Quality Improvement Activities
Heartland Kidney Network is committed to assisting dialysis clinics improve quality and enhance patient care. One way we do this is through our Quality Improvement Activities. CMS gives the Networks specific selection criteria for each activity. It is our goal that these activities will be an effective addition to your ongoing quality improvement measures and that you will be able to engage both patients and staff in these activities and find ways to sustain your progress.
Blood Stream Infection (BSI)/Long Term Catheter (LTC) Reduction
Studies have shown that infections are the second leading cause of death in ESRD patients. The intent of this Quality Improvement Activity is to decrease bloodstream infection rates by promoting implementation of the CDC Core Interventions for Dialysis BSI Prevention, sharing best practices in the area of HAIs, BSIs, and sepsis, and directing interventions toward patients to allow them the ability to impact their own care.
Increase Transplant Waitlist
CMS encourages and expects patients to know their treatment options, including kidney transplant. Here you will find links and information that will assist you with implementation of interventions to support patients through the process of being placed on a kidney transplant waitlist.
Increase Home Dialysis Utilization Rate
CMS recognizes that home dialysis modalities are underutilized in the United States with only 8% dialyzing in a home setting vs 92% choosing in-center. The goal of this Quality Improvement Activity is to promote referral to home dialysis modalities, identify and mitigate barriers to home dialysis, and assist facilities in the implementation of interventions to support patients through the process of training to dialyze at home. Here you will find links and information to assist you with this process.
Improve Depression Screening and Follow Up
CMS recognizes that depression is a common psychological disorder for ESRD patients and that depression and mortality in ESRD patients may be linked. The intent of this Quality Improvement Activity is to improve the screening and treatment of depression for ESRD patients. Here you will find links and information that will assist you in development of a process to ensure completion, documentation, and appropriate follow-up of a depression screening for qualifying patients.