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 committees 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 including nephrologists, nurses, social workers, dietitians, technicians, and at least two ESRD patients.
Members are elected for a three-year term, with staggered expiration dates, to accommodate rotation of new and retiring members.
Board members meet at a minimum of four times per year (combination of virtual and face-to-face meetings). Attendance at 75 percent of meetings is mandatory to retain board status.
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 (EDB)
The Network 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 Directors on quality improvement activities and policies and procedures for the ESRD Network Program.
The EDB shall perform the following functions regarding the delivery of ESRD care:
1. Review and recommend to the IPRO Board of Directors policies and procedures;
2. Interface with CMS and other regulatory agencies;
3. Encourage patient participation, providers of services, and ESRD facilities in vocational rehabilitation programs;
4. Develop criteria and standards relating to the quality and appropriateness of patient care and Network goals;
5. Implement procedures for evaluation and resolution of patient grievances by the Medical Review Board;
6. Identify 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
7. Support activities of the Medical Review Board and the Patient Advisory Committee.
Bylaws state 5-year term. Chair term does not apply.
Medical Review Board (MRB)
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 regarding the delivery of ESRD care:
1. Advise the Divisional Board and Network Staff on the care and appropriate placement of ESRD;
2. Advise the Divisional Board and Network staff on all Network quality improvement activities;
3. Assist Network staff in the development, implementation, and evaluation of quality improvement projects;
4. Make recommendations to the Network regarding sanctions for facilities or providers that do not comply with Network goals or standards; and
5. Evaluate whether Network projects require Institutional Review Board approval or involvement pursuant to Office of Human Research Protection regulations.
Bylaws state 5-year term. Chair term does not apply.
The Network Grievance Committee is an advisory panel to the Divisional Board (DB), composed of nephrology physicians, nurses, social workers, and patient representatives. The committee meets quarterly to review trends and advise strategies to support facilities and patients with preventing and resolving grievances in accordance with CMS procedures and Network policies.
Bylaws state Chair term is a 5-year term.
Patient Advisory Committee (PAC)
The PAC is comprised of ESRD patients and caregivers who assist in identifying and addressing barriers to obtaining quality healthcare from the perspective of ESRD patients. The PAC meets bi-monthly and supports Network activities by assisting with the development of educational materials for patients and providing feedback on the effectiveness of beneficiary-related activities.
Who are PAC members?
A PAC member is either an ESRD patient, transplant recipient, care partner, or family member of a dialysis patient. PAC representatives act as the voice for ESRD patients and are passionate about improving the quality of life for their fellow patients. View the PAC Page for more information on joining or nominating a patient.