NW 1/20 ANNA Renal Update

ANNA Greater Puget Sound Chapter 503 will host the Renal Update 2017 conference in Lynnwood WA on March 2-3, 2017.  Topics include htn, hospitalization reduction, medical marijuana, vascular access, peritonitis, poverty, living donation, pediatric PD and AKI, ethics, dialysis outcomes, Ca/PO4/PTH, and challenging personalities.  There will be no on-site or mail-in registration, so registration must be completed online by 11:30 pm PST on February 23, 2017.  There is a discount for registration completed before 11:30 pm PST January 20, 2017.  For the full agenda and registration details, see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/2017RenalUpdate.pdf .

PY2017 PSCs and PSRs

CMS is advising dialysis facilities that PY2017 PSCs will be available for download starting December 15, 2016.  Facilities will be able to access their PY2017 PSCs until the start of the PY 2018 Preview Period next summer.  Please retain the PDF file containing your PSCs so that you cam generate a replacement paper copy as needed throughout 2017.  Facilities must post their PSC in a prominent patient area throughout 2017.

Final PSRs will be available for download after the first of January.  CMS will notify facilities once they have confirmed the availability date.

CMS has identified over 100 facilities who do not currently have a point of contact (POC) designated in the QIP system.  CMS urges those facilities to establish a POC as soon as possible.  It is the POC who will be authorized to access Final PSRs on the ESRD QIP system on behalf of their facility.  System users are required to change their passwords every 60 days in order to keep their accounts active.  Users whose accounts become inactive will need to contact the QualityNet Help Desk for assistance in reactivating those accounts.

If you have questions or concerns regarding use of the ESRD QIP system, please contact the QualityNet Help Desk at qnetsupport@hcqis.org or (866) 288-8912 from 5am to 5pm PST Monday through Friday.

Due to high volume of use on the ESRD QIP application, you may experience some delays in retrieving your reports.  Once you request a report, please allow two hours for the system to generate your report.  If your requested report is not retrieved within two hours, then submit a helpdesk ticket providing your CCN and the desired report name.

Finally, CMS has published a memo outlining its methodology for monitoring changes in access to dialysis.  Find it at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/09_MonitorandEval.html .  The page also includes Fact Sheets for anemia, bone and mineral disease. vascular access. and URR.

NKF PERC Education for Professionals

NKF offers a number of webinars under their Professional Education Resource Center or PERC, many of which offer free continuing education credits for multiple disciplines.  Some examples:

  • Social Work Collaboration for Transplant Patients
  • Evidence-Based Social Work
  • Anemia and Cardiovascular Disease
  • Nephropathic Cystinosis 
  • Western Diets: Are We Killing Our Patients?
  • Ethical Issues When Family Interferes with Transplant
  • Blood Pressure Monitoring
  • Cardiometabolic Diseases
  • Hyperkalemia
  • Living Kidney Donations
  • Early Detection and Prevention
  • Secondary Hyperparathyroidism
  • Hepatitis C
  • Mineral and Bone Disorder
  • Water
  • Minorities, Transplant, and Home Dialysis
  • ESRD Core Survey
  • Polypharmacy
  • Albumin
  • Depression and Pain
  • Nephrotic Syndrome
  • Lipid Management
  • Journal of Renal Nutrition articles

See http://education.kidney.org/courses for information and registration.

DFC Changes Published

CMS has published changes to DFC, detailed at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-10-28.html .  ICH-CAHPS, Standardized BSI Ratio (SIR), and Pediatric PD Kt/V have been added to DFC, but not to the Star Ratings.  Changes have been made to the way the Star Ratings are calculated, and adjustments have been made to the way the Vascular Access, Kt/V, Standardized Readmission Ratio (SRR), and Hypercalcemia components of the Star Ratings are measured.  All of these changes are included in the DFC update made October 28, 2016.

QIP Final Rule Published

CMS has published the final version of the QIP for CY2017 and PY2019-20, summarized at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-10-28-2.html .  Major changes include:

  • Changes for CY2017 include adjustments to the Outlier Policy, Home/Self-Dialysis Training Add-On Payment, and Acute Kidney Injury provisions.  
  • PY2019 will see two NHSN measures – DE reporting and BSI clinical – combined into a new Patient Safety Domain, and substantive changes to the Hypercalcemia clinical measure.  
  • For PY2020, the Standardized Hospitalization Rate clinical measure and Ultrafiltration Rate reporting measure will be added, and the Mineral Metabolism reporting measure will be replaced by a reporting measure for Serum Phosphorus.