A Periodic Newsletter from The Mid-Atlantic Renal Coalition | www.esrdnet5.org
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June 20, 2016 
MARC e-lerts 
The Mid-Atlantic Renal Coalition (MARC) distributes MARC e-lerts to share important information affecting the Network 5 renal community.  We hope you find this edition's reminders, educational opportunities, tools, and resources helpful.  
NOTE: To ensure delivery to your inbox, please add marc@nw5.esrd.net to your address book. 

Message from the Director
School may be out for the summer, but in this issue, we share many opportunities to learn about what's going on in the ESRD community. Don't miss CMS' webinar on DFC improvements and the Star Ratings Program. Big changes are coming to CROWNWeb. Read on to learn how you can prepare. And, we have a number of educational opportunities for patients and facility staff, plus the latest on our quality improvement activities.

Wishing you a happy and safe summer - we hope you enjoy this issue.

Nancy Armistead 
Executive Director, MARC 

DFCRatingsCMS to Host Webinar on DFC, Star Ratings Program
The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on improvements to the Dialysis Facility Compare (DFC) website and updates to the methodology for calculating dialysis facility star ratings. The webinar will take place on Wednesday, June 22, from 1:00 - 2:00 p.m. ET. Interested parties can register here. Topics include the addition of the Pediatric PD Kt/V measure and the National Healthcare Safety Network (NHSN) Standardized Bloodstream Infection Ratio. CMS will also review the addition of information from patient experience surveys.  


The Enterprise Identity Management System (EIDM) is a CMS application dialysis providers will use to create, request, and maintain usernames, passwords, and Multi-Factor Authentication for CROWNWeb, the ESRD QIP system, and other CMS systems. To ensure continued access to CMS systems, users must complete the EIDM registration process starting June 6, 2016. After an identity account is created in EIDM, the user must then go into the new QualityNet Authorization and Role Management (QARM) system beginning July 19, 2016, to request access to CROWNWeb, the ESRD QIP system, and other CMS applications. Through QARM, users can obtain direct access to authorized CMS systems. Training is currently underway to walk users through the completion of the EIDM process:

The EIDM/QARM Quick start guide is now available. Use this guide to walk you through how to register for a User ID and Password in EIDM and request access to QARM.

RegisterEIDMRegister for Security Official and LDO EIDM/QARM Training
On Tuesday, June 21, at either 10:00 a.m. or 2:00 p.m., representatives from the CROWNWeb Outreach, Communications, and Training (OCT) team will present step-by-step instructions on the EIDM/QARM registration process, and discuss how users can gain and maintain access to CROWNWeb, the ESRD QIP system, and other CMS applications.

Material from the 10:00 a.m. session will be repeated during the 2:00 p.m. session. Attendees do not need to attend both sessions. Click the meeting option below that works best with your schedule to complete the event registration process. If you are unable to attend, this event will be recorded and published for later viewing.

Please Note: This training is for Security Officials and LDOs only.

Network 5 "Most Improved" Thanks to Clean-Up Project
The Network's CROWNWeb clean-up project is underway and making substantial progress. Network 5 was recognized as the most improved Network for submitting CMS-2728 saved forms thanks to all of your hard work! We appreciate your collaboration in this effort.

Submission of CMS-2728s and CMS-2746s back-dated to 1/1/2012, and outstanding notifications and accretions (action list) were due by Friday, June 3. If you missed the deadline, please work diligently to get your facility current with form submission in CROWNWeb by Friday, June 17. 

InfectionPreventionInfection Prevention
Submit First Quarter CMS ESRD QIP Data
Mark your calendars. The Quarter 1 deadline for the CMS ESRD Quality Incentive Program (QIP) rule for calendar year 2016 (payment year 2018) is right around the corner. Facilities reporting to NHSN should report all three months of data (January-March) by June 30 in order to receive full credit for Quarter 1 reporting and to meet all minimum requirements for the CMS ESRD QIP.

To verify that your facility meets the CMS minimum criteria for Quarter 1, run the "Line Listing for CMS ESRD QIP Rule" report. For instructions on running this report, reference the How to Create and Read an NHSN Report for CMS ESRD QIP guide. Check the data to ensure that:
  1. Adequate follow-up has been completed on all positive blood cultures collected outside of the dialysis clinic on the day of and on the day after hospitalization,
  2. All dialysis events have been reported in accordance with the 21-day rule, and
  3. All patients have only been counted once in the monthly denominator
HAILANSave the Date: HAI LAN July 5
The next HAI LAN will be held Tuesday, July 5, at 2:00 p.m. All Network providers are invited to attend. The presentation will focus on care transitions and how improving care transitions can impact infection prevention efforts. 

