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Population Health Focused Pilot Quality Improvement Activity (PHFPQ):

Support Gainful Employment of ESRD Patients

As directed by the Statement of Work, each ESRD Network is required to develop one Population Health Focused Pilot Project “that incorporates the concepts of boundariliness and unconditional teamwork into innovative approaches that are customer-focused and sustainable to achieve the established measures.” Project selection is data driven and facilities were chosen based on CMS requirement that ≤25% of patients met the desired outcome during project baseline (October 2016-June 2017).

The two-fold goal of this project is to: (1) increase referrals made for vocational rehabilitation (VR) services, and (2) increase numbers of patients receiving services. CROWNWeb data supplied by the ESRD NCC suggest that vocational rehabilitation services are woefully under-utilized throughout the Network 8 region; as we conduct the project, we will determine if these services are under-utilized, under-reported in CROWNWeb, or both under-utilized and under-reported.

Forty-five Network 8 facilities were selected to participate in the project: 18 from Alabama, 9 from Mississippi, and 18 from Tennessee, which equals 10% of the total number of dialysis facilities in each state. By corporate ownership, 9% are DaVita units, 11% are DCI units, 10% are FMC units and 17% are independently owned units.

Network Project Lead:
Sheila McMaster, Quality Improvement Director