KDIGO and the International Society of Nephrology will present a June 22, 2020 webinar on KDIGO Diabetes Guideline: Looking at the Latest Evidence and Beyond. The webinar will include segments on Living with Diabetes and CKD, Management of Diabetes in CKD, and Management of CKD in Diabetes. For more information and registration, see https://kdigo.org/register-today-for-the-kdigo-diabetes-guideline-webinar/.
KDIGO has released a series of recorded webinars and other presentations from their collaboration with the International Society of Nephrology, including videos of:
- Update on CKD Mineral Bone Disorder KDIGO Guidelines 2017
- Diagnosis and Management of Atrial Fibrillation and Heart Failure in Patients with CKD
- The Kidney and HIV: Implications for Treatment and Prevention
- Hepatitis C Guideline Update
- Dialysis Initiation, Modality Choice, & Prescription
- Coronary Artery & Valvular Diseases
- Blood Pressure in CKD
- Glomerular Disease
- AKI in 2019: What Has Changed since the KDIGO Guidelines in 2012?
- Blood Pressure and Volume Management in Dialysis
- Potassium Controversies
- Kidney Problems in Oncology
- Clinical Practice Guideline on the Management of Blood Pressure in CKD
- Kidney Transplantation and Cardiac Disease
- Clinical Practice Guideline: Diabetes Management in CKD
They plan to add at least four more this year. Find them all on the KDIGO-ISN YouTube Channel at https://www.youtube.com/channel/UCm7zHM_wBaPbQxRDJwyvqMg/videos.
NKF and Swedish Medical Center will present an April 25, 2020 four-hour workshop on Lifestyle & Kidney Health: Diet, Exercise, Weight Loss and Beyond. Topics will include nutrition, diabetes, blood pressure, fitness, and transplant preparation. Lunch will be provided. See below for full details:
We’ve published the Fall 2019 ESRD Network 16/18 Provider Newsletters. Find them at:
We include links to earlier issues at the end of this post. Most content is the same for both Networks, but not all. We’ve marked where they differ, and we’ve used blue type where information in one version also applies to the other Network. The Fall 2019 issue feature articles on:
- Quality Improvement:
- 2020 Quality Improvement Activities, which we expect to begin before Christmas.
- Changes to the ESRD QIP, which include changes to measures for the Transplant Waitlist, Medication Reconciliation, Transfusions, and BSIs. We’ve scheduled a December 12, 2019 webinar to summarize these QIP changes (and the many other measures that aren’t changing).
- Opioid Awareness and Pain Management.
- Diabetes Self-Management.
- Patient Services:
- Managing Patient Expectations to help create a calm and conflict-free environment.
- The Dialysis Patient Depression Toolkit.
- Patient Newsletters in English and Spanish for each Network.
- The importance of Keeping Patient Information Up to Date, especially patient addresses, which are critical for tracking everyone in emergencies and disasters, for identifying home facilities and transplant centers near the patient, for receiving notices like the New ESRD Patient Orientation Packet, and for monitoring patient clusters so your organization can effectively plan where to locate new facilities.
- A mini-lesson on how to admit a new patient into CROWNWeb if they do not have an SSN or MBI.
- Emergency Preparedness:
- Fire Danger Power Shutoffs and Fire Resources in California (NW18 version).
- The new ESRD Facility Emergency Preparedness Final Rule that went into effect on November 29, 2019 (NW18 version but also relevant to NW16).
- New KCER document on Emergency Disconnect Procedure for In-Center Hemodialysis Patients (NW16 version but also relevant to NW18).
- Notify the Network of any Interruptions in Service.
- KCER Newsletter.
- Notify the Network of any Personnel Changes.
- Upcoming Events!
We also list events of interest to Dialysis Facilities, Transplant Centers, and staff, on our Facility Calendar, via the link at the top of this page.
Find previous issues at:
November is National Diabetes Month and National Family Caregivers Month, and November 14, 2019 is World Diabetes Day. The theme for both Diabetes Month and Diabetes Day this year is Family and Diabetes. The theme for 2019 Family Caregivers Month is Caregiving Around the Clock. To find out more, see:
- National Diabetes Month – https://www.diabetes.org/community/calendar-events/american-diabetes-month.
- National Family Caregivers Month – https://www.npaonline.org/november-national-family-caregivers-month.
- World Diabetes Day, November 14, 2019 – https://worlddiabetesday.org/about/2019-theme/.
