Summer Provider Newsletters

Network Provider Newsletters for Summer 2020 have been published.  They include articles on:

  • Network Support for COVID-19.
  • The ESRD QIP.
  • New QIP website interface.
  • Staff Burnout.
  • Patient Psychosocial Needs.
  • NCC “Web Hub” for Patients (Network 16 only).
  • Seeking Volunteers for Spanish-Speaking PAC (Network 18 only).
  • Data Currency in CROWNWeb.
  • Links to Network Patient Newsletters.
  • Patient Emergency Preparedness.
  • Interruptions in Service.
  • KCER Newsletter.
  • Staff Changes.
  • Link to Events Calendar (Network 18 only).
  • Network email Updates.

Find them at:

HDC on Safe Social Work and COVID-19

Home Dialysis Central has published a blog post on Dialysis Social Work During a Pandemic: Caring for Patients Safely, thoroughly reviewing what are permitted and required by:

  • CMS Conditions for Coverage,
  • Social Work licenses and training,
  • Medicare reimbursement rules and waivers,
  • Patient and staff safety,
  • Home dialysis,
  • Effective communication,
  • PPE,
  • Telehealth,
  • Comparative advantage,

all in the context of the COVID-19 pandemic.  Find the post at https://homedialysis.org/news-and-research/blog/361-dialysis-social-work-during-a-pandemic-caring-for-patients-safely.

CDC 5/3 COVID-19 Guidance Updates

In the last few days, CDC has published updated versions of various guidance.  The web pages listed below include new changes that may impact how dialysis facilities operate:

We will continue to review revisions and new guidance as they become available.  Many links to important COVID-19 information can be found on the Network websites at https://www.nwrn.org/Emergency-Prep (Network 16) and http://www.esrdnetwork18.org/emergency/ (Network 18).

5/26+ CMS Shareholder Engagement Calls

CMS is hosting weekly Stakeholder Engagement sessions to share information related to the agency’s response to COVID-19.  These sessions are open to the healthcare community and provide updates, share best practices, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.  Conference lines are limited so we encourage you to join via audio webcast on your computer or smartphone web browser.  You are welcome to share this invitation with your colleagues and professional networks, but these calls are not intended for the press.  Call recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.

Targeted Updates for Dialysis Organizations on the agency’s latest COVID-19 guidance, also featuring leaders in the field sharing best practices, with an opportunity to ask questions if time allows.  Wednesday May 27, 2020, 2:30-3:00 pm PDT, toll-free 833-614-0820, passcode 6152699, audio webcast link https://engage.vevent.com/index.jsp?eid=5779&seid=2123#/main/simplify.

COVID-19 Office Hours Calls are an opportunity for providers to ask questions of CMS officials about temporary actions that allow increased capacity, expanded workforce, patient priority, and telehealth.  Tuesday May 26, 2020, 2-3pm PDT, toll-free 833-614-0820, passcode 8977438, audio webcast link https://engage.vevent.com/index.jsp?eid=5779&seid=2012#/main/simplify.

Lessons from the Front Lines with representatives from CMS, FDA, and the Coronavirus Task Force, along with front-line clinicians.  Friday May 29, 2020, 9:30-11:00 am PDT,  toll-free 877-251-0301, passcode 6350189, audio webcast link https://engage.vevent.com/index.jsp?eid=5779&seid=2075#/main/simplify.

New 4/8 CDC Guidance on Essential Worker Exposure

On April 8, 2020 CDC “issued new guidelines aimed at getting workers who have been exposed to the coronavirus in critical fields back to work faster.  Under the old guidance, workers were told to stay at home for 14 days if they were exposed to someone who had tested positive for the coronavirus.  The new guidelines will allow critical workers who have been exposed [to] go back to work as long as they are asymptomatic and follow conditions like taking their temperature before going to work, wearing a face mask at all times and practicing social distancing at work as much as possible” (The Hill, 4/8/20, https://thehill.com/policy/healthcare/491912-cdc-issues-new-guidance-for-essential-workers-exposed-to-coronavirus).  Find the CDC Guidance itself, Implementing Safety Practices for Critical Infrastructure Workers Who May Have Had Exposure to a Person with Suspected or Confirmed COVID-19: Interim Guidance, at https://www.cdc.gov/coronavirus/2019-ncov/community/critical-workers/implementing-safety-practices.html.

