Northwest Renal Network
2011 Vascular Access Goals and Performance

In June 2011, the Northwest Renal Network Medical Review Board set the following vascular access goals for in-center hemodialysis (“HD”) patients:

A primary AV fistula (“AVF”) should be the access for at least 60% of all HD patients initiating dialysis.

In Fistula First Project data, an AVF was in place at the end of their first month on dialysis for 41.1% of HD patients initiating dialysis during 2010.

More than 68% of prevalent HD patients should use an AVF.

In Fistula First Project data, as of June 2011, 67.1% of prevalent HD patients were using an AVF as their primary access.

Less than 10% of prevalent HD patients should be maintained on catheters for 90 days or longer.

In Fistula First Project data, as of June 2011, 7.2% of prevalent HD patients had been dialyzing via a catheter for 90 days or longer with no other access placed.

Monitoring AV grafts for stenosis should occur for 100% of HD patients utilizing AV grafts as their primary access.

In the 2007 Clinical Performance Measures Project (the latest data available on stenosis monitoring), 99% of prevalent HD patients with AV grafts were being monitored for stenosis

page modified August 9, 2011