2018 CMS Priorities, Goals, and Quality Improvement Activities IPRO - PowerPoint PPT Presentation

2018 CMS Priorities, Goals, and Quality Improvement Activities IPRO ESRD Network of New England Network Council Meeting January 17, 2018

Meeting Reminders • All phone lines have been muted to avoid background noise • Be present and engaged in the presentations • Remain open-minded when hearing new initiatives • Be prepared for active participation and open discussion in the WebEx chat board – Questions or comments can be submitted at any time – There will be breaks after each section to address items in chat p. 2

Agenda Topics • Overview of IPRO ESRD Program: Network 1 • Emergency Preparedness and Management • Patient Engagement and Patient Experience of Care • ESRD Statement of Work (SOW) Option Year 2 – Purpose and Background – CMS Goals / HHS Secretary’s Priorities – Disparities in Healthcare – Collaborations / Learning and Action Networks (LANs) • Quality Improvement Activities (QIA) • Information Management • Closing Comments p. 3

Overview of IPRO ESRD Program: Network 1 Danielle Daley, MBA Executive Director

Mission Statement The Mission of the IPRO End Stage Renal Disease (ESRD) Network Program is to promote health care for all ESRD patients that is safe, effective, efficient, patient-centered, timely, and equitable. p. 5

Island Peer Review Organization IPRO • Founded in 1984 • Not-for-profit organization • Holds contracts with federal, state, and local government agencies • Provides services to enhance healthcare quality to achieve better patient outcomes • Proven track record of excellent, culture of innovation and breadth of expertise • Implementation of innovative programs that bring policy ideas to life • Creative use of clinical expertise, emerging technology and data solutions to make the healthcare system work better • Headquartered in Lake Success, NY p. 6

7 Networks ESRD

IPRO ESRD Network Program Network Service Areas Network 2 NY Network 1 Patients: 29,607 NW1 CT, MA, ME, NH, RI, VT Facilities: 286 Patients: 14,417 Transplant: 13 Facilities: 194 Transplant: 15 NW2 Network 9 IPRO OH, KY, IN Network 9 ESRD Program Patients: 33,417 IN, KY, OH Facilities: 599 Transplant: 14 125,297 Network 6 ESRD Patients Network 6 GA, NC, SC NC, SC, GA 1,786 Patients: 47,856 Facilities: 707 Dialysis Facilities Transplant: 10 52 Transplant Centers 8

Network Demographics By State ESRD Patient # of Dialysis # of Transplant State Census Facilities Facilities Connecticut 4,317 49 2 Maine 1,069 18 1 Massachusetts 6,795 84 9 New Hampshire 1,063 18 1 Rhode Island 1,189 16 1 Vermont 333 8 1 TOTAL 14,762 193 15 Data Source: CROWNWeb 9 9

Facility Affiliation By State ESRD Patient # of Dialysis Ownership Census Facilities 1,639 23 American Renal Associates 4,724 45 DaVita 5,835 76 Fresenius Kidney Care 214 3 Diversified Specialty Institutes (DSI) 713 9 Dialysis Clinic Inc. 1,530 33 Independent 107 4 Veteran Affairs TOTAL 14,762 193 Data Source: CROWNWeb 10 10

Network Staff Administration Department Cheryl Pettway Danielle Daley, MBA Sr. Program Support Coordinator Executive Director 203 ‐ 285 ‐ 1222 203 ‐ 285 ‐ 1212 cpettway@nw1.esrd.net ddaley@nw1.esrd.net 1952 Whitney Avenue, 2 nd Floor, Hamden, CT 06517 Phone: (203) 387 ‐ 9932 Fax: (203) 389 ‐ 9902 p. 11

Network Staff Patient Services Department Merari Rosario, MHA Brittney Jackson, LMSW, MBA Community Outreach Coordinator Patient Services Director 203 ‐ 285 ‐ 1223 203 ‐ 285 ‐ 1213 mrosario@nw1.esrd.net bjackson@nw1.esrd.net 1952 Whitney Avenue, 2 nd Floor, Hamden, CT 06517 Phone: (203) 387 ‐ 9932 Fax: (203) 389 ‐ 9902 p. 12

Network Staff Quality Improvement Department Heather Camilleri, CCHT Sarah Keehner, RN, BSN, CNN Quality Improvement Coordinator Quality Improvement Director 203 ‐ 285 ‐ 1224 203 ‐ 285 ‐ 1214 hcamilleri@nw1.esrd.net skeehner@nw1.esrd.net 1952 Whitney Avenue, 2 nd Floor, Hamden, CT 06517 Phone: (203) 387 ‐ 9932 Fax: (203) 389 ‐ 9902 p. 13

