Sent to all dialysis facility leadership and disaster contacts in NY State with valid email addresses in CROWNWeb, and all Emergency partners and stakeholders in the Network Service Area.
CORRECTION
CDC Checklist Link Updated

CDC Checklist: COVID-19 Outpatient Dialysis Facility Preparedness Assessment Tool link
MANDATORY REPORTING

It is very important that your facility report any COVID-19 Impact on your facility (Including staff shortages, need to alter treatments, any Persons Under Investigation (PUI) or Confirmed COVID-19 Positive, as we report to CMS daily.

If you have any patients or staff that are being tested (PUI) or that are unable to access the dialysis facility due to voluntary 14-day isolation, or confirmed COVID-19. Please submit this brief online reporting form:
https://redcap.ipro.org/surveys/?s=XAJLFDJPT8
American Society of Nephrologists (ASN)

Thursday, March 26, 2020 / 7:00 PM EDT
Please join ASN for its second informational webinar focusing on new COVID-19 guidance for dialysis facilities from CDC, a briefing on policy issues, and a discussion of transportation challenges. This complimentary, 60-minute webinar will address key areas of concern in the management of COVID-19 positive patients dialyzing in outpatient dialysis facilities.

  • Key topic areas will include:Use and conservation of PPE
  • Discontinuation of isolation for staff and patients
  • Variation in interpretation by states and the potential for lack of uniform application of CDC recommendations
  • Telemedicine waivers
  • Quality reporting program waivers


If you missed ASNs first webinar, COVID-19 Information for Providers of Dialysis Services (March 11, 2020), you may  access the recording here .
UPDATES including New CDC Checklist for Dialysis

COVID (+) patients who are stable need outpatient dialysis . Hospitals are experiencing a surge that is unprecedented, and the need to dialyze patients at their own center of on a COVID(+) Shift is a necessity. See these resources for information for staff on how to treat COVID-(+) patients. Resources: ASN Interim Guidelines Webinar: Recording Slides ; CDC 3/10 DIalysis Specific  Interim Guidance

CDC Checklist: COVID-19 Outpatient Dialysis Facility Preparedness Assessment Tool link

NEW Additional CDC Guidance (3/23) Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings ( Interim Guidance )
PPE Conservation Guidance

On Thursday, March 19, 2020, New York State has over 4,000 Active COVID-19 (+) positive patients. The COVID-19 virus has impacted the dialysis community and 18 ESRD patients have now tested positive for COVID-19, 28 ESRD Patients are under investigation (PUI) and multiple staff members are in voluntary 14 -day isolation and 9 staff members are awaiting test outcomes.  

COVID-19 has created a strain on resources, which includes Personal Protective Equipment (PPE) Shortages. In following the Centers for Disease Control and Prevention (CDC) I nterim Additional Guidance for Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed COVID-19 in Outpatient Hemodialysis Facilities , Please continue to conserve personal protective equipment (PPE) per guidelines:

  • CDC: Strategies for Optimizing the Supply of PPE including sections on eye protection, isolation gowns, facemasks, and N95 respirators link
  • NYCDOHMH Strategies for the Conservation of Respiratory PPE link
  • FDA : Surgical Mask and Gown Conservation Strategies - Letter to Healthcare Providers link

These shortages are being addressed daily on a National level, and we will share any future updates.
Disposition of Non-Hospitalized Patients with COVID-19

This CDC Guidance provides various protocols for allowing patients to discontinue home isolation. at  https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html ,
Return to Work Criteria for Health Care Personnel with Confirmed or Suspected COVID-19

Guidance includes including sections on Return to Work Practices and Work Restrictions, and Crisis Strategies to Mitigate Staffing Shortages at https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/hcp-return-work.html
COVID-19 Resources:

Patient Resources:
New York State
Health Commerce System
(NYSHCS)
New York State dialysis providers should be receiving updates from the DOH via the  Health Commerce System . If your facility does not already have an active HC account (for NYPORTS) please see this website for instructions on creating an account.