COVID-19 Hub

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We are following the developments of the Coronavirus Disease (COVID-19) and the monitoring by the Centers for Disease Control and Prevention (CDC).  We will continue to collect and share information and resources on this page to support our renal healthcare professionals and facilities.  


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CDC Resources


CDC Situation Summary 
This is a rapidly evolving situation and CDC will provide updated information as it becomes available, in addition to updated guidance. Updated daily.

CDC Information for Healthcare Professionals 
Includes information and guidance for persons under investigation (PUI), clinical care, infection control, protective equipment, and home care guidance. 

Nursing Home COVID-19 Data Dashboard - updated 1/20/21


    CDC Information and Resources for Hemodialysis Facilities and Patients 



    CDC Information for Healthcare Facilities 
    Resources for clinics and healthcare facilities to prepare and respond to the community spread of coronavirus disease (COVID-19). 


    Additional CDC Resource Links
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    CMS Resources


    CMS Current Emergencies Website 
    Visit this page to keep up with the important work CMS is doing in response to Coronavirus Disease (COVID-19).

    CMS - Re-Opening Healthcare Facilities 

    CMS - Coronavirus Waivers & Flexibilities 

    CMS Relief for Quality Reporting Programs - CROWNWeb and QIP info included
    • Nursing Home Five Star Quality Rating System Updates - FAQ - 4/24/20
    • Announcement - 3/22/20
    • Provider Enrollment Relief FAQ - 3/23/20
    • The NRAA government affairs team has outlined details included in reference to CROWNWeb and QIP reporting:
      • For 2019, deadlines for October 1, 2019 -December 31, 2019 (Q4) data submissions are optional. If Q4 data is submitted, it will be used to calculate payment (where appropriate). If Q4 data is not able to be submitted, then 2019 performance will be calculated based on data from January 1, 2019 - September 30, 2019 (Q1 - Q3) and available data.
      • For 2020, CMS will not count data from January 1, 2020 through January 30, 2020 (Q1 - Q2) for performance or payment programs. Therefore, facilities do NOT need to submit data for this time period.

    CMS New Targeted Plan for Healthcare Facility Inspections - 3/23/20

    CMS Clinical and Technical Guidance for Health Care Facilities


    Medicare and Other Coverage Guidance

    Medicaid and Childrens' Health Insurance Program (CHIP) Resources

    CMS Coronavirus (COVID-19) Partner Toolkit
     - updated 3/19/20
    CMS has developed this toolkit to help you stay informed on CMS and HHS materials available on the COVID-19. Please share these materials, bookmark the page, and check back often for the most up-to-date information. 

    CMS Podcasts and Transcripts 
    Page to listen to the audio files and read transcripts for the COVID-19 Stakeholder calls.

    For CMS Issued Materials on Medicare Telehealth - Click Here 

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    Telehealth Guidance


    As you know, telemedicine and virtual care has become a key resource in the COVID-19 strategy. CMS and private payers have taken significant steps in recent days to provide coverage, privacy and payment guidance on the use of telemedicine (including phone calls).  The NRAA team has assembled the following list of resources:

    Press Releases

    The Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) released an Express message that includes: 

    CMS Issued Materials on Medicaid & CHIP Telehealth:

    CMS Issued Materials on Medicare Telehealth: 


    HIPAA:  Effective immediately, the HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations against health care providers that serve patients in good faith through everyday communications technologies, such as FaceTime or Skype, during the COVID-19 nationwide public health emergency. 


    Telehealth Legal Resources 


    Practice Guidelines & Additional Telehealth Resources

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    Other Resources


    Agency Updates 

    CARES Act 
    Attestation Portal is Open - 4/16/20 
    • Providers who have been allocated a payment from the initial $30 billion general distribution must sign an attestation confirming receipt of the funds. 
    HHS Announces Immediate Infusion of $30 Billion into Healthcare System - 4/9/20

    Other Resources

    Transportation and Cleaning 
    resources received from Kidney Community Emergency Response (KCER)


    Training Materials

    National Emerging Special Pathogens Training and Education Center (NETEC)
    Collaboration between Emory University, University of Nebraska Medical Center/Nebraska Medicine and the New York Health and Hospital Corporation, Bellevue Hospital Center. 

