Acronyms
TOC
What is Transition of Care
Name of CMP initial assessment
What is Care Management Assessment (CMA)
The 3 verification elements that must be confirmed during every patient contact
What are the patient's full name; full DOB; full address
The place where most people with ESKD receive dialysis
What is in-center hemodialysis
PD
What is Peritoneal Dialysis
Place to find care team resources including job aids and workflows
What is the Care Management Drive
The Somatus team member who is awake 24/7
Who is the 24/7 Somatus Care Line Nurse (Triage Nurse)
Two topics you will educate your patient on if they have symptoms of fluid overload
What are fluid restriction, sodium intake, medication management, tracking logs, elevating legs
PAM
What is Patient Activation Measure
Document that contains patient's medication list, care team, goals and interventions
What is the Care Plan
VBC term for when the Practice hires the VBC staff
What is Embedded
The closest thing to a cure for End Stage Kidney Disease
What is a kidney transplant
AVF
What is AV Fistula (ateriovenous fistula)
Name of portal/app that has the patient care plan, secure chatting feature, and knowledge center
What is the mySomatus Patient Portal
Care Team member who helps the patient understand their kidney friendly diet
Who is the Renal Dietitian
3 providers or people involved in an ESKD patient's care, other than the Somatus care management team.
Who are: dialysis center, nephrologist, PCP, caregiver, other specialists
What is Coaching for Activation
3 ways to delay CKD progression
(at least 3 of the following): What are nephrologist referral, medication management, comorbidity management for diabetes and hypertension, nutrition, lifestyle changes such as exercise, smoking cessation, stress management, adequate sleep?
Person responsible for communicating medication dosing adjustment to the patient
VBC Practice Staff
A type of "needle-free" dialysis that can be done at home.
What is Peritoneal Dialysis