8/7+ NHSN Trainings

NHSN will present four ESRD Component trainings during August 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.

FDA Warning re Cipro et al and Blood Sugar

The FDA has required new label warnings about blood sugar and mental health side effects of fluoroquinolone antibiotic drugs.  The most common fluoroquinolones are Cipro (ciprofloxacin), Avelox (moxifloxacin), and Levaquin (levofloxacin), but there are many others, most of which end in -floxacin.  The new label has many specific warnings and recommendations for diabetics.  For full details see https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm612979.htm.

New Medicare Card News

The CMS New Medicare Card (NMC) web page at https://www.medicare.gov/newcard/ keeps an ongoing tally of NMC mailings.  It shows that mailings are now underway for California, Oregon, and Alaska, but have not yet started for other Network 16 states.  The page also includes a sample of the new card, important information about what a patient should do when they receive one in the mail, and important tips on avoiding Medicare scams.

For providers, CMS has also published information on when a Medicare Beneficiary Identifier (MBI, which replaces the HICN on the card) can change, and what to do when it does.  Find a summary at https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2018-07-05-eNews.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending#_Toc518370286.

7/4-8 Heat and Fire Danger

Extreme Temperatures are expected for much of Southern California through at least Saturday, exceeding 110°F inland south of Bakersfield and exceeding or approaching 100°F in most of the rest of Network 18.  Network 16 will not be as hot, but many areas will have low humidity and temperatures higher than usual.  Fire danger will be widespread, particularly around fireworks.

CMS requires Networks to track the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to have access to dialysis are impacted by emergency events, please let your Network know right away.

Patients and facility staff may find these resources useful:

NHSN June Newsletter

The newly published June NHSN Newsletter includes no updates to the Dialysis Component, but starting on page 11 it does describe several articles that are relevant to all NHSN users, including training updates, a call for version 9.2 (October 2018) beta testing volunteers, published case studies, automated data entry (CDA) updates, and usage statistics.  Over 7,000 dialysis facilities are enrolled.  Find NHSN Newsletters at https://www.cdc.gov/nhsn/newsletters/index.html.

7/26 CW Newsletter & Town Hall

CROWNWeb has published their July Newsletter, containing articles on the CROWNWeb Data Quality Goals progress, and the Missing Forms Report.  It also includes a CROWNWeb FAQ pointing out that clinical data which is entered and saved, but not submitted before the appropriate Clinical Closure Date, never makes it to CMS.  Find the July Newsletter at http://mycrownweb.org/wp-content/uploads/2018/06/July_2018_Newslette_508_Compliant.pdf and a catalog of past Newsletters at http://mycrownweb.org/news/newsletters/.  The Newsletter also announces a July 26, 2018 CROWNWeb Town Hall.