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Welcome to the September 21 issue of the Quality Insights Renal Network 4 e-newsletter. In this issue, we bring you information about how Network 4 can serve your patients, Sepsis Awareness Month, the new Medicare card design, CMS updates, continuing education opportunities, patient education features, ESRD events, resources and much more. We encourage you to  contact us with any questions, concerns or suggestions.  
Network4what can network 4 do for patients? 
Each day, Network 4 works with dialysis centers, patients, families, and community organizations to improve care for kidney patients in Pennsylvania and Delaware.

What We Do
We offer education and assistance to dialysis center staff and patients. We do this by:
  • Helping dialysis centers engage patients in their own care
  • Providing education about better quality of care
  • Designing activities to actively improve care
  • Providing tools to help improve health outcomes
  • Responding to patient concerns and appeals of discharges and transfers

How to Get Involved
If these tasks sound interesting to your patients, please encourage them to get involved. Patients can become Network 4 Patient Representatives or Network 4 Patient Subject Matter Experts. We will work together to:

  • Learn about and share experiences
  • Spread ideas about patient engagement
  • Improve dialysis outcomes
  • Reduce healthcare-associated infections

Get Started
Give us a call at 1-800-548-9205 or visit our website.

SepsisMonth2september is sepsis awareness month
Network 4 encourages you to take some time to learn more about sepsis as part of Sepsis Awareness Month. View the  Domino Effect video to get started. The Centers for Disease Control and Prevention (CDC) has also assembled links to relevant resources for facilities, patients and for use on social media. These resources include: 
  • Videos
  • "Twibbons" 
  • Sample tweets
  • Web buttons
  • GIFs
  • Factsheets
  • Brochures
  • Infographics

You can also view the CDC's press release on Sepsis Awareness Month to learn more. 

NewMedicareCardscms unveils design for new medicare cards
The Centers for Medicare & Medicaid Services (CMS) has unveiled the design for the new Medicare cards that will be mailed to beneficiaries between April 2018 and April 2019.  For security, the new cards will not contain social security numbers, but a randomly-assigned number instead.  Old cards should be shredded or otherwise destroyed.  Learn more by reading the press release from CMS.  

FeedbackPlease provide us with your feedback on last month's Facility-LED PATIENT EDUCATION
Please take this short survey to let us know what you thought about last month's facility-led patient education topics
Emergency Preparedness Month
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. 

Emergency Preparedness Month 

September is emergency preparedness month.  The Kidney Community Emergency Response (KCER) prep rally is a fun way to get your patients educated and ready before the final rule is implemented this November.  Please review the KCER prep rally tip sheet and provide a game plan outline to all of your patients.

CMSUpdatesCMS Updates
It's Never Too Late to Start Planning for the Upcoming Flu Season
The next flu season reporting begins October 1, 2017 and extends to March 31, 2018. The purpose of providing vaccination data to the National Healthcare Safety Network (NHSN) is to enable health care facilities to report healthcare-associated infections (HAI) and prevention practice adherence data via NHSN to CMS in fulfillment of CMS's quality measurement reporting requirements. The Influenza Vaccination Summary within the HCP Vaccination Module is designed to assist staff in health care facilities to monitor influenza vaccination percentages among HCP. The ESRD QIP clinical measure specifications for the upcoming flu season provides further details on eligible facilities and reporting criteria.  If you have any questions regarding this clinical measure, you may contact Jeannette Shrift at or the ESRD QIP help desk at

CMS Emergency Preparedness Rule Update
CMS has developed the new Emergency Preparedness Training Online Course which is available online 24/7. This course is required for all State Survey Agency and Regional Office surveyors and reviewers who conduct or review health and safety or LSC surveys for emergency preparedness requirements. Non-survey professionals involved in and responsible for ensuring compliance with regulations are also encouraged to take the course. Accessing the Course is Simple: When you navigate to the Integrated Surveyor Training website, click on "I am a Provider." Next, click on the course catalog and search for the "Emergency Preparedness" course. You do not need a username and password when accessing the course through the provider link. If you need technical assistance, please contact the CMS ISTW Help Desk at 1-855-791-8900 or Surveying for the emergency preparedness requirements begins November 15, 2017.

ASPR TRACIE has developed a dedicated CMS EP Rule landing page on our website and the ASPR TRACIE CMS EP Rule: Resources at Your Fingertips, which includes key planning considerations and links to relevant additional resources.

traciewebinarsrecent aspr tracie webinars are now available online
Two new Assistant Secretary for Preparedness and Response (ASPR) TRACIE webinars are now available online.  New Resources to Help Improve Health Care Coalition Preparedness , the fifth webinar in our series for health care coalitions featured Melissa Harvey (Director, ASPR HPP) and Dr. John Hick discussing how these tools were developed and how they can be used by HCCs and their partners.  In the webinar Highly Pathogenic Infectious Disease Exercise Planning for Regional Transport , speakers shared information on exercise templates (specifically tailored for regional transport) to test readiness for highly pathogenic infectious patients; explained how exercises support ASPR's regional, tiered approach; and discussed tips from three jurisdictions on how to exercise plans.

ANNAAwardsANNA Now accepting nominations for nursing excellence awards and scholarships
Now is the time to nominate a colleague for an American Nephrology Nurses Association (ANNA) award or to apply for a personal scholarship or grant.  ANNA has over $100,000 in nursing excellence awards, scholarships, and grants available but the submission deadline is quickly approaching. Do you know a great co-worker and fellow nephrology professional who has gone "above and beyond"? There is no greater satisfaction than seeing someone recognized who truly deserves it. T ake a brief moment to complete the application or nomination process - for yourself or for someone else.  Choose from over 35 awards, scholarships, and grants. View a full list of available awards The application deadline for all awards and scholarships is October 15 NOTE: Both the nominator AND nominee must be members of ANNA.

