{"id":417,"date":"2016-09-01T11:57:39","date_gmt":"2016-09-01T09:57:39","guid":{"rendered":"https:\/\/m-nc.de\/en\/qs-dialyse"},"modified":"2019-02-04T15:05:20","modified_gmt":"2019-02-04T13:05:20","slug":"qa-dialysis","status":"publish","type":"page","link":"https:\/\/m-nc.de\/en\/qa-dialysis","title":{"rendered":"QA-Dialysis"},"content":{"rendered":"<h1><b><font color=\"white\">Quality Assurance (QA) in dialysis treatment<\/font><\/b><\/h1>\n<h2><b><font color=\"white\">A German QA program<\/font><\/b><\/h2>\n<h3><font color=\"white\">The Federal Joint Comitee (G-BA) entrusted Medical Netcare, the central data analyst, with creating quarterly reports for all dialysis facilities in Germany (about 720) and for the 17 Associations of Statutory Health Insurance Physicians (Kassen\u00e4rztliche Vereinigungen). Furthermore, we write a summarising report for the Federal Joint Comitee (G-BA) once a year.<\/font><\/h3>\n<p><a  class=\"button scroll has-icon button_right button_size_2\"  href=\"#qsdinfo1\" style=\"background-color:#2991D6!important;color:white;\"    ><span class=\"button_icon\"><i class=\"icon-info\"  style=\"color:white!important;\" aria-hidden=\"true\"><\/i><\/span><span class=\"button_label\">more information<\/span><\/a>\n<br \/>\n<a  class=\"button scroll has-icon button_right button_size_2\"  href=\"http:\/\/..\/dialyse-tour-dia-vst-mnc\" style=\"background-color:#2991D6!important;color:white;\"    ><span class=\"button_icon\"><i class=\"icon-play\"  style=\"color:white!important;\" aria-hidden=\"true\"><\/i><\/span><span class=\"button_label\">data flow tour<\/span><\/a>\n<br \/>\n<a  class=\"button scroll has-icon button_right button_size_2\"  href=\"#qsddownload\" style=\"background-color:#2991D6!important;color:white;\"    ><span class=\"button_icon\"><i class=\"icon-download\"  style=\"color:white!important;\" aria-hidden=\"true\"><\/i><\/span><span class=\"button_label\">downloads<\/span><\/a>\n<\/p>\n<p>center<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p>fadeIn<\/p>\n<p>Quality Assurance in dialysis care in Germany<\/p>\n<p>Medical Netcare &#8211; Management in health care<\/p>\n<p><font color=\"#666666\">key data<\/font><\/p>\n<p>line<\/p>\n<p>fancyheader_kleiner<\/p>\n<p>QA dialysis in Germany<\/p>\n<h4>evaluated by MNC<\/h4>\n<p>more than 70,000 of them in permanent need of dialysis<\/p>\n<p>90000<\/p>\n<p>patients<\/p>\n<p>mncfakt<\/p>\n<p>More than<\/p>\n<h4>for dialysis in Germany<\/h4>\n<p>on average, every facility attends to more than 110 patients in permanent treatment<\/p>\n<p>700<\/p>\n<p>facilities<\/p>\n<p>mncfakt<\/p>\n<p>MNC creates more than<\/p>\n<h4>for QA dialysis every year<\/h4>\n<p>each facility gets their reports through the 17 Associations of SHI Physicians<\/p>\n<p>2800<\/p>\n<p>reports<\/p>\n<p>mncfakt<\/p>\n<p>40<\/p>\n<p>default<\/p>\n<p>default<\/p>\n<p>More than<\/p>\n<h4>dialysis processes in data stock<\/h4>\n<p>one dialysis patient passes about 160 dialysis procedures per year<\/p>\n<p>90<\/p>\n<p>million<\/p>\n<p>mncfakt<\/p>\n<p>Currently<\/p>\n<h4>for all dialysis facilities in Germany<\/h4>\n<p>weekly duration and frequency of dialysis, type of vascular access, weekly Kt\/V<\/p>\n<p>4<\/p>\n<p>quality testings<\/p>\n<p>mncfakt<\/p>\n<p>Conspicuities<\/p>\n<h4> reduced<\/h4>\n<p>the QA program has enhanced the dialysis treament significantly<\/p>\n<p>50<\/p>\n<p>by more then<\/p>\n<p>%<\/p>\n<p>mncfakt<\/p>\n<p>50<\/p>\n<p>default<\/p>\n<p>default<\/p>\n<a  class=\"button scroll has-icon button_right button_size_2\"  href=\"#qsdinfo2\" style=\"background-color:#2991D6!important;color:white;\"    ><span class=\"button_icon\"><i class=\"icon-info\"  