1. DaVita Village Emergency Response Team (DaVERT) D1RMRC Symposium
02/02/16
Lisa Hauf
Martin Konal

2. Agenda Dialysis Overview DaVita/DaVERT Overview
Michigan Dialysis Facilities
Case Study
Dialysis Needs
Partnership Opportunities

3. Dialysis facility, home, or hospital
Dialysis Overview
Dialysis
Definition
Dialysis is a life-sustaining medical treatment that removes waste and excess fluid from your blood
Frequency
3 times per week
Length
~4 hours per treatment
Setting
Dialysis facility, home, or hospital

4. Home Hemo- Dialysis (HHD) DaVita.com/PracticeSupport
DaVita Overview
Teammates: 60,000+ Patients: 175,000+ Centers: 2,300+
In-Center Treatments (tx)
Home Treatments (tx)
Hospital
Services
In-Center Hemo-
Dialysis
Nocturnal
Dialysis
Home Hemo- Dialysis (HHD)
Peritoneal
Dialysis (PD)
800+ hospitals
(63,000 tx/
114,000 pts/ month)
88% patients
centers
~1% patients
141+ centers
~2% patients
350+ programs
~9% patients
850+ programs
SBIs (Strategic Business Initiatives) Extra things we do to better support our patients/doctors
DaVita.com
DaVitaRx.com
VillageHealth.com
LifelineVascularAccess.com
FalconEHR.com
DaVitaClinicalResearch.com
DaVita.com/PracticeSupport

5. DaVERT Overview Emergency Management Program for DaVita
Created in 2004
Preparedness, response, recovery
Resources:
Fleet of portable generators and emergency vehicles
Multidisciplinary team across country
Relationships in public, private, and non-profit sectors
Keeping dialysis facilities operational in a disaster continues to provide life saving treatments for the patients and decreases the surge of non-emergent dialysis patients to the hospital emergency departments

6. Symphony of Teamwork
We work closely with all of the departments within the company

7. DaVERT Outreach
Public
Non-Profit
Private

8. Michigan Dialysis Facilities
ESRD Network 11 (MI, MN, ND, SD, WI)
79 DaVita facilities in Michigan

9. Michigan Dialysis Facilities
D1RMRC Area
Alma Dialysis
Spartan Dialysis
Brighton Dialysis
Jackson Dialysis

10. Recent Events Toledo, OH water contamination
West Virginia chemical spill (water contamination)
Napa earthquake
Ferguson, MO civil unrest
Buffalo, NY snowstorm
Ferguson, MO (Civil Unrest)
It’s not just about weather anymore
Buffalo, NY (Snowstorm)

11. Case Study:
Toledo, OH Microcystin Toxin

12. Case Study: Toledo, OH August 2014
Elevated microcystin toxin levels result in “Do Not Drink” order
272 patients impacted within 6 DaVita facilities
11 home hemodialysis patients affected

13. Case Study: Toledo, OH Emergency Preparedness
Annual communication letters
Local Emergency Management Agencies
Water providers
Electric providers

14. Case Study: Toledo, OH Challenges Government communication
Public agency cooperation/information sharing
Low level of dialysis awareness
Source: Washington Post

15. Case Study: Toledo, OH DaVita’s Response
Immediately stopped dialysis services
Brought in 4 water tankers to serve two dialysis facilities
Assisted dialysis unit of local hospital

16. Case Study: Toledo, OH Follow-Up Meeting with Ohio Governor’s Office
Active participation in local, county, and regional follow-up meetings

17. Case Study: Toledo, OH Highlights Water Quality Dashboard
Dialysis-specific triggers
Text/ alerts
Increased water quality monitoring
Safer patients!

18. Dialysis Needs Need Solution Water – access to ultra clean water
Relationships with water suppliers
Biomedical Services Team

19. Dialysis Needs Need Solution Power – access to emergency power
Fleet of permanent and portable generators

20. Dialysis Needs Need Solution Fuel – to power generators and vehicles
Relationships with fuel providers

21. Dialysis Needs Need Solution Patient transportation We need your help!
67% of dialysis patients are driven by others
25% drive themselves
8% use public transit
We need your help!
Source: NEMT Research

22. Partnership Opportunities1
Find the dialysis facilities in your region at 2
Reach out to the Facility Administrator (FA) at your local DaVita facility to learn more about the facility emergency plan 3
Contact DaVERT to learn more about dialysis emergency response at 4
In case of an emergency, call DaVita Guest Services at
Better cooperation = Safer patients

23. Questions?