New CMS Fire Guidelines

CMS has proposed new fire protection guidelines for dialysis facilities.  Public comment is solicited until January 3, 2017.  It updates reference to the National Fire Protection Association Life Safety Code to the 2012 edition, and addresses construction, protection, and operation of dialysis facilities to provide safety for Medicare beneficiaries from fire and smoke.  Some of the primary requirements include self-closing doors to hazardous areas, location of alcohol based hand rub dispensers, provisions for when a sprinkler system is out of service, and requirements for facilities that do not have grade-level exits from the treatment area.  Find the proposed rule at ttps://www.gpo.gov/fdsys/pkg/FR-2016-11-04/html/2016-26583.htm and the CMS press release at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2016-Press-releases-items/2016-11-03.html .

SC 1/27 CA Dialysis Conference Exhibitor Registration Deadline

Online registration is now open for the for the March 2-4, 2017 California Dialysis Council’s Annual Educational Conference in Desert Springs CA.  Exhibitors must register by January 27, 2017.  Early registration discounts for attendees expire February 3, 2017.  The hotel registration deadline for group rates is February 8, 2017.  Planned topics for the Conference include hypertension, fluid control, facility ratings, Network 18 update, staffing shortages, common survey issues, HIPAA audits, new technology, and motivation.  For full details see http://www.californiadialysis.org/cdc-events/annual-conference.aspx .

NW 10/25 WA CofN Rule Comment Period

The Washington State Department of Health has published a Proposed Rule that modifies the way Certificate of Need applications for new dialysis facilities are evaluated.  Comments are due to WA DOH by October 25, 2016, and a public hearing will also be held on that date.  Find the Proposed Rule, hearing details, and comment form at https://fortress.wa.gov/doh/policyreview/Documents/1619038conkidney102final.pdf , and a Legislative Analysis of the Rule at https://fortress.wa.gov/doh/policyreview/Documents/slacertificateofneedkidneydialysis.pdf .

NRAA Annual Conference 10/7-9, Orlando

On October 7-9, 2015 in Orlando FL, the National Renal Administrators Association will hold their Annual Conference (October 8-9) and Facility Leaders Workshop (October 7).   Attendees include administrators, nurse managers, medical directors, nephrologists, technicians, and finance managers.  Major topics in the Facility Leaders Workshop include staffing, productivity, cost reporting, water failure, conflict resolution, and compliance.  Major topics in the Annual Conference include integrated care, patient engagement, disaster response, NHSN, QIP, Conditions for Coverage updates, legal and policy issues, and home dialysis.  For details see http://www.nraa.org/index.php/news-a-meetings/569-2015-annual-conference-a-workshop .

Immediately following the Annual Conference, on October 9-10, the NRAA and Renal Physicians Association will jointly sponsor their Medical Directors Dialysis Facility Symposium; see http://www.nraa.org/index.php/meetings/medical-directors-symposium for details.

Starting a Home Hemo Program

To supplement the Open-Source Practical Manual for Home Hemodialysis that the Global Forum for Home Hemodialysis has created (see https://nwrnbulletins.wordpress.com/2015/05/01/practical-manual-for-home-hemodialysis/ ), the International Society for Hemodialysis has built a website that presents the same material.  Find it at http://home-hemodialysis.com/ .  The Practical Manual and website present an international consensus on how to create a new home hemodialysis program.  Chapters on the website include The Home HD Hub, Funding and Planning, Workforce Development, Cultivating Suitable Patients, Patient Safety, Patient Selection and Training, Vascular Access, Infrastructure-Water-Machines, Prescriptions, and Psychosocial Aspects.  For an introduction to the overall project, see http://homedialysis.org/news-and-research/blog/108-an-open-source-practical-manual-for-home-hemodialysis .

Practical Manual for Home Hemodialysis

Hemodialysis International has released a special issue that serves as “An Open-Source Practical Manual for Home Hemodialysis.”  Chapters include, among others, facility physical infrastructure and governance structure, funding and planning, workforce development, cultivation of suitable patients, patient safety, patient selection, vascular access, home infrastructure, prescriptions, and psychosocial aspects.  PDFs of each chapter can be found at http://onlinelibrary.wiley.com/doi/10.1111/hdi.2015.19.issue-s1/issuetoc .