1. Better Care for the Individual through Beneficiary and Family Centered Care An Interactive Session with Focus on AIM 1 Domains 4 & 5 December 11, 2012 4:00-5:00 PM Presenters: Crystal Russell, Bev Hoek QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012

2. What We would like to Accomplish Review the Requirements of AIM 1 Domains 4 and 5 Review the expected outcomes, measures, and timelines Share Insights, and ideas for innovation and boldness Leave the Session with a Plan of Action 2

3. How to “Be” Today Focus on aligning with the goals of the Redesigned ESRD Network Contract – AIM 1 Domains 4 and 5 Actively Engage in Hearing and Sharing thoughts and creativity,and new ideas Preparing to implement at least one idea or action gleaned from this presentation. 3

4. 4 Domain 4 :Vascular Access Management Thinking Outside the Proverbial Box – What New Direction will you be taking for this continuing work? What are the challenges that you face as we approach 68%?

5. Vascular Access Management Improve AV Fistula Rates for Prevalent Patients Reduce Catheter Rates Support Facility Reporting Spread Best Practices Provide Technical Support Recommend Sanctions 5

6. What are Your Best Ideas for Vascular Access Management in 2013 and Beyond ? What New Direction will you be taking for this continuing work? What are the challenges that you face as we approach 68%? How do you plan to overcome these Challenges? 6

7. 7 Domain 5 Patient Safety Healthcare Acquired Infections:

8. Patient Safety Healthcare- Acquired Infections (HAI’s) Support National Healthcare Safety Network (NHSN ) Enrollment and Reporting  90% of Dialysis Facilities Enrolled (Monthly Goals)  75% of the monthly goal for enrollment achieved  80% of Facilities Reporting for at least 6-months (Monthly Goals)  75% of the Monthly Goals for reporting achieved  Provide education and support with the enrollment process  Verify accuracy and timeliness of facility data in the NHSN database  Group Administrator Role  Conduct QIA – based on trending and tracking of collected data 8

9. Establish HAI LAN – Establish – Collaborate – or Both One Network’s Perspective Join your States’ QIO HAI LAN –Collaborate with other healthcare providers –Invite Dialysis Leaders to join QIO LAN Develop your own HAI LAN –Seek participation of healthcare providers working on HAI or CLABSIs –Rapid cycle improvement…planning and implementation 9

10. Reduce Rates of Dialysis Facility Event QIA – Implementation based on data from NHSN Involve 20% of facilities and at least 5% of the Network patient population Demonstrate a 5% relative Improvement Rate on the Dialysis Facility Primary Measure – Report Monthly 10

11. What are your Best Ideas? What strategies are you preparing to implement to Achieve Successful NHSN Enrollment in Your Network? How can you overcome Obstacles in this process? What facility Best Practices in reporting have you seen? 11

12. Drawing to a Close Our Commitment and Hopes for 2013 Commitment: Respond to Questions & Post answers on NCC website by January 4, 2013 HOPE Together - Fully engage in the Excitement and Challenges of Our Work for 2013 12

13. Questions Thank-You Happy Holidays Contact Information: crystal.russell@cms.hhs.govcrystal.russell@cms.hhs.gov (404-562-7175) kathleen.egan@cms.hhs.govkathleen.egan@cms.hhs.gov (774-413-9946) 13