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About the Networks

ESRD NCC Directory

This directory provides contact information for all 18 ESRD Networks.

About the ESRD Network Program

Under the direction of CMS, the ESRD Network Program consists of a national network of 18 ESRD Networks, responsible for each U.S. state, territory, and the District of Columbia. ESRD Networks service geographic areas based on the number and concentration of ESRD beneficiaries.

Patient Engagement

Mental Health Toolkit

This toolkit can be used by any renal professional including the ESRD Networks, dialysis providers, and transplant programs. It was developed in conjunction with input and feedback from ESRD Network professionals and patient subject matter experts. The hope is that by informing themselves, sharing the resources, and managing their own well-being they can make a difference in the lives of the ESRD patients and families they serve. It is not intended to be given directly to patients, but instead by professionals to use in their work. 

Dialysis Staff - Managing Retaliation

This document provides tips for dialysis staff members to lessen patient fears of retaliation.

Vascular Access Management

Ready, Set, Go! Fistula Maturity - Weeks 1-2

This document outlines steps dialysis professionals should follow to assess fistula maturity and health during weeks 1–2.

Ready, Set, Go! Fistula Maturity - Week 3

This document outlines steps dialysis professionals should follow to assess fistula maturity and health during week 3.

Healthcare-Associated Infections

Sample Infection Prevention and Control Quality Improvement Plan

This Sample Infection Prevention and Control Quality Improvement Plan tool can be used by facilities that need to develop an improvement plan due to high infection rates or infection control deficiencies identified in an internal or external audit. Download the Sample Infection Prevention and...

Hand Sanitizer Audit Tool

This Hand Sanitizer Audit Tool is designed to give dialysis providers a way to review and validate the proper usage of hand hygiene and sanitizer in the dialysis facility. It includes an eight-step guide to the proper usage of hand sanitizer, as well as a matrix of hand hygiene opportunities and...

Emergency Preparedness

KCER Coalition

Emergency preparedness is key for hemodialysis facilities. From winter storms to hurricanes, hazards of all types can jeopardize the health and safety of dialysis patients and the ability of dialysis facilities to operate. The KCER website offers many tools and resources for providers.

Alerts and Recalls

Alerts and recalls related to the kidney community.

Patient Education

Patient Resources and Tools

The ESRD NCC Patient Resources section houses resources and tools on a variety of topics for dialysis and transplant patients.

Quality Incentive Program

CMS: ESRD Quality Incentive Program

The Centers for Medicare & Medicaid Services (CMS) administers the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) to promote high-quality services in outpatient dialysis facilities treating patients with ESRD.  The first of its kind in Medicare, this program changes the way CMS pays for the treatment of  patients with ESRD by linking a portion of payment directly to facilities’ performance on quality of care measures. These types of programs are known as “pay-for-performance” or “value-based purchasing” (VBP) programs.

CROWNWeb: ESRD Quality Incentive Program

The ESRD QIP relies upon facility-provided data in CROWNWeb for a number of its measures. CROWNWeb is the primary data source for some ESRD QIP measures, and is a supporting source of data for many others.

Care Transitions

National Care Transitions Awareness Day

The NCC was pleased to support CMS’ first annual National Care Transitions Awareness Day on April 16, 2019. The NCC designed the attached materials with the Networks, dialysis facilities, transplant centers, and patient audiences in mind to promote this important initiative. They include: The...

Care Transitions 201: CMS Webinar

The Centers for Medicare & Medicaid Services (CMS) held a webinar, “Care Transitions 201,” featuring a presentation from Dr. Jamie Dwyer of Premier, Inc., the Medical Director of both inpatient and outpatient dialysis services at Vanderbilt Medical Center in Nashville, TN. Dr. Dwyer presented...

Quality Improvement

Sit Down—Don't Stand - Reducing Hospitalization

This tool outlines an "interview" facilities can conduct with patients who have recently been hospitalized.

We're Not Being Nosy—We Care!

This handout helps patients understand why it is important to share details of their non-dialysis medical care with their dialysis team. 

Fistula First

Fistula First Catheter Last

The Fistula First Catheter Last Workgroup Coalition focuses on increasing the use of AV fistulas and decreasing the use of tunneled dialysis catheters.