CDC has issued a Health Alert Network (HAN) Update for the outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. No human-to-human contagion has been clearly demonstrated yet, but recent history with MERS and SARS CoVs advise caution. Accordingly, CDC suggests surveillance for patients who report fever and symptoms of lower respiratory illness (cough, shortness of breath), and within the two weeks prior to symptom onset, experienced any of the following:
Travel to Wuhan CIty, China
Close contact with a person under investigation for 2019-nCOV while that person was ill
Close contact with an lab-confirmed 2019-nCoV patient while that patient was ill
The criteria above can also be found at https://www.cdc.gov/coronavirus/2019-nCoV/clinical-criteria.html. They are intended to serve as guidance for evaluation. Patients whose clinical presentation or exposure history is not unequivocal should be evaluated and discussed with public health departments on a case-by-case basis.
Starting January 15, 2020, registration is open for the March 5-6, 2020 NWRD Conference, 2020 Vision. You’ll pay more if you wait to register till after February 15, 2020. The Conference will be held in Tacoma WA, and will feature 15 CPEUs, visionary speakers, Happy Hour Exhibits, the “Pillar of Excellence” awards presentation, and a special 40th Anniversary Networking Event at Tacoma’s internationally famous Museum of Glass. Find everything you need to know at:
CDC’s Emergency Partners Information Connection (EPIC) will present a 29 January, 2020 webinar on Communication Partnerships for Public Health Emergencies. Topics will include how to plan and build partnerships, how to make partnerships mutually beneficial, and how to work with partners to share information with the people who need it most. Getting life-saving information to the people who are hardest to reach often requires knowing which intermediaries can do the job. For more information and registration, see https://emergency.cdc.gov/epic/learn/webinar_20200129.asp.
It’s still relatively balmy in Southern California, but winter is getting serious in Network 16. CMS requires ESRD Networks to track the status of facility operations and patient access to treatment during emergency events at all facilities. 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.
We include links to earlier issues at the end of this post. Most content is the same for both Networks, but not all. We’ve marked where they differ, and we’ve used blue type where information in one version also applies to the other Network. The Fall 2019 issue feature articles on:
2020 Quality Improvement Activities, which we expect to begin before Christmas.
Changes to the ESRD QIP, which include changes to measures for the Transplant Waitlist, Medication Reconciliation, Transfusions, and BSIs. We’ve scheduled a December 12, 2019 webinar to summarize these QIP changes (and the many other measures that aren’t changing).
Opioid Awareness and Pain Management.
Managing Patient Expectations to help create a calm and conflict-free environment.
The Dialysis Patient Depression Toolkit.
Patient Newsletters in English and Spanish for each Network.
The importance of Keeping Patient Information Up to Date, especially patient addresses, which are critical for tracking everyone in emergencies and disasters, for identifying home facilities and transplant centers near the patient, for receiving notices like the New ESRD Patient Orientation Packet, and for monitoring patient clusters so your organization can effectively plan where to locate new facilities.
A mini-lesson on how to admit a new patient into CROWNWeb if they do not have an SSN or MBI.
Fire Danger Power Shutoffs and Fire Resources in California (NW18 version).
The new ESRD Facility Emergency Preparedness Final Rule that went into effect on November 29, 2019 (NW18 version but also relevant to NW16).
New KCER document on Emergency Disconnect Procedure for In-Center Hemodialysis Patients (NW16 version but also relevant to NW18).
Notify the Network of any Interruptions in Service.
Notify the Network of any Personnel Changes.
We also list events of interest to Dialysis Facilities, Transplant Centers, and staff, on our Facility Calendar, via the link at the top of this page.
The Kidney Community Emergency Response Coalition has published a list of useful resources for patients and others dealing with the wildfires in California. The list includes links or contact information for KCER, Network 18, Cal Fire, the LA Fire Department, each dialysis provider, several Helplines and hotlines, Rx Open to locate operating pharmacies, the power companies, the California Emergency Operations Center, and a wildfire resource compendium from the HHS Healthcare Emergency Preparedness Information Gateway ASPR TRACIE. Find the list at https://kcercoalition.com/en/california-fires/.