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Clinical Management
As ESRD Networks adopt the DOQI guidelines to use as benchmarks to monitor the clinical outcomes of dialysis providers and assist dialysis providers in their CQI effort, it is imperative that dialysis facilities have processes in place that will:
- Assess patients risk status (low, moderate, and high) and define appropriate prevention intervention strategies
- Implement a multidisciplinary approach to the management of the individual patients needs
- Define staff utilization based on patient acuity
- Adequately define attainable clinical targets
- Record clinical outcomes
- Generate monthly, quarterly and annual clinical outcomes report
Risk Assessment Process
Risk Assessment is a process of identifying and intervening with individuals who are at risk for intensive service utilization. In order to implement a risk assessment program, HDS provides the dialysis facility the tools and resources to:
- Organize data across time and around patients, not around organizational departments, sites of care, or episodes of care.
- Gather data that includes key medical and non-medical risk factors.
- Identify high cost and high-risk patients in order that care can be customized to the needs and preferences of individual patients.
- Utilize its most knowledgeable and experienced staff to manage the highest cost and highest risk patients.
Care Planning Process
This is multidisciplinary approach to managing the holistic needs of the individual patient and provides an integrated approach to the coordination of care of all dialysis patients. It also empowers the members of the multidisciplinary team to coordinate the use of resources across care settings and throughout the disease continuum.
HDS provides a computerized program that incorporates the following tools to facilitate the care planning process:
- Patient Risk Assessment
- Monthly Progress Note where key outcomes data is reported on each patient from which a computerized monthly note is generated on each patient and a summary outcomes report is generated on the dialysis facility (i.e. adequacy of dialysis, nutrition, and anemia control).
- Long Term Care Plan
- Patient Care Plan
- Home Medication Record
- Physician Rounding Note
- Hemodialysis Daily Log Summary
- Monthly Kinetics Report
Continuous Quality Improvement Program
HDS provides a well-defined, organized Continuous Quality Improvement Program (CQI) designed not only to monitor but improve on standards of patient care as well as the overall operational efficiencies of a dialysis program. The process includes systematically examining patient care, identifying deficiencies, searching for a probable cause, generating and choosing a solution, implementing the solution and then re-examining the case.
The commitment of the facility leadership is essential to the success of a continuous quality improvement program. Therefore, HDS has developed a program that is comprehensive, yet flexible enough to permit innovation and variation in assessment approaches. It uses computerized tools to enhance the ease of applying the CQI process
Technical/Operational Management
Implementing policy, procedural and compliance processes and then monitoring the operational performance of a facility to insure the best patient outcomes can be challenging. HDS provides manuals, audit and implementation support to insure compliance to internal and external regulatory agencies. These areas include:
- Clinical practice
- Patient care policies
- Reprocessing
- Water treatment
- Equipment
- Personnel
- CQI
- Universal precautions/OSHA
- Billing/Finance
- Environment/Physical Surroundings
- Medical Records
- Inventory
Vascular Access Database
A CQI tool and data repository to help you conquer the final frontier of ESRD cost and quality management. Organizes the vascular access intervention data and reports are based on DOQI guidelines. For a FREE demonstration copy, log on to www.Inno-VAD.com.
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