Vascular Access Clinical and Site of Service Value Plot.

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Presentation transcript:

Vascular Access Clinical and Site of Service Value Plot. Vascular Access Clinical and Site of Service Value Plot. Arteriovenous fistula (AVF) rate minus 90-day catheter rate versus outpatient nonhospital-based site of service examines the value matrix of the experience with thrombectomy, angioplasty, and stent placement for the hemodialysis population within six original FMC ESRD Seamless Care Organizations (ESCOs; labeled A–F). The vertical axis is the ESCO-specific difference between AVF rate and 90-day catheter rate, whereas the horizontal access is the percentage of those three procedures performed in a less expensive site of service (an access center functioning as an outpatient nonhospital-based venue). The size of the bubble represents the relative census of those ESCOs. Combining clinical outcomes with claims data identifies the practices that achieve higher value in the upper right-hand quadrant of the matrix. Avg, average. Franklin W. Maddux, and Terry L. Ketchersid CJASN 2017;12:2050-2052 ©2017 by American Society of Nephrology