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Welcome to the April 13 issue of the Quality Insights Renal Network 4 e-newsletter. In this issue, we bring you information about free CEU opportunities, available webinar recordings, patient education features, ESRD events, resources and much more. We encourage you to  contact us with any questions, concerns or suggestions.  
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Treatment Options
We will be providing a Network 4 Patient Education Sheet each month in 2017. These documents are also located on our website. Please provide all of your patients with this education sheet this month.   Also, we ask that you please encourage your facility's Patient  Representatives to pass out this educational information as well. 
DidYouMissMarch town hall with Dr. Jesse Roach: recording available soon 
The Centers for Medicare and Medicaid Services (CMS) and the CROWNWeb Outreach, Communication, and Training (OCT) team had Dr. Jesse Roach, CMS' Nephrologist, give a presentation during the March CROWNWeb Town Hall Event. Dr. Roach was able to provide insight on the topic of Kt/V and how the information from CROWNWeb is used for quality measures. He also gave information about the End Stage Renal Disease Quality Incentive Payment (ESRD QIP). Dr. Roach answered community questions on what Kt/V is, how it is measured, why it is measured, what affects Kt/V, its limitations, and how the information is ultimately utilized within CMS for quality improvement programs and public reporting. The answers provided Town Hall attendees with an understanding of the importance of the Kt/V data. Kt/V data is entered in the adequacy section on the clinical menu of CROWNWeb. The Kt/V data provided by dialysis facilities is used to determine if the appropriate dose of dialysis is being delivered based on the calculation methods of Daugardis II and Urea Kinetic Modeling (UKM), the two selectable options in CROWNWeb. For more information on the Kt/V information provided by Dr. Roach in the March CROWNWeb Town Hall, please visit to review the event slides and presentation recording.
DidYouMissCMdid you miss the April Network Council Meeting?  
Did you miss the Network Council Meeting on April 11 and 12? If so, you can view the slides and download the recording on our website. The topic for this meeting was Refueling and Reconnecting as Compassionate Caregivers in Nephrology Care. For more information, please contact Tish Lawson at
RSNRenal Support Network Essay Contest celebrating 15th year
The Renal Support Network (RSN) annual essay contest for people with kidney disease will celebrate its 15th year in 2017. The essay contest is a popular event with cash prizes and published winning essays on the RSN website and shared on RSN social media pages. The contest and winners also receive local and national news press. The 2017 theme encourages individuals to  "Describe a positive decision that you have made about your healthcare." Look for details in May from RSN about the call for entries for this year's contest.   Read the 2016 winning essays here

CROWNWebPlease remember to update admit/discharge records in crownweb
Patients should be admitted/discharged in CROWNWeb within five (5) business days of their first treatment and within five (5) business days of their last treatment at a Medicare-certified dialysis facility. Please see page 31 of the CROWNWeb Data Management Guidelines for more details.  

NHSNFourthDeadline Extended for NHSN Fourth Quarter 2016 for ESRD QIP
Due to an unscheduled maintenance on the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) system, facility users were unable to report data between March 16, 2017, and March 21, 2017.

The unscheduled maintenance may have adversely impacted the ability of outpatient dialysis facilities to enter NHSN Dialysis Event data for the fourth quarter 2016 by the established March 31, 2017 Quality Incentive Program (QIP) deadline. To address this, and in collaboration with the CDC, the Centers for Medicare & Medicaid Services (CMS) has extended the QIP deadline for facilities to enter fourth quarter 2016 data to April 15, 2017.

NHSNDeadlineforQIPReminder: NHSN Deadline for ESRD QIP/Influenza
The deadline for the administration of the 2016-2017  influenza vaccine is April 30. Documentation in NHSN's Healthcare Personnel Safety/Influenza Surveillance module will remain open for reporting until May 15. All facilities which opened in 2016 are eligible to report to this module for the ESRD QIP.  If you have not yet joined NHSN and conferred rights to the Network, please do so as soon as possible.  Guidance documents can be found in the NHSN section on the Providers/New Facility Binder tab on our website.

Penn State College of Medicine, in partnership with The Kidney Foundation of Central PA, Lancaster General Health, Pinnacle Health and Quality Insights Renal Network 4, will be presenting an Update on Chronic Kidney Disease on Tuesday, April 25 from 7:30 a.m. to 3:30 p.m. at Hotel Hershey in Hershey, Pennsylvania. Network 4's Executive Director, Chris Brown, will be presenting information about CROWNWeb and CMS' Quality Incentive Program (QIP) requirements.  Other sessions to note include the breakout sessions around the topic of Arterial-Venous Fistula Cannulation Camp Techniques. These include Fistula Maturation and Cannulation Readiness; Hands-on Cannulation Skills; and Vascular Access Assessment. Registration prior to April 24 will be $85 per person, which includes meals, handouts and refreshments. Registration after April 24 will be $110. Continuing education credits may be available. Learn more and register today

NKFEventUpdatesNKF Event Updates
NKF Spring Clinical Meetings on the Horizon
The National Kidney Foundation (NKF) will be holding the Spring Clinical Meetings in Orlando, FL on April 18 through 22. Learn more and register .

