Assisting dialysis facilities to improve both staff and patient awareness of specific patient safety areas, promoting patient safety values, and building a culture of patient safety in every dialysis facility.

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In 2008, the ESRD Network of New England (Network 1) and the Mid-Atlantic Renal Coalition (Network 5), serving as ESRD contractors for the Centers for Medicare & Medicaid Services (CMS), launched the 5-Diamond Patient Safety Program to help dialysis facilities increase awareness of, promote, and build a culture of patient safety. The program originally consisted of eight patient safety-oriented modules, which were piloted in these two Network areas.
Interest and participation in the program grew, leading to endorsement by the American Nephrology Nurses' Association (ANNA) and the Renal Physicians Association (RPA) in 2009.  By 2010, the program had grown to include 11 modules and was offered in two additional Network areas, with special accommodations for facilities wishing to participate from Network areas where the program was not offered.   Joining ANNA and RPA in endorsement of the program, are the National Renal Administrators Association (NRAA), which joined in 2012; Dialysis Clinic Inc. (DCI) and the American Association of Kidney Patients (AAKP), both joining in 2014; and, in 2015, Fresenius Medical Care (FMC).
Today, the program has become an automated, online, national educational resource, consisting of 14 modules that include the tools and resources necessary to implement each patient safety concept. Modules may be completed for recognition or viewed as a resource.  For each module successfully completed during a program year,*  the facility earns one Diamond. Upon successful completion of five modules, the facility is recognized as a 5-Diamond Patient Safety Facility.

*In order for a module to be successfully completed, all module measures must be met.

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