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Welcome to the July 15 edition of the Quality Insights Renal Network 4 (QIRN4) e-newsletter. In this issue, we bring you information about QIP Pain Assessment deadlines, a new organ donation program, National Healthcare Safety Network updates, ESRD events, resources and much more. We encourage you to contact us with any questions, concerns or suggestions. 
QIPPainAssessmentReminder: CMS QIP Pain Assessments Due 7/31 
The Centers for Medicare & Medicaid Services (CMS) Quality Incentive Program (QIP) requires that you document a pain assessment response two times for each of your patients in 2016. The first of these assessments must be submitted in CROWNWeb before July 31.

The requirement and patient eligibility details can be found on the attestation page of CROWNWeb, found by clicking the Clinical tab, then the Patient Reporting sub-tab, then the Pain Assessment sub-tab.

With the impending change to a new user registration system in mid-July, we highly recommend that you submit these attestations as soon as possible.

ComprehensiveCareModelCMS requests applications for the comprehensive esrd care model 
CMS is officially announcing a Request for Applications (RFA) for the Comprehensive ESRD Care (CEC) Model. Applicants will have the opportunity to apply to join the Model starting in its second year, on January 1, 2017.

The CEC Model is designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD). Through the CEC Model, CMS will partner with health care providers and suppliers to test the effectiveness of a new payment and service delivery model in providing beneficiaries with person-centered, high-quality care. Dialysis providers, nephrologists, and other providers form ESRD Seamless Care Organizations (ESCOs), which are responsible for coordinating care and improving health outcomes for aligned beneficiaries, and are eligible for shared savings when total cost of care is reduced and quality is improved. 

The CEC Model currently has 13 ESCOs participating in the model, including 12 ESCOs from Large Dialysis Organizations (LDOs) and 1 from a non-Large Dialysis Organization (Non-LDO). 

Deadline to apply is July 15, 2016.

OrganDonationInnovative organ donation program allows living donors to donate kidney in advance 
An article recently published on News Medical talks about a new program designed to allow living donors to donate a kidney in advance of when a friend or family member might require the transplant. Learn more.  
NHSNTrainingNHSN Dialysis Event Surveillance Training Webinars 
Please join us for two live webinars on August 1 and August 11 that will provide training for new or experienced NHSN users. CDC subject matter experts will be available to answer your questions about NHSN Dialysis Event Surveillance.

Introduction to the NHSN Dialysis Event Surveillance Protocol - August 1 at 12:00 p.m. ET
National Healthcare Safety Network (NHSN) Dialysis Event Surveillance reporting is required for Centers for Medicare and Medicaid Services (CMS) End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) rule. This session will provide a complete introduction to the NHSN Dialysis Event reporting requirements and the surveillance definitions necessary to complete accurate monthly reporting. No registration is required. Click here to join the meeting online Listen-only audio will be available through your computer speakers. Chat function will be available for questions and answers.  If you're unable to get audio through your computer speakers, you can dial-in by phone to hear the audio: toll number (303) 248- 285 / Conference ID: 6393927*. 

Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports - August 11 at 3:00 p.m. ET

Learn how to apply National Healthcare Safety Network (NHSN) Dialysis Event Surveillance definitions through case studies that address common reporting questions. The session also will include an introduction to running and interpreting the most popular NHSN reports so you can review your facility's data, including Dialysis Event bloodstream infection rates. No registration is required.  Click here to join the meeting online. Listen-only audio will be available through your computer speakers. Chat function will be available for questions and answers. If you're unable to get audio through your computer speakers, you can dial-in by phone to hear the audio: toll number (303) 248-0285 / Conference ID: 6393927*. 

NHSNVersionNHSN Version 8.5.4 to be Released July 23
The next National Healthcare Safety Network (NHSN) release (version 8.5.4) was originally scheduled to go live on June 18. However, the release has been delayed until July 23 to accommodate necessary infrastructure upgrades. All of the anticipated upgrades are expected to be implemented on this new date. Updates include: 
  • NHSN Dialysis Event rate tables and run charts will be updated to include 2014 national aggregate data for benchmarking
  • Availability of a new group-level pooled mean rate tables
  • Availability of a new facility-level SIR report (available to both facilities and groups)
  • Availability of a new "compFollowed" variable to identify which components are active among the facilities in your group
  • Resolution of several minor system bugs

FDAAlertsandRecallsalerts and recalls  

CMSProposedRuleCMS files proposed rule that modifies terms of the esrd qip for py2018-2020
CMS has filed a Proposed Rule, to be published in the June 30, 2016 Federal Register. The new Rule would modify terms of the ESRD QIP for PY2018-2020, provide payment for patients with acute kidney injury, and include many other changes. Comments on the Proposed Rule must be submitted by August 23, 2016.

