| J.7 - CMS Form 684-I |
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| Page 33 |
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|
ESRD NETWORK |
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ANNUAL MANAGEMENT PLAN 7/1/06-6/30/07 |
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YEAR 1 |
| DIRECT MEDICARE |
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TOTAL |
Quality |
Community |
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Information |
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CONTRACT |
Improvement |
Information |
Admin. |
Management |
TOTAL |
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|
FTE |
HOURS |
(% of Time) |
(% of Time) |
(% of Time) |
(% of Time) |
PERCENT* |
| a. LABOR |
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| 1. Project Director/Executive Director |
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0% |
| 2. Quality Improvement Manager (RN) |
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0% |
| 3. RN (Nephrology Experience) |
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0% |
| 4. Office Mgr./Bookkeeper |
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0% |
| 5. Data/Info Systems Manager |
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0% |
| 6. Data Entry & Tracking Clerical Support |
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0% |
| 7. Community Outreach Coordinator |
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0% |
| 8. Admin Assistant/Secretary |
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0% |
| 9. Clerical (non-data clerks, receptionists) |
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0% |
| 10. Patient Services Coordinator |
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0% |
| ADDITIONAL POSITIONS |
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0% |
| 11. |
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0% |
| 12. |
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0% |
| 13. |
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0% |
| 14. |
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0% |
| TEMP. LABOR |
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0% |
| a. |
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0% |
| b. |
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0% |
| c. |
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0% |
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0% |
| SUBTOTAL - DIRECT LABOR |
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0% |
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| b. PROGRAM CONSULTANTS |
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| 1. |
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0% |
| 2. |
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0% |
| 3. |
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0% |
| 4. |
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0% |
| 5. |
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0% |
| 6. |
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0% |
| 7. |
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0% |
| 8. |
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0% |
| 9. |
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0% |
| 10. |
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0% |
| SUBTOTAL-PROGRAM CONSULTANTS |
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0% |
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| NOTE: Enter the Percent of "TOTAL HOURS" in each labor category |
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| * 100% of TOTAL CONTRACT HOURS |
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| J.7 - CMS Form 684-I |
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|
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|
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| Page 34 |
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|
|
|
|
|
|
|
ESRD NETWORK |
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|
|
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|
ANNUAL MANAGEMENT PLAN 7/1/07-6/30/08 |
|
|
|
|
YEAR 2 |
| DIRECT MEDICARE |
|
|
|
TOTAL |
Quality |
Community |
|
Information |
|
|
|
|
|
CONTRACT |
Improvement |
Information |
Admin. |
Management |
TOTAL |
|
|
|
FTE |
HOURS |
(% of Time) |
(% of Time) |
(% of Time) |
(% of Time) |
PERCENT* |
| a. LABOR |
|
|
|
|
|
|
|
|
|
| 1. Project Director/Executive Director |
|
|
|
|
|
|
|
|
0% |
| 2. Quality Improvement Manager (RN) |
|
|
|
|
|
|
|
|
0% |
| 3. RN (Nephrology Experience) |
|
|
|
|
|
|
|
|
0% |
| 4. Office Mgr./Bookkeeper |
|
|
|
|
|
|
|
|
0% |
