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PD Awareness Week is September 12 - 17th
Do your Patients know ALL of Their Treatment Options?
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Please join us in celebrating peritoneal dialysis (PD) as a treatment option by using
PD Awareness Week materials from our
webpage to educate patients, family members and care partners.
Make it a Celebration, Make it Unique, and Make it Memorable!
The Network was charged by the Centers for Medicare & Medicaid Services to review New York State dialysis facility ICH CAHPS scores from spring 2015, and develop a quality improvement activity to assist facilities in improving their scores on the overall lowest rated question
#39 "In the last twelve months, did either your kidney doctors or dialysis center staff talk to you about peritoneal dialysis?"
The Network has been working with staff members at targeted facilities staff to help engage and educate their patients about PD as a treatment option. PD Awareness Week was developed from this work. We must all work to ensure that ALL patients know their treatment options, and are able to articulate why they chose the option that they are on, and that they remember hearing about PD at their dialysis clinic.
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How Are We Doing?
Please Complete the 2016 ESRD Network Needs Assessment
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|  "Plan, Do, Study, Act". Please help up study the work that we have done, and take the time to complete our 15 question Needs Assessment for 2016. Your feedback will help us in developing future activities and materials. We need your candid feedback to help us improve.
Click here: 2016 Needs Assessment Form
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Achieving Healthcare Equality
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Are your patients achieving their full health potential? Help us reduce disparities in dialysis care.
Improving patient health and patient health care worldwide requires a focus on equity; specifically - equity of access, treatments, and outcomes. Health equity is realized when each individual has a fair opportunity to achieve his or her full health potential.
Differences in access, treatment, and outcomes that are systemic, avoidable, predictable and unjust between individuals across populations should be of concern to all of us. These types of differences are often referred to as inequities or disparities.
Inequities are the worst type of unwanted variation in a system - variation linked to the complicated history and reality of racism, classism, sexism, ableism, ageism, and other forms of oppression. All providers of healthcare have a role to play and a set of tools to use to remediate any inequities that might exist.
The Institute for Healthcare Improvement has free educational tools available on their website:
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NEW NHSN Version 5.8.4: Now Includes Aggregate 2014 Data
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The Centers for Disease Control and Prevention (CDC) has released the latest edition of NHSN, Version 5.8.4. Dialysis Event Rate table and Run Chart reports now include aggregate 2014 data as benchmarks, and group-level pooled means are now printed on rate table reports for groups. For more information, see the Dialysis section at the bottom of page 2 of https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/NHSN.8.5.4.pdf .
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Free Resources to Improve Immunization Rates
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As we approach into flu season, it is a great time to refresh your immunization knowledge as a healthcare professional. HHQI offers a variety of free resources that can help:
- BEST PRACTICE INTERVENTION PACKAGE: A 2016 Updates to Immunization Guidelines resource has been recently added to the Immunization & Infection Prevention BPIP. Log in or register now to access all of HHQI's free immunizations resources.
- HHQI UNIVERSITY ONLINE COURSE: The Adult Immunizations course (in the Hospitalizations course catalog) offers 2 hours of continuing education for nurses and a certificate of completion for all other disciplines. HHQI University registration, course enrollment, and continuing education credits are completely free. Learn more.
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Do-It-Yourself Dialysis: Empowering Patients
Does Your Clinic Encourage Patient Self Care?
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In this IHI blog post , Dr. Richard Gibney, a nephrologist in rural Texas, writes about how he heard about dialysis self care in Sweden at the IHI National Forum, and took action at his clinic. Five years later, his patients are doing their own dialysis - with half the rate of hospitalizations.
"In 2015, the first year of the program, the difference in outcomes for patients on traditional dialysis and empowered dialysis was staggering -
Of the 560 patients we had on traditional dialysis, there were 1,099 hospitalizations and 90 deaths. Of the 191 patients on empowered dialysis, there were only 125 hospitalizations and five deaths. Traditional dialysis patients were hospitalized at a rate of 1.9 hospitalizations per patient compared to 0.7 for the empowered group - more than twice as often."
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Reducing Sepsis: CDC's Making Health Care Safer Materials
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The CDC's Making Health Care Safer program is focusing on sepsis. Sepsis is a medical emergency. Time matters. It can be difficult to diagnose, happens quickly, and can be confused with other conditions early on. When sepsis is quickly recognized and treated, lives are saved.
