5/31 NHSN Training

Required Annual Training: The Dialysis Event Module annual training has been updated and moved to a new platform called CDC TRAIN.  Self-paced training and post-assessment will remain the same as the previous version, but the CDC TRAIN platform requires you to register with the site, and allows you to save your training certificates after completion.  NHSN recommends that all users take this training, but at least one user per facility is required to take and pass this training annually.  Find the training course and instruction guide at https://www.cdc.gov/nhsn/dialysis/event/index.html.  Email NHSN@cdc.gov with “Dialysis” in the subject line with any questions.

Training Needs Assessment: In taking the NHSN Dialysis Event Module Training Needs Assessment, some users experienced a system error which only permitted them to complete the Demographics section of the survey.  If you experienced this, please retake the Assessment, at https://www.surveymonkey.com/r/DialysisEventTNA. NHSN apologizes for the inconvenience and truly values your input.  If you have not taken the Assessment yet, please do, to help NHSN better understand training needs for the Dialysis Event Module.  The Assessment will remain open until May 31, 2019.

QIP News: PSSRs, NHSN Deadline, Pain Assessment

PSSRs: CMS has announced that PY2019 Performance Score Summary Reports or PSSRs are now available.  The PSSR is a spreadsheet containing the performance values of each facility for PY2019.  It provides information about facility performance on each ESRD QIP measure as well as the Total Performance Score.  Find the PSSRs at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY2019-Performance-Score-Summary-Report-.XLSX.  It’s a 12+ megabyte file, so it may take several minutes to download and open.

NHSN: CMS has also announced an extension to the NHSN data entry deadline for the ESRD QIP fourth reporting quarter of 2018 (data for October 1 – December 31, 2018) from March 31, 2019 to April 1, 2019.

Assistance regarding PSSRs or the NHSN deadline can be obtained by contacting the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960.  For questions or concerns regarding use of the ESRD QIP system, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912 between 5am and 7pm PT Monday-Friday.

Pain Assessment data submission into CROWNWeb will no longer be required by CMS starting March 1, 2019.  The Pain Assessment screen will remain active for facilities to review previously reported data.  For details see http://mycrownweb.org/2019/02/pain-assessment-submission/.

3/5+ NHSN Trainings

NHSN will present four training sessions in March, all at 12-1pm PT.  Join any of the four by telephone only at 303.248.0285, Access Code 6393927.  To join via computer (including audio):

  • Introduction to the NHSN Dialysis Event Surveillance Protocol: NHSN Dialysis Event Surveillance reporting is required for the CMS ESRD QIP.  Complete introduction to the NHSN Dialysis Event reporting requirements and surveillance definitions necessary to complete accurate monthly reporting.  Both sessions will be held 12-1pm PST.
  • Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports: Applying NHSN Dialysis Event Surveillance definitions via case studies that address common reporting questions.  Includes introduction to running and interpreting popular NHSN reports to review your facility’s data, including BSI rates.  Both sessions will be held 12-1pm PDT.

1/15 CMS Call re CY2019 PPS Final Rule

CMS will host a 15 January, 2019 national call on the CY2019 ESRD PPS final rule and PY2021-22 QIP.  Topics include legislative framework; updates to QIP measures, domain structure, and weights; and changes to NHSN data requirements and Validation Study.  For details see https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2018-12-20-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc532966944.

NHSN QIP Deadline, News

NHSN has advised that in order to be applied to your PY2020 QIP scores, your NHSN data for July 1-September 30, 2018 must be submitted and corrected by December 31, 2018.  NHSN recommends:

Contact the NHSN Helpdesk at nhsn@cdc.gov with subject line “Dialysis” if you have any questions.

The NHSN software was updated to Version 9.2 on December 8, 2018, with many additions and changes, including analysis updates.  Please carefully review pages 1 and 7-8 of the Version 9.2 release notes at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/NHSN9.2.pdf for important details about these changes.  To use any of the new analysis output options you must first Regenerate Datasets.  Send any questions to the NHSN Helpdesk at NHSN@cdc.gov.

11/6+ NHSN Trainings

NHSN will present four ESRD Component trainings during November 2018.  Listen-only audio for these will be available through your computer’s speakers.  If you need audio via telephone, the dial-in number for all sessions is 303-248-0285 (toll), with access code 6393927.