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HVA Recertification Criteria






1.   Applicants must be current members, currently HVA certified by ASDIN, and actively performing interventional procedures.


2.  Applicants must be currently certified by the American Board of Internal Medicine in Nephrology, American Osteopathic Board of Internal Medicine in Nephrology, American Board of Radiology, American Board of Surgery, or National Board of Physicians and Surgeons.


3.  Recertification applications may be submitted six (6) months before or up to six (6) months after the initial five (5) year certification expiration date.


4.  If a recertification application is not submitted within six (6) months of the original certification expiration date, a new certification application and corresponding fee will be required to reinstate certification.


5.  Recertification in HVA procedures will be granted for five (5) years subject to continuous active ASDIN membership during the certification period and begins on the original certification anniversary date no matter when the recertification application is submitted and approved by ASDIN.


6. Each applicant must provide verification that the following minimum procedures have been performed by him/her within the United States in the past 24 months.


A)    25 hemodialysis catheter placements (These may be tunneled or non-tunneled and they may be de novo placements and exchanges).


B)    50 endovascular procedures (including at least 5 endovascular stent placements and 12 thrombectomy procedures on either a fistula or graft).


7.    If applicant holds endorsement of any combination of the two advanced procedures associated with HVA certification, the following will be required to continue that endorsement.  Each applicant must provide verification that the following minimum procedures have been performed by him/her within the United States in the past 24 months:

A) 5 Obliteration of accessory veins (fistula side branches).

B) 5 Subcutaneous port placements. 


8.   Advanced Procedures (Optional) - Applicant may add the following advanced procedures at the time of recertification with submission of required case records and an additional fee of $100 (fee includes any one or both of the advanced procedures.)


Applicant must have successfully completed the following number of procedures as primary operator within the preceding 24 calendar months of the submission of the recertification application:

         Obliteration of Accessory Veins - 5 cases

         Subcutaneous Port Placement - 5 cases


The corresponding required case records should be included with this application.

Obliteration of accessory veins (fistula side branches) - 5 cases

Subcutaneous port placement - 5 cases


9.   Applicants must provide documentation of seven (7) hours of Continuing Medical Education (CME) in vascular medicine, hemodialysis access, or interventional procedures obtained within the past 3 years.


10.  Applicants must provide documentation of current CQI (Continuous Quality Improvement) in the past 24 months including documentation of radiation safety. A review of personal complication rates for interventional procedures or minutes of CQI meetings, reporting of fluoroscopy time, or CME in radiation safety are examples of data that would satisfy this requirement.  Suggestion: Complication rate can be tracked on the case log form.


Click here for the Certification and Accreditation Grievance Policy

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