7/16 KCER After-Action Report Webinar

KCER will present a July 16, 2020 webinar for dialysis facilities on The Basics of Preparing an After-Action Report for an Incident or Disaster.  The webinar presents KCER’s template for After-Action Reports (“AAR”) and includes instructions for meeting the CMS Emergency Preparedness Rule for dialysis facilities, and specific guidance for AARs on your response to COVID-19.  Find more information in the flyer below.  Click HERE to register.  Contact KCER at kcerinfo@hsag.com for questions or assistance.

An AAR describes an event or process that for any reason you needed or wanted to respond to or improve, how you responded, your evaluation of the effectiveness of your response, and any improvements you recommend for “next time,” or to complete or enhance your response to the current issue.

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:

4/22 NCC and ASN re COVID-19 in WA

The ESRD Network Coordinating Council will present an April 22, 2020 thirty-minute webinar in their Weekly COVID-19 Quickinar series, on the COVID-19 experience in Washington State, featuring NKC Chief Medical Officer Suzanne Watnick, MD, FASN and NKC VP Patient Care/Chief Nursing Officer Liz McNamara, MN, RN.  Find details and register at https://hsagonline.webex.com/hsagonline/onstage/g.php?MTID=e75264db8eb95c07449d6d4cea5f485ad.

Dr. Watnick also headlines a twenty-minute ASN podcast of an April 16, 2020 interview on the guiding principles that NKC used to navigate the COVID-19 experience in Washington State.  Find details and listen at https://www.kidneynews.org/careers/in-practice/podcast-covid-19-update-washington-state.

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.

Network COVID-19 800 Number and Websites

During the current COVID-19 emergency, Comagine Health ESRD Network 16 and Network 18 are fully staffed, and business operations are not interrupted.  If you are a patient or facility in either Network with a concern about COVID-19, please dial our COVID-19 Helpline, 800-368-5804.

In addition to this blog, we are using four web pages as central repositories for the most critical COVID-19 information:

If you are unable to find information that you need, call the 800 number above.

4/6 CDC Crisis Communication Webinars

We apologize for being about six months late on this, but we didn’t discover it till today.

The CDC Crisis and Emergency Risk Communication (CERC) program deals with communication in emergencies.  CERC trainings are based on lessons learned during public health emergencies, evidence-based practices from the fields of risk and crisis communication, and psychology.  The CERC trainings are offered in online, webinar, and in-person formats.

We’ve missed the webinar that they offered this morning on CERC Overview for COVID-19, but the slides are available, they look excellent, and reviewing them will take less time than the webinar would have.  Find them at https://emergency.cdc.gov/cerc/training/webinar_20200406.asp.  They will post video and transcript within a week.

Recordings of previous webinars include Introduction to Crisis & Emergency Risk Communication, Psychology of a Crisis, Messages & Audiences, Community Engagement, Spokesperson, Communication Channels, and Zika CERC Discussions.  Find these at https://emergency.cdc.gov/cerc/training/archives.asp?deliveryName=USCDC_964-DM25112.

Notify Network of Service Disruptions

CMS requires ESRD Networks to track the status of facility operations and patient access to treatment at all facilities. If the operations of your facility, or ability for patients to have access to dialysis, are interrupted for any reason, let your Network know as soon as possible.

In Washington, Oregon, Idaho, Montana, and Alaska (Network 16), fill out and submit the Network Disaster Reporting Form at http://www.esrdnetwork18.org/machform/view.php?id=44393 (the completed form gets routed back to Network 16).  If you need assistance, you may also call or email Lisa Hall at 206-923-0714 or LHall@Comagine.org, or Brianna Smith at 509-306-8313 or BSmith2@Comagine.org.

In Southern California (Network 18), fill out and submit the Network Disaster Reporting Form at http://www.esrdnetwork18.org/machform/embed.php?id=16298.  If you need assistance, you may also call Eileen Rhodes or Anabel Galindo-Guerrero at 888-268-1539, or email them at ERhodes@Comagine.org or AGalindo-Guerrero@Comagine.org.

Never put patient name, initials, address, birthdate, SSN, other identifying information, or any other PHI or PII, in an email or online form. If PHI or PII is important in this context, call instead.

CDC HAN on Chloroquine as Seen on TV

CDC has released a new HAN Health Alert Advisory on Severe Illness Associated with Using Non-Pharmaceutical Chloroquine Phosphate to Prevent and Treat COVID-19.  The Summary includes “Chloroquine phosphate, when used without a prescription and supervision of a healthcare provider, can cause serious health consequences, including death.  Clinicians and public health officials should discourage the public from misusing non-pharmaceutical chloroquine phosphate (a chemical used in home aquariums).  Clinicians should advise patients and the public that chloroquine, and the related compound hydroxychloroquine, should be used only under the supervision of a healthcare provider as prescribed medications.”  Find the CDC HAN at https://emergency.cdc.gov/han/2020/han00431.asp?deliveryName=USCDC_511-DM24285.

New CDC Guidance on COVID-19 PPE and Recovery

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