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Vascular Access Initiative: Background, Goals and Action Steps
This document provides background on the scope of this problem, describes barriers to optimizing clinical care, presents the goals of the Vascular Access Initiative (VAI), and provides action steps that are intended to address these issues.

Role of Nephrologists in Vascular Access Initiative
This document outlines the role of the nephrologist in the Vascular Access Initiative.

RPA Letter to Nephrologists
RPA's cover letter to nephrologists announcing the Vascular Access Initiative and seeking their participation.

Role of the Dialysis Provider in Vascular Access Initiative
This document outlines the role of the provider in the Vascular Access Initiative and lists a series of core goals in which the dialysis provider should participate to advance this effort.

Template Letter to Hospital CEOs Seeking Participation in the Vascular Access Initiative
This letter to Hospital CEOs urges them to have their institutions participate in the Vascular Access Initiative, and provides a list of recommended steps a hospital can take to advance vascular access care for their patients. 

Template Letter to Quality Improvement Organizations Seeking Support for the Vascular Access Initiative This letter to the Quality Improvement Organizations seeks their support for the Vascular Access Initiative and outlines the potential benefits of the program.

Template Letter to Vascular Surgeons Seeking Their Participation in the Vascular Initiative
This letter to the Vascular Surgeons seeks their participation for the Vascular Access Initiative and provides detail on the current status of vascular access in dialysis patients.

Guidance Tool for Surgical Management of Patients with CKD Stages 4 and 5
This tool is intended to provide guidance to the vascular surgeon in the management of patients with CKD stages 4 and 5 based on the patient's estimated glomerular filtration rate (eGFR).

Vascular Surgery Referral Form
This tool is intended to provide the nephrologist with a template for referring the patient to the vascular surgeon.

How to Make Fistulas that Work  

Symposium from the 2010 Fistula First Comprehensive Fistula Construction and Management Program for Surgeons designed to provide access surgeons with the tools for successful surgical approaches to fistula creation and care.