Vascular Access

In 2003, the Centers for Medicare & Medicaid Services (CMS) established the National Access Improvement Initiative (NVAII), which included vascular access experts and renal stakeholders who were committed to the development and implementation of sustainable system changes to support arteriovenous fistula (AVF) placement in suitable hemodialysis patients.
In 2005, the NVAII became the Fistula First Breakthrough Initiative (FFBI) Coalition. Together, the members of the FFBI Coalition developed a toolkit intended to support the work of ESRD Networks and renal community in improving vascular access for hemodialysis patients. All documents created and/or modified as part of the FFBI Coalition are branded as Fistula First (FF), and can be customized for your own facilities and/or practice.
In 2015, the FFBI Coalition transitioned to the FFCL Workgroup Coalition, which included an enhanced focus on reducing of central venous catheter (CVC), in addition to continuing to support the development of tools and resources to help dialysis facilities and clinicians increase AVF rates in hemodialysis patients.
For more information visit the FFCL website.

Any surgery can be scary, and it can help to know ahead of time what to expect.  Doing a little homework can help you approach the process with more peace of mind.  Plan ahead to get your AV fistula before you need to use it, it will help you stay in charge and feel more in control of your life. For more information visit the Lifeline for a Lifetime website.