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 NHSN Dialysis Event Training webinars scheduled for April 7, 15, and 22, 2020 have been cancelled, as this portion of NHSN has been discontinued while the Coronavirus is active. You can still find their self-paced training videos at https://www.cdc.gov/nhsn/training/dialysis/index.html.
“CMS will not count data from January 1, 2020 through June 30, 2020 (Q1-Q2) for performance or payment programs. Data does not need to be submitted to CMS for this time period… No data reflecting services provided January 1, 2020 through June 30, 2020 will be used in CMS’s calculations for the Medicare quality reporting… programs. This is being done to reduce the data collection and reporting burden on providers responding to the COVID-19 pandemic.”
“Dialysis facilities should be aware of the potential subsequent impact to a facility’s total performance score (TPS) when data are excluded from score calculations. Facilities impacted by COVID-19 may elect to opt out of the CMS granted exception by emailing the request to the ESRD QIP at firstname.lastname@example.org. The email must be sent by the dialysis facility’s chief executive officer (CEO) or designee. We are requesting that a dialysis facility make this request within 90 days of March 22, 2020. For further assistance regarding the ESRD QIP information contained in this message, please contact the ESRD QIP at email@example.com.”
NHSN has announced that they believe that most issues with generating datasets and reports have been resolved. They encourage everyone to proceed with their NHSN analysis and reporting, and contact NHSN@cdc.gov to report any remaining problems.
Current NHSN Dialysis Component Bugs: Contrary to the software’s response, Denominator Data is not actually saved after making updates. CMS analysis reports within NHSN are not functioning as expected. On February 11, 2020, NHSN reported that “our technical team is working to resolve [these issues] as soon as possible. We will provide an update shortly.” Find the NHSN Current Defects List at https://www.cdc.gov/nhsn/releasemgt/index.html.
The 2020 Outpatient Dialysis Center Practices Survey: Beginning February 8, 2020, users with administrative rights will be able to complete and save this survey by using the ‘Save as Complete’ button. Facilities must complete the Outpatient Dialysis Center Practices Survey by May 1, 2020 in order to be allowed to enter data into the NHSN Dialysis Component. Completion by February 28 is recommended. For convenience, a paper version of the 2020 annual survey can be found at https://www.cdc.gov/nhsn/forms/57.500_OutpatientDialysisSurv_BLANK.pdf. Enter the information online after you log in to NHSN for your facility.
2020 NHSN Data Deadlines for QIP Credit: To receive QIP credit, NHSN data for your facility must be entered and corrected by the deadlines in the following table. For QIA purposes, your Network may require earlier due dates.
Data for October-December 2019 must be entered and corrected by March 31, 2020.
Data for January-March 2020 must be entered and corrected by June 30, 2020.
Data for April-June 2020 must be entered and corrected by September 30, 2020.
Data for July-September 2020 must be entered and corrected by December 31, 2020.
Before each QIP deadline, to insure proper credit, each facility should:
Because NHSN was down for twelve days in December, CMS and CDC have extended the deadline for facilities to enter or edit their July-September 2019 NHSN data from December 31, 2019 to January 13, 2020. For questions or concerns, contact the NHSN helpdesk at NHSN@cdc.gov or the CMS ESRD QIP team at firstname.lastname@example.org.
NHSN resolved a system problem this morning, but if you have edited your denominator data between December 7th and December 18th, those changes may have been lost. Review your data prior to the December 31, 2019 CMS ESRD QIP quarter 3 reporting deadline to ensure accuracy and completeness by using the 3 step guide at http://www.cdc.gov/nhsn/pdfs/dialysis/3-steps-to-review-de-data-2014.pdf. If you have any questions, email them to NHSN@cdc.gov with “dialysis” in the subject line.
NHSN will be down for emergency maintenance today for several hours beginning at 10am PST. Do not submit CDAs via DIRECT until NHSN is back up.
NHSN will host a one-hour webinar titled NHSN Dialysis Surveillance Call on December 4, 2019, and repeat it on December 5, both at noon PST, that will detail updates to the NHSN Dialysis Component for 2020. Pre-register for one or the other at the links below:
Use the same links to join the webinars at showtime. Because Q&A time is limited, NHSN asks that if you have unanswered questions after the webinar, email their helpdesk at email@example.com with “Dialysis” in the subject line, and they will follow up with you directly.
The Newsletter also announces that the usual NHSN Patient Safety Annual Training will not take place in 2020 because they are deferring to the 6th International Conference on Healthcare Associated Infections, cohosted by CDC and the Society for Healthcare Epidemiology of America. This Conference, which is held only every ten years, will take place March 26-30, 2020 in Atlanta GA, with the theme Global Solutions to Antibiotic Resistance in Healthcare. See https://decennial2020.org/ for more information.