NW16 11/6 CNSW Fall Meeting Portland

The CNSW OR-SW WA Chapter will host a half-day Fall Clinical Nephrology Social Work Meeting on November 6, 2019 in Portland OR.  Speakers will present on disability rights, the Senior Loneliness Line, and the 2-1-1 Helpline.  There will be no CEUs offered for this meeting, but lunch is included, the speakers are excellent, and the networking opportunity is priceless.  Find details, agenda, and registration information at https://s3-us-west-2.amazonaws.com/nwrn.org/files/CNSW/CNSW1119.pdf.

6/3 EMR Interoperability Comment Period Extension

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)

NW18 Patient Grievance Process

Check out the Network 18 website for some great information on the Network 18 Grievance Process:

• For Providers, see http://www.esrdnetwork18.org/providers/patient-services/, which includes English and Spanish versions of the Network 18 Grievance Poster, Grievance Brochure, a link to the National Forum of ESRD Networks’ Grievance Toolkit, and a discussion on Preventing and Reducing Involuntary Discharge.

• For Patients and Care Partners, see http://www.esrdnetwork18.org/patients/grievances/, which includes English and Spanish versions of the Network 18 Grievance Poster, Grievance Brochure, and a packet of Patient Grievance Guidelines and Forms; a discussion of patient and Network Roles and Responsibilities; and a list of California state Department of Health Services offices.

Keep in mind that no patient should ever suffer any retaliation for filing a grievance.  The Network is here to assist facilities and patients in resolving any concerns that may arise, in a collaborative and positive manner.  All facilities are required to:

• Make sure you have the ESRD Network 18 Grievance Poster prominently displayed in your lobby or another area that is accessible to patients and guests, including a Spanish copy of the Poster.
• Ensure that all patients understand how to file a grievance with you, with the Network, and with the State.

You can also print some Brochures and pass them out to patients, or have them available in your lobby.

NW16 Patient Grievance Process

The Network 16 website includes important information about the Network 16 Grievance Process:

• For Providers: https://www.nwrn.org/providers-and-professional-staff/patient-services/grievances.html includes English and Spanish versions of the Network 16 Grievance Poster, and Grievance Brochure.
  

• For Patients and Care Partners: https://www.nwrn.org/patients-a-family/voice.html includes English and Spanish versions of the Network 16 Grievance Poster, Grievance Brochure, links to the National Forum of ESRD Networks’ Grievance Toolkits, and a list of State Survey Agency contacts.

Keep in mind that no patient should ever suffer any retaliation for filing a grievance.  The Network is here to assist facilities and patients in resolving any concerns that may arise, in a collaborative and positive manner.  All facilities are required to:

• Prominently display the ESRD Network 16 Grievance Poster in your lobby or another area that is accessible to patients and guests, including a Spanish copy if appropriate for your patients.
• Ensure that all patients understand how to file a grievance with you, with the Network, and with the State.

You can also print some brochures and pass them out to patients or have them available in your lobby.

11/21 Patients as Hostages WIHI

IHI will present a free November 21, 2017 “WIHI” audio program on When Patients Feel as Powerless as Hostages.  For full details see http://forms.ihi.org/next-wihi-on-november-21-at-2-pm-et-when-patients-feel-as-powerless-as-hostages .

11/20 Healthcare Innovation RFI

CMS has announced a Request For Information soliciting suggestions on how to create an affordable, accessible healthcare system that puts patients first.  Find details and comment at https://survey.max.gov/429625 .

Right to Self-Cannulate

Home Dialysis Central  has published a thorough summary of the right that a patient has to “be informed about and participate, if desired, in all aspects of his or her care” [42 CFR 494.70(a)(5)], including self-cannulation.  A facility that denies a competent patient the right to be trained to self-cannulate is vulnerable to state survey citation tags V456, V512, and V585.  Find the summary at http://homedialysis.org/news-and-research/blog/214-self-cannulation-a-patient-right-and-cms-expectation-for-interested-and-trained-patients .