Description

Study of the information presented in this chapter will enable the learner to:

1. Relate background pertaining to the ESRD Networks' work with dialysis facilities in improvement processes.
2. Discuss continuous quality improvement concepts applied to the clinical setting.
3. Describe a proposed framework for the working relationship between the ESRD Networks and dialysis providers.
4. Discuss a patient-centered approach using an established model for improvement.

This chapter exhibits a brief background pertaining to the ESRD Networks' goals, objectives, attributes, and requirements relevant to the quality improvement process. Additionally, a review of the concepts of continuous quality improvement is provided and includes how to foster its application in a standardized way that is applicable to clinicians, providers, and stakeholders. A proposed framework is presented that highlights the relationship between ESRD Networks and providers using a patient-centered approach with the use of a model for improvement, the Plan-Do-Study-Act (PDSA) cycle. The reader is offered information on unifying the PDSA cycle in the work of determining the "how to" in delivering optimal quality care for patients with ESRD.

Speaker(s):

• Mary Fenderson, RN, CNN, MSHSA
• Deuzimar Kulawik, MSN, RN
• Angeline F. Wieler, MSN, RN, CNN