Vascular Access for HD: Aligning Payment with Quality
- 1 January 2011
- journal article
- Published by Wiley in Seminars in Dialysis
- Vol. 24 (1), 37-40
- https://doi.org/10.1111/j.1525-139x.2010.00816.x
Abstract
The Fistula First Breakthrough Initiative (FFBI) has improved the awareness of the value of fistula creation in patients with end-stage renal disease (ESRD). The FFBI Health Policy Workgroup has been charged with reviewing the relationship of policy and economic issues to this project. This article reviews the efforts and successes of renal community clinical activities and reemphasizes the economic impact of fistula creation and catheter reduction on the health care system. Major obstacles are discussed, and existing tools and efforts designed to address them are outlined. The FFBI Health Policy Workgroup then identifies less frequently recognized barriers to the achievement of the FFBI goals and suggests solutions to them. It concludes that nephrologists need to assume the leadership role and drive fistula creation and central venous catheter reduction to achieve programmatic success.This publication has 3 references indexed in Scilit:
- Arteriovenous Fistulas among Incident Hemodialysis Patients in Department of Defense and Veterans Affairs FacilitiesJournal of the American Society of Nephrology, 2010
- The State of Chronic Kidney Disease, ESRD, and Morbidity and Mortality in the First Year of DialysisClinical Journal of the American Society of Nephrology, 2009
- Hemodialysis access failure: a call to action—revisitedKidney International, 2009