Download NetLink - End Stage Renal Disease Network of Texas, Inc.

NetLink
January 2016
Inside this Issue:
2016 QIP Quality
Improvement
Project
2
2016 Patient
Engagement
Calendar
2
CROWNWeb Data
Management
Guidelines
3
Finalized PY 2018 5
Reporting Measure
5-Diamond Patient 6
Safety Program
KCER/FDA Alerts
7
KCER Disaster
7
Calendar
8
Patient’s Corner
9
New FFCL Tools for Access Planning
and Monitoring
New additions to the vascular access planning and monitoring toolkits are
now available for download on the ESRD National Coordinating Center
(NCC) website. These tools were developed by the Fistula First Catheter
Last (FFCL) Workgroup Coalition and focus on planning for a vascular
access, fistula maturation, and graft healing.
The "Vascular Access Planning Guide for Renal Professionals" is a
comprehensive guide with all the steps in planning for and placing an
arteriovenous (AV) fistula or an AV graft. It is a companion resource to
Lifeline for a Lifetime: Planning for Your Vascular Access, the access
planning guide for use in educating patients. The "Ready Set Go" tools
were designed to aid renal professionals in understanding the stages of
fistula maturation and graft healing and to help them educate patients
with companion patient resources.
The Lifeline for a Lifetime complete vascular access planning and
monitoring toolkits for patients and renal professionals include:
 Easy access to downloadable PDFs for patients and
professionals
 Videos that can be downloaded and saved for continued use
Many patient resources are available in English and Spanish. These
materials are available in one central location through the ESRD NCC's
website at http://esrdncc.org/professionals/lifeline-for-a-lifetime/esrd-ncc
-resource-downloads/?orderby=create_date&order=asc.
Now Available for Download
Page 2
NetLink
January 2016
2016 QIP Quality Improvement Project
This year, 2016, will see the addition of a quality improvement activity centered around the QIP.
The base year of the new contract will work on the topic of Hypercalcemia performance. ESRD
Network 14 will select 10 or more facilities in Texas that achieved the poorest performance on the
Hypercalcemia measure, and these facilities will work with the Network to build performance in this
area. Previously, selected facilities were generally enrolled in a project for the entire year. This
project, however, allows the facility to exit the project once success is quantified. At that time,
facilities that have met the improvement target of at least 25% relative improvement from baseline
or exceed the ESRD QIP penalty threshold will be able to exit the project, and ESRD Network 14 will
select facilities to replace those that have shown improvement.
2016 Patient Engagement Calendar
The Patient Engagement Calendar will not be updated for 2016. However, the handouts will remain
on our website, and we encourage you to use them in your annual patient education plans.
Like us on Facebook.
To access go to www.facebook.com and
log in to your account. Look under “liked
pages,” and type in ESRD Network of
Texas.
Follow us on Twitter
@ESRDNetworkofTX
The ESRD Network 14 NetLink is created and published under CMS contract number:
HHSM-500-2016-NW014C
End Stage Renal Disease Network of Texas, Inc. (aka: ESRD Network 14)
4040 McEwen Road, Suite 350 * Dallas, Texas * 75244
www.esrdnetwork.org * info@nw14.esrd.net
NetLink
Page 3
January 2016
CROWNWeb Data Management Guidelines
New CMS Rules
Effective January 1, 2016, CMS will implement a new set of rules for managing your facility and patient data in CROWNWeb. The CROWNWeb Data Management Guidelines are intended to streamline
the data validation process and increase the accuracy of CROWNWeb data. The CROWNWeb Data
Management Guidelines must be followed by all Medicare-certified dialysis facilities, whether or not
they are part of a batch submitting organization (e.g., DaVita, FMC, DCI, and NRAA).
Things to know:
 Tier 1 refers to facility-level CROWNWeb users.
 Deadlines for certain CROWNWeb data validation exercises have been changed.
 These guidelines are intended for all Medicare-certified dialysis units.
The guidelines are divided into three phases: Monitoring, Measuring, and Managing. All tasks that
facility-level CROWNWeb users are responsible for executing are listed in the tables.