ProjectWipeout2Project WipeOut Focuses on Sustainability
Cycle 4 of the Network's HAI project wrapped up Tuesday May 31.  At this point, enrolled facilities should have all eight CDC Core Interventions up and running in the clinic and be focused on sustainability through the end of June. Contact Amber at apaulus@nw5.esrd.net if you have any questions.    

Vascular Access
LongTermCatheterWebinar2Long-Term Catheter QIA Project Webinar Coming Up, Look for Feedback Reports Soon
The Network will host the next project webinar Tuesday, June 21, at 2:00 p.m. We will review interventions to overcome barriers to high long-term catheter rates. As a reminder, project webinars for the long-term catheter project occur the third Tuesday of every month. Enrolled facilities' "On Goal Report Catheter Reduction Tool" was due  Friday, June 3 . Facilities should have received a feedback report on project performance during the week of June 13. 

TransplantReferral2Transplant Referral QIA Focusing on Decreasing Disparities
Facilities enrolled in the transplant referral QIA should be working on facility-selected interventions. If you missed the project webinar, "Decreasing Variability in Referral for Kidney Transplant," on May 25, it is available on our website. Project webinars are held the fourth Wednesday of every month. The next webinar will be on Wednesday, June 29, at 2:00 p.m.; the focus will be on eliminating the gender disparity in referral for transplant. 

ICHCAHPS2ICH CAHPS QIA Seeks to Increase Patient Knowledge
The ICH CAHPS QIA aims to increase the number of positive responses to question 39 of the ICH CAHPS survey for enrolled facilities by a relative 5 percent.

Question 39: "Peritoneal dialysis is dialysis given through the belly and is usually done at home. In the last 12 months, did either your kidney doctors or dialysis center staff talk to you about peritoneal dialysis?"

The baseline rate has been established at 44.3 percent of patients responding "yes" to the question. The goal is to exceed 47.1 percent.

This goal has been met! 

This success must now be sustained through to the end of the project. Enrolled facilities should continue distributing postcards to preselected patients, submit monthly reports, and attend conference calls. Any concerns in meeting deadlines should be reported immediately to Renée Bova-Collis at rbovacollis@nw5.esrd.net or (804) 320-0004, ext. 2705. For more information about the project, resources, and progress visit the  ICH CAHPS project page .

SpanishICHCAHPSSpanish ICH CAHPS Frequently Asked Questions Available
The ICH CAHPS frequently asked questions (FAQs) have been translated into Spanish. The Spanish FAQs can be found here. These Spanish FAQs can be provided to your bilingual customer service toll-free number staff and bilingual interviewers. Please contact the ICH CAHPS coordination team via email at ichcahps@rti.org or call (866) 245-8083 if you have any questions.

Patient Services
The second Patient Engagement Learning and Action Network (PELAN) Session was held June 2. The topic was how to use data in a meaningful way with patients. A recording of the session is available. ENGAGE members who were not present for this live session should review the video links and webinar recording and submit the attestation form.

Monthly PELAN sessions are held on the 1st Thursday of each month at 1:00 p.m.

July 7 Patient Engagement: Patients as Committee & Governing Body Members
August 4 Patient Engagement: Creating & Sustaining the Culture

ENGAGE members and SMEs will receive reminders with login information each month. These webinars are open to all who are interested. CEs will only be available for ENGAGE members. 

GrievanceQIAGrievance QIA on Track to Meet Goal
The Grievance QIA aims to decrease overall grievance scores by a relative 20 percent. We are currently on track to meet the goal! Enrolled facilities are required to attend monthly conference calls and submit grievance logs. Any concerns in meeting deadlines should be reported immediately to Renée Bova-Collis at rbovacollis@nw5.esrd.net or (804) 320-0004, ext. 2705. For more information about the project, resources, and progress visit the Grievance project page.

PatientResources2Patient Resources
View a list of resources and items of interest. This edition includes information on:
  • Eating on the Machine
  • Medicare/Medigap
  • Mental Health
  • Communication Tools
  • Senior Care
PatientEducationPatient Education
There are a number of upcoming opportunities especially for patients. Please share these with your patients.

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