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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The discussion thread is for
Renal Healthcare Association
Members only.

Latest News 

May 17 - [FEMA] Release of the COVID-19 Pandemic Operational Guidance: All-Hazards Incident Response and Recovery
>> FEMA Webinars on Pandemic Operational Guidance, June 2021

May 15 - [CDC] Pediatric Healthcare Professionals COVID-19 Vaccination Toolkit

May 14 - [CMS] Fact Sheet: Medicaid & CHIP and the COVID-19 Public Health Emergency

May 13 - [CDC] Interim Public Health Recommendations for Fully Vaccinated People

Vaccine Information Page - Click Here


Upcoming Events

HHS We Can Do This Campaign - COVID-19 Vaccine
Rural Communities Toolkit Webinars
June 15 - July 8, 2021
View Campaign Details Here

COVID-19 Partner Update

A Call to Action: Mobilizing American to Vaccine Against COVID-19
Monday, June 21  |  3 - 4 pm ET
Click here to register



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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

      We worked with our local hospital (at their request) to develop standard protocols to include our dialysis baths, dialyzers, flow rates, etc. using drop down windows for the physicians to make the treatment selections.  The Nephrologists still have to ... More

    • Posted in: Voices Community

      Hello members, Angelini Pharma, Inc. has a surplus of short-dated Bleach Wipes. These individually-packaged wipes are 1:10 (5000ppm) dilution of chlorine. They expire in December 2021. These wipes are EPA-registered and have a broad spectrum of microbe ... More

    • Posted in: Voices Community

      Hi Amy, We require the acute orders to be written each treatment based on the acuity and condition of the patient at that time. With that being said, we obtain a copy of the OP Kardex with medications and treatment orders for the Nephrologists ... More

    • Posted in: Voices Community

      Hi Amy, I have not used a protocol for this either. Because of the inherent "unstable " clinical presentation with ESRD inpatient admissions, we require the nephrologist to assess the patient first and if the nephrologist sees no contraindications, ... More

    • Posted in: Voices Community

      We have Nephrologists in the City (Twin Cities), who want to use this, though to date we have not allowed.  Daily assessments and orders need to be written, based on patient acuity and changes in patient status.  We do try to get patient close to their ... More

    • Profile Picture

      ETC

      Posted in: Voices Community

      Hi,  One of our clinics was selected for the ETC model and unfortunately does not fall into the HRR of the hospital with our Home program. When reviewing the ETC model it indicates that half credit will be given for incenter patients that meet a certain ... More

    • Profile Picture

      acute Tx protocol

      Posted in: Voices Community

      ​Hi, I was wondering if anyone had heard of, or utilized a protocol for inpatient treatment orders for patients established in outpatient centers when admitted to the hospital. Thanks, ------------------------------ Amy Marthenze MBA, BSN, RN System ... More

    • Posted in: Voices Community

      COVID-19 Partner Update - June 21, 2021 A Call to Action: Mobilizing America to Vaccinate Against COVID-19  Please join our monthly partner call for updates on the COVID-19 response, including new resources for the private sector and the general ... More

    • Posted in: Voices Community

      HHS We Can Do This Campaign Thursday, June 17 th , 1:00-1:30 pm ET: Rural Communities Toolkit The HHS   We Can Do This   campaign is a national initiative working hand in hand with trusted leaders and community organizations to continue to build ... More

    • Posted in: Voices Community

      When you submit your patient Data and Vaccination, you select "dialysis" under the 'Select Component' on the initial page. To enter staff vaccination, you must select "Healthcare Personnel Safety" under the 'Select Component'. It opens up to a page where ... More

    • Posted in: Voices Community

      I am so sorry I didn’t clarify my post You are correct There are 3 areas to report Patient and healthcare worker vaccination and weekly Covid testing Sent from my iPhone More

    • Profile Picture

      RE: NHSN COVID DATA

      Posted in: Voices Community

      I have looked and looked for the healthcare tab and haven't found it! Cara Giglia, RN Clinical Nurse lll Dialysis _______________________________________________________________ Saint Francis ... More

    • Posted in: Voices Community

      WHERE is the healthcare worker tab in the dialysis component? I have the personnel safety data reporting but am not finding the healthcare worker tab in the dialysis component. Karri Karri Hoopes, RN Dialysis Manager ... More

    • Posted in: Voices Community

      Hi David, Thanks for your input. ------------------------------ Chad Ballard Director of Strategy and Physician Relations Central Florida Kidney Centers Orlando FL (407) 843-6110 x1016 ------------------------------ More

    • Posted in: Voices Community

      Hi Caprice, I agree and thank you for the information. ------------------------------ Chad Ballard Director of Strategy and Physician Relations Central Florida Kidney Centers Orlando FL (407) 843-6110 x1016 ------------------------------ More

    • Posted in: Voices Community

      Hi Julie, Good to hear from you as well!  I totally agree about the person being a true patient advocate.  If we go that direction, I would look for those qualities in a candidate. Thank you for the information. ------------------------------ Chad ... More

    • Posted in: Voices Community

      Hi Maria, Thanks for the information.  We are trying to make a determination on which direction we want to take and the responsibilities of this position.  This will help in the decision making. Chad ------------------------------ Chad Ballard Director ... More

    • Posted in: Voices Community

      Here is what was sent out via our Network regarding NHSN reporting - it does appear that staff reporting is mandatory.  NHSN NEW COVID-19 VACCINATION REPORTING RESOURCES! CMS is requiring reporting of weekly COVID-19 vaccination patient and staff ... More

    • Posted in: Voices Community

      Same here Chad, our social workers handle this duty. Sent from my phone, please forgive any typos Thank you This email and its attachments may contain privileged and confidential information and/or protected health information (PHI) ... More

    • Posted in: Voices Community

      Chad, we do have financial advisors as we are a hospital based unit, BUT that being said, it is our dialysis social workers who do this work not the financial advisors.  I agree that who ever is in this role, needs to be detailed, search out financial ... More