Alyssa Chase, MHA Core Prevention Manager Q-Source, TN’s QIO May 6, 2010 “Fistula Interventions: An Awareness-driven Approach”
May 24, 2015
2. TN Diabetes Facts 2007
Sources:Tennessee Behavioral Risk Factor Surveillance Survey (BRFSS), 2007, TN Dept. of Health,Tennessee Hospital Discharge Data System (HDDS), and U.S. End Stage Renal Data System (USRDS) 3. In Tennessee July 2008 - June 2009
4. Cost of CKD to the Medicare Fund 2006 CKD costs comprised22.1%of general Medicare costs --(CMS data) 5. Estimated Costs for CKD in the Medicare/Medicaid population, by State, 2005 TN 2007 USRDS 6. 2007 USRDS ADR Costs of the ESRD & Medicare Programs 7. Goalsof the CKD initiative
8. CKD ProjectMeasures
9. Benefits to Patients Early detection and treatment means delayed disease progression AV fistula as first choice for hemodialysis means fewer access complications 10. Providers Involved 11. Providers Involved 12. Focus counties in Tennessee, selected based on Medicare claims data, 2007 Shelby 14,313 diabetic beneficiaries Davidson 8,144 diabetic beneficiaries Hamilton 6,936 diabetic beneficiaries Knox 6,847 diabetic beneficiaries (auxiliary areas also if resources allow) 13. 14. Medicare Beneficiaries with CKD in Tennessee, by Stage July 2008 - June 2009 15. CKD Medicare Benes per County Top 10 Counties:July 2008 - June 2009 # CKD Any Stage/# Medicare Benes in County 16. Interventions
17. Save Your Veins 18. SYV Pilot Testing
19. Exercise Your Fistula 20. Interventions
21. 22. 23. Interventions
24. How Are We Doing? 25. Memphis Fistula Data Data Courteousy ofNetwork 8 26. Effectiveness & Sustainability
27. Where Do We Go From Here
28. Questions and Comments? This material was prepared by QSource, The Medicare Quality Improvement Organization (QIO) for Tennessee, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (CHHS).This content presented does not necessarily reflect (CMS) policy.QSOURCE- TN-CKD-2008-00009 2007 USRDS ADR United States Renal Data System (USRDS)Annual Data Report (ADR) 29. Alyssa Chase, MHA Core Prevention Manager Q-Source, TNs QIOStacy Jowers Dorris, MBA, RHIA, CPHQ CKD Program Manager, QSource [email_address]