Fistula First Initiative Update. Network of New England Combined MRB/BOD Meeting Sturbridge, MA November 18, 2008. Andrew Brem, MD Network Medical Review Board Chairman. A History of Long-term Vascular Access for Hemodialysis.
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Fistula First Initiative Update
Network of New England
Combined MRB/BOD Meeting
November 18, 2008
Andrew Brem, MD
Network Medical Review Board Chairman
AVF, AVG, Catheters
New England’s Vascular Access History 1997 to 2003
NW 1 AVF Rates: Where We Need to be Each Month to Hit 56.6% Goal
U.S. and Network’s Prevalent AVF Rates Pre and Post Fistula First Initiative
66% CMS 2009 Goal
Source: 2002 CPM Data & 9/12/08 Dashboard
One Clinic’s Action Plan
Everyone has a role in creating success …..it will take a team effort to reach the goal of 66% for Prevalent AV Fistulas set by CMS for 2009
Fistula FirstShowcase of Stars
The Network wants to commend clinics that have demonstrated Continuous Quality Improvement for Patient’s Vascular Access
Champion Facilities > 66% Consistent AVF Rate All Year
Exceptional Performers> 60% Consistent AVF Rate All Year
Outstanding Improvement>15% Increase in AVF Rate in 12 Months
to all the recipients.
Let’s make the
Fistula First Information and Tools