Boards and Committees
The IPRO Board of Directors, ESRD Divisional Board, Medical Review Board, Network Council, and committees support and facilitate Network operations. The roles and purpose of these groups are periodically reassessed to ensure that they continue to meet current needs. Board and committee members include representatives from dialysis and transplant facilities, as well as other strategic organizations in each Network service area.
The involvement of patient representatives is vital to the success of Network activities and to improving the quality of care and life for ESRD patients as we move toward the vision of patient-centered care. Therefore, all Boards and committee include at least two patient representatives.
ESRD Boards – Duties and Responsibilities
The ESRD Divisional Boards and Medical Review Boards for each Network are composed of renal professionals and patients qualified to evaluate the quality and appropriateness of care delivered to ESRD patients. Members of the Boards represent the diverse geographic areas and the multiple professional disciplines of the Network service area. This includes nephrologists, nurses, social workers, dietitians, technicians, and at least two ESRD patients.
Members are elected for a two-year term, with staggered expiration dates to accommodate rotation of new and retiring members. A maximum of three consecutive terms shall be permitted.
Boards meet at a minimum of four (4) times per year. Attendance at 75% of meetings, including at least one (1) face-to-face meeting, is mandatory to retain Board status, unless otherwise excused.
Each member is required to sign a Conflict of Interest statement and Affirmation of Agreement with IPRO’s Confidentiality, Privacy and Security Policy on an annual basis.
ESRD Divisional Board
Each Network operated by IPRO has an ESRD Divisional Board (EDB) that is responsible for the oversight and management of the Network. The EDB serves as an expert panel that analyzes and advises the IPRO Board of Director on quality improvement activities and policies and procedures for the ESRD Network Program.
The EDB shall perform the following functions in regard to the delivery of ESRD care:
- Review and recommend to the IPRO Board of Directors policies and procedures;
- Interface with CMS and other regulatory agencies;
- Encouraging patient participation, providers of services, and ESRD facilities in vocational rehabilitation programs;
- Developing criteria and standards relating to the quality and appropriateness of patient care and Network goals;
- Implementing procedures for evaluation and resolution of patient grievances by the Medical Review Board.
- Identifying facilities consistently not meeting Network goals, assisting facilities in developing appropriate plans for correction, and submitting recommendations to the Medical Review Board regarding facilities and providers that are not providing appropriate medical care; and
- Supporting activities of the Medical Review Board and the Patient Advisory Committee.
Medical Review Board
The Medical Review Board (MRB) is an advisory panel to the Network Council on the quality and appropriateness of care delivered to ESRD patients. The MRB also advises on quality improvement activities, including analysis of local data such as clinical performance measures, and develops, implements, and evaluates Network quality improvement projects.
The MRB shall perform the following functions in regard to the delivery of ESRD care:
- Advising the Divisional Board and Network Staff on the care and appropriate placement of ESRD;
- Advising the Divisional Board and Network staff on all Network quality improvement activities;
- Assisting Network staff in the development, implementation and evaluation of quality improvement projects;
- Making recommendations to the Network regarding sanctions for facilities or providers that do not comply with Network goals or standards; and
- Evaluating whether Network projects require Institutional Review Board approval or involvement pursuant to Office of Human Research Protection regulations.
The Network Council is representative of the membership of each Network, and serves in an informational capacity. The Network Council includes a representative of each current Medicare approved end-stage renal disease care provider. Representatives are appointed by the Medical Director or the Administrator of each facility. Representatives are encouraged to participate in Network hosted webinars/conference calls and meetings to act as a liaison between the Network and facility.
Patient Advisory Committee
The Patient Advisory Committee (PAC) assists in identifying and addressing barriers to obtaining quality health care from the perspective of ESRD beneficiaries. The PAC supports Network activities by assisting with the development of educational materials for patients and providing feedback on the effectiveness of beneficiary-related activities. It also assists in outreach to other beneficiaries and care partners to obtain their perspective.
The Network Grievance Committee is an advisory panel to the Network Council consisting of nephrology physicians, nurses, social workers and patient/consumer representatives. The committee investigates and resolves patient grievances in accordance with CMS procedures and Network policies.