8/13+ NHSN Webinars

CDC’S National Healthcare Safety Network will present an August 13, 2019 webinar on Introduction to the NHSN Dialysis Event Surveillance Protocol that summarizes the NHSN QIP reporting requirements and process.  This webinar will be repeated August 14.  A separate webinar on August 20 on Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports will include case studies and some of NHSN’s prepared reports that allow you to review your facility’s progress, including the report on BSI.  For details and registration see:

Use the same web pages to join on the day of the webinar.  Audio will be available through your computer’s speakers, or by telephone at 303-248-0285, access code 6393927 for all three webinars.

Self-paced interactive online training is also available, at https://www.cdc.gov/nhsn/training/dialysis/index.html.  For more information on NHSN, see https://www.cdc.gov/nhsn/index.html and https://www.cdc.gov/nhsn/dialysis/event/index.html.

8/20 CMS Call re CY2020 PPS/QIP

CMS will present an August 20, 2019 National Provider Call on ESRD QIP: CY 2020 ESRD PPS Proposed Rule.  Find more information, slides, and (after the Call) recordings, and register, at https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2019-08-20-ESRD-QIP.html.  The Call will avoid Questions, because they are to be handled through the standard Preview process (see https://nwrnbulletins.wordpress.com/2019/07/22/8-23-py2020-qip-preview-period/).

9/27 CMS Proposed Changes to Dialysis Reimbursements

CMS will publish in the Federal Register on August 6, 2019 a Proposed Rule that includes changes to the CY2020 ESRD PPS, ESRD QIP, AKI payments, and many other details, including adjustments to the PY2022 NHSN and STrR measures, and provisions for new and innovative treatments.  The Proposed Rule also includes requests for public comment on the case-mix adjustment model and wage indices.  Comments will be due by September 27, 2019.  Find:

8/23 PY2020 QIP Preview Period

The Preview Period for the PY2020 ESRD QIP begins July 22, 2019, and ends August 23, 2019.  During this Preview Period facilities are to review their PSR and submit Clarification Questions and/or a Formal Inquiry if their PSR does not appear to meet their needs.  Facilities are urged to submit Questions early enough to receive answers before their Formal Inquiry is due (by August 23, 2019).

Each facility’s designated Point of Contact (POC) can log into the QualityNet Secure Portal at https://eidm.cms.gov/EIDMLogin/login?bmctx=8727EC73D09EAFE3069C64044C620D9C&contextType=external&username=string&contextValue=%2Foam&password=secure_string&challenge_url=https%3A%2F%2Feidm.cms.gov%2FEIDMLogin%2Flogin&request_id=-5754072723998271983&authn_try_count=0&locale=en_US&resource_url=%252Fuser%252Floginsso to download their Preview Performance Score Report (PSR), ask Clarification Questions, or send a Formal Inquiry.  CMS encourages each dialysis facility to generate and review its Preview PSR during the preview period before this information is made available to the public in December 2019 and payment reductions are finalized.

For more information see:

New CMS Payment Models

CMS has proposed five new experimental ESRD and CKD payment models:

  • Four models will be voluntary:
    • The KCF (Kidney Care First) Model would capitate and incentivize payments to nephrology practices for care of CKD and ESRD patients.
    • Three different CKCC (Comprehensive Kidney Care Contracting) Models would allow the creation of Kidney Contracting Entities (KCEs), which would take full responsibility for the cost and quality of care for ESRD patients in return for capitated payments, with a share of any cost savings rebated.  KCEs would consist of nephrology practices, transplant providers, dialysis providers, and other healthcare providers.
    • These programs would run for four to six years, beginning January 1, 2020.  Find more information on the KCF and CKCC Models at https://www.cms.gov/newsroom/fact-sheets/kidney-care-first-kcf-and-comprehensive-kidney-care-contracting-ckcc-models.

2019 DFR Preview Schedule

The University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) has announced the DFR Quarterly Update schedule for the rest of FY2020 (CY2019).  Facilities will preview their FY2020 annual DFR (for 2015-2018) during July 15-August 15, 2019, their Q1 2019 Quarterly DFR Update (for January-March 2019) during November 1-15, 2019, their Q2 Quarterly DFR Update (for January-June 2019) during February 1-15, 2020, and their Q3 Quarterly DFR Update (for January-September 2019) during May 1-15, 2020.  The DFRs and facility comments will be released to state surveyors on September 1 and December 1, 2019, and March 1 and June 1, 2020, respectively.

The DFR and Quarterly Updates will be available for preview and comment on http://www.dialysisdata.org.  Authorized users may submit comments about the report on the Dialysis Data secure website by using the forms “Comments on DFR for UM-KECC” and  “Comments on DFR for State Surveyor.”  All comments submitted for state surveyors will be appended to the DFR and made available to surveyors.  Do not include questions for UM-KECC in comments intended for the state surveyors.  All Dialysis Data website MAH passwords were reset, and all user accounts were disabled in December 2018.  If you haven’t already, facility MAHs must log into their master account to re-enable facility user accounts and grant permissions prior to July 15, 2019.

The Dialysis Data Helpdesk welcomes questions and comments about the DFRs and suggestions for future reports of this type, at 1-855-764-2885 or DialysisData@umich.edu.