Fistula First
Fistula First Data
Vist the Fistula First Data page and view ESRD Network 9 and ESRD Network 10 - prevalence, incidence and catherter rates by network, state and Health Statistical Area (HSA).
K/DOQI established the basis for ESRD quality improvement to be to be defined in great measure by the use of the optimum forms of vascular access in particular the AV fistula. Collaboration between Networks, providers, physicians, vascular surgeons, and health professionals will be key to spread the change ideas for improving AV fistulas. For more information on the national initiative, view the Project Overview page.
New and Noteworthy
Featured Links
- FFBI-Change Concepts [Review new - Change Concept 12 [Hospitals and CKD/AVF]
- FFBI-Patient Education
- FFBI-Healthcare practicioner
- FFBI-Data
Other Links
American Nephrology Nurses Association (ANNA) "Save the Vein" Project
This program focuses on the importance of vein preservation in chronic kidney disease (CKD) patients. It features silicone wristbands that reads “SAVE VEINS – NO IV/LAB DRAWS” for patients to wear to minimize the vascular trauma prior to placement of a fistula. A patient education brochure is also available to help educate about the importance of vein preservation.
Change in Reimbursement: Level Payment Field for AVF & AVG
FFBI Hemodialysis Vascular Access Flyer
English version [PDF, 372KB]
Spanish version [PDF, 308KB]
2009 Vascular Access Goals
≥ 66% prevalent fistula use
≤ 10% catheter only in use for > 90 days
For more information on TRN Fistula First projects, view Quality Improvement Work Plan (QIWP).
TRN Educational Programs
- QAPI & Vascular Access Management II
Educational WebEx - January 12, 2010 or January 14, 2010 - Vascular Access Quality Improvement:The Medical Director as Leader
WebEx December 11, 2009 or December 17, 2009 [Link to slides] - Vascular Access: Networking for Solutions Series
Learning Sessions - October 20, 2009 or October 27, 2009
[For session handouts visit download page.] - QAPI & Vascular Access Management I
Educational WebEx - September 17, 2009 or September 22, 2009 - Fistula Coaching Program
QI & Patient Services WebEx Training - June 24, 2009 - Helping the Patient Make Healthy Fistula Choices
QI & Patient Services WebEx Training - June 23, 2009 - Putting the Pieces Together
Vascular Access Learning Session - June 2, 2009 or June 4, 2009 - Role of the Vascular Access Coordinator (VAC) & Team Development
Educational WebEx - February 24, 2009 or February 26, 2009 - Interdisciplinary Approach to Improving AVF Rates
Learning Session - February 5, 2009 or February 12, 2009 - Buttonhole Technique
Educational WebEx - January 15, 2009 or January 21, 2009
- Fistula First/Catheter Out
CQI WebEx - Septermber, 2007 to June, 2008 - Barriers to Fistula Collaborative
QI Collaborative Training Program - 2007 - Cannulation Workshop Training
QI Training Program - 2006 to 2007
[To order training materials download order form.]
TRN Educational Tools
QAPI TOOLS
- Measurements Assessment Tool (MAT) version 1.9 [PDF, 93.3]
- QAPI - Infection Control Tools
- Dialysis-Associated Infections
- QAPI - Vascular Access Tools
Patient Education
- Choosing Your Hemodialysis Vascular Access
- Conquering Your Fistula Fear
- Dialysis Needle Fear: Easing the Sting
- Don’t Be Clueless
- Doppler Studies & Vessel Mapping
- Ease the Ouch
- Frequently Asked Questions For Patients and Families
- How Do I Look?
- Introductory ArterioVenous Fistula
- Self-Cannulation of Vascular Access Procedure Example
- TLC Your Access
- Your Access Care Pocket Guide
Staff Education
- 90-day Count Down! Planning for Catheter Removal!
- AV Fistula Barriers Questionnaire
- AVF Patient Readiness and Goal-setting:
- AV Fistula - Placement Readiness (Sample Case Studies)
- AV Fistula – Placement Readiness Assessment Form
- AV Fistula – Placement Decision Worksheet
- CQI ACTION PLAN—Fistula Patient Coaching Program (Example)
- CQI ACTION PLAN—Fistula Patient Coaching Program (Blank Form)
- CQI ACTION PLAN—Helping Patients Make Healthy Fistula Choices (Example)
- CQI ACTION PLAN—Helping Patients Make Healthy Fistula Choices (Blank Form)
- AV Fistula Failure-to-Mature Scan
- AVF Quick Reference
- Buttonhole Cannulation Skills Checklist
- Catheter Assessment Tool/Algorithm
- Catheter Reduction Tool for Facilities
- Checklist of Indications for Hemodialysis Catheter Use
- Clamp Usage Policy and Procedure
- Dialysis Facility Action Steps
- Draft Letter to PCP From Nephrologist
- Evaluate Every AV Graft Patient for Possible Secondary AVF: Change Concept 6
- Fistula Maturation Protocol
- Quality Assessment and Performance Improvement (QAPI) (Minutes of the Meeting)
- Reducing Central Venous Catheter Infections
- Sample Referral Letter to a Surgeon
- Secondary AV Fistula in Patients with A-V Grafts
- Sleeves Up Checklist
- Vascular Access Root Cause Analysis Tool
- Vascular Access Type Utilization Collection Form
- What Professionals Can Do to Maximize AVF as Primary Access
Special Interest
Visit Oklahoma College of Medicine Web site to view program on vascular acccess. The purpose of this program is to educate any physician who provides or directs vascular access placement for hemodialysis patients. The program is divided into individual presentations and delivered in video clips. The estimated time for completion of this program is 10.5 hours. Miscellaneous training materials such as, PowerPoint slides and handouts are available for download.
- Video Training Program: Creating AV Fistulas in All Eligible Hemodialysis Patients