA and Transplant QIA  Facility Staff, Patient SMES and Stakeholders
February is CUSTOMER FOCUS month
Welcome to the monthly newsletter for the Network Transplant and Home Therapies QIAs. Each month, we will launch interventions, spread best practices, and keep you up to date on QIA activities. 

We have combined QIAs in this newsletter to streamline our communications.  You are receiving this newsletter as your facility is in one (or both) of the QIAs mentioned above. Please note that the you are only required to report for the QIAs that you are enrolled in, but also, please feel free to utilize, share or comment on any other QIA interventions that you may be interested in.
February Activities
Activity #1: Set up a DYNAMIC Visual Display/Education Station for your QIA(s)
It is time to set your facility up for QIA success!
Work with your staff and patients to develop an Education Station. This can be a bulletin board, a table display or something outside of the box (INNOVATION Is the key to success!)

Both of these QIAs were mandated by CMS to improve access to Home Therapies and Transplant resources for your patients. 

For tips on how to have a successful Education Station, see  our tip sheet PDF

To order FREE printed materials use our online order form

Some suggestions
Use your displays to "Start the conversation"  on the display, ask your patents "Have you considered Home Dialysis (PD or HHD) or Transplant?" Talk to a staff member to learn more.

Home Therapies: Feature quotes from current Home Therapies patients on a topic - Like why they chose Home Therapies (HHD or PD) (If your unit does not have a home therapies unit, ask your HT referral unit for some quotes/inspiration).  

Transplant: Feature information about your local Transplant Center (if you have one). Contact the center to see if they have  any information that they would like to share.  Offer some information for family members that may have questions about transplant.

Reporting: By June 2019 , you will be asked to submit a picture of your education station for our Annual Education Station Contest.

ACTIVITY#2: Patient Knowledge Assessment
Assess at least 10% of your patients on their knowledge about your QIA topic(s).  This is a brief assessment that can be completed verbally and/or in written format. The baseline question is are:

HT and TX QIA:
Can you name four treatment options for ESRD?

Reporting: Please discuss the results of this assessment in your February QAPI meeting, and in March, you will be asked to provide the number of patients assessed (at least 10% of your census), the answer totals, and any patient comments about the questions in your monthly status report. 
Monthly Status Report
Home Therapies QIA and Transplant QIA
February Monthly Status Report
All QIA Reporting is due
by February 28,2019
National LAN Activities
Recordings: (With CE)

1/22/2019 Transplant QIA LAN Call
Applying Best Practices and Theory to Improving Transplant Discussions | View Recording
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.

Presentation Objectives:
  • 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.
1/15/2019 Home Therapies QIA LAN Call
Home Hemodialysis | View Recording
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.

Presentation Objectives:
  • Identify 2 benefits of more frequent hemodialysis.
  • Name 3 factors that make for a good home hemodialysis candidate.
Project Goals
Transplant QIA: Participating facilities shall demonstrate a 2% point increase  over the natural trend in patients who are on a transplant waitlist by September 30, 2019.

Home Therapies QIA:  Participating facilities shall demonstrate a 2% point increase  over the natural trend in patients who are utilizing Home Therapies (HHD or PD) by September 30, 2019.

We Want to Hear from YOU!
Please contact the qualityimprovement@nw2.esrd.net if you have questions, comments, or specific barriers that you would like to address.  Let us know if you have identified any best practices that you would like to share with the community.