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The Mini-Collaborative Project enlisted the participation of 16 facilities, all members of one (1) large dialysis organization, in improving their arteriovenous fistula (AVF) use rate among prevalent hemodialysis patients. These facilities serve approximately 1,000 patients in Network 5 and are all located in one (1) state which, at baseline, had one of the lowest AVF use rates in the nation.
To affect change, the Network employed a mini-collaborative approach using the Model for Change described in The Process Improvement Guide.* Project participants improved their Percent of Prevalent Hemodialysis Patients Dialyzing with an AVF rate from an average of 41.0% in January 2008, to an average of 44.8% in August 2008.
About 86% of participants met or exceeded their Network-assigned goal, thereby exceeding the project goal for 80.0% or greater goal achievement.
*Langley, GJ, Nolan, KM, Nolan, TW, Norman, CL and Provost, LP. The Improvement Guide, San Franciso: Jossey-Bass, 1996.
