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Deborah Brouwer-Maier RN, CNN

Deborah Brouwer-Maier is a nephrology nurse for more than 30 years. Her area of expertise is hemodialysis vascular access. She served on the KDOQI Vascular Access Work Groups in 1997, 2000 and 2006. She also served in various volunteer roles for the Fistula Frist Initiates since the formation of the initial Work Group. She is the support for the Hemodialysis Circle of Care Transonic products to support access creation, surveillance and preservation.

Recent Posts

Kidney Care News to Know from April

Posted by Deborah Brouwer-Maier RN, CNN on May 4, 2017 6:30:00 AM

Ashfaq Named Senior VP of OPKO Health Renal Division

Dr. Akhtar Ashfaq has been named senior vice president of clinical research and development of OPKO Health’s renal division. He will support the adoption of Rayaldee extended-release capsules by healthcare professionals caring for patients with stage 3 or 4 kidney disease.

He’ll also lead the development of the drug to treat secondary hyperparathyroidism (SHPT) in adults on hemodialysis with vitamin D insufficiency as well as the development of Alpharen for the treatment of hyperphosphatemia in adults with stage 5 kidney disease.

Source: Nephrology News & Issues

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Topics: kidney care

An Interview with Vascular Access Coordinator Joan Covert

Posted by Deborah Brouwer-Maier RN, CNN on Apr 17, 2017 7:00:00 AM

Joan Covert had been working as a dialysis technician when her friend told her she might be a good fit for a newly vacant vascular access coordinator position at their clinic. Since taking the position five years ago, she has seen it evolve as patient needs and technology change.

We sat down with Joan to learn why she loves being a vascular access coordinator and what you should consider if you want to be one.

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Topics: Hemodialysis

Vascular Access Coordinator Interview: Forest Rawls

Posted by Deborah Brouwer-Maier RN, CNN on Apr 10, 2017 7:00:00 AM

Forest Rawls had his first kidney care experience while serving in the U.S. Navy as a transplantation technician in 1974. He held the following positions, operating room technician, plasmapheresis technician, hemodialysis technician, tissue bank technician and as a tissue and organ harvest procurement team member — but it was kidney care that really stood out to him.

Now, he’s a vascular access coordinator with Emory Healthcare Dialysis Clinics, a position he intends to hold until he retires.

We sat down with Forest to learn why he loves being a vascular access coordinator and what you should consider if you want to be one.

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Topics: Hemodialysis

Kidney Care News to Know From March

Posted by Deborah Brouwer-Maier RN, CNN on Mar 29, 2017 6:30:00 AM

Fresenius, Cigna Partner for Collaborative Care

The national program aims to lower the cost of care for patients with end stage renal disease undergoing dialysis while also improving quality. The program will be part of Cigna’s Collaborative Care, a value-based model that uses incentives to engage healthcare providers.

Fresenius Medical Care North America will still be paid for the dialysis services it provides to Cigna patients and Fresenius Health Partners will assume separate responsibility to manage medical costs and improve patient outcomes.

Source: Nephrology News & Issues

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Topics: kidney care

What to Know About the Dialysis PATIENTS Act

Posted by Deborah Brouwer-Maier RN, CNN on Mar 6, 2017 6:30:00 AM

Patients with end-stage renal disease (ESRD) require costly and complex care. The Dialysis PATIENTS Act was introduced by Congress to give these patients an additional choice for receiving care. It also aims to address the integrated care limitations of programs like Medicare Advantage ESRD Chronic Special Needs Plans and ESRD Seamless Care Organizations.

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Topics: Hemodialysis, dialysis patients

Kidney Care News to Know from February

Posted by Deborah Brouwer-Maier RN, CNN on Feb 27, 2017 6:30:00 AM

New CEO Takes Reins at Fresenius Medical Care

William Valle has been appointed as the new CEO of Fresenius Medical Care after former CEO Ronald Kuerbitz left the company to head up healthcare technology company Algion Health. Before becoming Fresenius’ CEO, Valle served as executive vice president responsible for the Dialysis Service Business of Fresenius Medical Care North America. He has held executive positions at several dialysis companies and has over 22 years of experience in the industry.

Source: Nephrology News & Issues

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Topics: kidney care

Why Your Dialysis Clinic Needs a Vascular Access Coordinator

Posted by Deborah Brouwer-Maier RN, CNN on Feb 6, 2017 6:30:00 AM

Often referred to as the Achilles heel of hemodialysis, the vascular access is the lifeline of the patient — successful hemodialysis depends on it.

When an access fails, serious complications can occur. The patient is at risk for infection, sepsis — even death. For a dialysis clinic, these patient complications can result in missed appointments, delayed scheduling and surgery cancellations, which can hurt a clinic’s bottom line.

For many clinics, continuity of care is a major concern.

What if one new hire could help ensure continuity of care and address access issues before they occur?

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Topics: Hemodialysis

Kidney Care News to Know for January

Posted by Deborah Brouwer-Maier RN, CNN on Jan 30, 2017 6:30:00 AM

Nephrology Practices & Optimizing Performance

To help nephrologists determine whether compensation is the best it could have been this year, the Renal Physicians Association has published its biennial nephrology business survey results in an interactive tool. The tool “helps practices identify areas of excellence and those that can be improved upon in ways not previously available,” according to Nephrology News & Issues. The survey found many practices have seen an increase in patients and they rely more heavily on advanced practitioners to provide this care.

Source: Nephrology News & Issues

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Topics: Hemodialysis

Kidney Care News to Know for December

Posted by Deborah Brouwer-Maier RN, CNN on Dec 21, 2016 8:00:00 AM

ASN Kidney Health Workforce Analysis Shows Mixed Picture

A new report on the nephrology workforce from the American Society of Nephrology shows a decrease in new nephrologists this year, but a possible increase next year. Other notable findings include:

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Topics: Hemodialysis

What to Know about the CDC's Safer Dialysis Initiative

Posted by Deborah Brouwer-Maier RN, CNN on Dec 5, 2016 7:00:00 AM

Behind cardiovascular disease, bloodstream infections are the second highest killer of hemodialysis patients. The death rates from infection could be halved if dialysis facilities implemented the CDC’s Core Interventions for Dialysis Bloodstream Infection Prevention, the health agency notes.

To make dialysis professionals more aware of these interventions, the Centers for Disease Control and Prevention has launched a “Making Dialysis Safer for Patients” initiative.

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Topics: Clinical Trends, Hemodialysis

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