_Vasc-Alert Weekly Reports

Five reports are available on a weekly basis from Vasc-Alert. The same information is also available online.

VAPR and AAPR Alert Lists

The weekly VAPR Alert List shows the patients who have been issued at least one VAPR (Vascular Access Pressure Ratio) alert within the time frame defined at the top of the report.  A patient appears on the alert list when he/she has had three consecutive treatments with VAPR results above the defined threshold.   The threshold is 0.55 for both fistula patients and graft patients.

Patients highlighted in yellow have had alerts since the last reports were issued. The report also shows the date of the two most recent alerts and the number of alerts within the past 90 days.  The number of alerts within the past 30 days is shown in red to the left of the name.

If an alert has been issued, a clinician should try to determine the cause of the elevated pressure reading, rule out any correctable cause of pressure elevation, and then refer the patient for intervention if necessary.

The AAPR Alert List is similar to the VAPR alert list but shows patients who had AAPR (Arterial Access Performance Ratio) alerts. The AAPR threshold is 0.65 for fistula patients and 0.60 for graft patients.

Patient Detail Reports:  Patients on Alert and Patients Not on Alert

 Vasc-Alert issues two sets of Patient Detail reports.  One set covers patients who have been issued a VAPR or AAPR alert within the previous 30 days. The Patient Detail reports make it easy to identify patients with increasing trends or consistently elevated VAPR or AAPR values, so early referrals can be made.

The second set of Patient Detail reports includes the rest of your patients. Even though a patient has not had a recent alert, the clinical staff may want to review the report to identify early trends before the patient moves onto the alert list.  Staff can also review other non-alerting patients that they may have concerns about for other indicators of potential problems such as a drop in blood flow rate.

Each patient's report has five graphs, showing 6 months of data for VAPR and AAPR calculations, average session blood flow rate, average session venous pressure and average session negative arterial pressure.  A moving average is displayed on top of the actual values, to make trending easier to see. Alerts on the top two graphs are indicated with red vertical lines. The table on the right side of the report shows the numeric values for the most recent 30 treatments.

Access Report

This weekly report lists the accesses for every patient that we have received data on within the defined one month time frame located at the top of the report. This data reflects what was sent to us from your EMR.  The report allows you to review each patient to find those with incomplete or missing access data so that you can update the information in your EMR.  This ensures that Vasc Alert is receiving the most up-to-date information about patient accesses, and it can assist you in improving the accuracy of your medical records.