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DaVita Recaps Banner Year in 2011

Top Year for Clinical Excellence, Patient Service, Growth, and Corporate Citizenship

DENVER, Dec 29, 2011 (BUSINESS WIRE) -- DaVita, Inc. , a leading provider of kidney care services that is committed to improving the quality of life for those diagnosed with chronic kidney disease (CKD), released a year-end recap of major achievements for the company in 2011.


"DaVita had a strong year in 2011," said Kent Thiry, DaVita Chairman and CEO. "Our clinical outcomes are the best or among the best in the industry; we took some great steps to support, educate and empower our patients; and we're growing both domestically and internationally."


Major initiatives and highlights for DaVita(R) in 2011 include:
Clinical Excellence:


-- DaVita QIP Tops Dialysis Industry -- In late December, the Centers for Medicare & Medicaid Services (CMS) released its 2012 End-Stage Renal Disease Quality Incentive Program (QIP) Performance Measures results. The ratings are based on anemia management and dialysis adequacy, and the results showed that DaVita significantly outperformed the rest of the industry in QIP performance measures with 76 percent of the company's clinics ranking in the top clinical performance tier.


-- DaVita Improves URR in 2011 -- Urea Reduction Ratio (URR) is a measure of how effectively a dialysis treatment removes waste from the body and is commonly expressed as a percentage. While there is no fixed percentage to represent "adequate dialysis," studies have shown that patients with a URR of 65 percent or greater are less likely to suffer from such symptoms as nausea, vomiting, loss of appetite, weakness or mental confusion; have fewer hospitalizations; and live longer. At the end of 2011, DaVita reported that only 2.7 percent of its patients -- an all-time low -- are below the 65 percent baseline -- a 64 percent improvement over January 2011.


-- DaVita's CathAway(TM) Program Saves Lives -- DaVita has made landmark progress in reducing patient central venous catheter (CVC) rates, a major risk factor for serious infection in kidney patients. In 2008, DaVita established CathAway, the company's seven-step program for reducing the number of hemodialysis patients with catheters. Since the inception of the program, DaVita has witnessed a 30 percent reduction in the number of "Day 90+" catheter patients (i.e., those patients who have been dialyzing at DaVita for 90 days or more using a catheter for dialysis access) and the company is now at an all-time low catheter rate of 15.6 percent in November 2011. Kidney and hemodialysis experts consider the fistula -- a surgically connected passageway between an artery and a vein that can be used as an access point for dialysis treatments -- the "gold standard" access choice, and research studies have demonstrated patients with fistulas have the fewest complications, such as infections and clotting, compared to all other hemodialysis access choices. DaVita leads major dialysis providers in the industry in the use of fistulas.


-- DaVita Vaccination Rates Lead the Industry - Based on the 2010 USRDS Annual Data Report (reporting claims-based data from 2008), renal industry vaccination rates for influenza and pneumonia were 66.5 percent and 25.2 percent, respectively. Reporting from the same data, DaVita's influenza vaccination rate was at 72.9 percent and its pneumonia vaccination rate was 36.4 percent for 2008. At the end of the first quarter of 2011, DaVita internal tracking shows that it has vaccinated 90.9 percent of its patients for influenza and 90.4 percent of its patients for pneumonia. In November, DaVita announced it had exceeded its goal for patient vaccinations early in the flu season, with 90.4 percent of patients already immunized for the flu virus. Studies have shown that high vaccination rates relate directly to fewer hospitalizations, which can lead to a better quality of life for dialysis patients.


-- DaVita Nephrologists Share Expertise Through Social Media -- In August, DaVita announced that three of the company's top nephrologists are sharing their nephrology expertise, perspectives and resources through social media. DaVita's expert bloggers are members of DaVita's Office of the Chief Medical Officer: Allen R. Nissenson, MD, hosts a blog on DaVita's new physician-focused site; Mahesh Krishnan, MD, shares a monthly list of his top clinical reads; and Robert Provenzano, MD, writes about the impact of ACOs on the renal industry on DaVita's Accountable Kidney Care Collaborative site.


