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.


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

April 26, 2018
Webinar:  Vocational Rehabilitation QIA April Webinar

Review Root Cause Analysis results, Project Interventions, and progress of the QIA.

January 8, 2018
Webinar: Vocational Rehabilitation QIA Kick-Off Webinar
Review project requirements, timelines, and project interventions for 2018.

ESRD NCC Resources

Thursday, June 7, 2018, 1:00 p.m. to 2:15 p.m. ET.

Featured Presenter
Pam Walker, The Social Security Administration (SSA)
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
Event Material:
Patient and Healthcare Team

Patient Services Department

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