CMS Summary of COVID-19 Waivers as of 4/9

On April 9, 2020 CMS published a document on COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers, summarizing relief during the current emergency from normal requirements, with the intention to allow healthcare facilities to focus more attention on treating COVID-19 patients.  Waivers for dialysis facilities are summarized on pp.17-19, and include adjustments to regulations for water quality testing, fire inspections, patient assessments, plan of care, rounds, home visits, special purpose facilities, PCT certification, transferability of professional credentials, dialysis in nursing homes, and many other details.  Find the document at https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDEsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMDA0MTAuMjAwMTg1NTEiLCJ1cmwiOiJodHRwczovL3d3dy5jbXMuZ292L2ZpbGVzL2RvY3VtZW50L3N1bW1hcnktY292aWQtMTktZW1lcmdlbmN5LWRlY2xhcmF0aW9uLXdhaXZlcnMucGRmIn0.NmtjnP-P1fvfNYld0nlhqMouY3FZb10Xx7Aull2AIwA/br/77281657281-l.

New CDC Guidance on COVID-19 PPE and Recovery

CDC has released a number of new Guidance protocols today on:

1/23+ IHI QI Leadership Course

IHI will present an eight-session five-month online course on Leading Quality Improvement: Essentials for Managers, beginning January 23, 2018.  IHI recommends the course for:

  • Managers with clinical or patient care skills but a lack of leadership know-how or QI knowledge
  • Staff members with QI experience but not enough to lead improvement efforts
  • Organizations where budget constraints make it difficult to provide leadership training to everyone who needs it.

For details see http://www.ihi.org/education/WebTraining/Webinars/Leading-Quality-Improvement-Essentials-for-Managers/Pages/default.aspx.

 

Emergency Preparedness Training

“ASPR TRACIE” (the HHS Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange Healthcare Emergency Preparedness Information Gateway) has announced a free online training course on the new CMS Emergency Preparedness Rule.  The course has separate versions for Providers and Surveyors:

ASPR TRACIE has also published a new issue of their Exchange newsletter (https://asprtracie.s3.amazonaws.com/documents/tracie-the-exchange-newsletter-issue5-v10-release-508.pdf), with articles on Health Care Coalitions, Hospice and Emergency Preparedness, their Subject Matter Expert network, the Opioid Crisis, and Resources.  The last section includes links to documents such as:

Self-Care

A new Harvard Business Review article on “The Value of Teaching Patients to Administer Their Own Care” includes an example of a self-care dialysis program at the Central Texas Nephrology Associates clinic in Waco, Texas.  Some excerpts:

  • “In 2016, nearly 40% of CTNA’s 751 patients performed their own dialysis while experiencing fewer hospitalizations and a lower mortality rate than patients receiving dialysis the conventional way.  Patients delivering their own dialysis experienced better outcomes and the health system minimized costs by avoiding unnecessary hospital visits.”
  • The “Providers’ role changed from performing every step of the process to serving as coaches and supporters of patients doing their own care.  The resulting redeployment of staff resources led to higher productivity and throughput for the clinic.”
  • “Regardless of the setting, a successful approach to patient-administered self-care requires the following:
    • “Patients or caregivers must be prepared and willing… Care organizations need to develop a standard process for training patients… Practitioners must be trained to support patient-administered care, …to see themselves as coaches and the patient as an integral partner, …[to] recognize that patients’ capabilities to provide their own care may differ and evolve over time, and …to connect with the patient…
    • “A standard protocol should be developed [including] …methods for distributing equipment, supplies, and medication …how patients and providers should respond to adverse events …easy access to outpatient and inpatient services to address any needs that arise.
    • “A care organization that has [an outcome]-based-payment system will have a much easier time adopting the self-care model …Patient-administered care realizes savings by avoiding spending in the first place; in a fee-for-service model, this is lost revenue.”

Find the article at https://hbr.org/2017/06/the-value-of-teaching-patients-to-administer-their-own-care .