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Timothy A. Pflederer

Peripherally inserted central venous catheters (PICC lines) are being used with increasing frequency in the hospital and outpatient settings for patients who require venous access. Originally intended as a less invasive way to obtain long-term central venous access, PICC lines are now being used for a growing number of indications. Patients who require an extended course of antibiotics or other medications were often chosen to have a PICC line placed after treatment was begun with a peripheral intravenous (IV ) catheter. However, PICC lines are now often chosen as the first-line access option in patients with difficult venous access regardless

Timothy A. Pflederer

In their article “The RVU Does Have Value but Also a Cost,” authors Rosner and Manley note that the relative value unit (RVU) system for determining physician work and reimbursement has merit, but it does not fully account for non-encounter-based work that supports patient care.

The Renal Physicians Association (RPA) concurs with this assessment. Furthermore, although this shortfall admittedly affects all physicians, specialties, and practice settings, nephrology is uniquely poised to be adversely affected by virtue of the patient population for which it provides care. Activities that support high-quality patient care but are not reflected in Current Procedural Terminology (CPT)

Timothy A. Pflederer

the American Society of Diagnostic and Interventional Nephrology (ASDIN) is dedicated to enhancing the quality of care that patients receive related to vascular access, peritoneal dialysis access, and ultrasonography. Established in 2000, the mission of ASDIN is to promote the appropriate application of new and existing procedures in order to improve the care of patients with kidney disease. Membership includes physicians, nurses, technicians, and administrators—all with interest in this specialized field. ASDIN is the representative society for the growing number of interventional nephrologists in America and internationally. The society currently has approximately 600 members.

ASDIN works to accomplish its mission