A Newsletter from Quality Insights Renal Network 3
In This Issue


Alerts and Recalls
Visit the KCER Coalition website for the latest alerts and recalls.   


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Welcome to the August 2019 issue of the Quality Insights Renal Network 3 e-newsletter.  In this issue, we bring you information about vaccinations for adults, upcoming webinar opportunities, CMS updates, upcoming events and more. Please contact us with any questions, concerns or suggestions.  
 
topicFACILITY-LED PATIENT EDUCATION TOPIC OF THE MONTH: vaccinations for adults
We will provide a Network 3 Patient Education Sheet each month in 2019. Please provide all of your patients with this education sheet each month.  Also, we ask that you please encourage your facility's Patient Representatives to pass out this educational information.
  • 3 Important Reasons for Adults to Get Vaccinated (English / Spanish) 
Measlesupdated interim infection prevention and control recommendations for measles in healthcare settings 
CDC's updated Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings can help clinicians protect against the spread of measles. Measles is most commonly spread from person to person either at home or in public settings, but it can also spread in healthcare settings. While the most important way to prevent the spread of measles is community vaccination, core measles prevention in healthcare settings requires a multi-faceted approach including:
  • Ensuring healthcare personnel (HCP) have presumptive evidence of immunity to measles
  • Rapidly identifying and isolating patients with known or suspected measles
  • Adhering to Standard and Airborne Precautions for patients with known or suspected measles
  • Routinely promoting and facilitating respiratory hygiene and cough etiquette 
  • Appropriately managing exposed and ill HCP 

CDC's interim guidance should be implemented as part of a comprehensive infection prevention program to prevent the spread of germs among patients, healthcare providers, and visitors. 

NetworkWebinarsnetworks partner with mtppi to host free webinars on pcori findings  
This fall, together with Medical Technology and Practice Patterns Institute (MTPPI), Quality Insights Renal Networks 3, 4 and 5 will provide a series of free webinars targeted to patients, dialysis facility staff, and nephrologists. The webinars will disseminate findings from four Patient-Centered Outcomes Research Institute (PCORI) studies. Registration is required for each webinar and continuing education credit will be provided to social workers. See additional details below.

Thursday, September 12, 2019 at 12:00 p.m. EST
Online Dialysis Modality Tool
Speaker: Dr. Francesca Tentori
Audience: Patients, dialysis facility staff, nephrologists
Register today.

Tuesday, October 15, 2019 at 3:00 p.m. EST
Depression in Dialysis Patients
Speaker: Dr. Rajnish Mehrotra
Audience: Patients
Register today.

Tuesday, October 29, 2019 at 3:00 p.m. EST
Depression in Dialysis Patients
Speaker: Dr. Rajnish Mehrotra
Audience: Dialysis facility staff, nephrologists
Register today.

Thursday, December 12, 2019 at 12:00 p.m. EST
Shared Decision Making - Renal Supportive Care
Speakers: Dr. Joan Berzoff and Jenny Kitsen
Audience: Social Workers
Register today.
CDCTrainingcdc/strive announces free infection control training courses  
The Centers for Disease Control and Prevention (CDC) has announced the launch of the first two of 11 new infection control training courses,  Hand Hygiene and  Competency-Based Training . These courses are part of the new States Targeting Reduction in Infections via Engagement (STRIVE) curriculum intended for the infection prevention team, hospital leaders, clinical educators, nurse and physician managers, environmental services managers, all patient care staff, and patient/family advisors. Additional courses will be launched over the summer. 

These training courses were developed by national infection prevention experts led by the Health Research & Educational Trust (HRET) for the Centers for Disease Control and Prevention (CDC).

All courses are free and offer continuing education (CE).

Access the new courses at the STRIVE training page.

The STRIVE curriculum will include over forty individual training modules grouped into 11 courses that focus on Foundational and Targeted infection prevention strategies.