style=\"color:white!important;\" aria-hidden=\"true\"><\/i><\/span><span class=\"button_label\">read more<\/span><\/a>\n\n<p>center<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p><b><\/b><\/p>\n<p><b><\/b><\/p>\n<p><b><\/b><\/p>\n<p><b><\/p>\n<h4>Quality Assurance in dialysis treatment<\/h4>\n<p><\/b><b><\/b><b><\/b><b><\/b><\/p>\n<p>Since the mandatory Quality Assurance in dialysis was introduced in 2007, Medical Netcare evaluates the QA data for dialysis treatment. For all facilities in Germany, MNC creates quarterly reports which give an overview of the quality of their treatment.<br \/>\nAdditionally, we create summarising reports for the 17 Associations of SHI Physicians (Kassen\u00e4rztlichen Vereinigungen) in Germany. Each Association gets the results of each facility in their region as they act as a supervisory body. The Associations can take a closer look at facilities in case the common quality goals were missed three times in a row.<\/p>\n<p>justify<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p><img src=\"https:\/\/m-nc.de\/wp-content\/uploads\/2016\/09\/dialysesaal_rund_transparent_kl.png\" alt=\"dialysesaal_rund_transparent_kl\"><\/p>\n<p>center<\/p>\n<p>Quality results in hemodialysis<\/p>\n<p>Medical Netcare &#8211; Management in health care<\/p>\n<p><font color=\"#666666\">the most successful therapy in Germany, from a QA point of view<\/font><\/p>\n<p>line<\/p>\n<p>fancyheader_kleiner<\/p>\n<p>weekly duration of dialysis treatments:<br \/>\nconspicuous patients<\/p>\n<p><li><h6>percentage in 2008<span class=\"label\">19<em>%<\/em><\/span><\/h6><div class=\"bar\" style=\"height:20px\"><span class=\"progress\" style=\"width:19%;\"><\/span><\/div><\/li>\n<br \/>\n<li><h6>percentage in 2015<span class=\"label\">12<em>%<\/em><\/span><\/h6><div class=\"bar\" style=\"height:20px\"><span class=\"progress\" style=\"width:12%;\"><\/span><\/div><\/li>\n<\/p>\n<p>weekly frequency of dialysis treatment:<br \/>\nconspicuous patients<\/p>\n<p><li><h6>percentage in 2008<span class=\"label\">17<em>%<\/em><\/span><\/h6><div class=\"bar\" style=\"height:20px\"><span class=\"progress\" style=\"width:17%;\"><\/span><\/div><\/li>\n<br \/>\n<li><h6>percentage in 2015<span class=\"label\">7<em>%<\/em><\/span><\/h6><div class=\"bar\" style=\"height:20px\"><span class=\"progress\" style=\"width:7%;\"><\/span><\/div><\/li>\n<\/p>\n<p><font color=\"#444444\">of all dialysis patients were dialysed via catheter<\/font><\/p>\n<p>18<\/p>\n<p>18%<\/p>\n<p>50<\/p>\n<p>default<\/p>\n<p>default<\/p>\n<a  class=\"button scroll has-icon button_right button_size_2\"  href=\"#qsdinfo3\" style=\"background-color:#2991D6!important;color:white;\"    ><span class=\"button_icon\"><i class=\"icon-info\"  style=\"color:white!important;\" aria-hidden=\"true\"><\/i><\/span><span class=\"button_label\">read more<\/span><\/a>\n\n<p>center<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p><b><\/b><\/p>\n<p><b><\/b><\/p>\n<p><b><\/b><\/p>\n<p><b><\/p>\n<h4>The Quality Assurance (QA) guideline<\/h4>\n<p><\/b><b><\/b><b><\/b><b><\/b><\/p>\n<p>The QA reports created by Medical Netcare are conceptualised following the guideline for QA in dialysis treatment (&#8220;Richtlinie zur Sicherung der Qualit\u00e4t von Dialyse-Behandlungen nach den \u00a7\u00a7 136 und 136a SGB V&#8221;). The guideline was enacted on April 18th, 2006 by the G-BA and enured on June 24th, 2006. It aims at the implementation of constant progress in enhancing quality.<\/p>\n<p>Reasons for creating a special guideline for QA in dialysis were<\/p>\n<ul>\n<li>the disease burden accompanying terminal renal failure, which can be reduced with an adequate therapy,<\/li>\n<li>the transition to a flatrate payment,<\/li>\n<li>the existence of suiting quality indicators for covering process and result quality, and<\/li>\n<li>the availability of valid international guidelines.