Proposed changes to the ESRD QIP include:
  • Revised technical specifications for the Hypercalcemia clinical measure in PY2018
  • A new Patient Safety Domain encompassing an NHSN reporting measure and BSI clinical measure, valued at 15% of facility TPS in PY2019 and 10% in PY2020
  • An SHR Standardized Hospitalization Ratio clinical measure for PY2020
  • A new Ultrafiltration Rate reporting measure for PY2020
  • Replacing the Mineral Metabolism measure with a new Serum Phosphorus reporting measure in PY2020
View a summarized Proposed Rule here. Read the full Federal Register article with instructions for commenting. 
RSNEssayContestRSN Invites people with kidney disease to enter 14th annual essay contest
The Renal Support Network (RSN) announces its 14th Annual Essay Contest. This year's theme is "What Do You Know Now About Chronic Kidney Disease That You Wish You had Known When You Were Diagnosed?"

"People who live successfully with a chronic illness like kidney disease know firsthand the importance of having an innovative perspective not only toward their illness, but also toward life in general. There is an abundance of talent within the renal patient community, and the RSN Essay Contest provides people who have CKD with a forum where they can share their experiences, strength, and hope, as well as inspire others."

- Lori Hartwell, RSN President and Founder

A total of $900 in prizes will be awarded. Essayists must have been diagnosed with CKD. The deadline for submitting essays is August 1.

Read past winning essays.

NIDDKSelected NIDDK and NKDEP Publications Available for Free
Between now and July 31, 2016, selected National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and National Kidney Disease Education Program (NKDEP) publications are available free in quantities up to 250 when shipped to US addresses, as NIDDK is reducing excess inventory.  Some examples include:
  • Family Reunion Health Guide: Make Kidney Health a Family Reunion Affair
  • Is My Child At Risk for Kidney Disease?
  • ¿Mi hijo corre riesgo de tener la enfermedad de los riñones? 
  • Chronic Kidney Disease and Diet: Assessment, Management, and Treatment
  • Consejos para personas con la enfermedad de los riñones 
    • Cómo leer la Etiqueta de los Alimentos
    • Una dieta sana parala Salud de los Riñones
    • El Fósforo
    • El Potasio
    • El Sodio
    • Las Proteínas
  • Resultados de sus pruebas de los riñones
  • La Enfermedad de los Riñones ¿Qué significa para mí?

View the full list. To order, click on the publication you want.

AmericanKidneyFundAmerican Kidney Fund to Present Patient Employment Webinar
Please let your patients know that the American Kidney Fund (AKF) will present a webinar on Staying Employed with Kidney Disease on Tuesday, July 19 from 1:00 to 2:00 p.m. ET.  Mary Beth Callahan, ACSW, LCSW, a Senior Social Worker at the Dallas Transplant Institute, will speak.  To learn more and view a list of other patient-oriented AKF webinars, please view this page
AAKPMeetingAAKP National Patient Meeting Registration Now Open
Registration is now open for the American Association of Kidney Patients (AAKP) National Patient Meeting on September 23-25 in Nashville, TN. Three major themes at this year's Convention will be:
  • Increasing Living Organ Donation (including a workshop on "Having Your Donor Find You" on September 22)
  • Engaging Patients: How Voices and Choices Shape Your Future
  • Food, Drugs and Safety
Eight Continuing Education credits are available for social workers, dietitians, and registered nurses. Scholarships, covering only the conference fees, are available to patients, but you must apply before July 31, 2016.  Learn more and register

HealthyPeople2020Webinar Opportunity: Who's Leading the Leading Health Indicators? 
Join Healthy People 2020 on Thursday, July 21 at 12:00 p.m. ET to learn how one community organization is working to prevent underage alcohol consumption and reduce alcohol-related harms through evidence-based policies and practices. Learn more and register

CMSCallMark Your Calendars: CMS Call
CMS will hold a conference call on August 2 on ESRD QIP: Reviewing Your Facility's PY2017 Performance Data.  The call will cover accessing your PSR, implications for your reimbursement rates, how to submit a formal inquiry about your PSR (before September 16, 2016), and PSR posting requirements.  Registration is required. Learn more
ESRDResourcesESRD resources  
Dialysis Needles, Self-Cannulation and the Buttonhole Technique
Learn more about self-cannulation and the buttonhole technique with this article from Home Dialysis Central.  

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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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. ESRD4-070816