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                                                                             A Bi-Weekly Newsletter for QIRN4
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Welcome to the November 30 edition of the Quality Insights Renal Network 4 (QIRN4) e-newsletter. In this issue, we bring you information about CMS measures under consideration, ICH CAHPS survey results, ESRD events, resources and much more. We encourage you to contact us with any questions, concerns or suggestions.  
 CMSReleasesListCMS releases list of measures under consideration for December  
The Centers for Medicare & Medicaid Services (CMS) has published a list of quality and efficiency Measures that are under consideration for future rule-making as of December 1, 2016.  ESRD Measures on the list include Standardized Transfusion Ratio, Standardized Fistula Rate, and Standardized Long-Term Catheter Rate.  The list includes suggested specifications, exclusions, and rationales.  View the list. Discussion of ESRD measures  is found on pages 211, 39, 90-92, and 165-170. 
PatientMixPatient Mix Coefficients for the ICH CAHPS Survey Results Publicly Reported in October 2016
CMS began publicly reporting In-center Hemodialysis CAHPS (ICH CAHPS) Survey results on Dialysis Facility Compare (DFC) on the website in October 2016. The ICH CAHPS Survey results that are currently posted on the DFC are based on ICH CAHPS Survey data from the two semi-annual surveys administered in calendar year 2015 (the 2015 ICH CAHPS Spring and Fall Surveys.) The results shown are statistically adjusted for both data collection mode and for patient mix. Learn more about the adjustments made to the survey results and the coefficients used to adjust the results. Information presented in this document will allow ICH facilities to approximate the effect of patient mix adjustment on their ICH CAHPS Survey results that were posted on DFC in October 2016. Please contact the ICH CAHPS Survey Coordination Team at (866) 245-8083 or via e-mail at if you have any questions about patient mix adjustment.

SystemsUnavailableAnnouncement: Systems Unavailable for limited times in December     
CROWNWeb, QIP, QARM, and Secure File Exchange will be unavailable from 6:00 p.m. PST on December 8, 2016 through 9:00 p.m. PST on December 11, 2016.
NHSNDialysisEventSurveillanceNHSN Dialysis Component to be Updated in january; training webinars scheduled
The National Healthcare Safety Network (NHSN) Dialysis Component is scheduled to be updated on January 7, 2017.  To learn about new features and updates, join a webinar on December 1 with an encore presentation on December 2.  Pre-registration is required. Links to pre-registration are below. Contact the NHSN helpdesk with any questions at nhsn@cdc.govFor both webinars, listen-only audio will be available through your computer speakers.  No conference line is available, but attendees will be able to use the chat function to ask questions of the presenters.  
ESRDResourcesESRD resources

NKF Offers PERC Webinars 
The National Kidney Foundation (NKF) offers a number of webinars under its Professional Education Resource Center (PERC), many of which offer free continuing education credits for multiple disciplines. Some examples include:
  • Social Work Collaboration for Transplant Patients
  • Evidence-Based Social Work
  • Anemia and Cardiovascular Disease
  • Nephropathic Cystinosis
  • Western Diets: Are We Killing Our Patients?
  • Ethical Issues When Family Interferes with Transplant
  • Blood Pressure Monitoring
  • Cardiometabolic Diseases
  • Hyperkalemia
  • Living Kidney Donations
  • Early Detection and Prevention
  • Secondary Hyperparathyroidism
  • Hepatitis C
  • Mineral and Bone Disorder
  • Water
  • Minorities, Transplant, and Home Dialysis
  • ESRD Core Survey
  • Polypharmacy
  • Albumin
  • Depression and Pain
  • Nephrotic Syndrome
  • Lipid Management
  • Journal of Renal Nutrition articles

Learn more and register today.  


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. ESRD4-112916