Which specific AV fistula-related outcomes are important to track and report for the facility, nephrologists, surgeons, and interventionalists?
In addition to the facility performance measures listed above, the following performance outcomes for specialists (surgeons, nephrologists, and interventionalists) should be tracked and reported to everyone on the team on a regular basis: • For surgeons, track the AV fistula placement rate (compared to K/DOQI standards) as well as success and patency rates. For nephrologists, track the distribution of access types their patients receive, with a focus on the AV fistula rate and the percentage of new patients starting dialysis with only a catheter. For interventionalists, measure the success rate of interventions and track patency rates for their procedures. Q: Over time we have had an increase of our older fistulas being revised and resulting in a graft segment insertion, which makes the access a combination of the two. I would then change their access to a graft instead of a fistula. I was told that if any part of the fistula had a graft, then it should be counted as a graft. I am find
In addition to the facility performance measures listed above, the following performance outcomes for specialists (surgeons, nephrologists, and interventionalists) should be tracked and reported to everyone on the team on a regular basis: For surgeons, track the AV fistula placement rate (compared to K/DOQI standards) as well as success and patency rates. For nephrologists, track the distribution of access types their patients receive, with a focus on the AV fistula rate and the percentage of new patients starting dialysis with only a catheter. For interventionalists, measure the success rate of interventions and track patency rates for their procedures.
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