Monitoring
CROWNWeb Section
Facilities
Personnel
Reports
Task in CROWNWeb
Monitor Facility Attestation
Monitor Facility Details
Review Personnel Information
Authorized Tier
Tier 1, Tier 2, Tier 3
Tier 1 and Tier 2
Tier 1
Generate Missing Forms and Saved Status
Reports
Tier 1 and Tier 2
Measuring
CROWNWeb Section
Reports
Task in CROWNWeb
Generate Open Accretions Report
Generate Open Notifications Report
Authorized Tier
Tier 1, Tier 2, Tier 3
Tier 1, Tier 2, Tier 3
Continued on page 4...
DO NOT EMAIL any patient-specific
information (name, date of birth, Social
Security Number, etc.) to the Network 14 office.
Page 4
NetLink
January 2016
…Continued from page 3
Managing
CROWNWeb Section
Facilities
Patients
Personnel
Clinical
Action List
Form 2744
Task in CROWNWeb
Authorized Tier
Submit Facility Attestations
Update Facility Details
Admit and Discharge Patients
Admit and Discharge Transient Patients
Complete CMS-2728 and CMS-2746 Forms
PART Verification
Tier
Tier
Tier
Tier
Tier
Tier
1
1 and Tier 2
1* and Tier 2
1*
1, Tier 2, Tier 3**
1
Resolve Gap Patients
Tier 1 and Tier 2
Add Key Personnel
Manage Clinical
Resolve Action List Notifications and Accretions
Add New CMS-2744A Forms
Add New CMS-2744B Forms
Add New CMS-2744A Forms for Closed Facilities
Tier
Tier
Tier
Tier
Tier
Tier
1 and Tier 2**
1*
1, Tier 2, Tier 3**
1
1 or Tier 2
1
*These tasks may be performed by the facility’s batch submitting organization, but it is the facility’s
responsibility to make sure the tasks have been executed timely and accurately.
**Tier 2 and/or Tier 3 will not execute tasks for facilities that can and should perform the tasks,
which include adding key personnel, completing CMS forms, and resolving Action List items.
The CROWNWeb Data Management Guidelines can be downloaded from www.mycrownweb.org or
from the ESRD Network 14 CROWNWeb page at http://esrdnetwork.org/professionals/qip/
crownweb/. The Network strongly encourages all facilities to download these guidelines and train all
facility-level CROWNWeb users on the new requirements and deadlines.
If you have any questions, please feel free to contact the Information Management Department at
972-503-3215, option 4, or crownweb@nw14.esrd.net.
DO NOT email patient-specific information (Name, DOB, SSN,
etc.) to the Network office.
Page 5
NetLink
January 2016
The new year marks a time for reflection and setting of new goals. The ESRD QIP is no different.
Performance year 2016/Payment year 2018 features the most robust version of the ESRD QIP yet.
As we begin 2016, we will focus on the newest measures each month. The first measure we will
focus on has a data collection period that began in October 2015. Below are the technical
specifications for NHSN Healthcare Personnel Influenza Vaccination:
Finalized PY 2018 Reporting Measure
NHSN Healthcare Personnel Influenza Vaccination
NHSN Healthcare Personnel Influenza Vaccination Reporting
Measure
Description
Exclusions
Data Sources
Additional
Information
Facility submits Healthcare Personnel Influenza Vaccination Summary Report to CDC’s NHSN system, according to the specifications of the
Healthcare Personnel Safety Component Protocol, by May 15, 2016
Based on NQF #0431
1. Facilities with a CCN open date after January 1, 2016
1. NHSN
2. REMIS, CROWNWeb, and other CMS ESRD administrative data (form 2744 to
obtain facility type and certification date)
1. A “qualifying healthcare personnel” is defined as an employee, licensed
independent practitioner, or adult student/trainee/volunteer who works
in a facility for at least one day between October 1, 2015 and March 31,
2016 (designated as the “flu season”)
2. NHSN Summary Reports submitted by May 15, 2016 would document
actions taken during the flu season that spans October 2015 to April
2016, and would count toward facilities’ PY 2018 NHSN Healthcare Personnel Influenza Vaccination reporting measure scores
3. Additional information about the Protocol and Summary Report can be
found at: http://www.cdc.gov/nhsn/PDFs/HPS- manual/vaccination/HPSflu-vaccine-protocol.pdf.
