PERITONEAL DIALYSIS
RUN CHARTS
Produced and Distributed by the
End Stage Renal Disease Network of Texas
972-503-3215
www.esrdnetwork.org
You are welcome to duplicate and distribute charts
To enter data - Click on each tab and follow the directions
Revised 8/2011
RUN CHART GENERAL INFORMATION
Use of these charts requires a basic understanding of Excel
If you have not worked with Excel or other chart software, it is recommended that you find someone
at your facility who is familiar with displaying and manipulating Excel charts.
If you have questions or require assistance with the charts, please call or email the Network #14
Quality Improvement staff - Angie Wieler, RN (469-916-3806/awieler@nw14.esrd.net), Christi
Cosby (469-916-3807/ccosby@nw14.esrd.net) or Kelly Shipley, BS, RHIA (469-916-
3803/kshipley@nw14.esrd.net). We will make every effort to assist you.
The charts include a Texas or national comparative data point, which is displayed as a green line.
This comparative data allows you to compare your data to Texas or the U.S. on an ongoing basis.
Data sources are 2010 End Stage Renal Disease Network of Texas Quality Of Care Indicator Project
(2009 Data)
To continue, click on the next tab.
Dialysis Adequacy Management (PD)
Percent of Patients with Kt/V > 1.7
Example Facility Name
100
95
90
85
80
Percent
75
U.S. Texas
70 Average Average
89.1 90.2
65
60
2011 55
(2010
Data) 50
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 72.3
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Dialysis Adequacy Management (PD)
Percent of Patients with Creatinine Clearance > 60 L/wk
Example Facility Name
100
90 Texas
Average
53.9
80
70
60
Percent
50
40
U.S.
30 Average
56.9
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 73.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Anemia Management (PD)
Percent of Patients with HGB 11 gm/dl
Example Facility Name
100
90
80
70
60
Percent
50
40
30 U.S. Texas
Average Average
20 66.6 68.1
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 68.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Anemia Management (PD)
Percent of Patients with HGB > 12 gm/dL
Example Facility Name
100
90
80
70
Texas
60 U.S. Average
32.1
Percent
Average
50 31.0
40
30
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 68.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Anemia Management (PD)
Percent of Patients with HGB 12.1 - 12.9 gm/dl
Example Facility Name
50
45
40
U.S.
35 Average
20.1
30
Percent
25
20
15
10
Texas
2011 5 Average
(2010 20.5
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 9.3
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Anemia Management (PD)
Percent of Patients with HGB > 13 gm/dl
Example Facility Name
50
45
40
35
30
U.S. Texas
Percent
25 Average Average
10.9 11.5
20
15
10
2011 5
(2010D
ata) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 4.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Iron Management (PD)
Percent of Patients with TSAT > 20%
Example Facility Name
100
90
80
70
60 Texas
Percent
Average
50 U.S. 91.0
Average
40
89.3
30
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 78.2
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Iron Management (PD)
Percent of Patients with Ferritin > 200ng & 100 & 200ng & 800 ng
Example Facility Name
50
45
40
35 U.S.
Average
30 21.6
Percent
25
20
15
10 Texas
Average
2011 5 21.4
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 12.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Per CMS MAT Tool the range should be Ferritin > 100 & 500ng*
Example Facility Name
100
90
80
70
60
Percent
50
40
30
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 20.2
*Recommended by CMS MAT Tool
Albumin Management (PD)
Percent of Patients with Albumin > 3.5*/3.2** gm/dl
Example Facility Name
100
90
80
70
60
Percent
50
40
Texas
30 U.S. Average
Average 61.6
64.3
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 85.1
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
* BCG (bromocresol green **BCP = bromocresol purple
Albumin Management (PD)
Percent of Patients with Albumin > 4.0*/3.7** gm/dl
Example Facility Name
100
90
80
70
U.S.
60 Average Texas
Percent
20.2 Average
50
18.0
40
30
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 41.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
* BCG (bromocresol green **BCP = bromocresol purple
Renal Osteodystrophy Management (PD)
Percent of Patients with Phosphorus > 3.5 and < 5.5 mg/dl
Example Facility Name
100
90 U.S.
Average
80 57.0
70
60
Percent
50
40
30
20 Texas
Average
2011 10 54.5
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 48.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Renal Osteodystrophy Management (PD)
Percent of Patients with Calcium 8.4 - 10.2 mg/dl
Example Facility Name
100
90
80
70
60
Percent
50
Texas
40
Average
76.4
U.S.
30 Average
79.3
20
2011
10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 50.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Renal Osteodystrophy Management (PD)
Percent of Patients with Calcium 8.4 - 9.5 mg/dl
Example Facility Name
100
90 U.S.
Average
80
61.2
70
60
Percent
50
Texas
40 Average
60.1
30
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 50.0
Texas & U.S. Data Source: 2010 ESRD Network of Texas Quality of Care Indicators Project (2009 Data)
Renal Osteodystrophy Management (PD)
Percent of Patients with Ca/PO4 Product < 55
Example Facility Name
100
90
80
70
60
Percent
50
40
30
20
2011 10
(2010
Data) 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
45XXXX 75.0
No Texas or U.S. data aailable.
Facility Hospitalization Trends (PD)
Percent of Hospital Admissions
(per Monthly Census) by Primary Cause
Example Facility Name
0.16
0.14
0.12
0.10
Percent
0.08
0.06
0.04
0.02
2011 0.00
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Access Related 0.15
Infection (non-access) 0.06
Cardiac 0.12
GI Related 0.05
Other 0.00
No Texas data available
Peritonitis Management (PD)
Number of Peritonitis Episodes
Example Facility Name
14
Number of Peritonitis Management
12
10
8
6
4
2
2011 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
New Peritonitis 5
Relapsing Peritonitis 7
Total Episodes 12
No Texas data available
Facility Infection Trends (PD)
Number of Infections by Type
Example Facility Name
8
7
Number of Infections
6
5
4
3
2
1
2011 0
1 2 3 4 5 6 7 8 9 10 11 12
Wound/Limb 3
Sepsis/Bacteremia 4
HBaAg+ 5
MRSA-VRE 6
Other 7
No Texas data available