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

      July 11, 2024 . On November 30, 2023, the Centers for Medicare & Medicaid Services (CMS) updated Form CMS-2728 (also known as the End Stage Renal Disease (ESRD) Medical Evidence Report Medicare Entitlement and/or Patient Registration) on ... More

    • Posted in: Voices Community

      Hello, Anyone else facing supply issues with Venofer or Ferrlecit? There seems to be uncertainty as to how much stock (of iron sucrose) we would receive and when we might receive it. Are you having similar experience? What alternatives are you considering? ... More

    • Posted in: Voices Community

      The Centers for Medicare & Medicaid Services (CMS) reminds you that the Payment Year (PY) 2025 End Stage Renal Disease Quality Incentive Program (ESRD QIP) Preview Period is scheduled to open on Monday, July 15, 2024, and close on Thursday, August 14, ... More

    • Profile Picture

      RE: Blood Leaks

      Posted in: Voices Community

      I would also recommend any time there is a product question that you complete the FDA Medwatch report - MedWatch: The FDA Safety Information and Adverse Event Reporting Program | FDA This tool allows for detection if there are any national trends ... More

    • Posted in: Voices Community

      Adrian, First...I love that you are looking to incentivize good performance rather than focusing on the bad behavior! I do have a question about the thought of # of patients on/off...would that tend to promote "shortcuts" in policy/procedure practices? ... More

    • Profile Picture

      RE: Acid Mixers

      Posted in: Voices Community

      As Stacy said, the only current vendors I am aware of for acid mixers are Fresenius and Rockwell. I remember in years past when you signed an agreement and a mixer was supplied as part of that agreement for so many years, now both companies charge for ... More

    • Posted in: Voices Community

      Hi Adrian, Curious if you implemented any of this and what the result was? I think alot of our clinics have some of the same issues you are referring to. As I was reading through I was thinking about a couple of things that could come up if you decide ... More

    • Profile Picture

      RE: Acid Mixers

      Posted in: Voices Community

      Adrian, Currently we order all of our acid mixers from Fresenius. I know that Rockwell sells them as well. Like Deb, I am not aware of other vendors. ------------------------------ Stacy Vice VP, Clinical Quality and Compliance Rendevor Dialysis ... More

    • Profile Picture

      RE: Blood Leaks

      Posted in: Voices Community

      Have you been experiencing these issues since the change of the Optiflux port caps? When Fresenius made that change we did have some units experiencing issues with clotting due to not correctly moving the caps from the blood ports to the dialysate ports. ... More

    • Posted in: Voices Community

      REGISTRATION IS NOW OPEN! RHA Proposed Rule Review Webinar Tuesday, July 16th at 4 p.m. ET. Join Mehlman Consulting and ATI Advisory for a webinar to review the CY 2025 ESRD PPS proposed rule. Presenters will walk through key policy changes ... More

    • Posted in: Voices Community

      The Centers for Medicare and Medicaid Services (CMS) released its proposed rule and corresponding fact sheet/press release on June 27, 2024. CMS also released the CY 2025 ESRD PPS & AKI Wage Index File (Addendum A), AKI Facility level ... More

    • Profile Picture

      RE: Blood Leaks

      Posted in: Voices Community

      Thanks I have done this, still waiting for their response -- *Sincerely,* *Olawanle Turton, RNM , BSN* *RN Manager* *Kidney Dialysis Unit* *Deer's Head Hospital Center* *Salisbury, MD* *410-543-4132* * olawanle.turton@maryland.gov < olawanle.turton@maryland.gov ... More

    • Profile Picture

      RE: Blood Leaks

      Posted in: Voices Community

      Olawanle, You should reach out to your Fresenius rep and make them aware-and if possible provide the lot numbers. They have a process to monitor such events so if everyone reports them they can identify trends and potential problems quicker. ------------------------------ ... More

    • Posted in: Voices Community

      There are state scope of practice that could dictate the practice of technician's at home and working independently. Nurses do not fall under this requirement as their nursing license would cover this scope of independently providing care. If the technician ... More

    • Profile Picture

      Blood Leaks

      Posted in: Voices Community

      I am wondering if any unit is having issues with blood leaks, I use Optiflux dialyzers, 160, 180, 200 and 250 series, and I use Fresenius 2008K series. My unit has 8 incidents from February to June this year. Please let me know if any facility is experiencing ... More

    • Posted in: Voices Community

      This morning in our weekly meeting someone from next stage said that staff is to support at home support for 3 days post completion of training? Is this new? Kathe Lorance MSN, APN, RN Nurse Manager Acute Dialysis, Home Dialysis ... More

    • Profile Picture

      Staff assisted HHD

      Posted in: Voices Community

      I am hearing more chatter in the industry about facilities providing staff assisted home hemodialysis. I am curious to know more about it. Does anyone have any intel they can share? Technician's or RN's? Tips for success? ------------------------------ ... More

    • Profile Picture

      RE: Acid Mixers

      Posted in: Voices Community

      Adrian, I am only familiar with Fresenius and Rockwell, but I am sure there are more. Can anyone share other vendors? ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Diality, Inc. dcote@diality.com ------------------------------ More

    • Posted in: Voices Community

      Every summer, the RHA Governance Committee accepts self-nominations from potential dynamic leaders interested in leading RHA into the future. This is a time-consuming commitment, but the satisfaction of being able to influence potential changes in your ... More