The February issue of KDIGO Direct has announced that the KDIGO 2020 Clinical Practice Guideline on the Management of Blood Pressure in CKD will be published February 24, 2021 online in Kidney International. Print editions will follow in Supplements to Kidney International. See https://kdigo.org/guidelines/blood-pressure-in-ckd/ for more information.
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/.
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.”
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.
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 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:
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.”