IHS ESRD Reduction

Over the last two decades the US Indian Health Service has reduced kidney failure from diabetes by more than half among Native Americans, using a suite of seven protocols that are summarized at https://wire.ama-assn.org/delivering-care/systems-approach-slashes-kidney-failure-among-native-americans .

11/13+ Antibiotic Awareness Week

CDC and WHO have announced that November 13-19, 2017 will be US and World Antibiotic Awareness Week, to raise awareness about antibiotic resistance and the importance of appropriate antibiotic prescribing and use.  European Antibiotic Awareness Day is November 18.  CDC has updated their educational initiative Be Antibiotics Aware: Smart Use, Best Care, and aims to engage the industry and the public in efforts to improve antibiotic prescribing and use across all health care settings.  Find the CDC announcement and links to Be Antibiotics Aware at https://www.cdc.gov/mmwr/volumes/66/wr/mm6644a9.htm?s_cid=mm6644a9_e and the WHO announcement at http://www.who.int/campaigns/world-antibiotic-awareness-week/en/.

CMS: Aseptic Technique Required

CMS has issued new Survey & Certification guidelines on:

  • Preparation of Medications: ESRD facilities must follow aseptic technique when preparing and administering intravenous medications; including the filling of syringes with sterile saline for use during the dialysis procedure.
  • Filling Saline Syringes at the Station: Pursuant to current recommendations from the Centers for Disease Control (CDC), ESRD facilities may not fill syringes with saline from the single dose saline bag or IV tubing connected to the patient at the dialysis station. To comply with recommended safe injection practices, the facility may acquire pre-filled syringes or may prepare saline syringes for an individual patient in a clean area away from the patient treatment area.

For complete details see https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-31.html .

5/9 TMF Sepsis Webinar

The TMF Quality Innovation Network will offer a free May 9, 2017 webinar on Sepsis: Early Detection and Treatment as part of their virtual Annual Conference.  Continuing education credits are available.  The May 9-11, 2017 Conference also includes sessions on the CMS National Quality Strategy, the Social Determinants of Health, Opioid Misuse and Reduction Strategies, and Antibiotic Stewardship.  For full details and registration, see https://www.tmfqin.org/2017-Virtual-LAN-Event .  The TMF Quality Innovation Network is the QIO-QIN for Texas and nearby states.

4/29 Drug Disposal

The US Dept of Justice Drug Enforcement Agency Diversion Control Division will sponsor the 12th National Prescription Drug Take Back Day on April 29, 2017.  To find a location near you, see https://www.deadiversion.usdoj.gov/drug_disposal/takeback/ .  As of today, many locations are listed in California, Oregon, Idaho, and Montana, but fewer in Alaska and Washington. However, they are adding collection locations daily, so check back later in April if you don’t find a convenient dropoff site.

Alternative methods of disposal are detailed at https://archive.epa.gov/region02/capp/web/pdf/ppcpflyer.pdf .

 

4/24 TEP for Meds Reconciliation

CMS is seeking nominations for members of  Technical Expert Panel to develop one or more quality measures related to medication reconciliation and management for ESRD patients.  Nominations are due by April 24, 2017.  For details see https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html#ESRD%20Reconciliation .

Grievance Toolkit in Spanish

The National Forum of ESRD Networks has created a Spanish version of its new Dialysis Patient Grievance Toolkit.  Find it at http://esrdnetworks.org/resources/toolkits/patient-toolkits/dialysis-patient-grievance-toolkit-1 .  It joins the catalog of Forum Medical Advisory Council (MAC) and Patient Toolkits, which now include:

  • Home Dialysis
  • Transitions of Care
  • Medical Director
  • QAPI
  • Medication Reconciliation
  • Catheter Reduction
  • Assurance of Diabetes Care Coordination
  • Vaccination

Find them all, along with the MAC Speaker’s Bureau Brochure, at http://esrdnetworks.org/resources/toolkits/mac-toolkits-1 .