8/3+ NHSN Webinars

NHSN will twice present a webinar on Introduction to the NHSN Dialysis Event Surveillance Protocol, once on August 3, 2017 and again on August 4, 2017.  NHSN Dialysis Event Surveillance reporting is required for the CMS ESRD QIP.  This webinar will provide a complete introduction to the NHSN Dialysis Event reporting requirements and the surveillance definitions necessary to complete accurate monthly reporting.  CDC subject matter experts will be available to answer questions, and continuing education credits will be provided.  Pre-registration is required, at:

Continuing education credits are also available for NHSN’s recorded presentations.  Find these, with instructions for obtaining CE credits, at https://www.cdc.gov/nhsn/Training/continuing-edu.html .

8/28 QIP PY2019-21 Revisions

CMS has proposed a new rule that modifies the QIP for PY2019-21.  Comments on the rule will be accepted until August 28, 2017.  The proposed rule includes updates to reimbursement rates, the ESRD QIP Extraordinary Circumstances Exception Policy (ECE), PSC, NHSN dialysis event data validation sampling methodology, and quality measures.  The rule also requests comments on how to include individuals with AKI in the ESRD QIP, and on the feasibility and appropriateness of accounting for social risk factors in the program.  Find an advance copy of the proposed rule at https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-13908.pdf .  The proposed rule is scheduled for the July 5, 2017 Federal Register.  A copy of the CMS press release on the proposed rule can be found at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-06-29.html .

A CMS Fact Sheet summarizes the various changes and proposals in the rule, and also introduces a planned CMS RFI that will welcome continued feedback on the Medicare program with the aim of increasing efficiency, transparency, flexibility, program simplicity, and innovation.  Find the Fact Sheet at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-06-29.html .

https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-13908.pdf

7/10+ PY2018 Webinar

CMS will host a July 10, 2017 webinar on ESRD QIP: Previewing Your Facility’s PY2018 Performance Data.  The Preview Period will begin July 17, when CMS will make Preview PSRs available to facilities.  These reports show the performance results that CMS will use to determine if a facility will incur a payment reduction for PY2018.  The PY2018 QIP process is described at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY-2018-Program-Details.pdf .  During the month-long Preview Period, facilities can review their measure scores and ask CMS questions about how their scores were calculated.  Facilities will also be able to submit one formal inquiry if they find or suspect an error in how their scores were calculated.  The webinar will describe the steps that dialysis facilities need to take to participate in the Preview.  Register for the webinar at https://register.gotowebinar.com/register/3216642538964021761 .

QIP/DFC Measures Manual

CMS has published the 2o17 edition of the CMS ESRD Measures Manual, which details how the PY2017 (CY2017) QIP and October 2017 DFC Star Ratings are calculated.  The Manual includes information on the new Kt/V and NHSN QIP measures, TPS calculation, PY2020, and changes to DFC and Star Rating calculations.  Find a copy of the CMS press release, which includes links to the Manual and supporting material, at  https://s3-us-west-2.amazonaws.com/nwrn.org/files/QIP/CMS%2CQIP.061617.pdf .

DFC Toolkits

Medicare has published a Dialysis Facility Compare Social Media Toolkit brochure in three versions (for patients or consumers, for dialysis facilities, and for physicians) and two languages (English and Spanish).  They provide graphic and text suggestions for sharing and promoting DFC on social media.  Find copies of them at: