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. The Network shall monitor the number of referrals that are received by the EN and/or VR.

Baseline Data:  The baseline for this QIA shall be the number of patients identified in CROWNWeb as working in the patient demographics, in October – June 2017.


Vocational Rehab Webinars:

  • Vocational Rehabilitation QIA Mid-Point Webinar (7/18/2019) Slides; Recording
  • Vocational Rehabilitation QIA Kick-Off Call (2/13/2019) Slides; Recording
  • Vocational Rehabilitation QIA Kick-Off Call (1/8/2018) Slides; Recording 
  • Supporting Gainful Employment: (4/18/2018) Slides
  • Vocational Rehab: Mid-Point Webinar (6/29/2018) Slides
  • AAKP: Keep on Truckin': Keeping or Getting Back to Work with Kidney Disease (8/9/2018) Recording 

Other Videos:

NCC-LAN Calls:

  • ESRD National Coordination Center - Learning Action Network Calls: NCC-LAN Calls 

Tools for Facility:

Patient Education:

Roadsign Home Health Career Family

Project Lead

Alexandra Cruz, RD, LDN
Quality Improvement Coordinator

Lobby Education Intervention