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Welcome to the September 28 issue of the Quality Insights Renal Network 4 e-newsletter. In this issue, we bring you information about National Preparedness Month resources, West Nile Virus resources, a featured Network 4 Patient Representative, patient education features, our quality improvement activities, upcoming events, National Healthcare Safety Network (NHSN) updates, CROWNWeb updates, continuing education opportunities,  resources and much more. We encourage you to  contact us with any questions, concerns or suggestions.  
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
FeaturedEducation2FACILITY-LED PATIENT EDUCATION TOPIC OF THE MONTH: 
Emergencies and Disasters
We provide a Network 4 Patient Education Sheet each month in 2018. 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. 
EmerPrepEmergency Preparedness Checklists now available in poster and flyer formats
As part of National Preparedness Month, the National KCER Patient and Family Engagement Learning and Action Network (N-KPFE-LAN) is pleased to announce new resources now available on the Kidney Coalition Emergency Response (KCER) website. The resources include the Emergency Preparedness Checklist and Tips poster and Emergency Preparedness Checklist and Tips handout. We encourage you to share the resources. 
WestNileUpdate from Philadelphia Department of public health: West Nile Virus
Recently, there has been an increase in reports of mosquitoes carrying West Nile virus and those sick with West Nile virus in Philadelphia. West Nile virus is spread by the bite of an infected mosquito and can cause serious illness. Philadelphia residents who are 50 years of age and older and those with weak immune systems are more likely to become severely ill from West Nile.

From now until the weather becomes colder, protect yourself, your family and neighbors from mosquitoes and West Nile virus. Use an insect repellent when going outdoors. Keep well-fitted screens on windows and doors. Once or twice a week, dump standing water around your home and remove any items that can collect water.

Call the Mosquito Complaint hotline at (215) 685-9000 to report mosquito problems in your neighborhood and dead bird sightings.  Go to a doctor right away if you have symptoms of severe West Nile Virus, which include fever, headache, neck stiffness or confusion. 

For more information, visit this website or call 215-685-6740.
AllenNelsonnetwork 4 patient representative featured in Nkf newsletter
Allen Nelson, a Network 4 Patient Representative Subject Matter Expert (SME) for the Bloodstream Infection (BSI) project, as well as Vice Chair of the Network 4 Board of Directors was recently featured in the National Kidney Foundation (NKF) newsletter. Read about Allen's journey.  
NKFnkf launches new online pediatric community
In September, the National Kidney Foundation (NKF) launched a new online pediatric community just for parents of children with kidney disease.  Learn more about this new pediatric support service for parents.  
QIAsQuality Improvement Activities (QIAs)

national coordinating center introduces lan-specific webpage 
The End Stage Renal Disease National Coordinating Center (ESRD NCC) has announced the availability of a newly-developed webpage that provides a simplified method for members of the ESRD community to access Quality Improvement Activity (QIA) Learning and Action Network (LAN) materials.

This webpage provides visitors with a description of the CMS national goal for each QIA and gives a brief overview of how LAN meetings are utilized to help support the ESRD Networks' efforts to better the quality of care administered to ESRD patients.

Items available via this webpage include:
  • National QIA LAN materials (BSI, Home Modality, and Transplant)
  • Population Health Focused Pilot QIA (PHFPQ) LAN materials
  • Patient Experience of Care (PECO) LAN materials
  • Medication Management and Opioid (MMO) LAN materials
  • Registration opportunity for upcoming events
  • Access to past events
  • Access to intervention steps and documents used to support QIA efforts

Please note that this webpage will continue to be maintained to include new materials that could be used to support the ESRD community's needs. Access the webpage.  


New resource addresses challenges associated with kidney transplant 
Quality Insights Renal Network 4 recently completed a brochure titled "Understanding Challenges: A Guide to Understanding the Challenges of a Kidney Transplant Evaluation and Workup." Download the brochure  
UpcomingEventsUpcoming Events
11th Annual Kidney Classic Golf Tournament
Get in the games for the Kidney Foundation of Central PA's 11th Annual Kidney Classic Golf Tournament on Monday, October 8 at the Country Club of Harrisburg.  This event includes a grab bag lunch, silent auction and a fun round of golf with an after tournament buffet and awards.  This event is open to male and female golfers of all skill levels.  Proceeds benefit Camp Kydnie, a week-long summer camp for children with chronic kidney disease who would not be able to attend camp without financial aid.  Download the brochure or call the KFCP office at (800) 762-6202 or email info@kfcp.org.
2018 NRAA Annual Conference set for October 17 - 19
The 2018 National Renal Administrators Association (NRAA) Annual Conference is set for October 17 -19, 2018 in Boston, MA. View a conference schedule and register by visiting the NRAA website
2018 Kidney Transplant symposium
On Tuesday, October 23, 2018, the Penn Transplant Institute will offer the 2018 Kidney Transplant Symposium. This year the program will address the impact of the opioid crisis on kidney transplantation and organ donation. Topics include: 
  • Overview of Kidney Transplantation
  • Substance Use and the Kidney Transplant Evaluation
  • Organ Donation and the Opioid Crisis  
  • Infectious Disease and Kidney Transplantation

The session offers 6 continuing education credits for nurses and PA social workers. The symposium is open to all dialysis unit staff as well as nephrology and transplant nurses. For additional information, please download a copy of the symposium flyer or contact Margaret Leid at margaret.leid@uphs.upenn.edu or (215) 298-3929.

