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Learning and Action Networks

Patient with Doctor Inside Hospital with Busy Nurses

A Learning and Action Network (LAN) is a way to achieve large-scale improvement by bringing together people from within a community, including both healthcare providers and patients, to work together. It creates opportunities for sharing ideas, learning and problem solving in a given area. Network 7 currently has an active Healthcare-Associated Infections (HAI) LAN, as well as supporting national LAN activities related to Patient Engagement.

LANs are hosted by the End Stage Renal Disease (ESRD) National Coordinating Center, but invitations to join the LANs come from the Network. If you are interested in joining a LAN, please contact the Network to receive an invitation.

Healthcare-Associated Infections

Bloodstream Infections

Bloodstream Infection (BSI) Quality Improvement Activity (QIA) LAN Webinars

Locate and download PowerPoint slide decks and recorded webinars from all of the  BSI QIA LAN meetings below:


BSI QIA LAN Identified Best Practices for 2019

The following best practices were identified from the BSI QIA LAN events:

  • Engage patients and staff by having them “pledge” to help prevent infections.
  • Conduct infection control meetings with facility staff.
  • Review the Centers for Disease Control and Prevention’s (CDC) audit results in the facility’s monthly Quality Assessment Performance Improvement (QAPI) meetings and identify at least one new strategy to improve audit results.
  • Implement at least one patient recommendation on how to improve infection control in the facility. 
  • Use National Healthcare Safety Network (NHSN) reports to monitor BSIs in QAPI and share results with facility staff.
  • Provide a staff in-service using the CDC’s Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers handout.
  • Order infection prevention tools and resources via the CDC-INFO On Demand - Publications link.
  • Display the Days Since Last BSI poster in an area of the facility visible to staff and patients.


BSI QIA LAN Identified Best Practices

As best practices are identified by the Network, they and any associated resources will be found here:

Identified during the October 2, 2018 BSI QIA LAN event:

  • Appoint a dedicated vascular access manager to track patients with a catheter greater than 90 days and review at the monthly QAPI meetings. 
  • Work closely with vascular access surgeons.

Identified during the August 7, 2018 BSI QIA LAN event:

  • Use the “See It, Say It” behavioral recognition slogan.

Identified during the June 5, 2018 BSI QIA LAN event:

Identified during the April 3, 2018 BSI QIA LAN event:

  • Practice Scrub the Hub disinfection.
  • Use a chlorhexidine-impregnated sponge dressing to catheter exit site.

Identified during the January 29, 2018 BSI QIA LAN event:

  • Posting of the CDC’s Days Since Last Bloodstream Infection poster in an area visible to patients, family members and staff. The poster can be found here.
  • Encouraging patient compliance with access washing prior to treatment. Facilities can utilize the Infection Prevention: Washing Your Vascular Access handout created by the Network to educate patients on this important topic. The handout is available in QIA toolkits here.     

Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers

This resource provide notes in a checklist format for clinical managers to utilize for environmental surface disinfection.

Home Dialysis


Supporting Gainful Employment of ESRD Patients

Patient Experience of Care (PEOC)

Population Health: Focus on Pain Management LAN

End Stage Renal Disease (ESRD) National Coordinating Center (NCC)

ESRD National Coordinating Center

The End Stage Renal Disease (ESRD) National Coordinating Center (NCC) provides support at the national level for the Medicare ESRD Network Program. This website includes education, tools, and resources for both patients and providers, including those related to vascular access, decreasing conflict, and emergency preparedness.

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