Ontario Renal Reporting System (ORRS)

Report generated in 2011

The following data was amassed for the Ontario Renal Reporting System, a provincial program that captures comparable data from all chronic kidney disease providers. Dialysis Management Clinics is sharing their ORRS report to aid in system transparency and supporting improvements in system quality, performance, planning and funding allocation.  The interpretation of data, as well as tables and graphs displaying regional and provincial data can be found on Ontario Renal Network’s CKD System Atlas

Vascular Access

Why measure types of vascular access?

“The rates of each type of vascular access for incident patients are used as a measure of optimal care. Vascular access can be an indicator of accessibility to timely multidisciplinary pre-dialysis care (Ontario Renal Network).” 

Average Travel Time

Reducing travel time can improve health related quality of life

“Recent international evidence shows that longer travel time to dialysis treatment sites is significantly associated with a greater risk of death, and decreased health related quality of life. Patients who received treatment at affiliated sites(closer to home) instead of in-centre sites (further from home) reported a significantly better score on the dialysis stress domain of the Kidney Disease HRQOL questionnaire and on the Medical Outcomes Short-Form 36 assessment tool. These patients also reported lower cost of transportation and shorter travel time (Ontario Renal Network).” 

DMC at a Glance

Inspection Results: The College of Physicians & Surgeons of Ontario

The College of Physicians and Surgeons of Ontario (CPSO) has the primary responsibility for carrying out the quality assessments and licensing of Independent Health Facilities. This includes the development of explicit clinical practice parameters and facility standards. Inspections generally evaluate: unit environment, quality of care, patient and staff satisfaction and technical and nursing policies and procedures. For more information please see the CPSO€™s clinical practice parameters and facility standards for chronic kidney disease and dialysis.

*Data from November 2010: Markham, Pickering & Peterborough clinics

* Total Patients – 98

* Total Treatments – 15,000

MEASURE

DMC RESULT

HEMOGLOBIN:
Mean hemoglobin 110.6
Percent with a hemoglobin < 90 7.85%
Percent on oral iron 55.5%
Number transfused in the last year 1
INFECTION:
Number treated with IV antibiotics for sepsis annually 7%
BLOOD PRESSURE:
Percent with post dialysis systolic BP > 160 or diastolic > 100 26.75%
NUTRITION:
Percent with albumin < 35 93.65% of DMC patients exceed standard
Percent with potassium (K) pre-dialysis of 6 94% of DMC patients exceed standard
Mean serum albumin 37.83
ADEQUACY:
Percent of patients with URR < 60% 0 (minimum standard is 60%, all DMC patients exceed standard)
Percent of patients with KT/V < 1.2 0 (minimum standard is 1.2, all DMC patients exceed standard)
OSTEODYSTROPHY:
Percent of patients with alkaline phosphate > 150% of normal 9.25%
Percent of patients with serum PTH >4times normal 57.5%
GENERAL:
Number of patients transferred acutely to an acute care hospital ( via ambulance )/year 10
Number of deaths at facilities 0
Number of cardiac arrests at facilities 0