Healthcare providers are the critical link to preventing, recognizing, and treating sepsis. For more information and resources, see http://www.cdc.gov/vitalsigns/sepsis/index.html . |
Are YOU Prepared? Are Your Patients Prepared?
September is National Preparedness Month
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 September is National Preparedness Month (NPM)- a reminder that we all must take action to prepare, now and throughout the year, for the types of emergencies that could affect us where we live, work, and also where we visit.
The Network will be rolling out more Emergency Planning Resources in the October edition of
Provider Insider.
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Product Alerts and Recall Information: Check the KCER website
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 The Kidney Community Emergency Response Coalition tracks and reports product alerts and recalls on their website.
In August, there were multiple updates:
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One-Day HIPAA Privacy and Security Boot Camp (Webinar)
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HealthInsight will present a FREE webinar/call on September 13: One-Day HIPAA Privacy and Security Boot Camp.
For details see http://healthinsight.org/hipaapass#events . The website, introduces HealthInsight's HIPAA PASS or Privacy and Security Solutions, offering risk assessment and consulting, and provides other useful information and tools for HIPAA compliance. Also on the web page are links to previous webinars on:
- Introduction to Essential Steps for HIPAA Compliance Webinar
- Introduction to Building and Governing Your HIPAA Compliance Program
- Enforcement, Breach Notification and Business Associates
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Have you used the Data Portal?
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Network Data Knowledge Base and Customer Portal Usage in July
With the increase in data that must be submitted (CROWNWeb, ESRD QIP, NHSN) as well as systems through which the data is collected, there are multiple ways in which you can reach the Network Data Support Team for help.
During the month of July the Network resolved 84 tickets using the Customer Portal.
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Type of Assistance
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Number of Tickets
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Time Spent (Hours)
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2728/2746 Forms
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14
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3.9
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Dialysis Date
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7
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3
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EIDM/QARM Registration
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32
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7.75
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CROWNWeb Clinical
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11
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3
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CROWNWeb Issues
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20
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8.65
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Total
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84
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26.3
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*Please remember that you should NEVER include any patient-specific information such as Name, Date of Birth, Social Security Number, Medicare Claim Number, etc. The only patient identifier that can safely be communicated is the Unique Patient Identifier (UPI) from CROWNWeb.*
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KDIGO Requesting Comments: Mineral and Bone Disorder
Deadline: September 23, 2016
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Kidney Disease: Improving Global Outcomes (KDIGO) has updated its Clinical Practice Guideline on the Diagnosis, Evaluation, Prevention and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD), and requests public comment by September 23, 2016. The draft revised Guideline, backup data, and comment form can be found at http://kdigo.org/home/guidelines/ckdmbdupdate/
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Speak the Language! Patient Engagement, and Education
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A recent Nephrology News & Issues
article
features a list of healthcare terms used by patients across the country. Patients need to understand medical information being provided to them by their healthcare team, but equally important, is that medical professionals understand patients and their family members. Understanding "patient speak" supports mutual care planning and active patient decision making. Health Literacy is a two-way street.
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Patient Experience of Care: Beyond ICH CAHPS
Three Part Webinar Series with FREE CE
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"The Experience of Care: Patients & Providers as Partners."
The National Forum of ESRD Networks is hosting a 3-Part webinar series (overview) focusing on improving patient experience of care.
September 14, 2016 - 2:00 pm ET Register
The Patient Perspective: What is the experience of care? Are we asking the right questions?
*Patient Engagement, Patient Satisfaction, Patient Experience of Care...What's the difference?
*ICH CAHPS & The Patient Experience of Care: The CMS Perspective
The Provider Perspective: What do we learn from experience of care surveys? Can we do better?
*Interpreting and Using ICH CAHPS Results
*Patient Experience of Care Surveys...beyond ICH CAHPS
*Practical Approaches to Improve Communication and Acting on Patient Feedback
Patient and Provider Engagement: Forging true partnerships and changing the culture.
*Patient Provider Collaboration: Findings of the UNC ESRD Patient Engagement Study & Practical Applications Using Peer to Peer Mentoring
*Practical Approaches to Identifying Patient Goals & Values
More information available on the Forum's website.
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