1. Spotlight: The New ESRD Network Program 2013 and Beyond QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012

2. Objectives Share the new direction of the ESRD Program Present thumbnail of activities Highlight areas for collaboration Discuss opportunities in small groups that include ESRD Network, QIO and HEN team members 2

3. The ESRD Program

4. The Shaping of Our Program The National Priorities for Quality Partnership for Patients The Three Aims Value Based Purchasing Redesign Outreach 4

5. Moving Quality Forward Quality Improvement Conditions for Coverage Survey Program Payment & Coverage Policy and the Quality Incentive Program National Initiatives and Campaigns Quality Measurement and Public Reporting Grants Demonstrations 5

6. The Role of the ESRD Network Program Serve as a catalyst for quality improvement and beneficiary centered care Meet statutory directives –Sound medical practice –The right care, the right modality and setting –Grievance evaluation and resolution –Patient rehabilitation 6

7. The ESRD Population

8. Distribution of General (Fee-for-Service) Medicare Patients & Costs for CKD, CHF, Diabetes, & ESRD, 2000 & 2010 Figure p.1 continued (Volume 2)

9. All-cause Rehospitalization or Death within 30 Days after Live Hospital Discharge in Patients Age 66 & Older, by Population, 2010 Figure 3.10 (Volume 2)

10. The Aims

11. AIM 1 11

12. AIM 2 12

13. AIM 3 13 Reduce Costs of ESRD Care by Improving Care

14. Approaches New Innovative methods Rapid Cycle Quality Improvement Campaigns/marketing plan Quality Improvement Activities Learning and Action Networks –Two Tier Patient Engagement LAN –HAI LAN Partner Engagement Education Trending and analysis 14

15. Collaboration Multiple opportunities for synergy around common goals 15

16. Network Sharing 16

17. Network 8 QSource Transitions of Care Communities QSource and Network 8 have a long history of cooperative activities in Tennessee Dialysis facilities and Network included with other stakeholders in meetings in multiple communities Dialysis staff actively participated in the first community and others plan to participate in the next three regions 17

18. In the Beginning Participating in Healthcare Quality Strategies, Inc. Learning and Action Network 18 Network 3

19. HQSI’s HAI Advisory Committee Began in August 2011 Members included –NJDOH –APIC –NJ Hospitals –Pharmacists –NJHA Met approximately every 2 months In person or by conference call 19

20. Developed Subcommittees Added specialized sub-committees –CLABSI –CAUTI –SSI –MDRO/CDIFF The subcommittees met individually and then reported back to the Advisory Committee 20

21. HQSI LAN Benefits Opened the Silo Doors and Began the “All Teach - All Learn” 21

22. HQSI LAN Benefits Became the framework for QIRN3’s LAN in Puerto Rico September 13, 2012, Educational Program with the NJ North and South Chapters of APIC –Goal was to enhance communication between the dialysis community and the ICP to improve NHSN reporting –Approximately 150 attendees participated, all but one NJ county was represented by an APIC member 22

23. HQSI LAN Benefits September 20, 2012, CUSP training for NW staff and six dialysis units in Chicago sponsored by the NJHA and HRET –December 4, 2012, On the CUSP: Stop BSI- Sustainability for ESRD Patients. 1 st Cohort conference call to Roll Out CUSP Training for NJ dialysis units –January 15, 2013, 1 st Cohort’s CUSP training program –July 2013, 2 nd Cohort of dialysis facilities will be trained in CUSP methodology 23

24. Opportunities for Collaboration

25. ESRD Networks, HENs, & QIOs

26. Creating Abundance 1. What are the common goals of the Networks, QIOs and HENS? 2.Where are the opportunities to partner? Begin to make offers. 3. Identify 1-2 follow up actions to occur after the QualityNet meeting has ended. Write down your action items and set a target completion date. 26

27. Share with the Larger Group Common goals identified and actions planned for after the Conference. 27

28. Thank you for beginning and continuing your collaboration! 28

29. Contact Information Teresa Casey – mary.casey@cms.hhs.govmary.casey@cms.hhs.gov Kathleen Egan – kathleen.egan@cms.hhs.govkathleen.egan@cms.hhs.gov Jerry Fuller – jfuller@nw8.esrd.net Chris Brown – chrisbrown@nw3.esrd.nethrisbrown@nw3.esrd.net Elena Balovlenkov – elena.belovlenkov@cms.hhs.gov– elena.belovlenkov@cms.hhs.gov Crystal Russell- crystal.russell@cms.hhs.gov crystal.russell@cms.hhs.gov Renee Dupee – renee.dupee@cms.hhs.gov– renee.dupee@cms.hhs.gov Melissa Dorsey – melissa.dorsey@cms.hhs.gov– melissa.dorsey@cms.hhs.gov 29