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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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1. Alyssa Chase, MHACore Prevention ManagerQ-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 DataData 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)