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HEALTH PLANNING

Networks prepare information for joint use with local and regional agencies involved in
ESRD health planning. Examples are:

Preparation of data for use in determining the need for expansion or for new ESRD
applications.

Development of review criteria for the need for ESRD services.

Development of incidence and prevalence data for long and short term ESRD planning
(growth predictions and utilization patterns are determined).

Promotion of the efficient use of existing services.

Assistance in updating state health plans to ensure the delivery of quality care to ESRD patients.

DATA ACTIVITY

Networks have established either manual or computerized data systems for use in reporting ESRD activity to MIS. Two-thirds of the Networks have established computerized data systems. Activities and projects carried out by the Networks in the area of data management include:

Establishment of a baseline patient-specific data system in some Networks (which is more detailed in those Networks with computerized data programs)

Collection and validation of patient specific data reported on MIS non-reimbursement forms and the MIS 6-month facility survey forms.

Use of data to assist in ESRD application review process by local and state health planning agencies. These agencies use Network data as a basis for the utilization review and certificate of need process. The data reflect current utilization and resource availability.

Development of profile analysis of patient populations.

Collection of data used for long term planning of ESRD health services.

Assistance to other agencies (GAO, CDC, NIH) in their studies of the ESRD problem.
Provision of feedback to Network facilities on the status of their populations.
Quarterly and annual reports which reflect activity and type of treatments are
produced.

ESRD Statistics

Data Overview. Networks are a local source of data and statistics on the ESRD patient
population. Networks are able to provide current information to their own facilities,
local organizations, and government agencies. Coordination and sharing of data between
Networks for comparative analysis and the development of a national overview has recently
been initiated. The following material is a product of inter-Network cooperation and
highlights recent activities in the various modalities of treatment.

RATIO OF PATIENTS TRAINED FOR HOME DIALYSIS AND DIALYSIS PATIENTS
TRANSPLANTED TO AVERAGE NUMBER OF DIALYSIS PATIENTS PER SURVEY PERIOD
JANUARY, 1980

DECEMBER, 1981

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NUMBER (IN THOUSANDS OF CHRONIC DIALYSIS
PATIENTS BEING TREATED BY MEDICARE CERTIFIED
SUPPLIERS OF ESRD SERVICES IN THE
UNITED STATES BY TREATMENT SETTING
JANUARY, 1980- DECEMBER, 1981

The total number of ESRD patients
receiving dialysis continues to
grow. The proportion of patients
being treated at home is slowly
increasing, due in part, to the
development of Continuous Ambula-
tory Peritoneal Dialysis (CAPD).
Sufficient long term experience
with this treatment modality does
not yet exist. Therefore, it is
impossible to know what the effect
CAPD will have on the resources of
the program.

DATE

APRIL, 1982

[graphic]

SOURCE: ESRD FACILITY SURVEYS

RATIO OF PATIENTS TRAINED FOR HOME DIALYSIS AND DIALYSIS PATIENTS

TRANSPLANTED TO NUMBER OF PATIENTS STARTING DIALYSIS FOR THE FIRST TIME

JANUARY 1980

-

DECEMBER, 1981

SURVEY PERIOD

Patients Starting Dialysis For First Time

Jan.-June 1980 July-Dec., 1980 Jan.-June, 1981

10,133

10,958

July-Dec 1981

9,604

10,577

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Reported Medicare Eligibility Status of Chronic Dialysis Patients Being Treated By Medicare Certified ESRD Facilities in the United States From June, 1980 to December

1981

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