-- Nissenson Receives AAKP Medal of Excellence Award - The American Association of Kidney Patients presented the AAKP Medal of Excellence Award to Allen R. Nissenson, MD, FACP, chief medical officer at DaVita. This prestigious honor recognizes nephrologists who have made significant contributions to the advancement and enhancement of patient care. Since joining DaVita in 2008, Dr. Nissenson established National Quality Week and other communication channels with medical directors to improve the quality and safety of patient care. He has been an influential public policy advocate for kidney care patients, and he has worked extensively to promote early detection in the broader community.


Patient Service:


-- Wireless Internet Launch -- Beginning in May, DaVita physicians, patients and teammates were able to connect to the Internet through a secure log-in at each clinic with their own personal data devices. Wireless Internet allows working patients the freedom to choose when and where they work, which translates directly into a better quality of life for those undergoing treatments.


-- Re-launch of DaVita.com - DaVita's award-winning website is one of the most popular online destinations for chronic kidney disease education and resources. A new design, launched in April, makes it easier for any kidney patient or caregiver (not just DaVita patients) to find and use interactive tools, access a growing library of kidney disease education articles and explore more than 700 kidney-friendly recipes. Additionally, DaVita launched new physician and hospital sites.


-- Spanish Language Website Launched -- DaVita launched a Spanish-language website in November to provide easy-to-access information online for Spanish-speaking individuals and families. Hispanics are among the top five ethnic groups at risk for CKD, and DaVita's website is one of the most popular online destinations for CKD education and resources. Davita.com/espanol/ will provide the same great resources to more people at risk for CKD.


Business Growth:


-- DaVita Acquires Clinics From DSI Renal, Inc. -- DaVita acquired over 100 dialysis centers from DSI Renal, Inc. (DSI), serving approximately 8,000 patients. The acquisition closed in September.


-- DaVita Rx(R) Delivers Five Millionth Prescription - DaVita Rx, the world's first and largest full-service pharmacy dedicated to serving the unique needs of kidney patients, announced in July that it had filled five million prescriptions since the company started delivering medications in 2005. DaVita Rx helps remove barriers for kidney patients, no matter where they dialyze, to getting the medications they need. The business provides flexible payment options, no-cost delivery, refill reminders, reviews for possible drug interactions, and help with health plan paperwork and prior authorizations.


-- International Expansion Leads Hired, German International Expansion Announced -- In August, DaVita announced the appointments of Atul Mathur and Bjorn Englund to lead its growing international expansion. Mathur, a veteran operational and business development executive, leads DaVita's growth in the Asia-Pacific region and is based in Singapore. Englund, who has more than 25 years experience in the European dialysis industry, leads DaVita's European operations. DaVita acquired a German dialysis services provider in November and now operates clinics through its subsidiaries, joint ventures and management agreements in Germany, India, Malaysia and Singapore.


-- New Research Facility and Call Center To Open in Denver Metro Area - DaVita announced in November that the company will bring as many as 200 quality jobs with benefits to the Denver metro area. DaVita Clinical Research(R) (DCR(R)) will be expanding its capability by building a new early clinical research unit adding medical, technical and scientific jobs to the community. Additionally, a new DaVita call center will be established in metro Denver focused on placement services for new patients, relocating patients, or traveling patients.


-- DaVita HQ Construction Begins, Progresses on Time and on Budget -- In February, DaVita held a groundbreaking ceremony for its new headquarters building, which will feature the city's largest roof-top terrace and next generation, eco-friendly design. The building's "topping out" ceremony, in which the final beam was placed in the building, was held in November. The building is scheduled for completion in Summer, 2012.
Education, Empowerment, Corporate Citizenship:


-- DaVita Kidney Rock Walk(TM) - DaVita hosted more than 1,100 participants at a 5K fun run/walk on August 6 in Denver's City Park. DaVita Kidney Rock was a free event and featured no-cost kidney disease screenings, a Kidney Health Expo, Kid Zone and a special performance by the DaVita Blues All Stars Band. More than 400 people received kidney disease screenings, and the event raised over $500,000 for Bridge of Life-DaVita Medical Missions.


