normandy house nursing home melrose ma 1967-1970€¦ · bill mitch gary curhan ... john forman...
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NormandyHouseNursingHomeMelroseMA1967-1970
NormandyHouseDialysisUnitMelroseMA1967-1970
BabcockStreetDialysisUnitBrooklineMA1971-1978
NormandyHouseDialysisUnitMelroseMA1967-1970
BabcockStreetDialysisUnitBrooklineMA1971-1978
TheKidneyCenterBrooklineMA1976-1998
Incident&prevalentpaMentcountsbymodality
2012USRenalDataSystem
NMCFMCLargestProvider34%ofalldialysisPaMents
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
DevelopmentsinESRDTherapy
UltrafiltraMoncontrol
MeasureofAdequacy
BicarbonateDialysate
BiocompaMbledialyzer
membranes
SinglePassdialysate
UnderstandingofRoleofProtein/CalorieIntake
AVFistula CAPD&APD
On-lineMeasurementof
adequacyIVVitaminD
ErythropoieMnSMmulaMngAgents
HollowFiberKidney
QuanMtyofDatainFMCNADatabase
Fresenius Medical Care
• >980KpaMents• >183KacMvepaMents• >227millionHDtreatments• >903millionmedicaMonadministraMons• >969millionlabresults
- last updated 01/24/2013
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
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
CHMCtransplantsurgeon,Dr.RayLeveyandDr.MichaelLazarus,DirectorofCHMCDialysisUnitwithyoungestmother/daughtertransplant.~1974