Enhancing Kidney Care and Ensuring Safety in Healthcare Settings

Enhancing Kidney Care and Ensuring Safety in Healthcare Settings

Introduction:

Delivering value in kidney care and maintaining a secure environment for healthcare providers are two critical aspects of the healthcare industry. In recent years, innovative models and strategies have been introduced to improve kidney care services and address the growing issue of violence in healthcare settings. This article explores the Comprehensive Kidney Care Contracting (CKCC) model and the Kidney Care Choices Model (KCC), along with the rising concern of violence and its impact on healthcare workers.

1. Comprehensive Kidney Care Contracting (CKCC) and Kidney Care Choices Model (KCC):

The Comprehensive Kidney Care Contracting (CKCC) model is designed to manage chronic kidney disease patients effectively and ensure cost savings for practices and payers. By implementing onsite management of dialysis eligibility, education, and patient navigation, practices can exceed the average dialysis provider performance and receive performance payments. Furthermore, the CKCC model aims to reduce hospitalization rates among patients with CKD or ESRD, leading to improved outcomes and cost savings.

The Kidney Care Choices Model (KCC), developed in collaboration with various stakeholders, aims to establish an integrated kidney care system that focuses on patient education, prevention, diagnosis, treatment, and follow-up services for chronic kidney disease. The KCC model offers four options, including CMS Kidney Care First (KCF) Option, Comprehensive Kidney Care Contracting (CKCC) Graduated Option, Comprehensive Kidney Care Contracting (CKCC) Professional Option, and Comprehensive Kidney Care Contracting (CKCC) Global Option. These options cater to different levels of risk, cost of care, and shared rewards, but all share the common goal of enhancing patient treatment success.

2. Rising Violence in Healthcare Settings:

According to the International Association for Healthcare Security and Safety Foundation, violence in healthcare settings has been on the rise. A survey conducted by the foundation revealed a 150% increase in violent crime between 2016 and 2021. While shootings make up a small portion of violent incidents, they reflect a broader culture of abuse experienced by healthcare workers. Verbal abuse, assault, theft, and vandalism are common forms of violence, with nurses and employees of color being particularly vulnerable.

Addressing this issue, healthcare providers are seeking to balance security measures with patient care. "Hybrid" security models that incorporate police presence at entry points are gaining traction, along with investments in advanced weapons-screening devices and metal detectors. The Joint Commission has also introduced mandatory standards on workplace violence reporting and management, providing a structured approach for providers.

3. Actionable Advice:

a) Implement comprehensive training programs: Healthcare facilities should prioritize comprehensive training programs for employees to effectively respond to violence and de-escalate potentially volatile situations. This training should cover conflict resolution, communication techniques, and self-defense strategies.

b) Foster collaboration with law enforcement: Establishing strong partnerships with local law enforcement agencies can enhance security measures and create a safer environment for healthcare providers. Regular communication and joint training exercises can improve response times and ensure a coordinated approach to security.

c) Advocate for legislative measures: Healthcare organizations and industry stakeholders should actively support legislation that addresses violence in healthcare settings. Engaging with policymakers and advocating for the implementation of new protections, as seen in the Safety from Violence for Healthcare Employees Act of 2023, can contribute to creating a safer working environment for healthcare workers.

Conclusion:

Enhancing kidney care through models like CKCC and KCC is crucial for improving patient outcomes and cost savings in the healthcare industry. However, it is equally important to address the growing concern of violence in healthcare settings. By implementing comprehensive training programs, fostering collaboration with law enforcement, and advocating for legislative measures, healthcare organizations can work towards ensuring the safety and well-being of their employees. Through a combined effort, the healthcare industry can deliver value in kidney care while prioritizing the security and care of its dedicated workforce.