Provider Information

The ESRD Networks are focused on reducing the rate of LTCs at facilities with a rate of >10%.

Increasing the number of patients receiving dialysis via arteriovenous fistulas (AVF) and reducing long-term catheter (LTC) use for dialysis access is key to providing optimum care for your patients. A dialysis patient is identified as having a LTC when he or she has been dialyzed with a catheter for 90 days or longer, regardless of whether the catheter has been replaced.

The Centers for Medicare and Medicaid Services (CMS) has set two quality goals for facilities, that are linked to the QIP. These are:

1. Each hemodialysis facility's AVF rate should be greater than or equal to 68%
2. Each hemodialysis facility's LTC rate should be less than or equal to 10%


The Fistula First Catheter Last (FFCL) site has information for both providers and patients about access care and improving outcomes. Included on this site are resources for you as the provider, your patients, and vascular surgeons.

Vascular Access Progress Planning Resources
VAP Worksheet
VAP Reporting Form
Patient Resources for Vascular Access Planning

To read more about our LTC QI project, please visit our QI Long-Term Catheter Webpage.