7/16+ AAKP/GWU Virtual Summit on Innovation

AAKP and George Washington University will present their Second Annual Global Summit: Global Kidney Innovations – Expanding Patient Choices & Outcomes, online, on July 16-17, 2020.  The full schedule (8-12 sessions per day plus evening webinars) will emphasize COVID-19 and Innovation, but many other topics as well.  Find more information, including the detailed agenda, and register at https://aakp.org/programs-and-events/2nd-annual-global-summit-global-kidney-innovations-expanding-patient-choices-outcomes/.

9/4 Comments Due re Proposed Changes to QIP

CMS has presented for publication in the Federal Register a new proposed rule on changes to the ESRD PPS/QIP.  Public Comment must be received by September 4, 2020.  “In addition to the annual technical updates for the ESRD PPS, the proposed rule proposes the following:

  • “An addition to the ESRD PPS base rate to include calcimimetics in the ESRD PPS bundled payment;
  • “Changes to the eligibility criteria and determination process for the transitional add-on payment adjustment for new and innovative equipment and supplies (TPNIES);
  • “The expansion of the TPNIES to include new and innovative capital-related assets that are home dialysis machines;
  • “A change to the low-volume adjustment eligibility criteria and attestation requirement to account for the COVID-19 PHE;
  • “An update to the ESRD PPS wage index to adopt the new OMB delineations with a transition period. …
  • “The following updates to the ESRD QIP:
    • “Scoring methodology changes to the UFR reporting measure;
    • “Updates to the NHSN validation study.”
  • “This proposed rule also provides information received from two manufacturers whose products, a dialyzer and a cartridge for a home dialysis machine, are being considered for TPNIES in CY 2021.”

The (slightly edited) quotations are from the ESRD PPS CY2021 Proposed Rule Fact Sheet (CMS-1732-P) at https://www.cms.gov/newsroom/fact-sheets/end-stage-renal-disease-esrd-prospective-payment-system-pps-calendar-year-cy-2021-proposed-rule-cms.  Find the Federal Register entry, which is scheduled to be published on July 13, 2020, at https://www.federalregister.gov/documents/2020/07/13/2020-14671/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis.

KDIGO-ISN Video Series

KDIGO has released a series of recorded webinars and other presentations from their collaboration with the International Society of Nephrology, including videos of:

  • Update on CKD Mineral Bone Disorder KDIGO Guidelines 2017
  • Diagnosis and Management of Atrial Fibrillation and Heart Failure in Patients with CKD
  • The Kidney and HIV: Implications for Treatment and Prevention
  • Hepatitis C Guideline Update
  • Dialysis Initiation, Modality Choice, & Prescription
  • Coronary Artery & Valvular Diseases
  • Blood Pressure in CKD
  • Glomerular Disease
  • AKI in 2019: What Has Changed since the KDIGO Guidelines in 2012?
  • Blood Pressure and Volume Management in Dialysis
  • Potassium Controversies
  • Kidney Problems in Oncology
  • Clinical Practice Guideline on the Management of Blood Pressure in CKD
  • Kidney Transplantation and Cardiac Disease
  • Clinical Practice Guideline: Diabetes Management in CKD

They plan to add at least four more this year.  Find them all on the KDIGO-ISN YouTube Channel at https://www.youtube.com/channel/UCm7zHM_wBaPbQxRDJwyvqMg/videos.

4/16+ ASN COVID Webinars on AKI & Roundtable

ASN will present two new webinars on COVID-19:

  • April 16, 2020: COVID-19 International Roundtable: Recommendations and Lessons Learned.  Participants from Italy, Scotland, Germany, and the US will describe their experiences treating COVID-positive patients with acute and chronic KD.  Key points include clinical approach to testing, management of the unexpected, and recommendations for the next wave.
  • April 21, 2020: COVID-19 Associated AKI Recognition and Management.  Addressing timely identification of AKI, key developments in AKI management, and RRT challenges and considerations in COVID-positive patients.

Find more information and register at https://www.asn-online.org/covid-19/.  A link to recordings of previous webinars in the ASN COVID-19 series can also be found there.

ASN COVID-19 Home Dialysis Video

ASN has published a video on COVID-19: Considerations in the Home Dialysis Setting.  Find it at https://www.asn-online.org/ntds/resources/Webcast_2020_04_09_COVID-19.mp4.  The video is self-starting.  Major topics include treatment strategies, organizational change, PPE, patient education, regulatory issues, telehealth, and cohort management.  Find slides here and speaker bios here.

4/2+ ASN COVID-19 Webinars on Hospitalization and Home

ASN will present an April 2, 2020 webinar on Hospital Care and Treatment Options for COVID-19 Positive Patients with ESKD and AKI that will address key areas of concern in the management of COVID-19 positive patients receiving RRT in the hospital setting, including treatment options, staffing, and safety.  Register at https://register.gotowebinar.com/register/4478274981960155148.

There’s no link yet, but ASN has also promised an April 9 webinar on Considerations in the Home Dialysis Setting. 

Recordings of the two previous ASN COVID-19 webinars are available at:

12/18 NHSN Maintenance, Vs 9.4, Newsletter

The NHSN Dialysis Component will be down for “several hours” on December 18, 2019, starting at 6am PST, for scheduled maintenance.

NHSN Version 9.4 was released on December 7, 2019.  It includes many additions and changes, including analysis updates.  Review pages 1 (all Components) and 4-5 (Dialysis Component) of the Version 9.4 Release Notes at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/NHSN9.4ReleaseNotes.pdf for important details.  The new analysis output options require regeneration of datasets.  Email all questions to the NHSN Helpdesk at NHSN@cdc.gov.

The December 2019 NHSN Newsletter has been published.  It includes no dialysis-specific articles, but there are relevant general articles on pages 14ff covering NHSN Training in 2020 and CDA changes for Version 9.4.  Find it at https://www.cdc.gov/nhsn/pdfs/newsletters/nhsn-nl-dec19-508.pdf.

Slides from the December 4-5 NHSN Dialysis Surveillance Call can be found at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/NHSNDialysisEventUpdates2020.pdf.  They include sections on AKI, Data Quality Checks, Annual Training, Missing SIRs, Data Review, QIP Updates, and Version 9.4.

Recall: Baxter AKI Prismaflex Control Unit

The FDA has announced Class II recalls of Baxter Prismaflex Control Units for AKI Recovery (https://www.baxter.com/healthcare-professionals/critical-care/prismaflex-system-critical-care) with software versions below 7.21 because of communication errors that may interrupt or delay therapy or result in blood loss.  Product Codes and Lot Numbers recalled include:

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: