How are we doing?

We are a little over half-way through our contract year so this is a check-in to see how you think we are doing. We are committed to providing patients and dialysis facility staff with the best assistance and learning opportunities possible, so we welcome your comments.  Please provide us feedback so we can improve our service to the ESRD community.  Thank you. 

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* Please indicate which Network you are in: 

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* Medicare Provider Number/CCN Number

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* Instructions: Using a rating scale from 1 (meaning "dissatisfied") through 5 (meaning "extremely satisfied") select your response to the following statements. If you feel the statement does not apply, you may select the N/A option for "Not Applicable".

  1 - dissatisfied 2 3 4 5 - extremely satisfied N/A
1.  Please rate the assistance and education received from the Network to decrease COVID-19 hospitalizations, hospital admissions, 30-day unplanned readmissions, and outpatient emergency department visits.
2.  Please rate the assistance and education received from the Network to decrease the need for blood transfusions, hemodialysis catheter infections, and peritonitis for patients living in and receiving dialysis in a nursing home.
3.  Please rate the assistance and education received from the Network to increase the use of a home dialysis modality.
4.  Please rate the assistance and education received from the Network to increase the use of rural telehealth/telemedicine.
5.  Please rate the assistance and education received from the Network to increase the number of patients that are added to the transplant waitlist and/or receive a kidney transplant.
6.  Please rate the assistance and education received from the Network to increase patient involvement in creating a life plan, QAPI, and peer mentoring.
7. Please rate the assistance and education received from the Network to increase accuracy of depression screening and treatment for depression. 
8. Please rate the assistance and education received from the Network to increase vaccinations (flu, PPSV, COVID-19 and PCV 13)
9.  Please rate the customer service received from the Network during interactions.
10.  Please rate the Network's contribution to quality improvement initiatives in your organization.
11.  Please rate the Network's staff in terms of being qualified and knowledgeable.
12.  Please rate the Network's staff in terms of being available and responsive to your requests in a timely manner.
13.  Please rate your overall satisfaction with the performance of the Network.

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* Any additional feedback you would like us to know? 

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