COVID-19 Information 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

    • Profile Picture

      RE: Bloodline length

      Posted in: Voices Community

      Dani, Thank you so much for those details, greatly appreciated/ ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Diality, Inc. dcote@diality.com ------------------------------ More

    • Posted in: Voices Community

      The difference between the extended and standard lines lies within the segment from the patient to the machine. As such, the difference between the standard and the long is typically 18 inches per segment difference (e.g., standard 62", long 80" patient ... More

    • Profile Picture

      RE: Bloodline length

      Posted in: Voices Community

      Thank you all so much for your input, it is very helpful. This is why RHA Voices rocks! If anyone has any specifics on the actual length or volume of the regular and extended length that would be a big help as well. I don't need proprietary names, ... More

    • Posted in: Voices Community

      We are not having any issues here in Austin either. Pam Heise, MSN, RN, BBA, CPN, CNN Assistant Clinical Director Renal & Apheresis Texas Children's Hospital North Austin 9835 ... More

    • Posted in: Voices Community

      so we have not had any problems with our dialysis units ordered ferrlecit or venofer from Cardinal, but my home nurses are telling me the hospital has notified them that there is a supply issue with getting venofer so sounds like this is more a hospital ... More

    • Posted in: Voices Community

      Agree with the group. We use the Streamline for the outpatient units and the longer lines (combisets) for the acute program for the reasons stated. and Yes, we are also having to subsidize our streamline backorders with combisets - which has been ... More

    • Posted in: Voices Community

      I echo Cappy's comments. I, too, was informed that BBraun will only sell to their contracted facilities. I have started using alternative lines from the two other vendors (FMC and Nipro). Also, there is a low volume for our pediatric from FMC that we ... More

    • Profile Picture

      RE: Bloodline length

      Posted in: Voices Community

      Yes.... we faced the back order issue with Streamline as well. We were told they had no timeline on when they may be able to supply us with the amount we needed and advised us to switch to a different blood tubing. We converted over to Combiset approx ... More

    • Posted in: Voices Community

      We use long lines in acute units and regular length in chronic units. Though we use Streamline which has back order issues that should last until October. Anyone else facing this issue? Interestingly, the company is going to stop allowing product ... More

    • Posted in: Voices Community

      Thank you Rob. That is very interesting. We are a hospital-based provider. Get Outlook for iOS More

    • Posted in: Voices Community

      Jayesh, We have not been experiencing any supply shortages that I have heard of. We are currently primarily using Venofer and are ordering from Cardinal. Hope your issue has been resolved! ------------------------------ Stacy Vice VP, Clinical Quality ... More

    • Profile Picture

      RE: Bloodline length

      Posted in: Voices Community

      Deb, We also used the extended tubing lengths in our acute settings. Chairside we have not had issues with the standard length tubing. ------------------------------ Stacy Vice VP, Clinical Quality and Compliance Rendevor Dialysis Austin TX 5125998022 ... More

    • Posted in: Voices Community

      Deb, we use the extended bloodlines in the acute setting. ------------------------------ Rob Bomstad Administrator/CEO Dialysis Centers of Northwest Arkansas, LLC Fayetteville AR (479) 463-7000 ------------------------------ More

    • Posted in: Voices Community

      Good morning, I have been told that the shortage is specific to hospitals. This info likely needs to be verified. If you are a hospital based provider, there may be some challenges. We are not hospital based and we not had any issues with procuring ... More

    • Posted in: Voices Community

      We do dialyze some of our patients in bed in my units, we do not have any issues with the length of the bloodlines. Our staff set the machines up close to patient HD access. ------------------------------ olawanle Turton RN Manager Deer's Head Hospital ... More

    • Posted in: Voices Community

      In our ministry, our outpatient setting using the standard length lines and for our acute dialysis setting we use the blood lines that have extended length. You're correct that in the acute setting, the room space dictates how the patient will be oriented ... More

    • Posted in: Voices Community

      We were made aware of a Venofer shortage in May, and just completed a transition to Ferrlecit. I haven't heard of a Ferrlecit shortage yet, but seems to make sense. Our hospital-wide pharmacy shared this with us in May in regard to Venofer: We ... More

    • Posted in: Voices Community

      Thank you Deb and Becky. As of now, we have less than half the supply needed for August iron dosing and no certainty that our needs will be met. Who do you buy it from? Maybe we need to look at another distributor. We have started ... More

    • Posted in: Voices Community

      same - i haven't heard of this from our organization either ------------------------------ Becky Berg Director of Renal Services Sanford Dialysis - Fargo Region Thief River Falls MN (218) 683-4243 ------------------------------ More

    • Posted in: Voices Community

      Jayesh, This is the first I have heard of the shortage. It's been a week, have you found a solution? Does anyone else have any suggestions for our colleague? ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Diality, Inc. dcote@diality.com ... More