QIA Guidelines

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)
August (Sustainability)
July (Best Practices/Patient & Family Engagement)
June (Rapid Cycle Improvement)
May (Unconditional Teamwork)
April (Boundrilessness)
March (Innovation)
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

Updating CROWNWeb

Updating VR Info through View individual Patient Attributes History PDF
Vocational Rehabilitation Monthly Validation PDF
CROWNWeb Tutorial: Editing Patient Attributes Link  or 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

Ticket to Work: Choosing the service provider that's right for you  PDF
The Share Approach PDF

HDC's Working on Dialysis: What Staff Should Know  PDF

Important Links:

NY State: How to apply for VR Resources webpage
SSA Ticket To Work Program webpage
New York State Disability Employment Initiative webpage

Network Webinars

June 26, 2019 
2019 Promising Practices Midpoint Employment QIA Webinar
Slides PDF; Recording; Post-test

February 14, 2019 
2019 Support Gainful Employment Kickoff Webinar
During this webinar the requirements of the entire project will be reviewed.
Slides; Recording; Post-test

Stakeholder Webinars

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

June 20, 2019
My Employment Options: "Interviewing Tips and Tricks" Recording

March 21st, 2019
My Employment Options: "Resume Tips That Get Results!" Recording 

ESRD NCC LAN Webinar Recordings

One Continuing Education Credit per recording:
Click here if you are already registered in the Learning Management Center (LMC).
Click here to register for the LMC and then access the courses.
June 18, 2019
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
March 7, 2019
Ticket to WorkView Recording
Presentation Objectives:
  • 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.
Patient and Healthcare Team

Network QIA Lead

Anna Bennett
Quality Improvement Coordinator
Emergency Manager
(516) 209-5474

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)

Review all Eligible Patients VR Status in CROWNWeb (Last Chance)
Review the Continuous Quality Improvement Series: 
Adopting Sustainability Strategies and take the post quiz.

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 RecordingPost-test)
Complete QIA Contact Form