1/4 KDIGO Home Dialysis Controversies Feedback Request

KDIGO is planning a May 2021 Controversies Conference on Home Dialysis, has published a Scope of Work or draft plan for the Conference, and has requested feedback on it by January 4, 2021. The Conference intends to cover issues related to home dialysis utilization, candidacy, eligibility, outcomes, strategies for increase, patient and carer experience, support mechanisms, and financial implications. Find more information and links to the Scope of Work and Feedback Form at https://kdigo.org/conferences/hd/.

HDC Post on Implicit Bias

MEI’s Home Dialysis Central blog has published a post on Combating Implicit Bias in Home Dialysis, summarizing research and tools on implicit bias, and how we might become more aware of our own implicit bias, which we all have. From the post:

“Our human tendency is to treat people outside of our own in-group(s) as ‘other,’ and therein lie our interpersonal and intergroup challenges. In the early days of humans, ‘others’ may well have been rivals for food or territory, but today many of us live close together in enormous population clusters. Some of our most urgent existential threats are only likely to be successfully addressed by collaboration, not competition. We need to learn new ways to work together, perhaps even to survive as a species. And, in healthcare particularly, we need to rid ourselves of biases that could harm patients.”

In one example from research, dialysis staff responded to cardiac arrest with CPR for 91% of white patients but only 85% of black patients and 77% of Asian patients. In another, home dialysis was offered more often to white patients than to others. Find the post at https://homedialysis.org/news-and-research/blog/399-combatting-implicit-bias-in-home-dialysis.

11/13 NKF Kidney Care Symposium

The NKF Northern California and Pacific Northwest chapters will present its professional education 52nd Annual Medical Symposium: Kidney Care 2020 and Beyond online November 13, 2020. Sessions will cover measurement, home dialysis, telemedicine, and innovation. Up to 6.5 CME/CE units will be available. Find details below, and a detailed agenda and registration link at https://www.kidney.org/events/local-event/52nd-annual-virtual-medical-symposium.

FMC CE Webinars

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 Publishes ETC Payment Model

CMS has released information about the long-awaited ESRD Treatment Choices (ETC) Model, which “aims to test whether greater use of home dialysis and kidney transplantation for Medicare beneficiaries with ESRD will reduce Medicare expenditures, while preserving or enhancing the quality of care furnished to beneficiaries with ESRD.”  The newly published information includes:

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.

5/26+ COVID-19 Weekly Webinars

A number of organizations are hosting weekly webinars on COVID-19.  These include:

  • ESRD NCC half-hour “Quickinars” for providers and patients.   Find more information, recordings of past Quickinars, and register for current presentations at https://esrdncc.org/quickinars:
      • Tuesday May 26, 2020 patient Quickinar on Combating Uncertainty and Fear in the COVID-19 Era (En Español), presented by a PD patient, Network Ambassador, and patient and family engagement SME.  She will share how Spanish-speaking patients are coping with fears surrounding COVID-19, and Provide links to COVID-19 information in Spanish.
      • Wednesday May 27, 2020 provider Quickinar on COVID-19 Communication – Quick Tips to Connect, presented by the Director of Outreach and Development for the non-profit Academy of Communication in Healthcare, Editor-in-Chief for the Journal of Patient Experience, and Assistant Clinical Professor at Vanderbilt University School of Medicine.

5/19+ COVID-19 Weekly Webinars

A number of organizations are hosting weekly webinars on COVID-19.  These include:

  • ESRD NCC half-hour “Quickinars” for providers and patients at 2 pm PDT.   Find more information, recordings of past Quickinars, and register for current presentations at https://esrdncc.org/quickinars:
    • Tuesday May 19, 2020 patient Quickinar on Caregiving During COVID-19: Tips from Kidney Caregivers, presented by a caregiver and a Network Patient Services Director.
    • Wednesday May 20, 2020 provider Quickinar on What to Do and Say to Support Psychological Safety During the COVID-19 Pandemic, presented by a nurse who uses “a human-centered co-design approach [as] she works with healthcare leaders to generate flourishing cultures and exceptional outcomes by integrating patient/family experience, quality, safety, and joy in work.”

5/12+ COVID-19 Weekly Webinars

A number of organizations are hosting weekly webinars on COVID-19.  These include:

  • ESRD NCC half-hour “Quickinars” for providers and patients at 2 pm PDT.   Find more information, recordings of past Quickinars, and register for current presentations at https://esrdncc.org/quickinars:
    • May 12, 2020 patient Quickinar on Preparing for a Kidney Transplant During the COVID-19 Pandemic, presented by a patient and a Transplant Coordinator.
    • May 13, 2020 provider Quickinar on Pathways to Increase Nephrologist Comfort Managing Home Dialysis Patients During COVID-19, presented by a nephrologist.
  • We haven’t heard from CMS yet, so evidently these are no longer being held: CMS Stakeholder Engagement Call for Dialysis Providers at 2:30 pm PDT May 13, 2020, call 833-614-0820, passcode <coming soon?>, audio webcast link <coming soon?>.  The bare registration portal, and the email verifying your registration, appear to be named “Lessons COVID Dialysis.”