Advance Planning Booklet

The Coalition for Supportive Care of Kidney Patients (http://kidneysupportivecare.org/Home.aspx) has created a booklet called Planning Today for Tomorrow’s Healthcare: A Guide for People with Chronic Kidney Disease.  You can find a copy at http://kidneysupportivecare.org/Files/ACPforCKDbrochure3-2017.aspx .

2/17 KCER Needs Assessment

The Kidney Community Emergency Response Coalition (KCER) has requested that patients and facilities volunteer to complete KCER’s Program Needs Assessment questionnaire, to ascertain whether or not they’re likely to meet your needs in an emergency.  There are three different questionnaires, one for HD patients including Home HD, one for PD patients home or in-center, and a third for dialysis facilities.  For details and to respond, see http://www.kcercoalition.com/2017NeedsAssessment .  Contact Jerome Bailey with any questions, at 813.865.3542 or JBailey@hsag.com .

NW Winter Storm OR

Another winter storm is expected to create heavy rain and danger of flooding in southwestern Oregon, and snow in the Willamette Valley, eastern Oregon, south-central Washington, and southern Idaho on Wednesday December 14, 2016.  Snow is expected to reach Eugene around 6am, Salem around 8am, Portland-Vancouver and Boise around 11am, and Tri-Cities around 1pm local time, with snow continuing all day.  Temperatures are expected to be 25-35ºF in the Willamette and Treasure Valleys, and 10-30ºF in south-central Washington and eastern Oregon.  As is often the case, wind and ice will complicate travel in and near the Columbia Gorge.  Find local information at http://forecast.weather.gov/product_sites.php?site=CRH&product=WSW and  http://www.wrh.noaa.gov/ .

Networks are required by CMS to monitor the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to receive dialysis, are impaired by weather or other issues, please fill out the Network Disaster Reporting Form at https://www.nwrn.org/files/E/Interruptions.pdf and fax it to the Network at 206-923-0716.  For questions or emergency assistance contact Network 16 at 206-923-0714.

NW Snow and Ice WA/OR

Forecasters differ as to timing, but most agree that a serious if short-lived snowstorm is scheduled to hit western Oregon late Wednesday, and western Washington sometime on Thursday, with significant ice in some locations as the storm turns to sleet and rain late Thursday or early Friday.  Enter your zip code in the box at the top of the National Weather Service’s Winter Storm Watch at http://forecast.weather.Gov./showsigwx.php?warnzone=WAZ039&warncounty=WAC011&firewxzone=WAZ604&local_place1=5%20Miles%20NE%20Vancouver%20WA&product1=Winter+Storm+Watch&lat=45.6868&lon=-122.576#.WEgkfb9zeUc and check it every few hours, or another ongoing forecast of your choosing.

Networks are required by CMS to monitor the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to receive dialysis, are impaired by weather or other issues, please fill out the Network Disaster Reporting Form at https://www.nwrn.org/files/E/Interruptions.pdf and fax it to the Network at 206-923-0716.  For questions or emergency assistance contact Lisa Hall, 206-923-0714, or lhall@nw16.esrd.net .

New Emergency Preparedness Rule

Slides, an audio recording, and written transcript of the October 5, 2016 National Provider Call on CMS’s new Emergency Preparedness Requirements are now available, at https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2016-10-05-Emergency-Preparedness.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending . The requirements go into effect November 15, 2016.

The October issue of the KCER Watch newsletter includes a
concise summary of the new CMS Requirements, along with several other useful articles.  Find it at http://kcercoalition.com/en/resources/kcer-watch/ .

NW Oct 13-16 Storms

CMS requires that ESRD Networks monitor the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to receive dialysis, are impacted by emergency events, including fall storms and winter weather, please fill out the Network Disaster Reporting Form and fax it to your Network right away.  Find details on this at https://nwrnbulletins.wordpress.com/2016/08/17/notify-network-of-difficulties-in-patient-access-to-care/ .

The first big storms of autumn are approaching Washington state, and the advisories issued by King County and the Northwest Healthcare Response Network not only provide some details on the current storms, but a great deal of helpful information on preparation for winter weather in general.  You may want to post or distribute selected portions of this information to your patients.  Find the advisories at:

The current October 13-16, 2016 storm system is expected to impact western Washington fairly seriously.  Heavy rain and wind, with gusts up to 55 mph, are expected to pummel Grays Harbor, Mason, Lewis, Thurston, Kitsap, Pierce, King, and Snohomish Counties October 13-14, with power outages and flooding likely in places.  Because many trees still have their leaves, they will be more susceptible to wind damage.  High winds and high surf are also forecast for the Oregon and Washington coasts.  This storm will impact eastern Washington October 14-15, with gusts up to 40 mph expected in Spokane.

The October 15-16 storm is the remnants of a Pacific Hurricane or Super Typhoon, and depending on the track it takes has the potential to produce what the National Weather Service calls a “historical windstorm for nearly all of western Washington that would be long remembered,” similar to the Columbus Day Storm that hit Oregon in 1962, with winds gusting up to 70 mph, heavy rain, flooding, and 35-foot waves on coastal beaches.  Other sources say the track could move across the Oregon coast, impacting the area from San Francisco north to Canada.

Weaker storms are expected to continue into the following week, adding rainfall to cumulative flooding.