-- Tour DaVita(R) - The fifth annual Tour DaVita bicycle ride began on Sept. 18 and covered 250 miles from Great Barrington, Mass. to Madison, Conn. More than 400 riders raised over $700,000 in donations to benefit The Kidney TRUST, a nonprofit organization with the mission to reduce the human and economic cost of chronic kidney disease across the United States. DaVita volunteers participated in more than a dozen community service projects in Great Barrington as a kick-off to Tour DaVita, including the remodeling of the Railroad Street Youth Project Drop-In Center.


-- Bridge of Life-DaVita Medical Missions -- Bridge of Life-DaVita Medical Missions, an independent non-profit organization founded by DaVita, Inc. that focuses on bringing life-saving dialysis to developing countries, announced Lori Vaclavik as its new executive director. Bridge of Life also sponsored seven missions to establish dialysis facilities in developing areas of the world including San Felipe, Guatemala, and Kingston, Jamaica.


-- Dialyzer Recycling Pilot - DaVita, in partnership with WM Healthcare Solutions, Inc., a subsidiary of Waste Management, Inc., launched a dialyzer recycling pilot in 106 DaVita dialysis clinics in Southern California. This recycling pilot project was the first known of its kind in North America. The goal of the pilot is to recover reusable materials and recycle those materials into new products. This pilot builds on business solutions developed by BD and WM through the BD ecoFinity(TM) Life Cycle Solution program, which DaVita is also launching in the 106 pilot facilities. With the BD ecoFinity program, single-use medical sharps devices such as needles and syringes are collected on-site, then treated and processed by WM to recover reusable materials. BD then uses the recycled plastic to make new BD sharps container products, which DaVita purchases for use in its clinics.


-- First-Ever Solar Thermal Clinic Shows 75 Percent Reduction in Natural Gas Consumption - DaVita's first-ever dialysis clinic using solar thermal technology showed a 75 percent reduction in natural gas consumption versus comparable DaVita facilities in the region. If the project remains successful after the pilot period, DaVita hopes to expand the use of solar thermal technology across the country. In the meantime DaVita is testing other energy reduction technologies, including a water turbine in San Francisco.

-- DaVita Jumps in Newsweek's U.S. Green Ranking List - DaVita ranked number 242 in Newsweek's U.S. Green Rankings List - up 192 spots from last year's ranking. Newsweek's list is comprised of 500 companies leading in environmental performance in the U.S. DaVita is the only kidney care services provider on the list, and 2011 was the company's third consecutive year to make the list.
Awards

-- 2011 Fortune "World's Most Admired Companies" -- DaVita ranked second in the Health Care: Medical Facilities industry. This marks the sixth consecutive year that Fortune has recognized DaVita among the World's Most Admired Companies. Among healthcare providers, DaVita ranked first in innovation and quality of products and services.
-- 2011 WorldBlu Most Democratic Workplaces Award - DaVita was once again recognized as the only healthcare and FORTUNE 500 company on WorldBlu's List of Most Democratic Workplaces.
-- 2012 G.I. Jobs Top 100 Military-Friendly Employers -- DaVita was the top-rated healthcare company on the G.I. Jobs Top 100 Military-Friendly Employers List.
-- 2011 Training Top 125 -- DaVita was recognized for the seventh year in a row as a top 125 organization excelling at employee development.
-- 2011 InformationWeek 500 List -- DaVita debuted at number 100, and is the only kidney care company on this list comprising the top 500 most innovative companies in the U.S.

-- 2011 ColoradoBiz "Best Companies to Work for in Colorado" -- Teammates voted DaVita among the 10 best large companies (those with 250+ employees) to work for in Colorado.
-- 2011 ColoradoBiz Top Company -- DaVita was named the top health care company in Colorado.
-- 2011 Military Times Edge "Best for Vets Employers" -- For the second consecutive year, DaVita was recognized for its dedication to recruiting practices, training and mentoring, reserve policies and corporate culture.

