9/10 QIP PY2021-24

CMS has released the proposed ESRD QIP Technical Specifications for PY2021, 2022, and 2024.  Proposed changes include:

  • Elimination of Pain Assessment (NOT Depression Screening as indicated earlier), NHSN Healthcare Personnel Vaccination, Anemia Management, and Serum Phosphorous in PY2021.
  • New measures for Medication Reconciliation Reporting and Existing-Patient Transplant Waitlist for PY2022.
  • A new measure for Incident-Patient Transplant Waitlist in PY2024.
The proposed Technical Specifications can be found at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/061_TechnicalSpecifications.html.  Comments on the proposals are due by September 10, 2018.  For more information see https://nwrnbulletins.wordpress.com/2018/07/11/cy2019-esrd-pps-proposed-rule/.

9/10 CY2019 ESRD PPS Proposed Rule

CMS has released a proposed rule for the CY2019 ESRD PPS, titled Proposed Updates to Policies and Payment Rates for the ESRD PPS, … QIP; and Payment for Renal Dialysis Services Furnished to Individuals with AKI and a fact sheet summarizing it.  The ellipsis in the title refers to durable medical equipment changes included in the same proposed rule.  Find the fact sheet at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2018-Fact-sheets-items/2018-07-11.html.

The fact sheet includes summaries of:

  • Removing the Healthcare Personnel Vaccination, Pain Assessment, Anemia Management, and Serum Phosphorus reporting measures from the PY2021 QIP.
  • Restructuring domains and weights in the PY2021 QIP.
  • Expanding NHSN validation in both PY2021 and PY2022.
  • Adding measures for Percentage of Patients Waitlisted and Medication Reconciliation to the PY2022 QIP.
  • Adding a measure on Standardized First Transplant Waitlist Ratio for Incident Patients to the PY2024 QIP.

The proposed rule can be found on the Federal Register at https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14986.pdf.  Comments must be received by September 10, 2018.


CDC has issued a Health Alert Network Advisory on Hepatitis A Virus infections, especially among drug users and homeless persons.  The HAN includes recommendations for testing, vaccination, reporting, and other healthcare facility procedures.  For details see https://emergency.cdc.gov/han/han00412.asp.

2/22 CDC Injection Safety Webinar

CDC will present a free February 22, 2018 webinar on Empowering Nurses to Protect Themselves and Their Patients: Exploring Best Practices in Injection Safety.  For details and registration, see https://cc.readytalk.com/registration/#/?meeting=g3qmrx0o1rdc&campaign=j5n63qeujgek.  For recordings of previous webinars, see https://www.cdc.gov/infectioncontrol/training/safe-healthcare-webinars.html.

CDC HAN re Flu

CDC has issued a “HAN” Health Advisory on increased influenza A(H3N2) activity and its clinical implications.  The HAN also includes a summary of influenza antiviral drug treatment recommendations, an update about approved treatment drugs and current supply, and background information for patients about influenza treatment.  Find the HAN at https://emergency.cdc.gov/han/han00409.asp.

CMS has also recently published a list of flu vaccine resources, at https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2016-12-08-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc468862699.

CDC Flu Vaccine Resources

CDC vaccination recommendations for the 2017-18 influenza season can be found at https://www.cdc.gov/mmwr/indrr_2017.html .  Find additional CDC resources at https://www.cdc.gov/flu/pdf/professionals/Dear-Colleague-Letter-2017-2018.pdf and https://www.cdc.gov/flu/ .

CDC and Medscape also present a continuing education (ACCME and ANCC) opportunity on these recommendations; see https://www.cdc.gov/mmwr/cme/medscape_cme.html .