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Welcome to the April edition of the Quality Insights Renal Network 4
Network Notes patient e-newsletter. In this issue, we bring you information about using Dialysis Facility Compare to learn more about your dialysis center options, understand the role of the ESRD QIP, learn about Network 4 Quality Improvement Activities, healthy eating tips and a dialysis word search.  We encourage you to  contact us ( ) with any questions, concerns or suggestions. 
YouDeserveYou deserve quality dialysis care    
Do you or a loved one have end-stage renal disease (ESRD)? Do you want more information about dialysis centers? Check out Dialysis Facility Compare and talk with your doctor about the information you find. 

Dialysis Facility Compare allows you to search for dialysis centers, compare them side-by-side, and find the right one for you. If you are currently receiving dialysis, the site allows you to understand how Medicare measures the quality of care dialysis centers provide to you.

The information on Dialysis Facility Compare includes:
  • Contact information for dialysis centers and the services they offer, including the number of chairs at a center and whether it offers shifts after 5 p.m.
  • Patient responses to a survey about their experience at a dialysis center, including how well staff listened to them and how clean the facility appeared
  • Quality of Care Star Ratings, which are based on:
    • How often each dialysis center uses best practices to care for patients and keep them healthy
    • How well dialysis centers care for their patients 

Take control of your dialysis care and follow these four easy steps to search for the right dialysis facility for you. Visit

WhatIsESRDQIPWhat is the esrd qip?     
The End-Stage Renal Disease Quality Incentive Program (ESRD QIP) helps to determine the reimbursement your dialysis facility receives from Medicare based on how well it meets performance standards.  Your facility is required to post a Performance Score Certificate showing its results. You can also find the information on the Medicare Dialysis Facility Compare website at    
FacebookHave you found us on facebook? 
Network 4 posts the latest happenings and interesting insights for the dialysis community on our Facebook page ( If you haven't already, please check us out and "like" our page to make sure our posts find their way to your news feed. You can read stories like this and more: 

Network4QIAsNetwork 4 Will Conduct the following 2017 quality improvement activities
Network 4 is conducting eight unique Quality Improvement Activities (QIAs) in 219 Network 4 dialysis facilities. Find out if your facility is involved in one or more of these exciting opportunities. The eight projects include:
  1. Reducing the use of catheters for dialysis treatments
  2. Improving the patient experience of care by implementing patient-driven goals as part of the patient care plan
  3. Reducing the number of patients who experience a bloodstream infection (BSI)
  4. Improving patient vaccination rates for Hepatitis B and pneumonia
  5. Reducing the number of patient complaints and grievances
  6. Increasing kidney transplant referral rates
  7. Improving dialysis adequacy (Kt/V lab measurements)
  8. Improving communication between hospitals and dialysis facilities

DidYouKnowDid you know? 
Starfruit The starfruit may be cute, but it can pack a mean punch. Starfruit (Averrhoa carambola) is a popular tropical fruit in numerous countries of Asia and South America, and is increasingly found in Western countries as well.

This fruit contains an unidentified substance which may act as a neurotoxin in people with renal failure. Case studies describe patients with ESRD or advanced chronic kidney disease developing neurologic symptoms ranging from hiccups to seizures to coma or even death after ingesting as little as one starfruit. Be aware that this fruit could be very harmful to people with reduced kidney function.

Instead of starfruit, consider these other healthy fruit options for people with kidney disease:
  • Apples
  • Blueberries
  • Cherries
  • Raspberries
  • Red Grapes
  • Strawberries

QuarterlyActivityQuarterly Activity: Dialysis Word Search 

Do find this newsletter helpful? Are there things you'd like to see changed? Please take this short survey ( to provide your feedback. Please submit any items of interest for this newsletter to Tish Lawson ( 

FilingGrievances Filing Grievances
To file a grievance, please contact us by using the following contact information.  
610 Freedom Business Center,  
Suite 102 
King of Prussia, PA 19406 
(610) 265-2418 
(800) 548-9205 (patients only) 
(610) 783-0374 (fax) 
This material was prepared by Quality Insights Renal Network 4 under contract with the Centers for Medicare & Medicaid Services (CMS). The contents do not necessarily reflect CMS policy. 

Publication No. ESRD4-032917