August | 2020
August | 2020
Advancing the Use of Home Dialysis
The Basics of More Frequent Home Dialysis

The Basics of More Frequent Home Dialysis presented by NxStage was led by Dr. Michael Kraus, Associate Chief Medical Officer of FKC, and included Rosheen McLaughlin, a former peritoneal dialysis (PD) patient and NxStage Patient Advocate. This educational webinar covers topics such as dialysis options, benefits and considerations of more frequent home dialysis, an introduction to peritoneal dialysis (PD), an introduction to home hemodialysis (HHD), and questions to ask the doctor.

Intervention: Use this webinar as a staff educational tool to increase staff knowledge on home dialysis options for your patients. Share this webinar with your home dialysis nurses, and any patients that may be interested in home dialysis to introduce their dialysis options.
Resource Tool: Staff Educational Webinar
Home is Where the Heart Is – Bulletin Board Kit

Creating a visual presentation in the dialysis facility is a great way to engage your patients on different topics. This bulletin board kit was created by patients for patients, led by the Network 12 Patient Advisory Council to share the benefits of home dialysis. 

Intervention: Create your own bulletin board at your facility using the Home Dialysis Bulletin Board Kit. Display the bulletin board in your lobby or on the treatment floor and include patient resources on home dialysis. Involve your staff and your Network Patient Representative (NPR) to make it a patient focused engagement activity.

Increasing Patients on the Transplant Waitlist
Transplant Status Change Form

Communication plays a very important role in providing the best care possible for patients. Any changes including insurance, medication or even hospitalizations, that are not communicated to the transplant centers have the potential to delay or even postpone the patients kidney transplant. The Transplant Status Change Form was designed to provide dialysis facilities a comprehensive tracking tool to monitor all patients currently on the transplant waitlist. When changes are noted, dialysis staff can then promptly contact the appropriate transplant center and let them know of the patient change in status. This form will help facilitate communication and will ensure that there is no gap or delay in a patient receiving an offer for a transplant.

Intervention: Review this tool in your QAPI meeting to identify the best way to implement at your facility. Assign a key staff member, Social Worker or Nurse Manager, to manage the tool by working closely with dialysis staff, transplant center coordinators, and transplant listed patients on a regular basis. 

Patient and Family Engagement
Centers for Medicare & Medicaid Services (CMS) has provided guidance for patient engagement and advocacy activities due to the COVID-19 pandemic. All patient engagement and advocacy activities such as peer mentoring, attending support groups and participating in QAPI and Plan of Care meetings, should be done so virtually, over the telephone, online or thru another distant, non-person to person format to limit patient exposure risk. Bulletin boards remain a great options to provide information and engage patients in learning more about their care and their car options.
Patient Engagement Fluid Challenge!

The ESRD Network 12 Patient Advisory Council (PAC) would like to challenge all dialysis clinics in the Network to do a patient engagement activity to help patients learn more about fluid management during the summer & cope with fluid management. Let your creativity flow and engage patients in a fun activity to motivate and encourage patients as they manage the heat and thirst! 

The Network has several resources available to help you. 
 
Complete your activity this summer and submit a Patient Engagement Activity report to the Network with your results. Share what you did for the activity, what your goals were and how you met them. Include a photo of the activity and submit your report by Sept. 15, 2020. Submissions will be reviewed by the PAC and a clinic winner will be selected!

There will be a prize awarded to the clinic selected and all will be acknowledged for your participation in the Heartland Happenings e-newsletter. This topic is so important to the overall quality of life of our patients so we hope that you will take on this challenge with your Network Patient Representative. 
COVID-19 Updates
Keeping Everyone Safe: Stopping the Spread of COVID-19

Did you know that people who are on dialysis have the highest COVID-19 hospitalization rate of all Medicare beneficiaries? Use this resource to educate your dialysis patients on the importance of caring for themselves by wearing a face mask. Download the Keeping Everyone Safe resource.
Telemedicine Feedback Reports

Every facility in Network 12 received a Telemedicine Feedback Report that included specific resources to help your facility with areas of opportunity that you identified on your facility use of telemedicine survey. If you did not receive your copy of the Feedback Report, email the QI Department. View a general copy of the resource.
New Network Resource: Change in Condition Alert

Dialysis patients coming from long term care facilities are at especially high risk for infections and factors that complicate the containment of illnesses, like COVID-19. We are piloting a new communication tool to serve as a "Heads Up" alert to share between teams at facilities that provide care. The intent of the form is to quickly share new instances of respiratory illness, disease or COVID-19 at either a patient or a facility level which would then lead to additional communications and inform the care team of the appropriate and safe treatment for the patient. We hope that you find this tool useful. Please share your thoughts with the Network Quality Improvement Team by email.

ASN COVID-19 Toolkit for Nephrology Clinicians: Preparing for a Surge

The ASN COVID-19 Toolkit for Nephrology Clinicians: Preparing for a Surge is now available. This toolkit was created to help nephrology clinicians in a surge area understand the most critical elements to consider as they care for patients requiring renal replacement therapy. Click here to view the toolkit.


Inpatient Medical Director Toolkit

The Forum of ESRD Networks Medical Advisory Council developed the Inpatient Medical Director Toolkit to assist providers in improving the care for kidney patients. The Inpatient Medical Director Toolkit was written to provide guidance about Medical Director oversight of Extracorporeal therapies performed in a hospital setting, primarily focusing on dialysis treatments for ESRD patients and those with acute kidney injury. While this Toolkit was developed with the Nephrologist in mind, we believe other team members within the medical center (i.e. quality improvement, pharmacy, biomedical equipment department, etc.) will also find the chapters informative. Click here to view the toolkit.
This presentation was created, while under contract with Center for Medicare and Medicaid Services, Baltimore, Maryland. Contract #HHSM-500-2016-NW012C. The contents presented do not necessarily reflect CMS policy. 20.Q-ESRD12.06.040