The intent of this QIA is to assist ESRD patients with seeking gainful employment and/or returning to work.
The Social Security Administration (SSA) administers the Ticket to Work Program. Under this free and voluntary program, eligible beneficiaries between the ages of 18 and 55, who are blind or have a disability and receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits are entitled to sign up with an Employment Network (EN) or a State Vocational Rehabilitation (VR) agency of their choice. These approved service providers coordinate and provide appropriate services to help eligible beneficiaries find and maintain employment. Appropriate services may include training, career counseling, vocational rehabilitation, job placement, and ongoing support services necessary to achieve a work goal.
Collaboration: the Network shall identify a minimum of five (5) Employment Networks and/or the State Vocational Rehabilitation (VR) agency that serves the recruited patient population and educate patients regarding the researched and identified EN and/or VR resources.
Facility Selection: The Network shall include in the QIA, at least 10% of the dialysis facilities within the Network’s service area.
Inclusion Criteria: The ESRD NCC will provide to the Network, based on CROWNWeb, the number of patients reported as receiving EN and/or VR services to be used as the numerator and to be used for the denominator, the number prevalent patients between the ages of 18 and 55
Goal: The Network shall demonstrate at least a ten (10) percentage point increase in referrals to the identified EN and/or VR in by September 30th of the contract year. The Network shall demonstrate at least a five (5) percentage point improvement in the number of patients receiving EN and/or VR services in closed CROWNWeb data by September 30th of the contract year.
Baseline Data: The baseline for this QIA shall be the number of patients identified in CROWNWeb as working in the patient demographics, October 2017 – June 2018.
QIA Monthly Activities (Interventions and Updates)
September (Planning for 2020)
July (Best Practices/Patient & Family Engagement)
June (Rapid Cycle Improvement)
May (Unconditional Teamwork)
February (Customer Focus)
(All reporting is due on the last day of the month)
September MSR worksheet PDF; Online Submission Form
August MSR worksheet PDF; Online Submission Form
July MSR worksheet PDF; Online Submission Form
June MSR worksheet PDF; Online Submission Form
May MSR worksheet PDF; Online Submission Form
April MSR worksheet PDF; Online Submission Form
March MSR worksheet PDF; Online Submission Form
2019 QIA Activity Timeline/Checklist PDF
RCA/PDSA Worksheet PDF (to be completed by facility staff)
QIA Facility Contact, RCA Outcomes, and PDSA plan (Reporting Worksheet PDF); Online submission form
QIA Patient Feedback Form PDF
Sustainability Planning Guide and Template PDF
Peter's Success Story (Dialysis and Ticket to Work) link
Vocational Rehabilitation Resources webpage
MEI's Patient Interest Checklists: 0-30 days PDF > 1 year PDF
New York State Vocational Rehabilitation Resource Centers PDF
Printable Word Search PDF
Vocational Rehabilitation: Answers to Your Questions: English PDF; Spanish PDF
HDC's Working on Dialysis: What Staff Should Know PDF
October 10, 2019
Online Job Fair Register
June 27, 2019
Dialysis Patient Citizens "Vocational Rehabilitation Works for You and Your Quality of Life!"
Recording and Slides are available on DPC website link
ESRD NCC LAN Webinar Recordings
PFE LAN: Quality Assessment and Performance Improvement (QAPI)
View the PowerPoint slides; Listen to the recorded webinar (Once you click the link, scroll down and hit the play button to start the webinar recording.)
April 16, 2019
Helping Patients Work Using SSA Work Incentives |Slides; View Recording
Presentation Objectives: Describe ways to identify dialysis patients on Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) that can return to work without losing income from Social Security.
Explain various work incentive programs including:
- SSDI Only Work Incentives
- SSI Only Work Incentives
- Identify Social Security work incentives.
- SSI & SSDI Work Incentives
- Highlight Social Security disability benefits.
- Provide overview of Social Security's Ticket to Work program.
- Identify Social Security work incentives.
- Discuss attendees' employment team options.
- Highlight Ticket to Work success stories.
Network QIA Lead
Quality Improvement Coordinator
QIA Referral Steps
1. Assess patient needs
2. Discuss Quality of Life (QOL)
3. Set goals for QOL
4. Refer to VR/EN If and when patient is ready or requests
5. UPDATE Patient VR Record in CROWNWeb (how to PDF)
6. Reassess when needed or at Annual Plan of Care
QIA Activities (to date)
First Draft of Sustainability Plan (Template PDF)
Review your eligible (18-54) patients School Status
Review VR Utilization
Check in with your contacts (VR/EN/ILC)
Review all Eligible Patients Status
Schedule 1:1 Webex with Network
Provide Patient Feedback Form PDF
Order Patient Education Materials link
Submit Education Station Photo to Network
Attend ESRD NCC QAPI Webinar
Attend QIA Mid-Point Webinar
Contact your local Independent Living Center
Review Your Education Station
Identify patients (18-54) who need to schedule an appointment with a VR Counselor or attend an orientation session
Share Ticket to Work Information
Patient Involvement in QAPI
Attend National LAN Webinar (or listen to recording)
Utilize MEI's Patient Interest Checklists:
0-30 days PDF
> 1 year PDF
Launch Facility Education Station/Visual Display Project
Launch Patient Knowledge Assessment
Perform QIA RCA and Begin PDSA cycle
Attend QIA Kickoff Webinar (or listen to Recording; Post-test)
Complete QIA Contact Form