5/31 NHSN Training

Required Annual Training: The Dialysis Event Module annual training has been updated and moved to a new platform called CDC TRAIN.  Self-paced training and post-assessment will remain the same as the previous version, but the CDC TRAIN platform requires you to register with the site, and allows you to save your training certificates after completion.  NHSN recommends that all users take this training, but at least one user per facility is required to take and pass this training annually.  Find the training course and instruction guide at https://www.cdc.gov/nhsn/dialysis/event/index.html.  Email NHSN@cdc.gov with “Dialysis” in the subject line with any questions.

Training Needs Assessment: In taking the NHSN Dialysis Event Module Training Needs Assessment, some users experienced a system error which only permitted them to complete the Demographics section of the survey.  If you experienced this, please retake the Assessment, at https://www.surveymonkey.com/r/DialysisEventTNA. NHSN apologizes for the inconvenience and truly values your input.  If you have not taken the Assessment yet, please do, to help NHSN better understand training needs for the Dialysis Event Module.  The Assessment will remain open until May 31, 2019.

4/5 DFC Technical Expert Panel Nominations

CMS has commissioned UM-KECC to assemble 10-20 volunteers for a Technical Expert Panel (TEP) to formulate a process for periodically resetting ESRD clinical quality Star-Rating criteria so that the Ratings continue to differentiate facility quality of care when treatment-quality trends reduce the variation between facilities.  Volunteers will include patients, caregivers, ESRD subject matter experts, methodologists, and specialists working on dialysis QI and healthcare disparities.  The TEP will require a one-day in-person meeting in Baltimore in June, plus 3-7 conference calls before and after.  Nominations must be submitted by April 5, 2019.  The current call for nominations doesn’t mention it, but past TEPs have reimbursed travel expenses.  For details and nomination forms, see https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html#a0305.

QIP News: PSSRs, NHSN Deadline, Pain Assessment

PSSRs: CMS has announced that PY2019 Performance Score Summary Reports or PSSRs are now available.  The PSSR is a spreadsheet containing the performance values of each facility for PY2019.  It provides information about facility performance on each ESRD QIP measure as well as the Total Performance Score.  Find the PSSRs at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY2019-Performance-Score-Summary-Report-.XLSX.  It’s a 12+ megabyte file, so it may take several minutes to download and open.

NHSN: CMS has also announced an extension to the NHSN data entry deadline for the ESRD QIP fourth reporting quarter of 2018 (data for October 1 – December 31, 2018) from March 31, 2019 to April 1, 2019.

Assistance regarding PSSRs or the NHSN deadline can be obtained by contacting the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.  For questions or concerns regarding use of the ESRD QIP system, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912 between 5am and 7pm PT Monday-Friday.

Pain Assessment data submission into CROWNWeb will no longer be required by CMS starting March 1, 2019.  The Pain Assessment screen will remain active for facilities to review previously reported data.  For details see http://mycrownweb.org/2019/02/pain-assessment-submission/.

3/12+ CW Newsletter, Trainings, Town Hall

CROWNWeb has published their March Newsletter, featuring articles and announcements on:

Find the Newsletter at http://mycrownweb.org/2019/03/march-2019-newsletter/.

Anonymous Grievance Process

We’ve added a section to the Patient Services pages of our websites on Developing an Anonymous Grievance Process at Your Facility.  Find the new sections at:

Find the overview Patient Services pages for each Network at:

4/1 NW16 WA Revised CoN Application Form

Washington State DOH has revised the application form that providers and potential providers must use to request a Certificate of Need to build a new or expand an existing dialysis facility in Washington State.  Find a copy of the revised application at https://www.doh.wa.gov/Portals/1/Documents/2300/2019/ESRDApp2019.pdf.  Letters of Intent for the 2019 “Special Circumstances, Cycle One” review of CoN applications must be filed by April 1, 2019.  Call 360-236-2955 or email DOH at FSLCON@doh.wa.gov if you have questions.  For more information on Washington CoN, see https://www.doh.wa.gov/LicensesPermitsandCertificates/FacilitiesNewReneworUpdate/CertificateofNeed.

NW16 New Form for Reporting IVD

We’ve established a new form for Network 16 facilities to report Involuntary Discharge or Transfer.  Find the form and instructions for using it at https://www.nwrn.org/providers-and-professional-staff/patient-services/ivd.html.

The Conditions for Coverage (CfC) require all facilities to notify both the Network and your State Survey Agency, within specified time parameters, of all involuntary discharges and transfers.  Better yet, if you’re considering an involuntary discharge or transfer, first contact the Network Patient Services Coordinator, Lisa Hall (lhall@nw16.esrd.net or 206-923-0714), to help you negotiate a better outcome.

For Network 18 facilities, see http://www.esrdnetwork18.org/providers/patient-services/.