-- 2011 "Corporate Vision Award" from the Women's Vision Foundation -- DaVita was recognized for demonstrating extraordinary innovation and leadership in the support and advancement of women in their careers by developing leaders, connecting people and inspiring action.

-- 2011 eHealthcare Leadership -- Platinum award for Best Health/Healthcare Content -- Consumer Disease Focused Site, and Gold award for best Overall Internet Site -- Consumer Disease Focused Site.

-- 2011 Modern Healthcare "100 Most Influential People in Healthcare" (Subscription content) - For the fourth consecutive year, Modern Healthcare recognized Kent Thiry, chairman and CEO of DaVita, among the most influential leaders in the health care industry. Thiry believes that this award should recognize the company as a whole for its influence in healthcare.


-- 2012 Institutional Investor magazine Top Three CEO -- Kent Thiry, chairman and CEO of DaVita, received third-place honors in the "best CEO" category for the Managed Care and Health Care Facilities sector from Institutional Investor magazine. Thiry was nominated by the "buy-side" (i.e., buy-side analysts and portfolio managers) reviewers of Institutional Investor's survey.


-- 2011 Hispanic Business Digital Magazine "100 Influentials" - DaVita Chief Legal Officer and Corporate Secretary Kim Rivera was named one of the most influential Hispanic U.S. citizens to have broad impact across the United States.


-- 2011 Denver Business Journal "Outstanding Women in Business" (Subscription content) - DaVita Chief People Officer Laura Mildenberger was named a finalist in the health care category.
DaVita, DaVita Clinical Research, DCR, Tour DaVita, DaVita Kidney Rock, DaVita Rx and CathAway are trademarks or registered trademarks of DaVita, Inc. All other trademarks are the property of their respective owners.


SOURCE: DaVita, Inc.

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Home Dialysis Summit Recommends Policy Changes to Increase Home Dialysis Usage

WASHINGTON, April 25, 2012 /PRNewswire -- On the heels of the first National Summit on Home Dialysis Policy, Summit organizers released a report reflecting the views of the delegates -- leaders in the kidney disease patient, clinician, facility and industry communities -- on federal policy steps to improve utilization of home dialysis for patients who can benefit from this often advantageous form of treatment. Many of the organizers also announced they have formed a new alliance, called the Alliance for Home Dialysis, to advance the recommendations identified at the Summit.

The Summit's "Report of the Delegates" highlights key findings from a March 29th meeting in Washington, DC where experts probed why, despite widely accepted and well-documented benefits of home dialysis -- improved outcomes, enhanced patient satisfaction, improved quality of life, and lower costs-- fewer than ten percent of the more than 390,000 current U.S. dialysis patients receive treatment at home. Current rates of home dialysis utilization reflect a steep decline from the 1970s, when almost 40% of U.S. dialysis patients were treated in-home.

Specifically, delegates found that policymakers should work with stakeholders in the dialysis community to confront three areas:

Accessibility: Patients and clinicians face array of hurdles in education, training, and infrastructure that hinder equalized access to home dialysis.

Accountability: Utilization of home dialysis can be improved through measures within government programs that are designed to recognize and support excellence in the delivery of home dialysis services.

Aligning Incentives: Reimbursement policies, regulation of new technologies and other policy incentives can be realigned to better support federal policy goals of expanding access to home dialysis.

The Report includes 15 recommendations to serve these goals, including that federal policymakers should:

Maintain parity for home and in-center dialysis in Medicare reimbursement;

Support home dialysis mentoring programs, particularly those that use existing patients as mentors; and

Align federal and state regulatory requirements for home therapies, such as revising the Centers for Medicare and Medicaid Services Conditions for Coverage requirements, to reflect differences in home and in-center dialysis.

Summit supporters will begin work through the new Alliance to dialogue with federal policymakers and advance policy improvements in the three consensus areas that emerged at the Summit.