    NETEC offers a variety of online training and resources including: 

    Online Training - World Health Organization (Free, must create an OpenWHO account)


    Infection Prevention 

    CDC Resources 

    Other Resources
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    Mental Wellness


    FOR EVERYONE

    FOR COMMUNITIES

    FOR FAMILIES AND CHILDREN

    FOR PATIENTS

    The Coalition for Supportive Care for Kidney Patients has developed communication tools and resources to help clinicians respond to patients who are feeling stress, vulnerable, and scared during this pandemic.

    Additional Communication Tools for Patients and Families


    FOR PROVIDERS AND HEALTHCARE WORKERS


    FOR FIRST RESPONDERS 



    PAST EVENTS

    PCSS Clinical Roundtable - Taking Care of Yourself Using Mindfulness and Other Techniques = 4/23/20

    Managing Your Healthcare Providers' Mental and Physical Wellness in the Time of COVID-19 - 4/29/20
    Presented by Sepsis Alliance 

    CDC: Psychological First Aid: Addressing Mental Health Distress During Disasters - 4/22/20
    Hosted by CDC Emergency Partners Information Connection (EPIC)
    Presentation Slides 

    Managing Your Mental Health During the COVID-19 Pandemic - 4/7/20
    Presented by Society of Critical Care Medicine
    Recording Available Here 

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    Latest Discussions List

    • Posted in: Voices Community

      I know when we have done this type of hire in the past, we typically hire at $2-3/hr lower than our starting PCT rate, depending on comparable experience, and then also write an agreement whereby after so many months of service and successful completion ... More

    • Posted in: Voices Community

      I recommend you look for dialysis tech positions on Indeed.com in your area/state and use that marketplace as a benchmark for your hourly pay bands. If you recognize/value the nursing assistant experience in your dialysis center - then you might want ... More

    • Posted in: Voices Community

      I don't believe we can share actual rates in this forum. However what you seek is probably more of a function of your locality than anything else. In other words, San Francisco and New York are Likely to have wages much higher than the rest of us and ... More

    • Posted in: Voices Community

      Good morning, Would like to know your starting pay for a dialysis tech for on the job training. I have hired a nursing assistant that has 6 yrs experience and plan to train her for dialysis tech. Not sure if wage offered by HR is where it should be ... More

    • Posted in: Voices Community

      Sharing an update from the Centers for Disease Control and Prevention Yesterday,   CDC and FDA recommended a pause   in the use of the Johnson & Johnson (Janssen) COVID-19 vaccine pending an investigation into six reported U.S. cases ... More

    • Posted in: Voices Community

      Agree with Deb that transitional is way to go- we've done transitional and incorporated KDE into transitional education to some extent (working on expanding it)- we mostly use NP to help with KDE in 1 st 6 months. It is now feasible to be paid for KDE ... More

    • Posted in: Voices Community

      Jena, Transitional start is a great way to offer education to new dialysis patients!  The outcomes from those programs have shown an increased uptake in hoe dialysis options and a reduction in hospitalizations in the first 90 days.  Currently the "formal" ... More

    • Posted in: Voices Community

      Noridian notified us that there would be a hold starting April 1. (Noridian is our Medicare intermediary.) Our billing service sent me this: " Medicare is going to put a temporary hold on claims with 4/1/2021 and later dates of service pending ... More

    • Posted in: Voices Community

      It's not because of the D6 or time on dialysis. That has been put on hold. Did you call your MAC? There were issues with Feb claims and they put a hold on them but they have since paid ours at least. We have CGS as our MAC. Sent from my phone, ... More

    • Posted in: Voices Community

      Hi everyone All our March claims got rejected today. I dont know if anyone is aware of any changes, as of April, that should be added to the claims. I know that at one point CMS was saying they will need to know the length or duration of the treatment. ... More

    • Posted in: Voices Community

      Kareem, Holding a med is a physician call, but it does depend on the medication itself(is it dialyzed off), and the pt.'s reaction to the medication(for example B/P meds). It is done on a case by case basis. It is something that should be looked at ... More

    • Posted in: Voices Community

      This is a physician decision in our institution. That being said, we are an IP program. Take care, Jackie Chandler Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended ... More

    • Posted in: Voices Community

      One of the dialysis things that we are focusing on for TJC is how nurses are holding medications that are dialyzed before dialysis.  Is there a general rule for how soon before dialysis a medication that is known to be dialyzed can be given (I understand ... More