Change Concept #4
Surgeon Selection Based on Best Outcomes, Willingness, and Ability to Provide Access Services
Collect data on the surgeons in your community to find out who has the skills and interest in placing fistulae. Choose surgeons who are willing and able to do AV fistula construction.
Changes for Improvement
Frequently Asked Questions
Related Literature
Related Tools
Related Resources
Changes for Improvement:
Communicate AVF Expectations to Surgeons
Nephrologists should communicate expectations to surgeons regarding AV fistula placement and their ability to use current AV fistula surgical techniques, based on K/DOQI Guidelines and best practices.
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Changes for
Improvement:
Refer to Surgeons Willing and Able to Meet AVF Expectations
Nephrologists should refer to surgeons who are willing and able to meet AVF expectations based on K/DOQI Guidelines and best practices.
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Changes for
Improvement:
Evaluate Surgeons on the Frequency, Quality, and Patency of Access Placements
Data collection and outcomes tracking can be initiated and reported at the dialysis center as part of ongoing CQI processes, and may be aggregated at the ESRD Network level. Nephrologists can also potentially track the data for their patients themselves.
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