Clinical Value 1
Starting with PD preserves your patients' Residual Kidney Function and is associated with better patient survival. A residual GFR increases of 1 ml/min.1.73m gave what reduction in relative risk of death?
12% reduction in relative risk of death
What is the increase in the number of patients using PD in practices incorporating nephrologist-led percutaneous catheter insertion?
A 2-4 fold increase
What are the 5 sections in the Life Goals chapter or What are the 5 key benefits of PD for patients
What is the aim of the ETC (ESRD Treatment Choices) Model?
To incentivize the use of Home Therapies by offering financial incentives to clinicians and providers
Name three patient groups that may be suitable for PD
In the introduction, what are the 4 reasons to Prioritize PD with Baxter’s support?
In which section would you find the latest USRDS data on PD vs HD survival?
Clinical Value>Survival
What is the percentage increase of proactive care and the percentage decrease in reactive care in clinics using RPM?
24% points and 17% points respectively
When given a personal choice with shared decision making, what percentage of ESKD patients would choose PD?
61.7% would choose PD
What is the Home Dialysis Payment Adjustment (HDPA)?
Positive adjustments applied for driving home therapy use
How much higher is the prevalence of ESRD in black Americans vs white Americans, based on the USRDS 2018 data?
It was 3.4 times higher in Blacks than Whites
What are the 5 chapters in the Why PD with Baxter section?
An essential online resource for renal healthcare professionals and patients living with chronic kidney disease.
One of the industry-leading patient education on treatment options
Quiz for patients: Is PD right for me?
Knowledge Center: Downloadable patient education materials related to living with CKD for your clinic or practice
Online resources for HCPs, including webinars and educational tools
Why is PD the ideal bridge to kidney transplant?
It is associated with lower 5-year mortality after transplant and a lower risk of delayed graft function* compared with HD (*unadjusted)
How may Remote Patient Management (RPM) with Sharesource improve access to treatment data & timely care?
PD allows patients to dialyze SAFELY at home and minimizes the risk of viral infection.
How much more likely are HD patients to be infected and hospitalized for COVID-19 than PD patients?
HD patients are 60% more likely to be infected by COVID-19 and hospitalization rates are 3-4 times higher than PD patients
What is the Performance Payment Adjustment (PPA)?
Positive or negative reimbursement adjustments to the Facility PPS and Clinician MCP payments are applied to all qualifying traditional Medicare Primary dialysis patients (ICHD, PD and HHD)
Name two ethnic groups with a higher incidence of ESKD who are less likely to receive PD
Black and Hispanic Americans compared to white Americans
What is Shared Decision-Making?
It is patient engagement and empowerment in the clinical consultation, allowing them to choose suitable treatments for their clinical condition, lifestyle and social circumstances
What are the challenges of HD vascular access?
Infectious complications which are one of the major causes of morbidity and mortality in HD patients
Implicated as the source of bacteremia in 48-73% of patients with CVC as the highest source of infection
The use of CVCs has been clearly implicated in an increased risk of mortality and infection rates
What impact did RPM with Sharesource have on drop-out/technique survival
It was associated with a 55% reduction with RPM
What is incremental PD?
It is a less than standard ‘full-dose’ PD prescription in people initiating PD and done with the intention of increasing the prescription if and when residual kidney clearance declines.
In the ETC, which measurement year is currently under way?
Measurement Year (MY) 3
What is Baxter committed to doing to help address healthcare disparities?
Supporting education and awareness, to increase PD access for all ethnicities and patient types.
What do the ISPD guidelines on catheter access and management provide?
They provide best practice recommendations for optimal peritoneal access, reflecting advances in the understanding of successful placement and maintenance of peritoneal catheters
What percentage of HD fistula’s fail to mature?
23%, resulting in the need for CVC
What impact did RPM with Sharesource have on blood pressure control and ultrafiltration?
10% increase in ultrafiltration and 10% improvement in blood pressure control
What are the benefits of incremental PD?
When will the resulting reimbursement adjustment from MY1 start?
It will start in July 2022
Daily Double!
In which section would you find the evidence which shows that patients with diabetes, elderly and obese patients may do well on PD
Equal Access > Patient Types
What is Baxter PD Excellence Academy?
It is an omnichannel, accredited learning program that uses highly engaging and practical content to educate and connect PD clinicians and members of the care team.
What are two advantages of Initiating Dialysis with a PD catheter?
It preserves vascular access for future use and reduces the risk of HD access infections and complications
In which section would you find the evidence which shows the clinical benefits of RPM with Sharesource
Clinical Value > Treatment Data and Timely Care
Clinical practice guideline that supports goal directed care ensuring the dialysis prescription meets the specific needs, preferences and values of the person on PD?
What is KDOQI
What is the PPA performance score based on?
Performance achievement vs other facilities/practices (Achievement score)
OR
Performance improvement for measurement year vs. your own facility/ practice scoring from the related benchmark year (Improvement score)
Why prioritize PD for the majority of patients?
Because at least 78% of patients have no absolute contraindications for PD
In what section would you find information on Baxter’s cycles, Sharesource, Sharesource Adequest, PD Solutions, Extraneal and Ancillaries
Why PD with Baxter > PD Products