DAC report for ANZSN council August 2017

Home Dialysis Conference, Skycity Auckland 28 Feb – 2 March 2018

Chair – David Semple

LOC - Balaji Jagannathan, Daniel Lin, David McGregor, Fakaola Otuafi , Janak De Zoysa, Kannaiyan Rabindranath, Rachael Walker , Rob Walker, Walaa Saweirs,

Theme – Building for Home

Program – confirmed international speakers, Philip Li (Hong Kong), Chris Chan (Canada), Jeff Perl fully funded buy Baxter as is also attending the PD Academy in Sydney and doing an industry funded lunch symposium at HDC (Canada). Program is almost finalised and almost all speakers have confirmed. Details will be on the website soon.

Sponsorship – Plantinum - Baxter, Gold – Fresenius, Roche - Bronze,

David Semple, Chair of LOC committee is concerned they may not make a profit as number of delegates may be lower than usual being in Auckland but the LOC and Dinamics are trying to keep the expenses to a minimum. Aiming for more than 300, as 300 would mean a $NZ 15,000 deficit, rather than the 400 that attended Melbourne HDC 2016. I have previously let David Mudge and council know of our financial concerns.

Marketing is active through ANZSN newsletter, and we are asking the RSA if they could promote the meeting in their newsletter and at conferences. NZ Renal nurses and NZ renal physician marketing is occurring. And also promoted through the Asia-Pacific Chapter of the ISPD newsletter. The conference website is active. KHA, New Zealand Kidney Health and our new patient rep Martine Allars is working on novel ways to promote the meeting to patients and carers. We also plan to do an email to ANZ HOU and ask them to encourage their staff (nephrologists including trainees, nurses and allied health) to attend, and closer to the early bird deadline individual emails to ANZSN nephrologists rather than just in the newsletter to attract more attention.

I would like to ask the ANZSN council if they would consider offering travel grants to ?5 trainees who have abstracts accepted at the meeting. Similar to the process for ANZSN and ASN travel grants.

DAC membership

My term as chair finishes in March 2018 at the HDC and Aron Chakera has expressed interest in taking over and he has the endorsement of the DAC committee. I am hoping ANZSN council will approve this appointment.

Peter Kerr is due to finish his term in October 2017 and we are just planning where the next HDC will be in 2020 as we would need a local nephrologist to be the chair of the LOC and ideally sit on the DAC. Previous HDC have been in Geelong, Christchurch, Brisbane, Sydney and Melbourne. So we are discussing Adelaide, Perth and less likely Canberra but I am keen to make sure we ensure a profit at the next meeting given Auckland may not, so this may influence the decision. Once this is finalised we will ask for EOI though ANZSN.

We are also looking for a new social work rep – we have had one previous EOI, who we need to check references on as no-one on the current DAC knows them.

Dialysis KPIs

Aron Chakera, Doris Chan and Richard Yann are finalising a list of recommended dialysis KPIs for ANZSN dialysis units

Maria Safe, Bill Handke and Monique Borlace are finalising a definition of pre-dialysis education for a KPI.

The clinical incidents in Diaverum HD units in WA have been discussed, but unfortunately we don’t have much information availble. Aron Chakera and Doris Chan being based in Perth are trying to find out more details. I wondered if you would like us to take this further and officially request further information either from Diaverum or the WA Dept of Health as I understand this is who Diaverum report to. It is an important issue as to the governance of private HD units and their auditing process.

The reciprocal arrangements for HD for Aus and NZ HD patients is an issue. NZ has agreed to dialyse Australian HD patients with no restrictions, apart from the availability of HD spots but in Australia each State and sometimes individual health boards have their own arrangements. The official Aus Commonwealth DHS states NZ citizens are eligible for health care in Aus but not if it is pre-arranged and this seems to be the problem or the reason why NZ patients can be refused HD or asked to pay (this was confirmed by the Vic DHS as a problem). In contrast NZ have realised that HD must be pre-arranged and are covering costs. As an example the Vic DHS site states “Eligible visitors covered by RHCAs are entitled to 12 procedures over a 3 month period of stay”. The DAC strongly felt that all NZ patients should be eligible for free HD in Aust and clearly this needs to be pre- arranged so KHA have offered to investigate this further and if necessary lobby health departments. KH NZ are also trying to document how many NZ patients have had problems and have been charged for HD in Aus.

The DAC have endorsed the Matthew Jose at al publication on Fatal Dialysis Vascular Access Hemorrhage, AJKD 2017 as requested by Matt Jose and recommend that the paper be referenced on the DAC section of the ANZSN website, or if CPAC would like to approve it could be referenced there.

Other projects include

Dialysis Staff Training Guidelines (PD and HD)

Funding for time of work whilst training for Home HD

Financial support for transport to and from satellite HD Carers support and respite

Due to financial constraints I understand we can not have a FTF meeting in November as planned so we will organise a TC instead.

Fiona Brown, Chair DAC