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.
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
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?
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
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:
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.
Chronic kidney disease (CKD), a progressive disease that can lead to kidney failure and death, affects 26 million Americans. Early detection can help to prevent or delay progression of the illness. However, early detection can be problematic because the signs and symptoms of early kidney disease are often not obvious.
The Transonic team spoke with professor Ferruh Artunc on the abstract he presented at Kidney Week 2016. Artunc’s abstract is the first study to show a prognostic significance of measuring hemodynamic parameters in HD patients. See what he had to say about it as well as the high cardiovascular death rates among hemodialysis patients below.
Clinicians from the Hospital Infanta Sofía, Madrid, Spain, undertook a three-year follow-up multicenter, prospective, open-label, controlled RCT to determine the impact of access blood flow surveillance in AV fistulas.
The group acknowledged at the outset that surveillance remains controversial because randomized RCTs failed to consistently demonstrate the benefits of flow-based surveillance even though vascular access clinical guidelines recommend monitoring and surveillance protocols to prevent vascular access thrombosis.
Pediatric nephrologists at Boston's prestigious Children's Hospital recognized that an arteriovenous (AV) access is the preferred vascular access for dialysis delivery in children and adolescents requiring chronic hemodialysis (HD). They also understood that, because of the small size of the accesses, maintenance of an access after it is created becomes all the more important and difficult.
Ultrasound dilution (UD) monitoring of AV access flow is widely used in adult HD units for early stenosis detection, but its experience in pediatrics is limited. Therefore, the Boston group they undertook a study to examine its usefulness in children and adolescents.