2007 Annual Statistical Report

Contract Numbers: HHSM-500-2007-NW 009C
& HHSM-500-2007-NW 010C
June 30, 2007

Additional information and data tables are available in PDF format. Click on the link provided to view or download the selected section.

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  4. ESRD Network 9/10 shares a responsibility, along with the other 16 Networks throughout the United States , for achieving the goals of the Medicare ESRD Program. Network 9/10 continuously develops and implements quality improvement projects; each is designed to work toward these common goals to benefit the population of individuals with end-stage renal disease.

    GOAL 1: Improving the quality and safety of dialysis related services provided for individuals with ESRD.

    Improving quality and safety for care of ESRD beneficiaries was accomplished through clinical initiatives developed and supervised by the Medical Review Board and implemented by the Quality Improvement Department of The Renal Network, Inc. Quality is defined by the Institute of Medicine (IOM) as: “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” These activities, designed to achieve the IOM quality definition, are categorized in six main subject areas:

    1. 2007 Fourth Quarter Lab Data Collection [PDF, 242KB]
    2. Network 9/10 CPM Goals [PDF, 205KB]
    3. CMS National CPM Project [PDF, 127KB]
    4. Fistula First Initiatives [PDF, 227KB]
    5. Network Special Projects/Studies [PDF, 67KB]
    6. Focused Quality Assurance Activities [PDF, 98KB]

    GOAL 2: Improve the independence, quality of life, and rehabilitation of individuals with ESRD through transplantation, use of self-care modalities, in-center self-care, as medically appropriate, through the end of life.

    The Network maintains a Patient Leadership Committee that works through the Patient Services Department to implement programs to benefit individuals with end-stage renal disease. Additionally, the Medical Review Board and the Board of Trustees each have four positions dedicated to patient representation to ensure the voice of the beneficiary is heard at every level of governance.

    Through the efforts of the volunteers on these committees working through the Network staff, a variety of approaches to foster independence, encourage transplantation and self-care, and improve quality of life for the individual with end-stage renal disease are ongoing. These include educational initiatives and activities to examine current methods in delivery of care, with an eye toward improving the current standards.

    1. Pilot Program: Barriers to Outpatient Dialysis [PDF, 158KB]
    2. Resources & Opportunities for Beneficiaries [PDF, 78KB]

    GOAL 3: Improve patient perception of care and experience of care, and resolve patient’s complaints and grievances.

    The Renal Network provides a voice for the ESRD Beneficiary through the grievance resolution process. Patients and family members may choose to discuss their issues with the Network staff. The Network staff works to resolve concerns as they are identified. With the patient’s permission, staff members provide counseling and mediation to patients and dialysis facilities when conflict occurs. Patients may also choose to file a formal grievance. In this process, the complaint is officially addressed to the dialysis provider, and both sides of the issue are heard at the Medical Review Board level. The MRB makes the final determination in a formal grievance.

    1. Concerns & Complaints [PDF, 208KB]
    2. 2007 Formal Grievances [PDF, 152KB]
    3. Support & Mediation [PDF, 73KB]

    GOAL 4: Improve collaboration with providers to ensure achievement of the goals through the most efficient and effective means possible, with recognition of the differences among providers and the associated possibilities/capabilities.

    Working in collaboration with other organizations creates opportunities to enable the Network to reach a diverse array of audiences with the common interest of improving quality of care for end-stage renal disease patients. During 2007, the Network collaborated directly with providers of end-stage renal disease services and with health care organizations in related areas. The goal of all of these activities was to benefit the ESRD patient by increasing knowledge and awareness of dialysis and transplantation.

    1. The ESRD Provider Community [PDF, 330KB]
    2. Nephrology Community at Large [PDF, 187KB]

    GOAL 5: Improve the collection, reliability, timeliness, and use of data to measure processes of care and outcomes; maintain Patient Registry; and to support the ESRD Network Program.

    1. Facility Compliance [PDF, 125KB]
    2. System Description [PDF, 46KB]
    3. Compliance Reporting [PDF, 60KB]
    4. Patient Tracking System [PDF, 49KB]
    5. Community Outreach Through Data [PDF, 41KB]
  6. No sanction recommendations were made during 2007.

  8. Each year through the patient tracking system, The Renal Network conducts a review of facility operations. This information is made available to the provider community for many uses, including estimating need for additional services.

    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 2007.
    • Pediatric ESRD Facilities: shows the number of stations currently operating at each pediatric dialysis facility within the Network.

The following tables are presented in PDF format.

Network Utilization


Table 1: ESRD Incidence

Table 2: ESRD Prevalence

Table 3: Dialysis Modality, Home Care

Table 4: Dialysis Modality, In-Center

Table 5: Renal Transplant by Transplant Center

Table 6: Renal Transplant Recipients

Table 7: Dialysis Deaths

Table 8: Vocational Rehabilitation

The Renal Network, Inc.
911 E. 86th Street, Suite 202
Indianapolis, IN 46240
Phone: (317) 257-8265
Fax: (317) 257-8291
Patient Line:
1 (800) 456-6919
Email: [email protected]