The FMC Renal Therapies Group is presenting a Medical Education Online Webex Series of daily continuing education credit webinars. Topics for November 2-6, 2020 include home dialysis prescriptions, hyperphosphatemia, medical evidence for more frequent HD, PD essentials, and tidal PD. The remainder of November includes courses on urgent start PD, the peritoneal equilibrium test, infectious and non-infectious PD complications, PD software, fluid management, simplified dosing, anemia, and other topics. Find links to everything you need to know at https://www.cvent.com/events/medical-education-webex-series/event-summary-d2ca127a10594ddfb52335b657b58bb2.aspx.
CMS has released the proposed ESRD QIP Technical Specifications for PY2021, 2022, and 2024. Proposed changes include:
- Elimination of Pain Assessment (NOT Depression Screening as indicated earlier), NHSN Healthcare Personnel Vaccination, Anemia Management, and Serum Phosphorous in PY2021.
- New measures for Medication Reconciliation Reporting and Existing-Patient Transplant Waitlist for PY2022.
- A new measure for Incident-Patient Transplant Waitlist in PY2024.
CMS has released a proposed rule for the CY2019 ESRD PPS, titled Proposed Updates to Policies and Payment Rates for the ESRD PPS, … QIP; and Payment for Renal Dialysis Services Furnished to Individuals with AKI and a fact sheet summarizing it. The ellipsis in the title refers to durable medical equipment changes included in the same proposed rule. Find the fact sheet at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2018-Fact-sheets-items/2018-07-11.html.
The fact sheet includes summaries of:
- Removing the Healthcare Personnel Vaccination, Pain Assessment, Anemia Management, and Serum Phosphorus reporting measures from the PY2021 QIP.
- Restructuring domains and weights in the PY2021 QIP.
- Expanding NHSN validation in both PY2021 and PY2022.
- Adding measures for Percentage of Patients Waitlisted and Medication Reconciliation to the PY2022 QIP.
- Adding a measure on Standardized First Transplant Waitlist Ratio for Incident Patients to the PY2024 QIP.
The proposed rule can be found on the Federal Register at https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14986.pdf. Comments must be received by September 10, 2018.
KDIGO has announced the publication of their Guideline for Living Kidney Donors. Find the announcement at http://kdigo.org/kdigo-announces-publication-of-the-living-kidney-donor-guideline/ and the Guideline itself at http://kdigo.org/guidelines/ along with KDIGO Guidelines on AKI, Anemia, BP, Transplant Recipients, CKD, MBD, GN, HVC, and Lipids.
CMS is advising dialysis facilities that PY2017 PSCs will be available for download starting December 15, 2016. Facilities will be able to access their PY2017 PSCs until the start of the PY 2018 Preview Period next summer. Please retain the PDF file containing your PSCs so that you cam generate a replacement paper copy as needed throughout 2017. Facilities must post their PSC in a prominent patient area throughout 2017.
Final PSRs will be available for download after the first of January. CMS will notify facilities once they have confirmed the availability date.
CMS has identified over 100 facilities who do not currently have a point of contact (POC) designated in the QIP system. CMS urges those facilities to establish a POC as soon as possible. It is the POC who will be authorized to access Final PSRs on the ESRD QIP system on behalf of their facility. System users are required to change their passwords every 60 days in order to keep their accounts active. Users whose accounts become inactive will need to contact the QualityNet Help Desk for assistance in reactivating those accounts.
If you have questions or concerns regarding use of the ESRD QIP system, please contact the QualityNet Help Desk at email@example.com or (866) 288-8912 from 5am to 5pm PST Monday through Friday.
Due to high volume of use on the ESRD QIP application, you may experience some delays in retrieving your reports. Once you request a report, please allow two hours for the system to generate your report. If your requested report is not retrieved within two hours, then submit a helpdesk ticket providing your CCN and the desired report name.
Finally, CMS has published a memo outlining its methodology for monitoring changes in access to dialysis. Find it at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/09_MonitorandEval.html . The page also includes Fact Sheets for anemia, bone and mineral disease. vascular access. and URR.
NKF offers a number of webinars under their Professional Education Resource Center or PERC, many of which offer free continuing education credits for multiple disciplines. Some examples:
- Social Work Collaboration for Transplant Patients
- Evidence-Based Social Work
- Anemia and Cardiovascular Disease
- Nephropathic Cystinosis
- Western Diets: Are We Killing Our Patients?
- Ethical Issues When Family Interferes with Transplant
- Blood Pressure Monitoring
- Cardiometabolic Diseases
- Living Kidney Donations
- Early Detection and Prevention
- Secondary Hyperparathyroidism
- Hepatitis C
- Mineral and Bone Disorder
- Minorities, Transplant, and Home Dialysis
- ESRD Core Survey
- Depression and Pain
- Nephrotic Syndrome
- Lipid Management
- Journal of Renal Nutrition articles
See http://education.kidney.org/courses for information and registration.
The Arbor Research Collaborative for Health will present a webinar September 15, 2016 on trends in hemodialysis shown by their DOPPS Practice Monitor surveys. The webinar will emphasize anemia management and intradialytic weight loss. For more information and registration, see http://campaign.r20.constantcontact.com/render?m=1106091886730&ca=1836217f-032c-488e-b4bd-000c397fcdbd .
The International Society for Hemodialysis will host the 2016 Hemodialysis University in Chicago September 9-10 on Critical Solutions for Dialysis Care. Fourteen CME/CEU credits will be available, and session topics include pH, phosphorus, hepatitis C, hyperkalemia, initial home dialysis, listening to patients, iron delivery, malnourishment and obesity, anemia, new technology, fluid overload, and CHF. See http://www.ishd.org/hemodialysis-university-2016/ .
UNOS/OPTN has issued a bulletin covering Guidance for Organ Donation and Transplantation Professionals Regarding the Zika Virus. The bulletin includes notes about transfusion. Much information remains unknown, and the Guidance revolves around recent donor travel history and risk considerations, with the warning that vulnerability to Zika may also mean vulnerability to Dengue and Chikungunya. For details see https://optn.transplant.hrsa.gov/news/guidance-for-organ-donation-and-transplantation-professionals-regarding-the-zika-virus/ .
CDC has also issued a HAN Health Alert on Zika, HAN #392, CDC Recommendations for Subsequent Zika IgM Antibody Testing. It warns healthcare facilities that they may need to collect a second blood sample if they don’t hold back and refrigerate a portion of the original sample for additional testing. Find the HAN at http://emergency.cdc.gov/han/han00392.asp .
Zika is a nationally notifiable condition. As of mid-June, 48 cases of the Zika virus had been lab-confirmed in (all of) California, and 13 cases in Oregon (7), Washington State (5) and Montana (1), all travel-related. The spread of Zika in the US is tallied at http://www.cdc.gov/zika/geo/united-states.html . Travel locations vulnerable to acquiring Zika via mosquitoes are listed at http://wwwnc.cdc.gov/travel/page/zika-travel-information .
ANNA has introduced a new program of concise online nephrology education courses designed for non-nephrology nurses providing care to CKD patients, for nurses new to nephrology, and for experienced nurses wanting a quick refresher. The courses are 30 minutes and $5 each, including CNE processing. Courses include anemia management, CKD basics, patient assessment, hemodialysis, home hemodialysis, intradialytic parenteral nutrition, lab value analysis, peritoneal dialysis, self-care, drugs to avoid, transplant, vascular access, renal patient basics, and water and dialysate safety. Find the courses at https://www.annanurse.org/article/cexpress .