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 Russel-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 
March 31, 2019
RESOURCES:

National ESRD NCC Resources:

Webpage/LAN Recordings

 

Network Resources:

Transplant webpage
Home Therapies  Webpage

 

Provider Insider Articles: 

Transplant

Home Therapies

 

Stakeholder Resources: MEI Patient Interest Checklist PDF 

 

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
March 2019
 
To: All Home Therapies QIA and Transplant QIA  Facility Staff, Patient SMES and Stakeholders
March is INNOVATION month
We are off to a strong start with these QIAs, and for March there will be National NCC LAN Webinars (details below), and a challenge to you and your staff to be INNOVATIVE and "think outside the box"  in how you educate your staff and patients about Home Therapies and Transplant Treatment Options. (Pro tip - the ESRD NCC LAN events are considered staff education activities!)
 
The Network's  March Innovation:
Streamlining for less paperwork: We are partnering with the Patient Services Department to include their Monthly Patient Engagement facility assessment in the Monthly Status Report to reduce burden and superfluous data collection.
 
Please review the March MSR worksheet (PDF)  to see how you are being asked to report on March activities, and submit your answers online by March 31st.

*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.
March Activities
#1. ESRD NCC LAN Webinars (FREE CE)

Home Modality QIA LAN:
March 12, 2019 3:00 - 4:00 Register for webinar here

Transplant QIA LAN:
March 19, 2019   3:00 - 4:00 Register for webinar here

LAN Reporting:
Please complete the ESRD NCC webinar feedback at the end of the meeting (or recording) this data will be reported to the Network. 

Further Actions: If there is no post-webinar/recording feedback from your facility, we will ask you to complete a separate post test and attestation form.

#2. Staff Education/Knowledge Assessment
Assess 75% of your staff (total clinical and non clinical) on their treatment options knowledge. Can you name the 4 treatment options for ESRD?  ( Pro-tip This brief assessment that can be completed verbally and/or in written format)

MSR Education Reporting:
Please discuss the results (# of staff members queried, % staff that knew all four treatment options) of this assessment in your March QAPI meeting, and report assessment results on the March MSR. 

Further Actions: If more than 5% of your staff cannot name the four treatment options for ESRD, in April plan a future educational event/in-service on patent treatment options for all clinical and non-clinical staff. ( Pro-tip the ESRD NCC LAN meeting recordings are a free educational event with f ree CE offered for watching). 

#3. MEI Patient Interest Checklist  PDF
Please utilize this checklist with at least 2 patients in March while developing annual plan of care patient meetings.   

MSR MEI Patient Checklist Reporting:
Please discuss the topics of interest that patients requested information on in your March QAPI meeting, and on the MSR, report the number of patients utilizing the form and the resulting requests for more information on TREATMENT OPTIONS section only.  Also, provide feedback (Adopt/Adapt/Abandon) on the usefulness of form, and any patient comments about form. 

#4. Identify QIA CHAMPIONS
Do you have any staff members or patients that are willing to champion Home Therapies or Transplant? The Network will provide name badges and resources for these volunteers. 

MSR QIA Champions Reporting:
Please report the number of Champions you have identified on the March MSR. In the April/May the Network will provide each Champion an official Badge and "Tool Kit" with resources for sharing with patients.
Monthly Status Report
Home Therapies QIA and Transplant QIA

March Monthly Status Report
All QIA Reporting is due
by March 31,2019
Activities continued from February
Visual Display/Education Station for your QIA(s)
How is your Education Station Progressing?
Are you working with your staff and patients to develop an Education Station?  Are there Barriers or Successes? March is the month to review your progress - what stage are you at? (Planning, Launching, or Procrastinating?)

Pro Tip: Remember to ask for suggestions and integrate any feedback or innovation. This can be a bulletin board, a table display or something outside of the box (INNOVATION Is the key to success!)

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. ( If you ordered in February, we are just sending materials this week)

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

Patient Knowledge Assessment
Assess at least 10% of your patients on their knowledge about your QIA topic(s). (If you completed 100% of your assessments, you can skip this monthly activity) This brief assessment that can be completed verbally and/or in written format. 

The baseline question is:

Can you name four treatment options for ESRD?

Reporting: Please discuss the results of this assessment in your March QAPI meeting, and in April, 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. 
National LAN Activities
Upcoming Webinars:

Home Modality QIA LAN:
March 12, 2019 3:00 - 4:00
Register for webinar here

Transplant QIA LAN:
March 19, 2019   3:00 - 4:00
Register for webinar here


Recordings: (With CE)
 
Continuing Education Credit Opportunities:
Click here if you are already registered in the Learning Management Center (LMC).
Click here to register for the LMC and then access the courses.

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

1/15/2019 Home Therapies QIA LAN Call
Home Hemodialysis | View Recording

Presentation Objectives:
  • Identify 2 benefits of more frequent hemodialysis.
  • Name 3 factors that make for a good home hemodialysis candidate.

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.