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FORUM MEMBERSHIP MEETING JUNE 2008

FORUM MEMBERSHIP MEETING JUNE 2008. THIRTY THOUSAND FOOT VIEW. ESRD NETWORKS HISTORY. 1972 Section 2991 PL 92-603 1978 U.S. Congress authorized ESRD Networks PL 95-292 1986 PL 99-509 17 Networks. FORUM TRANSITION. Focused strategic goals directed at meeting Network member needs.

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FORUM MEMBERSHIP MEETING JUNE 2008

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  1. FORUM MEMBERSHIP MEETINGJUNE 2008 THIRTY THOUSAND FOOT VIEW

  2. ESRD NETWORKS HISTORY • 1972 Section 2991 PL 92-603 • 1978 U.S. Congress authorized ESRD Networks PL 95-292 • 1986 PL 99-509 17 Networks

  3. FORUM TRANSITION • Focused strategic goals directed at meeting Network member needs. • Network Coordinating Center subcontractor  CMS-independent membership organization. • Reorganization • New working committees with new deliverables COMPLETED

  4. EXTERNAL ISSUES QUALITY OVERSIGHT • Clinical Performance Measures (CPMs) • National Quality Forum (NQF) process • CMS process (OMB Circular A-119) • CMS Phase III ESRD CPMs • Data • Collection of requisite data • Validation of data • Timely and useful reporting of analyzed data • New, timely and effective technical assistance to facilities to assist quality improvement.

  5. EXTERNAL ISSUES ATTRIBUTION • Attributing outcomes among various components of a complex system of care. • Any meaningful input • Time achieving outcome • Payment for outcome • Composite scores • Process scores sum to an outcome score (NQF) • Linear, hierarchical model

  6. EXTERNAL ISSUES CMS • CMS ability to respond to IOM and Congressional criticism, while maintaining ESRD Program effectiveness and timeliness. • Retirements, resignations  short staffed • Limited ESRD “institutional” memory • Centralized, delayed decision making. • Need to recognize differences between Networks and QIO’s, including ‘hybrid’ Networks.

  7. Pediatric CPM Data Analysis Fistula First Data Reconciliation CKD Sub-national Projects Anemia Management Goals CPM & Lab Data Projects Resource Sharing CROWN Web FOCAL POINT ISSUES

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