Self-Care

A new Harvard Business Review article on “The Value of Teaching Patients to Administer Their Own Care” includes an example of a self-care dialysis program at the Central Texas Nephrology Associates clinic in Waco, Texas.  Some excerpts:

  • “In 2016, nearly 40% of CTNA’s 751 patients performed their own dialysis while experiencing fewer hospitalizations and a lower mortality rate than patients receiving dialysis the conventional way.  Patients delivering their own dialysis experienced better outcomes and the health system minimized costs by avoiding unnecessary hospital visits.”
  • The “Providers’ role changed from performing every step of the process to serving as coaches and supporters of patients doing their own care.  The resulting redeployment of staff resources led to higher productivity and throughput for the clinic.”
  • “Regardless of the setting, a successful approach to patient-administered self-care requires the following:
    • “Patients or caregivers must be prepared and willing… Care organizations need to develop a standard process for training patients… Practitioners must be trained to support patient-administered care, …to see themselves as coaches and the patient as an integral partner, …[to] recognize that patients’ capabilities to provide their own care may differ and evolve over time, and …to connect with the patient…
    • “A standard protocol should be developed [including] …methods for distributing equipment, supplies, and medication …how patients and providers should respond to adverse events …easy access to outpatient and inpatient services to address any needs that arise.
    • “A care organization that has [an outcome]-based-payment system will have a much easier time adopting the self-care model …Patient-administered care realizes savings by avoiding spending in the first place; in a fee-for-service model, this is lost revenue.”

Find the article at https://hbr.org/2017/06/the-value-of-teaching-patients-to-administer-their-own-care .

 

QIP/DFC Measures Manual

CMS has published the 2o17 edition of the CMS ESRD Measures Manual, which details how the PY2017 (CY2017) QIP and October 2017 DFC Star Ratings are calculated.  The Manual includes information on the new Kt/V and NHSN QIP measures, TPS calculation, PY2020, and changes to DFC and Star Rating calculations.  Find a copy of the CMS press release, which includes links to the Manual and supporting material, at  https://s3-us-west-2.amazonaws.com/nwrn.org/files/QIP/CMS%2CQIP.061617.pdf .

Patient Engagement QIA

We’ve added a brochure to the Network 16 website called Improving Patient-Centered Care: About the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems Survey (ICH-CAHPS).

We’re again using ICH-CAHPS as a major part of our 2017 Patient-Engagement Quality Improvement effort; for more information see https://s3-us-west-2.amazonaws.com/nwrn.org/files/qia/2017/ICH_CAHPS_QIA_Kickoff_021617.pdf .

For Network-18 versions of the brochure, call Eileen Boyte, MSW, Patient Services Director, at 888-268-1539.

Survey Guidance: Emergency Preparedness

CMS has released an advance copy of Interpretive Guidelines and Survey Procedures for the new Medicare Emergency Preparedness Requirements rule that became effective on November 15, 2016 and will be implemented on November 15, 2017.  Find a copy at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-17-29.pdf .

CW Facility Dashboard

Known issues and internet browser requirements for the CROWNWeb Facility Dashboard:

  • If a patient is admitted to multiple facilities, the 2746 megatab on the Facility Dashboard may be attributed to the incorrect facility in certain conditions.  This known issue is being addressed, and the fix is anticipated to be available on Wednesday, June 14, 2017.
  • A system sync change was implemented on Thursday, June 8, 2017.  Changes made in the CROWNWeb system may now take up to 15 minutes to sync to the Facility Dashboard.
  • The recommended Internet Browsers for the Facility Dashboard are Internet Explorer version 11, Google Chrome, and Mozilla Firefox.  The Facility Dashboard may not fully populate if other Internet Browsers are used.

For additional information or assistance, please contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or (866) 288-8912 Monday through Friday 8 a.m. – 8p.m. ET. 

The CW Facility Dashboard Training will be repeated June 13, 2017; register at http://mycrownweb.org/pcw_lems/crownweb-facility-dashboard-training-session-4/ .  Recording and slides from the May 31, 2017 CW Facility Dashboard training are posted at http://mycrownweb.org/wp-content/uploads/2017/05/Faciity-Dashboard-Training_053017_FINAL_508.pdf .

6/20 NCC Infection Webinar

The ESRD Network Coordinating Council will present a June 20, 2017 webinar, designed for dialysis facility staff, medical directors, and all infectious disease healthcare staff, on Infection Prevention: Leadership, Interventions, Results.  The webinar will examine the critical role that empowered nephrologists play in engaging and leading dialysis staff to continuously improve the safety of patients on dialysis. Join us to learn how the nephrology care team can develop and implement quality strategies and recognized prevention tools in the QAPI program to improve care provided to dialysis patients.  Continuing education credit is available for nurses and PCTs.  For complete details and registration, see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/NCCInfection0617.pdf .