NHSNUpdatesNHSN Updates
Required Dialysis Event Surveillance Training
CMS requires that at least one person from each outpatient dialysis facility that is eligible to report positive blood cultures (PBC), IV antibiotic starts, and pus, redness and swelling (PRS) to the National Healthcare Safety Network (NHSN) in 2018, complete the Annual NHSN Dialysis Event Surveillance Training. Eligible facilities include:
  • Facilities that provide in-center hemodialysis to at least 11 in-center hemodialysis patients
  • Facilities that have a CMS Certification date prior to January 1, 2018 

Learn more about eligibility.

Starting in 2018, Network 4 must verify, track, and report to CMS on a monthly basis the number of facilities completing this training for 2018. Please complete the following steps as soon as possible. 

  1. Complete the training and attestation no later than September 28.
  2. Print the certificate of completion. 
  3. Attest to completion of the training.

Dialysis Event Training/Re-training is available:  

CMSUpdatesCMS Updates
new hipaa fact sheet now available
The Centers for Medicare & Medicaid Services (CMS) has published a new fact sheet on Medical Privacy of Protected Health Information, a six-page summary of the major provisions of HIPAA, with extensive links to additional resources.  Download the fact sheet.  
update to the cms esrd state operations manual for esrd facilities and nursing homes
CMS has published a comprehensive update for Chapter 2 End-Stage Renal Disease (ESRD) of the State Operations Manual (SOM), which describes the oversight activities of State Survey Agencies for certified Medicare providers and suppliers. Chapter 2 of the SOM includes guidance and instructions on procedures for ESRD facilities, including nursing homes. The update incorporates current Conditions for Coverage, and CMS policies for ESRD issued previously through memoranda.  View the document.

There was also a new memo released in August 2018 that discusses the Survey Process for Reviewing Home Dialysis Services in a Long Term Care (LTC) Facility. View the memo
CY2019 esrd pps proposed rule webinar slides and recording now available
In case you missed the August 14 CMS conference call on the CY2019 ESRD PPS Proposed Rule, impacting PY2021-24 you can still review the presentation slides and listen to the speakers. The audio is available on the CMS website. The slides from the call are available now.

The Proposed Rule includes language for new facilities to begin QIP reporting in their fourth month of operation rather than their first month (slide 31). The slides also include timelines and resources. The call did not include questions, as listeners were directed to use the Federal Register comment process, which is detailed on the slides.  Learn more
CEUOppsEducation and 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 offers several online courses that provide free CEs for health care professionals. Learn more
Armstrong Institute for Patient Safety and Quality
The Armstrong Institute for Patient Safety and Quality is now offering short, interactive samples of courses to get a feel for how it creates engaging learning experiences that are relevant and applicable to your work improving patient safety. Samples are now available for the following cours es:
  • Patient Safety Certificate Program
  • Human Factors for Patient Safety
  • Becoming a Patient Safety Hero
  • Foundations of CUSP
These samples will work on mobile devices; however, for the best experience use on a laptop or desktop computer. Browse the course catalog for details on all courses, including continuing education credits, learning objectives and costs.
Centers for Disease Control and Prevention (CDC)

Tune In for Safe Healthcare Webinar Series
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 Morbidity and Mortality Weekly Report (MMWR) presents a FREE continuing education activity on the following topic:
  • Containing Unusual Antibiotic Resistance
This activity is intended for infectious disease practitioners, critical care practitioners, hematologists/oncologists, internists, laboratory practitioners, pathologists, public health officials, urologists, nurses, pharmacists, and other clinicians who treat and manage patients with multidrug-resistant organism infection. 

Upon completion of this activity, participants will be able to
  1. Describe changes from 2006 to 2015 in the annual proportion of selected pathogens that were nonsusceptible to extended-spectrum cephalosporins (ESBL phenotype) or resistant to carbapenems (carbapenem-resistant Enterobacteriaceae [CRE]), based on infection data from the National Healthcare Safety Network
  2. Describe findings from January to September 2017 of carbapenemase testing and screening tests, based on a Centers for Disease Control and Prevention (CDC) study
  3. Describe clinical implications of changes in spread of two multidrug-resistant (MDR) pathogens over time, based on a CDC study
Access other free MMWR/Medscape CE activities. If you are not a registered user on Medscape, please  register for free or login without a password and get unlimited access to all continuing education activities and other Medscape features.
renal physicians association e-Learning portal offers new course
The Renal Physicians Association (RPA) has an eLearning portal that offers a wide variety of courses. The newest course, 2018 Fundamentals of Nephrology Coding and Billing, is now available online. This course will provide a better understanding of the federal and regulatory requirements for proper nephrology coding, billing and documentation. 
ESRDResourcesESRD Resources
Latest edition of KCER Watch is Now Available  
The  September 2018 issue of KCER Watch , the monthly environmental scan that provides timely and pertinent information related to emergency preparedness, is now available. Kidney Community Emergency Response (KCER) reviews available literature from peer-reviewed journals and emergency and disaster related trade publications; social media postings; and stakeholder websites to identify news and events in the emergency management field that are beneficial to the ESRD community.  The goal of KCER Watch is to facilitate the exchange of information, sharing of resources, and advancement of knowledge and expertise among ESRD and emergency management stakeholders. The Network encourage you to share KCER Watch with your colleagues and patients. 
new network resource now available: Staying Healthy Through Work  
The Network recently completed the Staying Healthy through Work trifold brochure. This brochure highlights the benefits of staying active through work for patients with kidney disease. Download the brochure
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 ncc@ncc.esrd.net or visit the ESRD NCC website

 
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IMPORTANT NOTE:
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. ESRD4-092618