SOURCE National Summit on Home Dialysis Policy


 

 National  Kidney Foundation's Top 10 Things Every Dialysis Patient Should Know.

  1. You have treatment choices. Options exist for how, where and when you dialyze. Dialysis can be done in a hospital, in a dialysis unit that is not part of a hospital, or at home. You and your doctor will decide which place is best, based on your medical condition and your wishes. There are different types of dialysis - peritoneal and hemodialysis. Work with your health care team to determine a treatment plan that makes you feel comfortable. Recent studies show that the majority of patients beginning in-center hemodialysis (HD) know very little, if anything, about the option to dialyze at home. Once informed, 40% or more of patients are interested in this treatment option, and yet less than 10% actually begin home dialysis. If you're dissatisfied with the type of dialysis treatment that you're receiving, ask your healthcare team if another type of dialysis treatment would be better.
  2. You can compare in-center dialysis facilities online. Information on over 5,600 US-based dialysis centers is available online through the Medicare website. To help you make choices about your care, you can compare different facilities side-by-side and evaluate each facility based upon clinic characteristics and quality measures. You can search for dialysis facilities by name or geographic proximity. After completing an initial facility comparison to determine which facilities best meet your needs - such as the number of hemodialysis stations at a particular location and whether there are evening shifts available - visit the facilities that you're most interested in. Talk to the staff and other patients, as well as your doctor to ensure that this dialysis facility is a good fit for you.

  3. There are ways to prepare ahead for an emergency. Ask your dialysis facility about their emergency plan in case of a snow storm, fire, power outage or other natural disaster. As back up, make sure you have the names, locations and phone numbers of other dialysis units and hospitals in your area. Since regular community transportation services may not be working in an emergency, be prepared to make other arrangements for getting to dialysis. You may need to contact the police and Emergency Medical Services (EMS) for assistance. If you dialyze at home, make sure you have at least two weeks' worth of unexpired supplies on hand. If you have to miss a dialysis treatment, begin your emergency meal plan.

  4. There is an easy way to transfer patient records between clinics. There is an easy, secure way for your health care team to transfer your treatment records online. In 2009, the Centers for Medicare and Medicaid Services (CMS) created a centralized web-based data collection system called CROWNWeb to help reduce and eliminate patient treatment interruptions. This central system helps to streamline patient care regardless of the reason for changing dialysis centers. For example, if you've been admitted to the hospital, or if you needed to relocate during an emergency evacuation, your doctors and health care team can access up-to-date information about your dialysis so that you continue to receive appropriate care no matter where you are.

  5. You can travel while on dialysis. 
    Dialysis centers are located in every part of the United States and in many foreign countries. The treatment is standardized, but you need to plan ahead by making an appointment for dialysis at another center before you go. The staff at your center may help you make these appointments.

  6. You can be your own best advocate. Know what key questions to ask your doctor or other healthcare professionals. Take notes so that you can refer back to them later. Partner with your doctor and decide on a treatment plan together. Advocate for yourself and share how you're feeling.

  7. You have many rights. You as a patient have a great deal of control over your treatments. Patients have a bill of rights which includes receiving quality care, counseling about your medical information, and an expectation of privacy. 

    You also have responsibilities.
     Once you decide on a course of treatment, it's important to follow the recommendations of your health care team. If you decide to receive in-center dialysis, arrive at dialysis on time so that you can receive the full treatment without delays.


  8. You can receive insurance coverage. If you have end stage renal failure, you are likely eligible for Medicare insurance coverage. Speak with your health care team and social worker for help filling out insurance paperwork.

  9. You may need to follow a special diet. When your kidneys are not working properly, you may not be able to eat everything you like, and you may need to limit how much you drink. Your diet may vary according to the type of dialysis you receive. It is important to speak with a renal dietitian so that you are able to understand what you can and cannot eat based on your full health history.

