Normandy House Nursing Home Melrose MA 1967-1970€¦ · Bill Mitch Gary Curhan ... John Forman...
Transcript of Normandy House Nursing Home Melrose MA 1967-1970€¦ · Bill Mitch Gary Curhan ... John Forman...
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NormandyHouseNursingHomeMelroseMA1967-1970
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NormandyHouseDialysisUnitMelroseMA1967-1970
BabcockStreetDialysisUnitBrooklineMA1971-1978
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NormandyHouseDialysisUnitMelroseMA1967-1970
BabcockStreetDialysisUnitBrooklineMA1971-1978
TheKidneyCenterBrooklineMA1976-1998
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Incident&prevalentpaMentcountsbymodality
2012USRenalDataSystem
NMCFMCLargestProvider34%ofalldialysisPaMents
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NorthAmerica Europe/MiddleEast/Africa
LaMnAmerica Asia-Pacific Total2011
Dialysisclinics 1,838 600 218 242 2,898
DialysispaMents 142,319 48,346 25,381 17,110 233,156
Treatments(inmillions) 21.61 6.61 3.68 2.50 34.39
FRESENIUS MEDICAL CARE
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DevelopmentsinESRDTherapy
UltrafiltraMoncontrol
MeasureofAdequacy
BicarbonateDialysate
BiocompaMbledialyzer
membranes
SinglePassdialysate
UnderstandingofRoleofProtein/CalorieIntake
AVFistula CAPD&APD
On-lineMeasurementof
adequacyIVVitaminD
ErythropoieMnSMmulaMngAgents
HollowFiberKidney
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QuanMtyofDatainFMCNADatabase
Fresenius Medical Care
• >980KpaMents• >183KacMvepaMents• >227millionHDtreatments• >903millionmedicaMonadministraMons• >969millionlabresults
- last updated 01/24/2013
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ExternalUsesofData• DataCollaboraMonwithAcademicPrograms
– HarvardSchoolofPublicHealth– Brigham&Women’sHospital/HMS– MassachusehsGeneralHospital/HMS– DukeUniversity– UniversityofPennsylvaniaSchoolofMedicine– MaineMedicalCenter– UniversityofNorthCarolina– VanderbiltUniversity– MountSinai– UniversityofMichigan(DOPPS)
• DataCollaboraMonwithMedicalDirectors• DataSalestoPharmaceuMcalandotherMedicalCompanies• DataCollaboraMonwithGovernmentalAgencies
– USRDS– CDC– AHQR
• Advocacywithfiscalintermediariesandpolicymakers– CMS– MedPAC– FDA
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PBBH/BWHClinicalNephro-EpidemiologyinCRF&ESRD
JohnMerrill
GusHampers TedHager
GeorgeBailey
EdLowrie MikeLazarus
RayHakim
JonHimmelfarbBillOwenGlennChertow
EduardoLacson
AjaySinghSteveBrunelli
RobBrennerLewisBrenner
Developmentfrom1948-2013
TedSteinman
HMS School of Public Health
BillMitch
GaryCurhanSusWaikar WolfgangWinkelmeyer
DavidMountJohnForman KevinTucker
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CHMCtransplantsurgeon,Dr.RayLeveyandDr.MichaelLazarus,DirectorofCHMCDialysisUnitwithyoungestmother/daughtertransplant.~1974