April 17, 2017
Spring Conference -  ANNA Southern New England Chapter 
ANNA Southern New England Renal Roulette 2017 Spring Conference is taking place on:
Thursday, May 18, 2017
7:00 am -4:30 pm ET
Mohegan Sun (The Cabaret  Theatre)
  1 Mohegan Sun Boulevard, Uncasville, CT

Click here to download ANNA Southern New England Renal Roulette  flyer.
Click here to register on-line with the ANNA Southern New England Chapter site.  
For any questions, email anna.secretary@gmail.com.

Patient Services
Emergency Preparedness Requirements Final Rule Training
Emergen cy Preparedness Requirements Final Rule Training  MLN Connects® Call 
Thursday, April 27, 2017
2:30 pm to 3:30 pm ET

Is your facility prepared to meet the new emergency preparedness requirements by the November 15, 2017,  compliance date? 
Call in to learn about i mplementation of the final rule,
including an overview of the regulation, training, and testing requirements.  A question and answer session follows the presentation.     

To register or for more information, visit 

Registration will close at 12:00 PM ET on the day of the call or when available space has been filled.
Webinar Wednesdays : April 26 - Addressing Depression in Dialysis Patients
Webinar Wednesday
National Renal Administrators Association(NRAA)
Addressing Depression in Dialysis Patients
Wednesday, April 26, 2017 -  1 pm EDT
 NRAA brings you the timely topic of depression in ESRD patients. For payment year 2018 depression screening and follow-up reporting measures are required.Dialysis professionals need to know how these measures are incorporated into ESRD QIP.

To register or become a NRAA member, please click  here.

NRAA Webinar Wednesdays are free to members. A nominal fee is assess to non-members.
Quality Improvement
Weight and Gender Play a Part in Kidney Transplant Success
Often during organ allocation, factors such as gender and weight of deceased donor vs. recipients are not compared.  However, a new study released in the  Clinical Journal of the American Society of Nephrology suggests that those factors could affect the success or failure of a transplant.  The study found that if the recipient of the kidney weighed 66 lbs. or more than the donor,  there was a 28% higher risk of transplant failure, compared with recipients who weighed about the same as donors. The study also found that gender differences between donor and recipient also increased the changes of kidney failure, with greatest risk of failure noted between a male donor and a female recipient.  The authors note that more research is needed before taking weight and gender into consideration when matching donors and recipients.

To continue to read full article, Weight, Gender Appear to Play Part in Kidney Transplant Success, please, click  here.

The Network is conducting a quality improvement activity to decrease gender disparity in transplant referral, and has developed a transplant tool kit.  If interested, please contact  Heather Camilleri, Quality Improvement Coordinator.
Partnering with Patients to Improve Adherence and Outcomes
Challenged by non-adherent patients?  A study published several years ago in  Nephrology Nursing Journal continues to provide valuable information on strategies that have been found to improve adherence and patient outcomes.  The article reports that  "using a patient-centered approach, including the removal of barriers to adherence, ongoing education, and cognitive behavioral strategies, may generate increased opportunities for patients and the nephrology staff to improve both adherence and outcomes"  A case study reported in the article  demonstrates that a nurse's use of positive reinforcement with a patient, coupled with a willingness to have the patient assume some control for self-assessing how fluid overload was affecting her resulted in immediate improvement of the patient's health outcomes, and an recognition of her responsibility to manage her food and fluid intake.  
To learn more about Adherence to the Dialysis Prescription: Partnering with Patients for Improved Outcomes in Nephrology Nursing Journal, please click here .

The Network is conducting a quality improvement activity to involve patients in settings goals and achieving them.  The goal of this project is to improve communication between dialysis facility staff and patients.  If you are interested in receiving information about this project, please contact Brittney Jackson, LMSW, MBA, Patient Services Director.
Data Management
Is Your Facility Updating Notifications and Accretions on a Monthly basis?
Notifications and Accretions should be completed on a monthly basis in CrownWeb. 

Ta ke  a ction... Th e resolution period is 15 days for newly generated or "Reassigne d" Notifications and Accretions and 30 days for Notifications and Accretions, "Under Investigati on."

See  pages  38 and 39  of the CROWNWeb Data Management Guidelines for details.

Use the Network Knowledge Base and Customer Portal
With the increase in data that must be submitted, as well as systems through which the data are collected, there are multiple ways in which you can reach the Network Data Support Team for help. 
*Please remember that you should NEVER include any patient-specific information such as Name, Date of Birth, Social Security Number, Medicare Claim Number, etc. The only patient identifier that can safely be communicated is the Unique Patient Identifier (UPI) from CROWNWeb.*

IPRO End-Stage Renal Disease Network of New England, the ESRD Organization for Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. CMS Contract Number: HHSM-500-2016-00019C.