Network Staff Data Department Krystle Gonzalez Jaya Bhargava, PhD, CPHQ Sr. Data Coordinator Operations Director 203 ‐ 285 ‐ 1225 203 ‐ 285 ‐ 1215 kgonzalez@nw1.esrd.net jbhargava@nw1.esrd.net 1952 Whitney Avenue, 2 nd Floor, Hamden, CT 06517 Phone: (203) 387 ‐ 9932 Fax: (203) 389 ‐ 9902 p. 14

CMS Expectations Role of the Network • Improve quality of care for ESRD patients • Provide assistance to ESRD patients and providers • Encourage patient engagement • Evaluate and resolve patient grievances • Collect data to measure quality of care • Support emergency preparedness and disaster response p. 15

Technical Assistance We’re Here to Help • The Network has tools to help with quality improvement activities – Catheter reduction – Home dialysis – Infection control (NHSN) – Vocational rehabilitation – Transplant referrals • The Network provides technical assistance – Data reporting – Quality Incentive Program (QIP) – Patient safety – Patient/provider conflict – Access to care barriers p. 16

Technical Assistance We’re Here to Help • The Network sponsors educational opportunities – Face-to-Face Meetings – Webinars – Conference Calls • The Network shares data – Comparative Network, state, and facility level – Incidence, prevalent, and demographic statistics – Annual Report p. 17

eNewsletter Provider Insider • Professional audience • Sent monthly • Contact list from facility personnel in CROWNWeb • Informational / actionable – Important updates – Meeting registration – Quality improvement resources – Education p. 18

eNewsletter Kidney Chronicles • Patient audience • Sent quarterly • Contact list from self registrants • Educational – Treatment options – Quality of life – Patient engagement – Peer mentoring p. 19

Questions? Comments? p. 20

Emergency Preparedness and Management Brittney Jackson, LMSW, MBA Patient Services Director Emergency Coordinator

Emergency Management Things to Know Facility Reporting/Tracking • Report Facility Status (Open/Closed/Altered) • Report patient access to care • Contact the Network to assist with local OEM coordination efforts Prepare Patients for an Emergency • Be prepared patient worksheet • 3-Day Emergency Diet Prepare Your Facility for an Emergency • Technical assistance to facilities to develop feasible, comprehensive emergency/disaster plans p. 22

Emergency Preparedness Final Rule • Survey and Certification memo dated June 2, 2017 – Appendix Z: Emergency Preparedness Final Rule Interpretative Guidelines and Survey Procedures • Affects 17 providers and suppliers, which includes dialysis facilities and transplant centers • Compliance required for participation in Medicare • New requirements began November 15, 2017 https://www.cms.gov/Medicare/Provider-Enrollment-and- Certification/SurveyCertEmergPrep/Emergency-Prep-Rule.html p. 23

Technical Assistance Final Rule • How can the Network support facilities in meeting these requirements? – Please submit questions or comments in chat p. 24

Questions? Comments? p. 25

Patient Engagement and Patient Experience of Care Brittney Jackson, LMSW, MBA Patient Services Director

Patient Subject Matter Experts (PSMEs) How PMSEs Support QIAs • Involved in the development of QIA interventions and resources • Encouraged to participate in intervention implementation at the facility • PSMEs are asked to: – Consider becoming a Peer Mentor – Joining the Network Patient Advisory Committee – Share their ESRD journey story with others – Attend meetings led by the Network – Participate in national meetings and technical expert panels p. 27

Patient Advisory Committee (PAC) Structure and Function • PAC members are ESRD patients, family members, or care partners in dialysis and transplant facilities who provide a link between patients and healthcare providers to: – Promote communication between patients and staff – Inform patients about the ESRD Network • Mission is to identify and act upon issues of concern to ESRD patients thereby improving their quality of life • 18 Regions throughout New England with Chairs – 8-10 facilities per region • Current Membership – 125 members, representing 77 facilities • Chairperson: John Visone p. 28

Patient Advisory Committee 2018 Goals • Recruit New PAC Representatives • Recruitment More PAC Chairs • Increase awareness about PAC and the Network • Encourage PAC Representatives to participate in regional conference calls • Encourage regularly scheduled meetings with staff and patients • Increase PAC membership on the closed Facebook group • Solicit articles for PAC Speaks patient newsletter p. 29

Patient Experience of Care Grievances Definition and the Network’s Role • What is a grievance? • Network’s Role – Facilitator – Expert Investigator – Educator – Quality Improvement Specialist – Advocate – Referral Source p. 30