Dialysis Patient Citizens will present an October 17, 2019 webinar on Decisions You Need to Make about Your Transplant Choice. The webinar will cover high risk donors, the transplant waitlist, and how to be a “great transplant recipient.” RSVP at https://www.dpcedcenter.org/news-events/education-webinars/. This is short notice, but the webinar will be recorded, and when the recording is ready you can find a link to it at the same web page, along with past webinars on topics like diabetes, employment, exercise, medications, laughter, support, and many others. The next monthly webinar, on November 21, will be about Treatments and Modality Options for Kidney Disease. There’s no date set yet, but the December webinar will be on Kidney Nutrition. Find more details and RSVP for current and future webinars at https://www.dpcedcenter.org/news-events/education-webinars/signup/.
The FDA has warned that certain Medtronic MiniMed Insulin Pump models are not protected from hackers, who could alter the insulin settings. Medtronic is replacing the inadequately protected pumps. For recommendations on protecting yourself while awaiting a replacement, a list of models and software versions involved, and more information, see https://www.fda.gov/medical-devices/safety-communications/certain-medtronic-minimed-insulin-pumps-have-potential-cybersecurity-risks-fda-safety-communication.
A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years. Both reductions were highly statistically significant. However, both rates flat-lined after 2013.
We want to stress the importance of improving patient and staff education on diabetes self-management and preventive foot care, in order to resume the reductions in these rates. CDC’s recommendations on diabetic foot care can be found at https://www.cdc.gov/features/diabetesfoothealth/index.html. The ADA’s input is at http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html in English and http://www.diabetes.org/es/vivir-con-diabetes/complicaciones/el-cuidado-de-los-pies.html in Spanish.
The National Forum of ESRD Networks has introduced or updated several Medical Advisory Council (MAC) Toolkits. Two new Kits include the Transplant Toolkit and the Medication Conversion Toolkit. The Transitions of Care Toolkit was updated in mid-April. Find them all at http://esrdnetworks.org/resources/toolkits/mac-toolkits-1, along with the existing Home Dialysis Toolkit, Medical Directors Toolkit, QAPI Toolkit, Medication Reconciliation Toolkit, Catheter Reduction Toolkit, Vaccination Toolkit, and Assurance of Diabetes Care Coordination Toolkit.
- In mid-June 2019 a series of presentations on Infection Control, offering free CME/CE credits to physicians, nurses, and pharmacists, will expire. CDC and Medscape produced them in 2017 with the intention that they’d be valid for two years. The six presentations include Risk Recognition, Environmental Services, Medical Equipment, Nonsterile Gloves, Hierarchy of Controls, and Injection Safety. Find them at https://www.cdc.gov/infectioncontrol/training/cme-info.html.
- The Joint Commission Speak Up series includes a poster and short video in English and Spanish on Infection Prevention. Find these tools and many more at https://www.jointcommission.org/topics/speak_up_infection_control.aspx. The Speak Up series also includes resources on Five Ways to Be Active in Your Care at the Hospital for dialysis and diabetes patients, on Avoiding a Return Trip to the Hospital, on Depression, on Organ Donation, on Pain, and many other topics. Find them all at https://www.dropbox.com/sh/3e5uml0tk6myy4s/AAB0a91UJK8p8-VkokWD0q2Ga?dl=0.
- The Oregon Patient Safety Commission suggests giving your facility a Patient Safety Culture Survey, such as those provided by the HHS Agency for Healthcare Research and Quality (AHRQ). While they don’t have a Survey specifically for dialysis facilities, most of the questions on any of their surveys are directly applicable or can easily be adapted. For details see https://oregonpatientsafety.org/news-information/patient-safety-alerts/add-patient-safety-culture-surveys-to-your-prevention-toolbox/945/.
- AHRQ will present a June 12, 2019 webinar on Best Practices for Web-Based Surveys on Patient Safety Culture; register at https://westat.webex.com/mw3300/mywebex/default.do?nomenu=true&siteurl=westat&service=6&rnd=0.14765443759873476&main_url=https%3A%2F%2Fwestat.webex.com%2Fec3300%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26%26%26EMK%3D4832534b00000004055fc9090fc824db69d4fc807faaa82be8a7e2f6b039075465c816eb25f825d0%26siteurl%3Dwestat%26confViewID%3D123809633363065597%26encryptTicket%3DSDJTSwAAAARxY3pJMqWtIxlWNZjpy6DEzK3qsti–1Bsvb7DlIp51Q2%26#utm_source=SOPSanc&utm_medium=Email&utm_campaign=20190422.
- The CDC Safe Healthcare Blog makes a good frequent reminder about the ever-present danger of infection, and how to respond to it effectively. It’s post for this week is titled Clean Hands Count to Keep Patients Safe from Healthcare Associated Infections. Find the post and the Blog at https://blogs.cdc.gov/safehealthcare/clean-hands-count-to-keep-patients-safe-from-healthcare-associated-infections/.