NATIONAL KIDNEY FOUNDATION OF ARIZONA FM 2017.PDF

Last updated: 03/03/2017
General information
Organization National Kidney Foundation of Arizona
Contact First name James
Contact Last name Ivie
Contact e-mail jivie@azkidney.org
Contact phone number 602-840-1644
Address
Street 360 E. Coronado Rd., Suite 180
City Phoenix
State Arizona
ZIP Code 85004
From what tribe is the Fort McDowell Yavapai Nation
organization requesting the
grant?
Total grant amount request 25,000
1 / 1


360 E. Coronado Road
Suite 180
Phoenix, AZ 85004
Tel 602.840.1644
Fax 602.840.2360
www.azkidney.org
OFFICERS Ms. Selena Castaneda March 17, 2017
Chairman Tribal Secretary
Leonard J. McDonald Fort McDowell Yavapai Nation Tribal Council
Secretary P.O. Box 17779
Michael Krassner Fountain Hills, AZ 85269
Treasurer Re: Prop 202 Grant Applicaton: Requesting $25,000
Pamela A. Paul
BOARD OF DIRECTORS Local Government Entity Contact: Organization applying for funding:
Gina Barletta, MD
Victoria A. Bellomo, Esq. Maricopa County Board of Supervisors National Kidney Foundation of Arizona
Betsy Bombeck Melody Henderson James Ivie, PhD, LCSW
Lynne A. Boschee
Robert S. Cohen, MD Maricopa County Government Relations Director of Patient Services
James Goodnow 301 W. Jefferson, 10th Floor 360 E. Coronado Rd., Suite 180
Christopher J. Hogan, RPh Phoenix, AZ 85003 Phoenix, AZ 85004
Keith Killough (602) 506-2798 (602) 840-1644
Savas Petrides, MD mhenders@mail.maricopa.gov jivie@azkidney.org
Adrian Ruiz
Karny Stefan, Mpa, CFRE
Kathleen A. Taddie
Charlie Thomas, LCSW
Daniel F. Walton, MD Dear Ms. Castaneda,
André F. Wilson
MEDICAL ADVISORY BOARD The Nutritional Support for Patients with Kidney Failure Program is a continuing
Chairman project that is a joint effort of the National Kidney Foundation of Arizona (NKF AZ), the
Robert S. Cohen, MD Arizona Council for Renal Nutrition, and Arizona Nephrology Social Workers. The
program is designed to identify kidney failure patients who are on dialysis and who are
IN MEMORIAM
Carol G. Bombeck contending with one of the following three conditions: 1) they are new to dialysis and are
Erma Bombeck failing to thrive, 2) they have been on dialysis for more than three months and are
Melvin L. Cohen, MD malnourished as evidenced by abnormal labs and/or weight loss, or 3) their poor oral
Kenneth E. Johnson, Sr., MD health/dentition prevents consumption of the high protein meats and other foods they
Daniel J. Potter, MD need. Patients who exhibit these conditions can apply to NKF AZ for grocery
Glenna Jones Shapiro
assistance, a copy of our “Cookbook: A Guide for Renal Nutrition,” protein supplements,
CHIEF EXECUTIVE OFFICER and/or dental care to restore a healthy nutritional status.
Jeffrey D. Neff
The purpose of our Program is to prevent malnutrition, enhance consistency in patient
education, facilitate adherence to diet recommendations, and improve health outcomes.
These goals meet Fort McDowell’s funding priorities in both health and education. Diet
restrictions for dialysis patients limit and regulate the intake of fluid, sodium,
phosphorus, calcium, and potassium while encouraging the use of protein-rich foods.
Many dialysis patients are diabetic and must contend with the requirements of a diabetic
diet as well. Adjustment to the logistical, dietary, financial, and emotional challenges of
dialysis can be daunting and the first three months can be the hardest of all. The needs
that the Program aims to fulfill are threefold:
1) For patients who are new to dialysis and failing to thrive, there is often a need for
more individualized nutritional education and financial assistance. There is a learning
curve for patients over the first few months of dialysis as they adjust to diet restrictions

360 E. Coronado Road
Suite 180
Phoenix, AZ 85004
Tel 602.840.1644
Fax 602.840.2360
www.azkidney.org
and the impact on their grocery budget. Dialysis facility dietitians can apply to NKF AZ for a grocery store gift card
and a cookbook. When an application is approved and a grocery store card is issued, it is the dietitian who receives
it at the dialysis facility. The card is then given to the patient in the context of a nutritional education presentation that
includes a review of what foods conform to the renal diet; what foods need to be avoided; a list of the current week’s
grocery store specials that are rich in protein, low in sodium, low in phosphorus, low in calcium and low in potassium;
and a selection of recipes from the NKF AZ Cookbook: A Guide for Renal Nutrition that makes use of recommended
foods. The patient is then assigned “homework” to use the grocery store card to purchase food items listed in the
recipes and to prepare healthy meals. The patient is instructed to report back to the dietitian on how they completed
the assignment and what they learned. Our Cookbook is a tool for nutritional counseling and meal planning that
reduces the “guess work” involved when advised to control the intake of protein and other nutrients.
2) For patients who have been on dialysis for more than three months and who are malnourished as evidenced by
abnormal labs and/or weight loss, there is a need for protein supplements (liquids, powders, gelatins, and bars) to
prevent cachexia (severe loss of weight, muscle atrophy, fatigue, weakness, and significant loss of appetite). It is
well established that dialysis patients whose blood laboratory values show low protein levels have significantly higher
rates of mortality. This protein malnutrition is often due to the inability to consume adequate protein because of poor
physical or oral health, social and cultural practices and/or financial barriers. The availability of protein supplements
offers the opportunity to reverse the risk of cachexia nutritionally.
3) For patients with poor oral health/dentition, there is a need for assistance with the cost of cleanings, fillings,
extractions, crowns, and dentures in order to eliminate pain or infections and to restore the ability to chew solid high-
protein foods. The Program can prevent periodontal diseases from contributing to malnutrition or becoming a source
of systemic inflammation for patients with kidney failure.
The Program serves dialysis patients throughout the entire state of Arizona. There are currently over 9,000 dialysis
patients statewide and their numbers continue to grow. Historically, our food assistance, nutritional supplements,
and dental care programs have been used by up to 10% of the kidney failure population, which represents several
hundred people. It is projected that over 700 patients could be served by the Program in the coming year.
There are over 120 dialysis facilities in Arizona and all of them can refer patients to the Program. The dialysis
facilities are owned by several different companies, such as Fresenius, DaVita, Southwest Kidney Institute, U. S.
Renal Care, Dialysis Centers Inc., and American Renal Associates. Applications for assistance are received on a
continuous basis through renal dietitians and social workers who identify patients in need. Some funding for the
Program is received from the State of Arizona Department of Health Services, but most of that funding is dedicated
to transportation assistance. An application is being submitted to the Gila River Indian Community but it does not
involve a request for funding for this Program. The timetable for implementation of the Program encompasses the
whole of fiscal year 2018, which spans from July 1, 2017 through June 30, 2018.
PROJECTED PROGRAM BUDGET
Program Category Amount Requested Total Program Budget Projected Numbers of
from Ft. McDowell Patients Helped
Dental Care $14,000 $68,000 100
Protein Supplements $9,500 45,000 500
Food & Cookbook $1,500 7,000 110
Total: $25,000 $120,000 710