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Welcome to the October issue of the Quality Insights Renal Network 4 e-newsletter. In this issue, we bring you information about, updated recommendations for measles in healthcare settings, an update on antibiotic use in the United States, upcoming webinar opportunities, CMS updates, upcoming events and more. We encourage you to  contact us with any questions, concerns or suggestions.  
TopicoftheMonthFACILITY-LED PATIENT EDUCATION TOPIC OF THE MONTH: Get Involved with the Network 

We will provide a Network 4 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.
 
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.
 
AntibioticUseUpdate on antibiotic use in the united states: progress and opportunities  
Last month the Centers for Disease Control and Prevention (CDC) released Antibiotic Use in the United States: Progress and Opportunities, 2018 Update, which is an update to CDC's 2017 antibiotic stewardship report. Improving antibiotic use is important to effectively treat infections, protect patients from harms caused by unnecessary antibiotic use, and combat antibiotic resistance, one of the most urgent threats to the public's health.

Progress has been made in improving antibiotic prescribing and use, but many opportunities remain. Help spread the word about this updated report by:
  • Reading the report. This updated report highlights data from 2018 studies, program activities, and resources related to antibiotic prescribing and use in healthcare settings.
  • Sharing the report broadly with your network and partners. This report also includes examples of antibiotic stewardship improvements in outpatient, inpatient, and long-term care settings from healthcare facilities and organizations across the country. 
  • Joining the conversation about antibiotic stewardship on social media. Like and share CDC's antibiotic stewardship content on LinkedIn and Twitter (@CDC_NCEZID).
 
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 is providing a series of free webinars targeted to patients, dialysis facility staff, and nephrologists. The webinars isseminate findings from Patient-Centered Outcomes Research Institute (PCORI) studies. Registration is required for each webinar and continuing education credit will be provided to nurses and social workers, for some of the events.* See additional details below:

Tuesday, October 29, 2019 at 3:00 p.m. EST
Depression in Dialysis Patients - For Dialysis Professionals
Speaker: Dr. Rajnish Mehrotra
Audience: Dialysis facility staff, nephrologists
*Continuing Education Credit offered to all nurses and social workers
Wednesday, November 13, 2019 at 12:00 p.m. EST
Patient Peer-Mentoring - For Dialysis Professionals
Speaker: Dr. Nasrollah Ghahramani
Audience: Dialysis facility staff, nephrologists
*Continuing Education Credit offered to all nurses and social workers
Thursday, November 21, 2019 at 5:00 p.m. EST
Patient Peer-Mentoring - For Patients
Speakers: Dr. Nasrollah Ghahramani
Audience: Dialysis Patients
*Continuing Education Credit NOT OFFERED
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
*Continuing Education Credit offered to all nurses and social workers
 
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
 
nhsn to begin Collecting Individual dialysis event dates in 2020  
The National Healthcare Safety Network (NHSN) will begin collecting individual dialysis event dates in 2020. Currently, related events are reported on one form, with one event date (for example, positive blood culture and a related IV antimicrobial start). NHSN is moving toward collecting an individual event date for each event type, even if the events are related. Individual event date fields will be optional in 2020 and required by 2021. Download this overview from the Centers for Disease Control and Prevention (CDC) to learn more.  For questions, please email [email protected] and put "dialysis" in the subject line.
 
Transition Period for new medicare card ends soon  
Starting January 1, 2020, you must use the Medicare Beneficiary Identifier (MBI). Claims submitted with the Health Insurance Claim Number (HICN) will be rejected, with a few exceptions and reject all eligibility transactions. Protect your patients' identities by using MBIs now for all Medicare transactions. Ask your patient for his or her card. If he or she did not get a new card, give them the Get Your New Medicare Card flyer in English or Spanish. For more information, see the MLN Matters article.
 
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: 
EducationEducation
 
Free CEU Opportunity: NAHQ Webinar on Surveys  
Join the National Association for Healthcare Quality (NAHQ) for a complimentary webinar, Looking Ahead to 2020: Preparing for Surveys in the New Year on November 6 from 12:00 to 1:00 p.m. CT. 

This Industry Insights webinar will review trends and patterns in The Joint Commission and CMS survey findings, while outlining the best way to prepare for routine and for-cause surveys in the coming year.

Webinar participants will learn how to:
  • Implement new and revised Joint Commission and CMS requirements
  • Manage leadership expectations with respect to survey results in the new year
  • Design an effective approach to survey preparation and response
Speaker:
Bud Pate, VP, Compliance Content, The Greeley Company

resourcesESRD Resources
 
latest edition of kcer watch now available   
The KCER Watch September newsletter is full of important information for facilities and patients coming into the Hurricane Season. The newsletter addresses the following topics.  
  • National Preparedness Month
  • KCER Emergency Preparedness Week
  • Storm Surge Danger
  • Emergency Preparedness Planning for the Kidney Community
  • Rx Open is Ready to Help in the Event of an Emergency
  • Don't Be a Victim: Avoid Fraud after the Storm
 
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610 Freedom Business Center,  
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King of Prussia, PA 19406 
(610) 265-2418 
(800) 548-9205 (patients only) 
(610) 783-0374 (fax) 
IMPORTANT NOTE:
This bi-weekly e-newsletter will serve as our primary method of communicating important news and updates. We encourage you to visit our Web site for the most up-to-date information or to contact us with questions, comments or suggestions.
 
This material was prepared by Quality Insights Renal Network 4 under contract with the Centers for Medicare & Medicaid Services (CMS). The contents do not necessarily reflect CMS policy.

Publication No. ESRD4-102219