To provide leadership and assistance to renal dialysis and transplant facilities in a manner
that supports continuous improvement in patient care, outcomes, safety and satisfaction.
Fistula First Project Description
Fistula First Breakthrough Initiative
Fistula First is a national Centers for Medicare & Medicaid
Services (CMS)-driven quality improvement project started in 2003 in conjunction
with the Institute of Health Improvement (IHI). The initial goals of the project
was to reach the National Kidney Foundation Dialysis Outcomes Quality Initiative
(NKF-KDOQI) Guidelines targets for vascular access- 40% AVF utilization rate for
prevalent hemodialysis patient population, and 50% AVF placement rate for
In the 2006-2009 Statement of Work (SOW), CMS increased the AVF goal to 66 % AVF utilization in prevalent hemodialysis patients. In addition, CMS set yearly goals for each End Stage Renal Disease (ESRD) Network for each contract year, based on their performance. The ultimate goal of this initiative is to increase the likelihood that all eligible hemodialysis patients will be using native AV Fistula as a primary source of vascular access.
Fistula First CMS Press Release
Fistula First Initiative - Fact Sheet (March 17, 2005)
AVF Fact Sheet
Network 18 AVF Trend: 2009-2011 (download chart)
Visit the Vascular Access page at www.fistulafirst.org for more information.