  10. Dialysis patients can work. Many dialysis patients can go back to work or school after they have gotten used to dialysis. After establishing a dialysis routine, many patients have more energy and find that they are able to time to work around this new schedule. Some patients even find creative ways to work remotely from dialysis with the use of a laptop or cell phone, depending on their field of expertise.

More from National Kidney Foundation Press Releases

New Book to Help Educate Patients with Chronic Kidney Disease who may be facing Dialysis or Hemodialysis:

Help, I Need Dialysis!
How to have a good future with kidney disease


By Dori Schatell, MS and Dr. John Agar

An internationally known nephrologist and life-long kidney patient educator explain how dialysis works, each of the ways to do it, and how your treatment choice may affect your diet, energy level, work, travel, sexuality and fertility, sleep, and survival. Comprehensive and fully referenced, this book is a must-read if you face the life-changing choices that come with kidney failure.


 
 
 
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DOPPS: Dialysis Outcomes & Practice Patterns
ESRD Networks Directory
Fitness-Exercise in ESRD
Frequency of Hemodialysis
Genetic Kidney Diseases
GFR and CKD
Glomerular Kidney Diseases
Goodpasture's & hemodialysis
Green hemodialysis Efforts
Heart Disease & Renal Failure
hemodialysis Access Types
hemodialysis Clothing
hemodialysis Dosing Issues
hemodialysis Education Resources
hemodialysis Nurses
hemodialysis Technicians
hemodialysis Unit Finders
Hemofiltration and Hemodiafiltration
Hepcidin & Anemia
H1N1 & Kidney Failure
History of Dialysis
HIV and Kidney Disease
Home hemodialysis
Home Dialysis Providers
Homocysteine in CKD
How does a Hemodialysis Machine Work?
Hypertension & Kidney Disease
IPhone APPS for hemodialysis and CKD
Infections in Dialysis and hemodialysis
Inflammation & hemodialysis
Iron in Dialysis & CKD
KDIGO: Kidney Disease Improving Global Outcomes
KDOQI Guidelines from National Kidney Foundation
KEEP - NKF Kidney Early Evaluation Program
Kidney Definitions |
Renal Dictionary
Lipid Disorders & hemodialysis
Lithium Toxicity & hemodialysis
Liver Disease-Hepatitis in Dialysis & hemodialysis
Lupus Nephritis - SLE and Kidney Disease
Mehran Score
Medicare Bundling Issues
MDRD | CKD -EPI
Mortality Studies
MYH9 Gene & ESRD
Nephrogenic Systemic Sclerosis -NSF
Nephrosclerosis
Nocturnal Home hemodialysis
Paricalcitol - Zemplar in ESRD & hemodialysis Patients
Pediatric hemodialysis
Periodontal Disease & CKD
Peritoneal Dialysis PD Dialysis
Phosphorous / Phosphate Binders Dialysis / hemodialysis
Polycystic Kidneys -PKD
Potassium Issues
Pregnancy in Kidney Disease & Dialysis / hemodialysis
Proteinuria - Albuminuria
Racial - Gender Differences in hemodialysis
Safety in hemodialysis Units
Salt Research and CKD
Salt Substitutes
Sexual Health & Dialysis
Short Daily hemodialysis -
Sleep Issues in hemodialysis
Social & Economic Factors in hemodialysis
Sodium Thiosulfate & ESRD
Stages of Kidney Disease
Starting hemodialysis
Statins and CKD
Stent Grafts in hemodialysis
Stopping Dialysis | Withdrawal of Dialysis
Transplantation News: Kidney Transplants |Renal Transplants
Transplantation Immunosuppression Issues
Uremic Pruritus | Itch in hemodialysis and CKD
Urine Albumin to Creatinine Ratio UACR -kidney disease
US Renal Data System USRDS
Statistics of Hemodialysis CKD
Vitamin B & Nephropathy
Vitamin C in hemodialysis
Vitamin D & CKD
Water Issues in Hemodialysis
Weight & hemodialysis
Chinese Herbs & ESRD
Dialysis Quizzes
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