NKF PERC Again Offers Free Online CE Courses
The NKF Professional Education Resource Center (PERC) again offers three new free online CE courses for social workers:
  • Depression Screening Tools: Policy and Nephrology Social Work Interventions
  • Support of Renal Patients and Families Facing End-Of-Life Care Decisions: A Nephrology Social Worker's Reflection
  • Navigating Health Insurance: How Public Options, Private Coverage and Charitable Assistance Can Work Together For ESRD Patients
CantWaitCan't wait for summer? take a look at upcoming esrd camps  

Philadelphia Area
  • University City, PA: CHOPed: Mastering the Renal Diet is a free cooking program held from July 20-24 at The Restaurant School at Walnut Hill College. It is for adolescents and teens ages 11 to 18 years who have chronic kidney disease. Email Nina Foster or call 267-425-3934.
  • Blue Bell, PA: Camp Jeremy is a week-long day camp for children ages 6 to 16 years who have undergone a life-saving organ transplant, and their siblings.
Central and Western Pennsylvania
  • Ligonier, PA: Kidney Kamp is held from in the first week of August for children of all ages who have PD, who are pre-dialysis or on hemodialysis, or who have had a transplant. Read more about Kidney Kamp. 
  • Millville, PA: Camp Kydnie is held from July 5-10 for children ages 6 to 16 years who have kidney disease or have had a transplant, and their siblings or friends.
JoinWesternPAJoin Western PA Kidney Support Groups for a Special National Donate Life Month Event
Western PA Kidney Support Groups, in collaboration with University of Pittsburgh Medical Center (UPMC), is celebrating National Donate Life Month with a Kidney Transplant Journey event on Sunday, April 23 from 12:30 - 5:00 p.m. at the UPMC Montefiore Hospital. Parking is free. Activities include a seminar, 50/50 raffle, drawings for door prizes and free refreshments. Proceeds from this event go to the UPMC Transplant Fund. Please RSVP to Vicki Georges by calling (724) 836-3615 or Diana Bell by calling (724) 292-9318. 

American Kidney Fund: 
The American Kidney Fund is offering a new online continuing education (CE) course titled  Managing Hyperphosphatemia. The course is free and offers 1.00 CDR CE credit and 1.20 NANT CE credits.  The goals of the course are to identify and understand challenges dietitians and other allied health professionals face in managing hyperphosphatemia in their patients and identify effective tools and strategies they can employ in their own practice. Learn more.  

Nephrologists Transforming Dialysis Safety:
NTDS is offering a webinar series to learn how to stop and prevent the spread of deadline infectious diseases. The webinar, titled "Targeting Zero Infections: Where Do We Begin?" will be on Tuesday, May 23 from 12:00 to 1:00 p.m. EDT.  Learn more
ESRDResourcesESRD resources 

NDEP Publishes Booklet on Four Steps to Manage Your Diabetes for Life
The NIH/CDC National Diabetes Education Program (NDEP) recently published the booklet Four Steps to Manage Your Diabetes for Life, available in thirteen languages: English, Spanish, Vietnamese, Tagalog, Korean, Chinese, French, Bengali, Arabic, Hindi, Gujarati, Urdu, and Haitian Creole. View the booklets An earlier edition, called Four Steps to Control Your Diabetes for Life, is also available in Japanese and Samoan. View these booklets. View  other useful NDEP resources on diabetes education  and on diabetes prevention .
Looking for a Patient Support Group?
Sometimes it's helpful to talk about your journey to kidney health with peers that understand what you're going through. Check out our website periodically for information about local support groups near you, including upcoming meeting dates as they become available. 

Check out the ESRD NCC Information Exchange
The ESRD Network Coordinating Center (NCC) provides centralized coordination and support for the Medicare ESRD Network program. Each month, the ESRD NCC distributes an e-newsletter, known as the Information Exchange, that compiles the most important information from numerous ListServs and publications related to renal health. To sign up to receive this informative newsletter, please contact the ESRD NCC at or visit the ESRD NCC website

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610 Freedom Business Center,  
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King of Prussia, PA 19406 
(610) 265-2418 
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This bi-weekly e-newsletter will serve as our primary method of communicating important news and updates. We encourage you to visit our Web site for the most up-to-date information or to contact us with questions, comments or suggestions.
This material was prepared by Quality Insights Renal Network 4 under contract with the Centers for Medicare & Medicaid Services (CMS). The contents do not necessarily reflect CMS policy.

Publication No. ESRD4-041317b