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Fistula First Breakthrough Initiative

Fistula First Breakthrough Initiative. CMS/Network Annual Meeting April 6, 2009 Baltimore, Maryland Nancy Armistead, Executive Director Mid-Atlantic Renal Coalition. CMS Support. Mary Teresa Casey Government Task Leader Jefferson Rowland Project Officer.

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Fistula First Breakthrough Initiative

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  1. Fistula First Breakthrough Initiative CMS/Network Annual Meeting April 6, 2009 Baltimore, Maryland Nancy Armistead, Executive Director Mid-Atlantic Renal Coalition

  2. CMS Support Mary Teresa Casey • Government Task Leader Jefferson Rowland • Project Officer Disclaimer: This presentation was prepared by the Mid-Atlantic Renal Coalition under contract with the Centers for Medicare & Medicaid Services (Contract Number: HHSM-500-2006-NW005C). The contents presented do not necessarily reflect CMS policy.

  3. Fistula First Staff Valerie Riley, RN, BS – Project Manager Brandy Vinson – Project Coordinator 1527 Huguenot Road Midlothian, VA 23113 804.794.5824 vriley@nw5.esrd.net bvinson@nw5.esrd.net

  4. Where We Started

  5. Where We Are

  6. Where We Need To Be

  7. Improvement by Network

  8. Improvement by Network

  9. Contract Requirements • Root Cause Analysis – April 2009 • Technical Expert Panel – June 2009 • Development of a Strategic Plan • Implement Plan with Networks and Renal Community Partners • Data Collection & Analysis • Dashboard • Identification of new data needs (i.e., surgeon data)

  10. Contract Requirements • Clearinghouse Requirements • Website • Monthly Calls • Distribution of CMS information (Crown Memos) • Revising Fistula First Coalition • National Meetings

  11. National AVF Rates

  12. Cost Per Patient by Access Type USRDS 2006 Annual Per Patient Per Year Expenditure Catheter $77,093 Graft $71,616 AVF $59,470 • The annual per patient cost savings of an AVF over a graft is $12,269 • The annual per patient cost savings of an AVF over a catheter is $17,746

  13. National AVF Rates

  14. FFBI Cost Savings For every $1 spent on Networks at least $6.15 was saved Network Costs 2003 – 2008 (50 cents/treatment) $134,784,292 Medicare Cost Savings 2003 – 2008 $828,685,142

  15. NEXT STEPS • Root Cause Analysis – using information from today • Technical Expert Panel meeting – June 4 & 5 • Development of Strategic Plan Share your thoughts with us!!!

  16. Every morning in Africa, a gazelle wakes up. It knows it must run faster than the fastest lion or it will be killed. Every morning a lion wakes up. It knows it must outrun the slowest gazelle or it will starve to death. It doesn’t matter whether you are a lion or a gazelle. When the sun comes up, you’d better start running. —African proverb Quoted by Thomas L. Friedman The World Is Flat: A Brief History of the Twenty-First Century

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