Foundational Infection Prevention Strategies
  • Competency-Based Training (available now)
  • Hand Hygiene (available now)
  • Strategies for Preventing HAIs
  • Environmental Cleaning
  • Personal Protective Equipment
  • Patient and Family Engagement
Targeted Infection Prevention Strategies
  • Catheter-Associated Urinary Tract Infection (CAUTI)
  • Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia
  • Clostridioides difficile Infection (CDI)
  • Central Line-Associated Bloodstream Infection (CLABSI)
CMSUpdatesCMS Updates
upcoming nhsn dialysis event surveillance training webinars  
The National Healthcare Safety Network (NHSN) Dialysis Team will be providing three webinars in August for new and experienced NHSN users. Centers for Disease Control and Prevention (CDC) subject matter experts will be available to answer your questions about NHSN Dialysis Event Surveillance via the live chat box feature.

Introduction to the NHSN Dialysis Event Surveillance Protocol: National Healthcare Safety Network (NHSN) Dialysis Event Surveillance reporting is required for the Centers for Medicare and Medicaid Services (CMS) End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP). This session will provide a complete introduction to the NHSN Dialysis Event reporting requirements and the surveillance definitions necessary to complete accurate monthly reporting.

Tuesday, August 13: 3:00-4:00 p.m. EDT
Pre-registration is required.
Join the meeting online.
Participant Dial-In Number: 303.248.0285
Access Code: 6393927

Wednesday, August 14: 3:00-4:00 p.m. EDT
Pre-registration is required.
Join the meeting online.
Participant Dial-In Number: 303.248.0285
Access Code: 6393927

Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports: Learn how to apply National Healthcare Safety Network (NHSN) Dialysis Event Surveillance definitions through case studies that address common reporting questions. The session also will include an introduction to running and interpreting the most popular NHSN reports so you can review your facility's data, including Dialysis Event bloodstream infection rates.

Tuesday, August 20: 3:00-4:00 p.m. EDT
Participant Dial-In Number: 303.248.0285
Access Code: 6393927

If you have any questions, please contact us at [email protected] with 'dialysis' in the subject line.
publication of proposed rule for cy 2020 esrd pps  
The Centers for Medicare & Medicaid Services (CMS) recently announced the public display of the proposed rule for the calendar year (CY) 2020 end-stage renal disease (ESRD) prospective payment system (PPS), available online at the Federal Register. The CY 2020 ESRD PPS proposed rule includes proposed requirements for the End-Stage Renal Disease Quality Incentive Program (ESRD QIP) beginning with Payment Years (PYs) 2022 and 2023.

CMS welcomes public comment on these proposals. The public comment period will be from July 29, 2019 to September 27, 2019. Comments can be made on the CY 2020 ESRD PPS proposed rule using regulations.gov by searching for CMS-1713-P.

The Administrative Procedure Act prohibits CMS from answering any specific questions beyond details of the proposed policies or addressing your opinions about the proposed rule. CMS welcomes your comments through the formal comment submission process.
Further information about the ESRD QIP is available at CMS.gov.
esrd quality incentive program payment year 2020 preview period now open  
The End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Payment Year (PY) 2020 Preview Period opened Monday, July 22, 2019 and will close on Friday, August 23, 2019 at 11:59 p.m. PT.
 
Facilities should use this 30-day period to review their PSR and submit clarification questions or a formal inquiry. CMS recommends that facilities submit any clarification questions and/or systemic clarification questions in a timely manner in order to receive a response prior to the close of the preview period.
 
For further assistance regarding the ESRD QIP Preview Period, please visit the ESRD QIP page at www.QualityNet.org
. Check out the ESRD QIP Q&A Tool
dhhs issues memo on premium withholding issues for some medicare advantage and drug program  
A memo from the Department of Health and Human Services (DHHS) describes an error that may impact some Medicare plan enrollees.  View the memo for more information. 
ich cahps reminder and resources  
Remember to check the official web site for the ICH CAHPS Survey regularly for updated information about the ICH CAHPS Survey. Also, consider checking out the following resources: 
UpcomingEvents2Upcoming Events
Nj Sharing Network announces #donationneedsdiversity initiative with upcoming events 
The NJ Sharing Network announced the launch of its #DonationNeedsDiversity initiative to honor the generosity of multicultural donors and their families and highlight the critical need for people from diverse communities to register as organ and tissue donors. A variety of activities, events and additional ways to get involved this summer are included below. 

