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Alyssa Chase, MHA Core Prevention Manager Q-Source, TN s QIO May 6, 2010

TN Diabetes Facts 2007. Prevalence2008 - Statewide rate 10.9% /higher than national rate of 8 07 - 517,000 adults diagnosed w/Type 22006 - 480,000 adults diagnosed w/Type 2Mortality1,827 deaths related to DM between 2002 ? 2004, a 92% increase over 1990- 1992Hospitalizations8,995 inpatients on average per year w/principal diagnosis of DMDiabetic End Stage Renal Disease Incidence1990 ? 349 new cases of DM-related ESRD2003 ? 928 new cases of DM-related ESRD.

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Alyssa Chase, MHA Core Prevention Manager Q-Source, TN s QIO May 6, 2010

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    1. Alyssa Chase, MHA Core Prevention Manager Q-Source, TN’s QIO May 6, 2010

    5. Estimated Costs for CKD in the Medicare/Medicaid population, by State, 2005

    6. 2007 USRDS ADR

    16. 16 Interventions Systems Changes: Save Your Veins Exercise Your Fistula Toolkits Dialysis CKD Educators Opt-out Referrals “Accessories”: Nephrology/Vascular Surgeon Focus Groups Fistula First Coalitions Referrals from Nephrologists RPA Vascular Passports

    17. 17 Save Your Veins

    18. SYV Pilot Testing Posters Patient Comments: "I wont take it off“ "It's a good thing“ "I want diamonds in it, but I guess I will wear it“ "Great Idea" (wife of patient) ED Staff EMT/Firemen Nephrology vs. Vascular Surgery (FFBI)

    19. Exercise Your Fistula

    20. 20 Interventions Systems Changes: Save Your Veins Exercise Your Fistula Toolkits Dialysis CKD Educators Opt-out Referrals

    23. 23 Interventions “Accessories”: Nephrology/Vascular Surgeon Focus Groups Fistula First Coalitions RPA Vascular Passports Cannulation Camps AAKP “Kidney Beginnings Live!”

    24. 24 How Are We Doing?

    25. 25 Memphis Fistula Data Data Courteousy of Network 8

    26. Effectiveness & Sustainability Data Patient-level Outcomes Literature/evidence based Spread within QIO community and national Awareness plus tangible interventions

    27. 27 Where Do We Go From Here Fistulas placed 6 to 12 months prior to requiring hemodialysis Identify other best practices for upcoming 10SoW

    28. Questions and Comments? 2007 USRDS ADR – United States Renal Data System (USRDS) Annual Data Report (ADR)

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