1999 Annual Statistical Report
III. NETWORK ADMINISTRATION
A. Facility Compliance
At the beginning of 1999 all dialysis and transplant facilities within the Network were participating as required by HCFA and The Renal Network. At year-end 1999, all dialysis facilities within the Networks 9/10 area were participating as required by HCFA and The Renal Network.
B. Need for Additional/Alternative Services
Each year through the patient tracking system, The Renal Network conducts a review of facility operations. From this report the following information is available:
"Services Rendered," describes each facility by area of location within the Network and the modes of therapy offered.
"Current Operations," shows the number of stations currently operating at each dialysis facility within the Network.
"Patient Capacity by Facility," calculates the total number of patients that could dialyze at each facility based on the number of shifts and stations available at that facility.
"Utilization," identifies the actual utilization of each dialysis facility at year-end 1999.
"Pediatric ESRD Facilities," shows the number of stations currently operating at each pediatric dialysis facility within the Network.
C. Recommended Sanctions
During 1999 no requests were made to the Health Care Financing Administration for sanctions of area facilities.
IV. DATA MANAGEMENT
The Renal Network has designed a patient medical information system to enable the continual assessment of the ESRD patient population. A computer system has been designed to integrate data, generate internal reports, and contribute to the national database.
In the second half of 1999, The Renal Networks converted to the Standardized Information Management System (SIMS) developed by the ESRD Networks and HCFA.
The data processing system is based on the generation of HCFA mandated forms and a Network tracking report by ESRD facilities. These forms provide the necessary information and updates that assure the accuracy of the data system.
HCFA Medical Information System (MIS) Forms that are processed through the Network office include:
- HCFA 2728 - Chronic Renal Medical Evidence Report
- HCFA 2744 - ESRD Facility Survey
- HCFA 2745-U3 - ESRD Transplant Information
- Transplant Follow-up Form
- HCFA 2746 - ESRD Death Notification
As these forms are received in the Network office, they are input on the patient database, a HCFA logging program, and a compliance program, and forwarded to HCFA.
The Networks 9/10 Data Department routinely completes the following activities:
- Handling daily receipt of MIS forms and logging forms on the Network computer.
- Verifying information on MIS forms.
- Transmittal of HCFA MIS forms to HCFA monthly.
- Monthly review of facility compliance goals for forms submission.
- Input of MIS forms and tracking forms on Network patient information system.
- Processing of HCFA generated facsimile forms.
A compliance program was implemented in January 1992. The program tracks compliance for forms submission and completion by each facility. The program generates a report showing each facility, which forms were received, and whether or not they were compliant. It also generates a master report showing compliance rates for all facilities within the Network. Compliance rates are reviewed monthly by Network staff. Quarterly, compliance reports are generated and sent to the facilities. The Medical Review Board routinely reviews compliance rates for those facilities who fall below the HCFA goals at their quarterly meetings. However, after conversion to the SIMS program, compliance review was suspended. This function was not operations in the SIMS software at year-end. When SIMS installs a compliance review program, this activity with resume.
Patient Tracking System.
The Network upgraded its computer tracking system to a WindowsTM based system and disseminated the new program to all dialysis facilities within its four states. The facilities report monthly to the Network via diskette.
The data system has unlimited capability to collect information on ESRD patients. Currently, more than 30,000 active and inactive patient listings are in the system. Information collected on each patient includes:
- Full Patient Name
- Social Security Number
- Medicare Number
- Demographic Information
- Patient Address
- County of Residence
- Transfer Information and Date
- Initial and Subsequent Providers
- Modes of Therapy
- Primary Diagnosis and Co-morbid Conditions
- All Types of Changes in Patient Status
- Transplant Candidate Status
- Vocational Rehabilitation Status
- Number of Treatments Performed
- Date of First Dialysis
- Current Status
- Cause of Death
After the data is computerized, it is then available for statistical manipulation. Various statistics and data profiles are generated through the Network data system as described earlier in this report. The data tables contained in this report were generated through the Network data system as well.
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