7/25+ Heat/Fire Update

High temperatures are still expected and, because of nearby wildfires, Air Quality Alerts are posted “until the fires are extinguished” for:

Excessive heat remains in the forecast for most of Southern California except the coast, through July 28, 2018, with peaks nearing 120°F in the hottest places; see https://forecast.weather.gov/showsigwx.php?warnzone=CAZ061&warncounty=CAC065&firewxzone=CAZ261&local_place1=Palm%20Desert%20CA&product1=Excessive+Heat+Watch&lat=33.7338&lon=-116.3928.

CMS requires Networks to track the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to have access to dialysis are impacted by emergency events, please let your Network know right away.  For reporting instructions, and information on hydration, keeping cool, and preventing fires, see https://nwrnbulletins.wordpress.com/2018/07/04/7-4-8-heat-and-fire-danger/.

7/19+ Fire Danger and Heat in WA, OR, CA

Red Flag (extreme fire danger) Warnings are posted for:

Temperatures over 100°F are expected and, because of nearby wildfires, Air Quality Alerts are posted “until the fires are extinguished” for:

Excessive heat is expected in most of Southern California, except the coastline, through July 25, 2018, especially July 23-25, with peaks well over 110°F in the usual hot spots; see https://forecast.weather.gov/showsigwx.php?warnzone=CAZ061&warncounty=CAC065&firewxzone=CAZ261&local_place1=Palm%20Desert%20CA&product1=Excessive+Heat+Watch&lat=33.7338&lon=-116.3928.

CMS requires Networks to track the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to have access to dialysis are impacted by emergency events, please let your Network know right away.  For reporting instructions and information on hydration, keeping cool, and preventing fires, see https://nwrnbulletins.wordpress.com/2018/07/04/7-4-8-heat-and-fire-danger/.

7/17+ DFR Review Period, DFC Notes

The University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) will post FY2019 Dialysis Facility Reports at https://dialysisdata.org/ for facility comments starting July 17, 2018.  The comment period ends on August 15, 2018.  Facilities must use their DialysisData.org Master Account Holder (MAH) password to create and/or enable staff accounts on DialysisData.org in order to review and comment on their DFR.  If you do not know your MAH password, contact your Network.

UM-KECC has also recently published an updated Technical Notes on the Updated Dialysis Facility Compare Star Rating Methodology.  Find it at https://dialysisdata.org/sites/default/files/content/Methodology/UpdatedDFCStarRatingMethodology.pdf.

CMS will suppress from public view some DFC and Star-Ratings data for impacted facilities in counties that were designated by FEMA as a major disaster area because of the 2017 wildfires.  For information on this see https://dialysisdata.org/sites/default/files/content/News/Natural%20Disaster%20Supression%20FAQs.pdf.

7/4-8 Heat and Fire Danger

Extreme Temperatures are expected for much of Southern California through at least Saturday, exceeding 110°F inland south of Bakersfield and exceeding or approaching 100°F in most of the rest of Network 18.  Network 16 will not be as hot, but many areas will have low humidity and temperatures higher than usual.  Fire danger will be widespread, particularly around fireworks.

CMS requires Networks to track the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to have access to dialysis are impacted by emergency events, please let your Network know right away.

Patients and facility staff may find these resources useful:

7/11 CDC Webinar on Emergency Communication

CDC’s Crisis & Emergency Risk Communication (CERC) program will present on July 11, 2018 a free continuing-education webinar on Messages and Audiences that will provide guidance on how to understand your audience(s) in an emergency, adapt messaging to reach and promote action in different audience segments, and how to use facts to build credibility and trust.  For more information, see https://emergency.cdc.gov/cerc/training/webinar_20180711.asp.

6/19 CMS Emergency Prep Rule Webinar

CMS will host a national webinar on emergency preparedness topics and questions related to the new CMS Emergency Preparedness Rule, the 1135 waiver and lessons learned from the past year.  Submit questions in advance to SCGEmergencyPrep@cms.hhs.gov, and register at https://events-cms.webex.com/mw3100/mywebex/default.do?nomenu=true&siteurl=events-cms&service=6&rnd=0.8285319829141192&main_url=https%3A%2F%2Fevents-cms.webex.com%2Fec3100%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26%26%26EMK%3D4832534b0000000244c881a0a6a61d6c14777c845c0a3dc8c38840c368ef620016a0e87c8252f63d%26siteurl%3Devents-cms%26confViewID%3D95986232972041796%26encryptTicket%3DSDJTSwAAAAL_ci1ZUJdBXYPAskpP66HvkvD4Cg8AiiEnGLU9a3jh-w2%26.

NW18 7/16 Quality Conference in LA

HealthInsight ESRD Network 18 will hold their 2018 Quality Conference July 16, 2018 in Los Angeles. Topics will include preserving renal function, emergency preparedness, cultural awareness and sensitivity, patient engagement and advocacy, the impact of dialysis, and CROWNWeb.  Five CEs will be provided.  Find details and register at http://www.esrdnetwork18.org/ or http://events.r20.constantcontact.com/register/event?oeidk=a07efdferr9f760399d&llr=gfuz7mxab.