A Periodic Newsletter from The Mid-Atlantic Renal Coalition | www.esrdnet5.org
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May 10, 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
Things are humming along here at the Network, with staff and facilities deep into their quality improvement projects. This issue of elerts provides updates on all of the ongoing projects as well as instructions for enrolled facilities. You will also note that the Network has launched a CROWNWeb data clean-up project to promote the accurate, timely, and complete submission of data to CROWNWeb. We are hosting a mandatory kickoff webinar on May 11.
We hope you enjoy this issue.

Nancy Armistead 
Executive Director, MARC 

Use of Different Browsers May Be Helpful in Connecting to WebEx Events
The Network's WebEx vendor has notified us that WebEx recently performed a system update which is causing connectivity issues when using Internet Explorer. Connection either takes a long time or doesn't occur at all. If you currently have Internet Explorer and participate in Network webinar events, please contact your IT team and request access to Mozilla FireFox or Google's CHROME internet browsers. They are fully supported by WebEx. If you experience connectivity issues during a Network 5 WebEx event, please call (571) 598- 1988, and the WebEx team can assist you on an individual basis.
*Please also note the next Network WebEx event is Wednesday, May 11

Long-Term Catheter QIA Project Facilities Complete RCA
The Network has completed root cause analysis (RCA) with each facility enrolled in the project. The results of this RCA will be reviewed on the project webinar May 17 at 2:00 p.m. The Network will also share best practices for patient engagement in vascular access, and participants will hear from our patient subject matter experts! Log-in for the event. Enrolled facilities' "On Goal Report Catheter Reduction Tool" for January-April 2016 long-term catheter data were due to the Network on Friday, May 6. Feedback reports for on goal reports received by the Network were distributed to enrolled facilities Thursday, May 5. If you missed the deadline, please submit your report to Amber as soon as possible.


CROWNWebCleanUpMARC Launches CROWNWeb Clean-Up Project
The importance of accurate, timely, and complete data has never been more critical than it is now as CMS continues its efforts to promote high-quality care through the ESRD Quality Incentive Program. To help ensure that all data reported via CROWNWeb accurately reflect the quality of patient care, it is vital that all CROWNWeb users understand and follow processes when completing specific tasks in CROWNWeb. With this in mind, Network 5 is launching a CROWNWeb data clean-up initiative. All Network dialysis facilities were notified of project enrollment on Friday, April 29, 2016. Facilities were sent a feedback report on missing data in CROWNWeb. The kickoff webinar will review Phase 1 of the project on May 11 at 2:00 p.m. Phase 1 includes a review of the CROWNWeb data management guidelines, decreasing missing CMS-2728s and CMS-2746s, and processing notifications and accretions. Webinar attendance is mandatory, and registration is required .

Infection Prevention
FluReportingDeadlineCMS Reporting Deadline Approaching for NHSN Dialysis Facility Healthcare Personnel Influenza Vaccination Summary Data: May 15
To meet the CMS ESRD QIP NHSN reporting requirements for Payment Year 2018, dialysis facilities must submit their 2015/2016 healthcare personnel (HCP) influenza vaccination summary data collected from October 1, 2015, through March 31, 2016, by Sunday, May 15. Review the training slides for information to help ensure your data are complete and accurate before the May 15 deadline.
NHSN: What is the 21-Day Rule?
The 21-day rule is a reporting rule to reduce over-reporting of dialysis events that are likely to be related to the same patient problem. There must be 21 or more days between two dialysis events of the same type (e.g. antimicrobial start to antimicrobial start) for the second occurrence to be reported as a separate dialysis event. If fewer than 21 days have passed since the last reported event of the same type, the second event of the same type is not considered a new dialysis event and is therefore not reported.

Why is this important to my facility? If the 21-day rule is not applied to dialysis events, the facility may be over-reporting. Over-reporting distorts both facility and national aggregate event rates. It also may inflate a facility's bloodstream infection standardized infection ratio (SIR), which can have a negative impact on the facility's CMS ESRD Quality Incentive Program score. Learn more about running a data quality report to find 21-day rule violations by visiting the CDC website.

HAI LAN Vaccination Presentation is Now Available
The Network hosted its second healthcare-associated infection (HAI) learning and action network (LAN) call April 26; the topic was vaccination. The LAN is open to any healthcare professional who has a desire to increase patient safety by improving infection prevention practices. Access a recording of the vaccination presentation.
Project WipeOut Facilities Receive Feedback
Facilities enrolled in the Network's 2016 HAI Project received data feedback reports on submitted audit data on Thursday, May 5. Audits are always due to NHSN the month after data are collected. For example, audit results for April are due into NHSN by Wednesday, May 11. All facilities are responsible for manually entering these data into NHSN.

