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A vascular access surveillance/monitoring program that can be instituted immediately.

Publication: Nephrology Nursing Journal
Publication Date: 01-AUG-03
Format: Online - approximately 1005 words
Delivery: Immediate Online Access
Full Article Title: A vascular access surveillance/monitoring program that can be instituted immediately.(Clinical Consult)

Article Excerpt
Q: Our Network is urging us to begin a formal vascular access monitoring program so that we will be compliant with the Clinical Performance Measures this next year. We don't know where to start. Can you help?

A: The Networks have been mandated by Centers for Medicare and Medicaid Services (CMS) to make improved vascular access outcomes their clinical priority. The Clinical Performance Measures (CPMs), instituted in 1998, have three measures for vascular access. CPM III is taken from K/DOQI guideline 10, which states "Dialysis AV graft (AVG) accesses should be monitored for hemodynamically significant stenosis" because "intervention ... to correct stenoses dramatically reduces the rate of AV graft thrombosis and loss" (National Kidney Foundation [NKF] K/DOQI, 2001). Therefore, it is very important for you to have a monitoring program in place to better care for your patients as well as be compliant with your Network.

The CPM III...

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