Live Healthy & Move
Military Park, 51 Park Place, Newark
Saturday, August 17, 12:00 p.m. - 4:00 p.m. 
This event is free and includes health screenings, fitness activities, nutrition info and family fun. Learn more. Download the event brochure

Share #DonationNeedsDiversity graphics on your Facebook, Twitter and Instagram pages.
Download graphics and see sample text for postsAdd a custom frame to your Facebook profile photo. Simply click the update button on your profile image, choose Add Frame and search for Donation Needs Diversity.

Learn more and download additional resources.
American Association of Kidney Patients (AAKP) National Patient Meeting     
Celebrating this patient organization's 50th anniversary, the AAKP National Patient Meeting is the largest event of its kind in the U.S., providing both patients and care partners with access to the most accurate and timely disease information through direct interaction, educational sessions and an extensive exhibit hall. This year's meeting agenda will focus on relevant information critical to those impacted by kidney diseases and highlight the latest in research and innovations in the renal space. AAKP will host a diverse line-up of speakers crossing all sectors of the kidney community including the Federal government; the U.S. Congress, academia; industry; allied kidney organizations and associations; patients and other various stakeholders.

September 6-8, 2019
Hyatt Regency on Capitol Hill
Washington, DC
ResourcesResources
tools icon
special edition of KCER Watch now Available
The KCER Watch June newsletter is full of important information for facilities and patients coming into the Hurricane Season. The newsletter addresses the following topics.  
  • Preparation for the 2019 Hurricane Season
  • Developing an Emergency Preparedness Plan
  • Building an Emergency Kit
  • Assembling Items for a Three-day Emergency Diet
  • ESRD NCC Patient Grant Library
  • Download for the What If... KCER Awareness Campaign
health literacy resources now available
The Agency for Healthcare Research and Quality (AHRQ) has a new section on  Health Literacy Frameworks and Models on the Health Literacy Topic page of its website. You can also find resources to help you address each of the  10 Attributes of a Health Literate Organization.
kpac offers brochure to help get the word out about new depression toolkit
The Forum of ESRD Networks' Kidney Patient Advisory Council (KPAC) has developed a brochure to help market a new Depression Toolkit.  The brochure provides an overview of the content and how to download the Toolkit from the Forum website.  Please share this brochure - preferably in color, if possible - with your patients. 
home dialysis central announces new blog
Home Dialysis Central is an online resource for all matters related to home dialysis. You can subscribe to their informative blog, KidneyViews, to receive the latest professional viewpoints on important topics affecting the care provided to people with renal disease. Recent posts include:
medication conversion guide now available
A Medication Conversion Guide was developed by members of the Medical Review Board for IPRO ESRD Network of New England (Network 1). The Forum's Medical Advisory Council (MAC) finalized and approved the Guide for national use by all dialysis facilities and providers.
 
The Guide was developed partly in response to concerns expressed by dialysis patients who did not receive their current medications while visiting other dialysis facilities.
 
This tool is intended to assist physicians to convert the dose of a medication a patient is currently receiving, to a substitute medication that is available, or less costly. Medications converted using this tool must be approved or ordered by the patient's Nephrologist, however, we encourage all care providers and patients to share this guide with their care teams.

Download the free guide

 
Executive Director
Quality Improvement Director
Quality Improvement Coordinator
Patient Services Director
Patient Services Coordinator
Data Manager
Data Support
 
 
Cranbury Gates Office Park
109 South Main Street,  Suite 21 
Cranbury, NJ 08512 
(609) 490-0310 
(888) 877-8400 (patients only) 
(609) 490-0835 (fax) 
This material was prepared by Quality Insights Renal Network 3 under contract with the Centers for Medicare & Medicaid Services (CMS). The contents do not necessarily reflect CMS policy. 

Publication No. ESRD3-080919