Hemodialysis Clinical Outcomes Improvement Initiative. Student Name Norma Garcia Date: April 29, 2022

Annotations:

• Draw samples in a timely manner following company regulations.

1. Anemia Management
   1. Decrease Missed Treatments
      1. Increase Compliance with Medications
         1. Patient Education
            1. Staff Education

               Annotations:

               • Staff requires to be educated to increase knowledge about dialysis and treatment options
               1. Fluid management

                  Annotations:

                  • Dietitian Counseling regarding fluid limit intake.
                  1. Decrease Hospital Admissions

                     Annotations:

                     • Patients who missed dialysis have have more frequent visits to the ER department.
                     1. Address Insurance Problems
                        1. Lack of Transportation

                           Annotations:

                           • An important barrier that prevents patients to attend dialysis
                           1. Lack of family support
                              1. Comorbidities
                              2. Depression
                        2. Financial Advisro and Social Workers
                  2. Lobby Education
               2. Staff Monthly Meetings or Lunch Sessions
            2. Evaluate Health Literacy
         2. Medication review
      2. Reschedule dialysis treatments
   2. Anemia Manger

      Annotations:

      • Must report alerts to nephrologist. Address results and protocols in a timely manner.
2. Laboratory Provider

   Annotations:

   • Always double check labs results or alerts with the lab provider