The May 2019 CROWNWeb Newsletter is now available, at http://mycrownweb.org/2019/05/may-2019-newsletter/. CROWNWeb will also offer a May 14, 2019 New User Training, at http://mycrownweb.org/pcw_lems/may-2019-new-user-training/.
- In mid-June 2019 a series of presentations on Infection Control, offering free CME/CE credits to physicians, nurses, and pharmacists, will expire. CDC and Medscape produced them in 2017 with the intention that they’d be valid for two years. The six presentations include Risk Recognition, Environmental Services, Medical Equipment, Nonsterile Gloves, Hierarchy of Controls, and Injection Safety. Find them at https://www.cdc.gov/infectioncontrol/training/cme-info.html.
- The Joint Commission Speak Up series includes a poster and short video in English and Spanish on Infection Prevention. Find these tools and many more at https://www.jointcommission.org/topics/speak_up_infection_control.aspx. The Speak Up series also includes resources on Five Ways to Be Active in Your Care at the Hospital for dialysis and diabetes patients, on Avoiding a Return Trip to the Hospital, on Depression, on Organ Donation, on Pain, and many other topics. Find them all at https://www.dropbox.com/sh/3e5uml0tk6myy4s/AAB0a91UJK8p8-VkokWD0q2Ga?dl=0.
- The Oregon Patient Safety Commission suggests giving your facility a Patient Safety Culture Survey, such as those provided by the HHS Agency for Healthcare Research and Quality (AHRQ). While they don’t have a Survey specifically for dialysis facilities, most of the questions on any of their surveys are directly applicable or can easily be adapted. For details see https://oregonpatientsafety.org/news-information/patient-safety-alerts/add-patient-safety-culture-surveys-to-your-prevention-toolbox/945/.
- AHRQ will present a June 12, 2019 webinar on Best Practices for Web-Based Surveys on Patient Safety Culture; register at https://westat.webex.com/mw3300/mywebex/default.do?nomenu=true&siteurl=westat&service=6&rnd=0.14765443759873476&main_url=https%3A%2F%2Fwestat.webex.com%2Fec3300%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26%26%26EMK%3D4832534b00000004055fc9090fc824db69d4fc807faaa82be8a7e2f6b039075465c816eb25f825d0%26siteurl%3Dwestat%26confViewID%3D123809633363065597%26encryptTicket%3DSDJTSwAAAARxY3pJMqWtIxlWNZjpy6DEzK3qsti–1Bsvb7DlIp51Q2%26#utm_source=SOPSanc&utm_medium=Email&utm_campaign=20190422.
- The CDC Safe Healthcare Blog makes a good frequent reminder about the ever-present danger of infection, and how to respond to it effectively. It’s post for this week is titled Clean Hands Count to Keep Patients Safe from Healthcare Associated Infections. Find the post and the Blog at https://blogs.cdc.gov/safehealthcare/clean-hands-count-to-keep-patients-safe-from-healthcare-associated-infections/.
The Medical Education Institute has written a blog post on Social Security Policies Related to Medicare: A Primer. It’s really complicated, so it may be more appropriate for a Social Worker than a patient, but if the Primer is this complex, the Reality must be especially daunting – which makes a Primer all the more valuable. Find the Primer at https://homedialysis.org/news-and-research/blog/307-social-security-policies-related-to-medicare-a-primer.
CDC’s comprehensive resources on Applying CDC’s Guideline for Prescribing Opioids: An Online Training Series for Healthcare Providers can be found at https://www.cdc.gov/drugoverdose/training/online-training.html.
CMS has published “Myths and Facts” about their new Medicare Part D Opioid Overutilization Policies that became effective effective January 1, 2019 (https://www.cms.gov/Medicare/Prescription-Drug-coverage/PrescriptionDrugCovContra/RxUtilization.html).
Myth: “Medicare is forcing all Part D enrollees to taper prescription opioids below a certain amount.”
- Prescribers and their patients must carefully consider decisions to taper or stop prescription opioids
- It can be especially challenging to taper opioid use in patients who have been on high dosages of opioids for many years
- The intent of the new opioid policies is to address opioid overuse without a negative impact on the patient-doctor relationship
- Medicare Part D opioid policies are not prescribing limits
- In general they do not apply to enrollees who have cancer; get hospice, palliative, or end-of-life care; or who live in a long-term care facility
- The new policies encourage collaboration and care coordination among Medicare drug plans, pharmacies, prescribers, and patients to improve opioid management, prevent opioid misuse, and promote safer prescribing practices.
