February | 2020
QIA Participation Updates
This monthly communication is part of the Treatment Choice Champions Quality Improvement Activity (TCC QIA). Use these tools and resources to drive change in your facility when promoting the best modality option for ESRD patients .

Understanding the quality improvement focus at your facility is a combined effort. As your facility change agent, the Network Quality Improvement Department will equip you with tools and resources to use in addition to what you currently have in place. Remember, you can use more than one tool to spread the same message — everyone learns differently.

If you have comments, questions, or concerns, please email us.
Action Steps for February

  1. Share with your staff, nephrologist, and patients that your facility is in a CMS Quality Improvement Activity
  2. Use our Quality Improvement Toolkit to help you follow the PDSA (Plan-Do-Study-Act) cycle
  3. Complete the interventions in each section below and be prepared to report back in March
  4. Collaborate! Facilities that collaborate with their facility neighbors have been more likely to identify innovative practices to implement at their own facility. 
Patient Centered Care Approach
Shared Decision Making is a key component in patient-centered engagement and care. As providers, it is our responsibility to ensure we work with our patients to make decisions, evaluate medical needs, and develop care plans that balance optimal patient outcomes with patient specific values & priorities.

Intervention: Use the Stages of Change resources to support the care team with identifying each patient on the stages of change steps. Partner with each patient using the patient Stages of Change resource and talk through their current step and their goals.

Resource Tool: Stages of Change – Staff Resource provides more in-depth detail about each step. The Stages of Change – Patient Resource provide patient specific examples as you review during your conversation. Use the Set Goals to Thrive Worksheet to write down goals.

Advancing the Use of Home Dialysis
Give your patients the freedom to reflect on the option of home dialysis independently. The conversation cards were designed by the ESRD National Coordinating Center and Home Dialysis Patients to consider some of the most important factors of going home.

Intervention: Share this resource with patients that are interested in home as a modality option

Increasing Patients on the Transplant Waitlist
Kidney Transplant requires trustworthy partnerships and education in a direct and simple way. The resources developed by the ESRD National Coordinating Center provides support for patients with resources, designed by patients.

Intervention: Educate your patients on the importance of partnering together with their care team.

Resource Tool: Partnering Along the Road to Transplant is a patient resource that mirrors five key areas of the patient viewpoint and the care team viewpoint.
Patient and Family Engagement
The Network would like each facility to work with their Network Patient Representatives (NPRs) toward the CMS Big 3 Patient Engagement Goals. There are several resources that have been developed to help you in working with your NPR effectively and/or to identify an individual (current or former patient/caregiver) to serve as your NPR.

Intervention: Identify a NPR with your clinic team or meet with your current NPR to talk about the Network projects and discuss how the patient would like to be involved. 

Do you already have a Network Patient Representative (NPR)?
Here are some tools you can use to engage your NPR:

If you do not have a NPR, please identify a NPR with your clinic. The following tools can be useful:  
Monthly Events
Monthly QIA Reports
Due: Feb. 10

Network Patient Representative NPR Call
Please share with your Network Patient Representative and encourage them to call in.
Option 1: Feb. 13, 1 PM CST
Option 2: Feb. 14, 1 PM CST

Topic: My Plan: My Wishes
Phone:     1- 866-899-4679
Access Code:     554-197-389#
Webinar ID:   554197389
Did you complete your monthly report?
Please let us know if you have completed your monthly report.
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