| 5. Data/Info Systems Manager |
|
|
|
|
|
|
|
|
0% |
| 6. Data Entry & Tracking Clerical Support |
|
|
|
|
|
|
|
|
0% |
| 7. Community Outreach Coordinator |
|
|
|
|
|
|
|
|
0% |
| 8. Admin Assistant/Secretary |
|
|
|
|
|
|
|
|
0% |
| 9. Clerical (non-data clerks, receptionists) |
|
|
|
|
|
|
|
|
0% |
| 10. Patient Services Coordinator |
|
|
|
|
|
|
|
|
0% |
| ADDITIONAL POSITIONS |
|
|
|
|
|
|
|
|
0% |
| 11. |
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0% |
| 12. |
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0% |
| 13. |
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|
|
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|
0% |
| 14. |
|
|
|
|
|
|
|
|
0% |
| TEMP. LABOR |
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|
|
|
|
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0% |
| a. |
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0% |
| b. |
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0% |
| c. |
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0% |
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|
0% |
| SUBTOTAL - DIRECT LABOR |
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
|
|
|
|
|
| b. PROGRAM CONSULTANTS |
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|
|
|
|
|
|
|
| 1. |
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0% |
| 2. |
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0% |
| 3. |
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0% |
| 4. |
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0% |
| 5. |
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0% |
| 6. |
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0% |
| 7. |
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0% |
| 8. |
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0% |
| 9. |
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|
|
|
|
|
0% |
| 10. |
|
|
|
|
|
|
|
|
0% |
| SUBTOTAL-PROGRAM CONSULTANTS |
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
|
|
|
|
|
| NOTE: Enter the Percent of "TOTAL HOURS" in each labor category |
|
|
|
|
|
|
|
|
|
| * 100% of TOTAL CONTRACT HOURS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| J.7 - CMS Form 684-I |
|
|
|
|
|
|
|
|
|
| Page 35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ESRD NETWORK |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ANNUAL MANAGEMENT PLAN 7/1/08-6/30/09 |
|
|
|
|
YEAR 3 |
| DIRECT MEDICARE |
|
|
|
TOTAL |
Quality |
Community |
|
Information |
|
|
|
|
|
CONTRACT |
Improvement |
Information |
Admin. |
Management |
TOTAL |
|
|
|
FTE |
HOURS |
(% of Time) |
(% of Time) |
(% of Time) |
(% of Time) |
PERCENT* |
| a. LABOR |
|
|
|
|
|
|
|
|
|
| 1. Project Director/Executive Director |
|
|
|
|
|
|
|
|
0% |
| 2. Quality Improvement Manager (RN) |
|
|
|
|
|
|
|
|
0% |
| 3. RN (Nephrology Experience) |
|
|
|
|
|
|
|
|
0% |
| 4. Office Mgr./Bookkeeper |
|
|
|
|
|
|
|
|
0% |
| 5. Data/Info Systems Manager |
|
|
|
|
|
|
|
|
0% |
| 6. Data Entry & Tracking Clerical Support |
|
|
|
|
|
|
|
|
0% |
| 7. Community Outreach Coordinator |
|
|
|
|
|
|
|
|
0% |
| 8. Admin Assistant/Secretary |
|
|
|
|
|
|
|
|
0% |
| 9. Clerical (non-data clerks, receptionists) |
|
|
|
|
|
|
|
|
0% |
| 10. Patient Services Coordinator |
|
|
|
|
|
|
|
|
0% |
| ADDITIONAL POSITIONS |
|
|
|
|
|
|
|
|
0% |
| 11. |
|
|
|
|
|
|
|
|
0% |
| 12. |
|
|
|
|
|
|
|
|
0% |
| 13. |
|
|
|
|
|
|
|
|
0% |
| 14. |
|
|
|
|
|
|
|
|
0% |
| TEMP. LABOR |
|
|
|
|
|
|
|
|
0% |
| a. |
|
|
|
|
|
|
|
|
0% |
| b. |
|
|
|
|
|
|
|
|
0% |
| c. |
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
|
|
|
|
0% |
| SUBTOTAL - DIRECT LABOR |
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
|
|
|
|
|
| b. PROGRAM CONSULTANTS |
|
|
|
|
|
|
|
|
|
| 1. |
|
|
|
|
|
|
|
|
0% |
| 2. |
|
|
|
|
|
|
|
|
0% |
| 3. |
|
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|
|
|
|
|
|
0% |
| 4. |
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|
|
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|
0% |
| 5. |
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|
0% |
| 6. |
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|
0% |
| 7. |
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|
0% |
| 8. |
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|
0% |
| 9. |
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|
|
|
|
|
|
|
0% |
| 10. |
|
|
|
|
|
|
|
|
0% |
| SUBTOTAL-PROGRAM CONSULTANTS |
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
|
|
|
|
|
| NOTE: Enter the Percent of "TOTAL HOURS" in each labor category |
|
|
|
|
|
|
|
|
|
| * 100% of TOTAL CONTRACT HOURS |
|
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