For More Information see:
- Opioid Roadmap (https://www.cms.gov/About-CMS/Agency-Information/Emergency/Downloads/Opioid-epidemic-roadmap.pdf)
- Letter to providers about reducing opioid misuse (https://www.cms.gov/About-CMS/Story-Page/Opioid-Provider-Letter-Feb-2019.pdf)
- Prescriber’s Guide to New Medicare Part D Opioid Overutilization Policies for 2019 MLN Matters Article (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE18016.pdf)
- Training materials for
- Prescribers (https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/Information-for-Prescribers.zip)
- Pharmacists (https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/Information-for-Pharmacists.zip)
- Patients (https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/Information-for-Patients.zip)
Help Desk: NHSN is now using a help desk management system for all NHSN inquiries. Each message will now be assigned a ticket number for tracking. When you contact NHSN@cdc.gov, you will receive a notification that your incident has been assigned a ticket number and all correspondence on that subject will be tracked by that number. The appropriate subject matter expert will respond to your message as soon as possible.
Training Needs Assessment: If you have already taken the NHSN Dialysis Event Module Training Needs Assessment, and the survey only allowed you to complete the ‘Demographics’ section, please retake the Assessment, at https://www.surveymonkey.com/r/DialysisEventTNA, by May 31, 2019.
Training Webinars: NHSN will provide free webinars for new and experienced NHSN users. CDC subject matter experts will be available to answer your questions about NHSN Dialysis Event Surveillance.
- Introduction to the NHSN Dialysis Event Surveillance Protocol: NHSN Dialysis Event Surveillance reporting is required for the CMS ESRD QIP. This session will introduce NHSN Dialysis Event reporting requirements, and define the surveillance terms necessary to complete accurate monthly reporting. The May 15 webinar is a repeat of the May 14 session.
- May 14, 2019, noon-1pm PDT. Pre-registration is required, at https://cc.readytalk.com/r/l1vqutexc1hq&eom. Join the meeting online at https://cc.readytalk.com/r/l1vqutexc1hq&eom.
- May 15, 2019, noon-1pm PDT. Pre-registration is required, at https://cc.readytalk.com/r/oe5g566h5x5a&eom. Join the meeting online at https://cc.readytalk.com/r/oe5g566h5x5a&eom.
- Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports: Learn how to apply NHSN Dialysis Event Surveillance through case studies that address common reporting questions. The session also will introduce running and interpreting the most popular NHSN reports so you can review your facility’s data, including Dialysis Event BSI rates. The May 22 webinar is a repeat of the May 21 session.
- May 21, 2019, noon-1pm PDT. Pre-registration is required, at https://cc.readytalk.com/r/uh4t4sw8bvd0&eom. Join the meeting online at https://cc.readytalk.com/r/uh4t4sw8bvd0&eom.
- May 22, 2019, noon-1pm PDT. Pre-registration is required, at https://cc.readytalk.com/r/e3wsls2bpee3&eom. Join the meeting online at https://cc.readytalk.com/r/e3wsls2bpee3&eom.
For any of the webinars, Listen-only audio will be available through your computer speakers. For dial-in audio access, call 303-248-0285 and use Access Code 6393927. Please contact NHSN@cdc.gov with “Dialysis” in the subject line with any questions.
CMS has announced that the comment period for their Proposed Rules on Interoperability of Electronic Medical Records has been extended to June 3, 2019. The Proposed Rules are aimed at promoting the ability of different health information technologies to communicate with one another, and at enabling patients to electronically access their health information. Find the Proposed Rules at https://www.hhs.gov/about/news/2019/02/11/hhs-proposes-new-rules-improve-interoperability-electronic-health-information.html.
The extension of the public comment period coincides with release, from the HHS Office of the National Coordinator for Health Information Technology, of:
- The second draft of the Trusted Exchange Framework and Common Agreement (https://www.healthit.gov/topic/interoperability/trusted-exchange-framework-and-common-agreement)
- The related Notice of Funding Opportunity (https://www.healthit.gov/topic/onc-funding-opportunities/trusted-exchange-framework-and-common-agreement-recognized)
For More Information see:
- Notice of Proposed Rulemaking to Improve the Interoperability of Health Information webpage (https://www.healthit.gov/topic/laws-regulation-and-policy/notice-proposed-rulemaking-improve-interoperability-health)
- CMS Advances Interoperability & Patient Access to Health Data through New Proposals fact sheet (https://www.cms.gov/newsroom/fact-sheets/cms-advances-interoperability-patient-access-health-data-through-new-proposals)
- CMS Interoperability website (https://www.cms.gov/Center/Special-Topic/Interoperability-Center.html)
The Health Services Advisory Group will present a May 22, 2019 webinar on Dialysis During Disasters: The KCER Program. Find more information and register at https://hsagonline.webex.com/mw3300/mywebex/default.do?nomenu=true&siteurl=hsagonline&service=6&rnd=0.7966972207752958&main_url=https%3A%2F%2Fhsagonline.webex.com%2Fec3300%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26%26%26EMK%3D4832534b0000000456969e3e20f1f1940b9e65cd56c9568a782ca4a89f6fee4fd1541f22ca06dc52%26siteurl%3Dhsagonline%26confViewID%3D124175975841833421%26encryptTicket%3DSDJTSwAAAAQNV5M70e-J8VlqfacdON7uct5Kw2Gna-3JdJWrLP2NBw2%26.