<\/li>\n<\/ul>\n<p>The content of the QA guideline dialysis can be roughly subdivided into:<\/p>\n<ul>\n<li>Benchmark and sample tests relating to data of appendixes 1 to 3 in QA guideline dialysis<\/li>\n<li>Benchmark referring to data of appendix 4 in QA guideline dialysis<\/li>\n<\/ul>\n<p>justify<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p><img src=\"https:\/\/m-nc.de\/wp-content\/uploads\/2016\/09\/ausw_rund_transparent_kl.png\" alt=\"ausw_rund_transparent_kl\"><\/p>\n<p>center<\/p>\n<h4>Tasks adopted by MNC<\/h4>\n<p>MNC is exclusively in charge of benchmarking and sample testing relating to data of appendixes 1 to 3 in the QA guideline dialysis. The QA guideline dialysis has to be taken into consideration with each treatment given within the framework of a statutory health insurance physician&#8217;s care by professional health care providers, i.e. dialysis institutions.<\/p>\n<p>MNC analyses the data provided by dialysis institutions and composes quaterly reports concerning trans-institutional benchmarking for each dialysis institute and quaterly reports for each health insurance company regarding sample testing, as well as a yearly report for the Federal Joint Comitee (G-BA), each in accordance with the requirements of appendix 5 in the QA guideline dialysis. Each report can have differentiating content depending on the receiver.<\/p>\n<a  class=\"button scroll has-icon button_right button_size_2\"  href=\"#qsddownload\" style=\"background-color:#2991D6!important;color:white;\"    ><span class=\"button_icon\"><i class=\"icon-download\"  style=\"color:white!important;\" aria-hidden=\"true\"><\/i><\/span><span class=\"button_label\">downloads<\/span><\/a>\n\n<p>justify<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<h4>Yearly reports on Quality Assurance (QA)<\/h4>\n<p>You can get our yearly report of the QA results here (source: website of the Federal Joint Committee (G-BA)). Furthermore, you can download our last powerpoint presentation charts from some of the latest QA meetings of the Federal Joint Committee and two information documents by the Federal Joint Committee.<\/p>\n<p>justify<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p>qsd-berichte<\/p>\n<p>left<\/p>\n<p>40<\/p>\n<p>default<\/p>\n<p>default<\/p>\n<h4>Other downloads<\/h4>\n<h6>QA conference presentation<\/h6>\n<p>We were invited to give a short presentation about the QA dialysis program in QA conferences by the Federal Joint Committee (G-BA). You can download some of the charts here.<\/p>\n<h6>Documents of the Federal Joint Committee (G-BA)<\/h6>\n<p>Take a look at the patient information sheet or the data flow model in the QA dialysis program.<\/p>\n<p>justify<\/p>\n<p>no-repeat;center top;;<\/p>\n<p>auto<\/p>\n<p>qsd-sonstige-downloads<\/p>\n<p>bottom<\/p>\n<p>left<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quality Assurance (QA) in dialysis treatment A German QA program The Federal Joint Comitee (G-BA) entrusted Medical Netcare, the central data analyst, with creating quarterly reports<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/pages\/417"}],"collection":[{"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/comments?post=417"}],"version-history":[{"count":23,"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/pages\/417\/revisions"}],"predecessor-version":[{"id":1714,"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/pages\/417\/revisions\/1714"}],"wp:attachment":[{"href":"https:\/\/m-nc.de\/en\/wp-json\/wp\/v2\/media?parent=417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}