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MONTHLY TELECONFERENCE
Next Teleconference
May 20, 2009 9:00 a.m. |
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RESOURCES
Read about a simple strategy to screen for kidney disease at Renal Business.com
Check out the eGFR Trending Tool on FMQAI's website. Click here. | |
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Medical Alert Bracelet A Unique System-Level Change
 A recent article in the Medscape Journal of Medicine identified the Medical Alert Bracelet as an effective way to preserve veins for future dialysis vascular access in patients with Chronic Kidney Disease. According to Dr. Tushar Vachharajani, Director of Dialysis Access Group of WFU and Associate Professor of Internal Medicine and author of the article, "As part of the education, a simple intervention that the primary care physicians can implement while seeing patients with CKD stage 3 or higher is providing a "Medic Alert" bracelet." Medical Alert bracelets usually have a diagnosis and instructions engraved on it. To read the complete article, Click here.
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Now Available Through FMQAI
 We have approximately 75 copies of Cannulation of the Arteriovenous Fistula (AVF) provided by the Fistula First Breakthrough Initiative and developed by the Medical Education Collaborative and SCIOS-CE.
Please email Vetacumbaa@vcumbaa025@gmail.com for a copy.
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Road Map for Vascular Access
The American Society of Diagnostic and Interventional Nephrology developed the following road map for preparation for vascular access. It is a great guide to share with the surgeons in your hospital:
Guidelines for Venous Access in Patients with Chronic Kidney Disease
A. Identify CKD patients who may need hemodialysis treatment in the future.
1. Patients with CKD Stages-3, 4 or 5. This includes stage 5 CKD patients’ currently receiving hemodialysis or peritoneal dialysis.
2. Patients with a functional kidney transplant.
B. Venous Access for stage 3–5 CKD patients.
1. The dorsal veins of the hand are the preferred location for phlebotomy and peripheral venous access.
2. The internal jugular veins are the preferred location for central venous access.
3. The external jugular veins are an acceptable alternative for venous access.
4. The subclavian veins should not be used for central venous access.
5. Placement of a PICC should be avoided.
C. Implementation of Policy and Procedure for Venous Access in CKD patients
For more information, visit www.asdin.org |
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Nephrology Care prior to ESRD to Improving AVF Use for Dialysis
A new report and analysis of data by FMQAI reveals information on 24,021 patients with valid form 2728 data from May 1, 2005 (Quarter 2) to Quarter 1in 2009. The report indicates that nephrology care prior to ESRD is identified as a significant factor for improving AVF use. In addition, the length or duration of nephrology care for patients with prior nephrology care is strongly significant to the AVF use outcome.
As the data reveals, primary care physicians should refer CKD Stages 3 and 4 patients to nephrologists for further care for better outcomes. To see the data, click on the image above. |
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The Medicare Quality Improvement Organization for Florida
 FMQAI serves as the Medicare Quality Improvement Organization and End Stage Renal Disease Network (ESRD Network 7) for Florida. With a strong reputation as a leader in facilitating change and collaboration, FMQAI implements projects and conducts case review activities to improve care across all settings, including dialysis and transplant facilities.
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