Network activities are designed to align with the Department of Health and Human Services (HHS), National Quality Strategy (NQS), and the Centers for Medicare & Medicaid Services (CMS) priorities designed to result in improvements in the care of individuals with ESRD.

Network Quality Improvement Activities (QIAs)

CMS mandates that the Network shall incorporate a focus on disparities in conducting all of the activities. In each QIA, the Network shall analyze data and implement interventions aimed at reducing disparities.

All QIAs shall use innovative approaches and rapid cycle improvement that incorporate boundariliness, unconditional teamwork, are customer-focused and sustainable to achieve the strategic goals of the ESRD Network Program.

Network QIAs:
Reduce Rates of BSIs 
Reduce Long Term Catheter Use
Increase Rates of Patients on a Transplant wait list
Increase Rates of Patients Dialyzing at Home


The Network is uniquely positioned to ensure full participation of the ESRD community in achieving the aims of the NQS.
Therefore, these projects emphasize:

  • Network relationship with ESRD patients
  • Ensuring representation of ESRD patients in shared decision making related to ESRD care in order to promote person-centeredness and family engagement (NQS Principle 1)
  • Protecting ESRD patient access to and quality of dialysis care, especially among vulnerable populations (NQS Principle 3
  • Network relationship with ESRD facilities (NQS Principle 4)
  • Identifying opportunities for quality improvement at the individual facility level and providing technical assistance (NQS Principle 5)
  • Promoting all modalities of care, including home modalities and transplantation, as appropriate, to promote patient independence and improve clinical outcomes(NQS Principle 5)
  • Facilitating processes to promote coordination between care settings(NQS Principle 8)
  • Ensuring accurate, complete, consistent, and timely data collection, analysis, and reporting by facilities in accordance with national standards and the ESRD QIP (NQS Principle 6).

Quality Improvement Department

Jeanine Pilgrim, MPH, PMP, CPHQ, CHES, CPXP
Network Program Director
(516) 209-5365

Elena Balovlenkov, RN, BSN, MS
Quality Improvement Director

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