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Vision

To lead in supporting optimal health outcomes and positive experiences of care for all ESRD patients in this region.

Mission

To promote safe, equitable, and effective health care and to engage patients and their families as full and active members of the ESRD health care team.

Goals

Network 8 promotes positive change for kidney patients through activities supporting these CMS priorities:

  • Better Care for the Individual through Beneficiary and Family Centered Care
  • Better Health for the ESRD Population
  • Reduce Costs of ESRD Care by Improving Care. 

Goals Supporting CMS Priorities

CMS requires facilities to cooperate with Network goals and activities as outlined in the Conditions for Coverage.  As minimum performance standards, dialysis facilities should comply with the following goals:

  • Clarify to patients their responsibilities, demonstrate respect for the rights of patient and family members, and promote patient and family-centered care and engagement.
  • Assess the appropriateness of patients for transplantation, home-based therapies, and in-center care, and make timely referrals of suitable candidates to modalities that increase opportunities for rehabilitation. As appropriate, support patient participation in vocational rehabilitation programs.
  • Establish and maintain a quality assessment and performance improvement program that evaluates the care provided and prioritizes opportunities to improve patient care.
  • Submit data and information timely and accurately in CROWNWeb per CMS requirements and submit accurate and timely data to the Network as specified by assigned projects.  Register in NHSN, enroll in the Network 8 group, and submit dialysis event data and information timely and accurately per CMS guidelines.
  • Provide requested information promptly in the course of emergency response events.

Goals for Clinical Performance Measures/Quality Indicators

Network 8 endorses the CMS Payment year 2019 Achievement Thresholds, Benchmarks, and Performance Standards (Quality Incentive Program goals) for clinical guidance:

Measure Achievement Threshold (15th percentile) Benchmark (90th percentile) Performance Standard
Kt/V Dialysis Adequacy

86.99%

97.74%

93.08%

Vascular Access Measure
  • AVF

53.66%

79.62%

65.93%

  • Catheter

17.20%

2.95%

9.19%

Hypercalcemia

4.24%

0.32%

1.85%

NHSN Bloodstream Infection*

1.738

0

0.797

Standardized Readmission Ratio*

1.289

0.624

0.998

Standardized Transfusion Ratio*

1.488

0.421

0.901

ICH CAHPS Survey
Nephrologists' Communication and Caring
56.41%
77.06%
65.89%
Quality of Dialysis Center Care and Operations
52.88%
71.21%
60.75%
Providing Information to Patients
72.09%
85.55%
78.59%
Overall Rating of Nephrologists
49.33%
76.57%
62.22%
Overall Rating of Dialysis Center Staff
48.84%
77.42%
62.26%
Overall Rating of the Dialysis Facility
51.18%
80.58%
65.13%

*On these measures, a lower rate indicates better performance.

Approved by the Medical Review Board on October 6, 2016
Approved by the Board of Directors on November 16, 2016