STDAnnaSave the Date - ANNA Keystone Chapter Annual Fall Day of Learning
The American Nephrology Nurses Association (ANNA) Keystone Chapter's annual Fall Day of Learning will be held on Thursday, November 2, 2017 at the Crowne Plaza in Trevose, Pennsylvania. More information will be coming soon.

UpcomingEventsUpcoming events
Hackensack UMC Transplant Designee Symposium
Register today for the Hackensack UMC Transplant Designee Symposium on Thursday, September 28 from 7:30 a.m. to 4:30 p.m. at the Sheraton Eatontown Hotel, 6 Industrial Way East in Eatontown, NJ. Registration fee is $65 per person. Hackensack Meridian Health employees are not required to pay. View the event agenda and the official invitation

Nursing Contact Hours: 7.5
Hackensack University Medical Center is an approved provider of continuing nursing education by the New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Provider Number P170-9/15-18.

Social Work Credits: 7.5
This program is approved for 7.5 social work continuing education hours by Seton Hall University at Hackensack University Medical Center, Hackensack Meridian Health, in accordance with New Jersey Administrative Code 13:44 G and recognized by, The New Jersey Board of Social Work Examiners. This accreditation is recognized by the United States Department of Education, Office of Postsecondary Education. 

For accommodations, complaints or more information, please email or call Waheed Tajik at 

Inaugural Jefferson Renal Update Symposium
On Saturday, September 23, Jefferson University is hosting its Inaugural Jefferson Renal Update Symposium on the Main Campus of Thomas Jefferson University in Philadelphia, Pennsylvania. 
This inaugural course will examine disease burden, recommendations for assessment and management, clinical practice guidelines, clinical trials, new therapies, areas of uncertainty and future challenges of this disease.  Through didactic lectures, case presentations, and panel discussions, the following topics will be explored:
  • Chronic Kidney Disease (CKD): Epidemiology, Classification, and Complications
  • CKD Management and Transition to End Stage Renal Disease (ESRD)
  • Diabetic Kidney Disease
  • Kidney Transplant: What the General Practitioner Needs to Know
  • Post Kidney Transplant Complications: Infection and Malignancy
  • Hypertension Management in Chronic Kidney Disease
This course is designed for practicing physicians, nurses/nurse practitioners, hospitalists, residents, fellows, and allied health professionals specializing in nephrology, internal medicine, family medicine, and general practice. Learn more and register today

Accreditation Information
Physicians -  Sidney Kimmel Medical College at Thomas Jefferson University is accredited by the ACCME to provide continuing medical education for physicians. Sidney Kimmel Medical College at Thomas Jefferson University designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  This Live activity, Inaugural Jefferson Renal Update Symposium, with a beginning date of 09/23/2017, has been reviewed and is acceptable for up to  5.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity
Nurses/Nurse Practitioners -  This education activity will be submitted to the American Association of Nurse Practitioners for approval of up to 5.25 contact hours of accredited education.
Physician Assistants - The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s)™. (

Save the Date for November 9: Infection Disease Webinar
On November 9, 2017, from 2:00 - 3:00 p.m. ET, ASPR TRACIE and the National Ebola Training and Education Center (NETEC) will host the webinar "Highly Pathogenic Infectious Disease Exercise Planning for Healthcare Coalitions." This fourth in a series of joint webinars will highlight NETEC's free exercise templates for HCCs to test their readiness to manage patients suspected or known to have a highly infectious disease and will feature speakers from HCCs that have already exercised their plans. Stay tuned for additional details and a registration link.

freeCEUsFree CEU OPportunities
Advanced Renal Education
This educational site provides CEU credits for anyone who completes a course. Register to gain access and complete a course.

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.

Centers for Disease Control and Prevention (CDC)
The CDC has new free continuing education opportunities available through its Tune In for Safe Healthcare webinar series. Webinars include: 
  • Empowering Nurses to Protect Themselves and Their Patients: The Importance of Collaboration between Nurses and Environmental Services
  • Infections in Dialysis Centers: Understanding what Matters to Patients
  • Empowering Nurses for Early Sepsis Recognition
Morbidity and Mortality Weekly Report (MMWR) and Medscape
CDC's MMWR presents a FREE continuing education activity on U.S. pregnant women and infants with recent Zika virus exposure. Continuing Medical Education (CME), American Board of Internal Medicine Maintenance of Certification (ABIM MOC), and Continuing Education (CE) credits are all available for this activity - Vital Signs: Update on Zika Virus - Associated Birth Defects and Evaluation of All U.S. Infants with Congenital Zika Virus Exposure - U.S. Zika Pregnancy Registry, 2016. This activity is intended for infectious disease clinicians, obstetricians/gynecologists, family medicine practitioners, internists, nurses, public health officials, pediatricians, and other clinicians who treat and manage women of reproductive age who may be exposed to Zika virus and risk for birth defects in their offspring.
ESRDResourcesESRD resources 

Recently Released or Updated ASPR TRACIE Resources
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,  
Suite 102 
King of Prussia, PA 19406 
(610) 265-2418 
(800) 548-9205 (patients only) 
(610) 783-0374 (fax) 
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. ESRD4-090717