This new and expanded edition of ANNA's manual focusing on nephrology-specific continuous quality improvement (CQI) contains a practical overview of CQI, case studies, and tools to use in the majority of practice areas within the nephrology specialty. In addition to being designed to guide practitioners in their quest for excellence, the contents are also geared toward satisfying mandates of oversight organizations, such as The Joint Commission and the Centers for Medicare & Medicaid Services. Quality and formal programs ensuring quality outcomes are no longer optional in today's health care world; they are mandated. This publication is a valuable resource as nephrology nurses seek to implement successful quality initiatives and provide the best services possible in the most economical manner.