Cycle 4 of Project WipeOut is currently underway. Facilities should have the first six interventions from Cycles 1-3 up and running in the clinic. Facilities should focus on sustaining these interventions while implementing the final two CDC Core Interventions throughout Cycle 4 (i.e., the month of May). Facilities can expect project performance feedback reports by Friday, May 13. Contact Amber if you have any questions.   
 Transplant Referrals Due to Network
Enrolled facilities' project plans have been reviewed, and the Network has provided feedback reports to each; project interventions began on April 29. If your facility did not receive a feedback report, please contact Amber to update your project lead contact.

All historical referrals (Jan-Apr 2016) were due to the Network by Friday, May 6; facilities were notified on Thursday, May 5, if there was missing information. Please submit any outstanding referral forms by fax only at (804) 320-5918 as soon as possible. The template for submitting referrals is the monthly transplant referral log which can be found on our website.

The next project call will be May 25 at 2:00 p.m. Dr. Rachel Patzer will present on variation of dialysis facility referral for kidney transplantation among patients with ESRD and best practices to improve the referral process. Facilities may login to the webinar here.  

Call Instructions:
Please join the event 15 minutes prior to the start time to ensure the automatic system set-up has been properly established.
  1. Click or copy and paste this URL to your web browser: https://qualitynet.webex.com
  2. This should bring you to the QualityNet e-University webpage
  3. Locate the event you wish to join and click "Join" (located to the right of the event title)
  4. Enter your name and email address as prompted
  5. Enter the password: KIDNEY (case sensitive, no spaces)
  6. The automatic system set-up should start at this point. If a dialogue box appears, click run. Please note, the automatic system set-up does take a few minutes to complete.
  7. Dial in to the teleconference
    • Teleconference number: (866) 951-1151
    • Access code: 697-670-619
Patient Services
ENGAGEAssessmentsWhat's New: ENGAGE Certification Program
Forty-one facilities have enrolled in the ENGAGE Certification Program and will be competing for the coveted
Facility of the Year Award. More than half of the enrollees are new to the program. A kickoff meeting was held March 24 to review the program and its requirements. ENGAGE members who were not present for this live session should review the recording and submit the attestation form.

Monthly PELAN sessions will be held by webinar on the 1st Thursday of each month at 1:00 p.m. May - August.

June 2 Patient Engagement: Involving Patients in Meaningful Use of Data
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.  
PatientResourcesPatient Resources
Supportive Care
Coalition for Supportive Care of Kidney Patients - Visit the website for news and resources and make sure to sign up to receive newsletters.

AKF Hosts Monthly Webinars for Patients/Caregivers 
The American Kidney Fund has launched a monthly series of free, live, 1-hour webinars for kidney patients and caregivers. Each month, experts share practical knowledge and advice on a range of topics. Advance registration is required to participate. Register and watch previous webinars at www.KidneyFund.org/training/webinars.
  • Tuesday, May 17, at 1:00 p.m. ET -"Living with Chronic Kidney Disease: The Ups, Downs and All Arounds." Led by Dr. Tiffany Washington from the University of Georgia's School of Social Work, this webinar will help patients manage the emotional and social aspects of living with CKD. Dr. Washington will discuss resources to help patients stay healthy psychologically.

PKD National Convention 2016
The Polycystic Kidney Disease (PKD) National Convention will occur at the Walt Disney World Resort in Orlando, Florida, June 24-26. General registration is open through May 5. Learn more about registration and special financial aid opportunities.

AAKP Hosts National Patient Meeting
AAKP will hold its 2016 National Patient Meeting in Nashville, TN, September 23-25. AAKP is looking forward to returning to Tennessee to build on the excitement, success, and education of last year's meeting. Registration opens in early spring.


NRAA Presents 2016 Spring Meeting and Day on the Hill 
Join others in the renal community for the National Renal Administrators Association's (NRAA) Spring Meetings and Day on the Hill, which combines education, networking, and advocacy in our Nation's capital. Encourage your patients to attend. Bringing a patient with you will add a unique perspective to your meetings and will drive home the importance of adequate reimbursement and the impact on patient care in your facility. Learn more about NRAA's patient funding.

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Patient Toll-Free: 866.651.6272