The Qsource ESRD Division, including ESRD Networks 10 and 12 worked throughout 2019 to ensure quality of care for over 44,000 ESRD patients in the states of Illinois (NW10), Kansas, Missouri, Iowa, and Nebraska (NW12). Our resolutions for 2020 include continued service to our stakeholders and beneficiaries to improve quality of life for dialysis patients and provide valuable resources for our dialysis providers and clinicians.

Resolution 1: We will work to improve patient and provider knowledge of the importance of modality choice for patients, including Home Dialysis and Transplant options. Supporting modality education and patient choice aligns with the Advancing American Kidney Health Initiative to improve access to person-centered treatment options and increase access to kidney transplants. This resolution also reinforces Shared Decision Making, allowing patients to be involved in decisions related to their care and providing them with the best modality option to suit each individual patient.

Resolution 2: We will partner with a diverse group of healthcare stakeholders in our States to enhance opportunities for sustainable change, spread promising practices, and increase outreach to the kidney community.

Resolution 3: We will assist dialysis providers with implementation of the Centers for Disease Control’s Core Interventions for Decreasing Bloodstream Infections in Dialysis Patients. Decreasing bloodstream infections in dialysis patients is not only a cost-savings, but also decreases mortality rates and increases quality of life. As part of this resolution, we will work to decrease the number of long-term catheters that are in use in our network service area. The United States Renal Data System (USRDS) states that the cost of dialysis per year for an LTC patient is about $90,000, while the cost of a patient using a permanent access is $72,000.* This is a potential savings of $18,000 per long-term catheter removal.

*U.S. Renal Data System, 2010 USRDS Annual Data Report: Atlas of Kidney Disease and End Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Heal, Nation Institutes of Diabetes and Digestive and Kidney Diseases; 2010.

Resolution 4: We will focus on patient and family engagement and will work to ensure that both patients and providers are educated on the benefits of Shared Decision Making and Relationship Centered Care and the importance of patients actively participating as members of their care team.

Resolution 5: We will work to support gainful employment for ESRD patients through collaboration with Employment Networks in our States, training to dialysis providers, and education to patients on options for returning to work through vocational rehabilitation programs.