Page 6
NetLink
January 2016
Network 14’s 5-Diamond Patient Safety Program
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5 DIAMOND STATUS
1 DaVita Facility in El Paso
Ameri-Tech Kidney Center Bedford
Christus Children’s Kidney Center
Cielo Vista Dialysis
Dialysis Services of West Texas
FMC Austin South
FMC Greenway Kidney Center
FMC West Seguin
Global Dialysis Plus
Home Kidney Care
Liberty Dialysis Bryan
NNA Marble Falls
Plaza Drive Dialysis
RCG Center Dialysis
Reeves County Hospital Dialysis
Renal Center of Frisco
Renal Center of Lewisville
Renal Center of Nederland
Renal Center of North Dallas
Renal Center of Orange
Satellite Dialysis Kyle
Satellite Dialysis Round Rock
Satellite Dialysis Southwood
Satellite Healthcare Metric
Satellite Healthcare Mueller
Satellite Healthcare of South Austin
Scott & White Artificial Kidney Unit
Scott & White Killeen Dialysis Unit
Stafford Dialysis
Texas Children’s Hospital Dialysis
University Dialysis West
USRC Delta Dialysis
USRC Mid Valley Weslaco Dialysis
USRC Rio Grande Dialysis
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UTSW Dallas Dialysis
Wilbarger General Hospital Dialysis of Vernon
4 DIAMOND STATUS
Angelo Kidney Connection
DSI Bryan
Renal Center of Plano
University Dialysis South
3 DIAMOND STATUS
DSI El Paso East
2 DIAMOND STATUS
1 Independent Facility in Houston
Renal Care Group Alice
Shannon Dialysis Center
South Austin Dialysis
USRC Friendswood Dialysis
1 DIAMOND STATUS
Childress Regional Medical Center Dialysis
Dialysis Services of Allen
1 DSI Facility in El Paso
1 DSI Facility in Laredo
DSI West Laredo Dialysis
FMC Dialysis Services of Waxahachie
1 DSI Facility in Corpus Christi
Scott & White Killeen Dialysis West
1 Independent Facility in Brady
SNG Renal Solutions Dialysis Center
SNG Sandcastle Dialysis
The 2015 program year closed December 18,
2015. All facilities that did not complete five
modules, or 5-Diamond facilities that did not
complete three renewal modules, will need to
register in the 2016 program year and start from
the beginning. All facilities that reached
5-Diamond will also need to re-register for the
2016 program year.
Page 7
NetLink
January 2016
KCER and FDA Alerts and Recalls
The ESRD Network of Texas, Inc. is notified by both the Kidney Community Emergency Response
(KCER) and the Federal Drug Administration (FDA) when there is a product alert or recall.
You can access information concerning recalls and alerts from our website at
http://esrdnetwork.org/our-network/news under Special Alerts and Recalls.
KCER Emergency Preparedness Resources
KCER has emergency preparedness training modules for dialysis facilities, pandemic planning, and
personal preparedness available. Slides and training scripts are also available on the ESRD Network
14 website at http://esrdnetwork.org/disaster-planning/.
NHSN Enrollment
The link http://www.cdc.gov/nhsn/enrollment/index.html provides a stepby-step guide for successful completion of enrollment into NHSN.
“Words are singularly the most powerful force available to humanity. We can choose to use this
force constructively with words of encouragement, or destructively using words of despair. Words
have energy and power with the ability to help, to heal, to hinder, to hurt, to harm, to humiliate
and to humble”
- Yehuda Berg
Page 8
NetLink
January 2016
January 2016
Sun
Mon
Tue
Wed
Thu
Fri
Sat
1 Happy New 2
Year
Network office closed 12/31/15 until
1/4/16
3
4
5
6
7
8
9
EMResource
and PART
updates due
10
11
12
13
14
15
16
CW Report
Card
release
17
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22
23
27
28
29
30
National
PY2019
Final Rule
Call
24
25
31
November clinical
Month closure in CW
26
Page 9
NetLink
January 2016
Patient’s Corner
Written for patients
The National Kidney Foundation has patient education, tips, recipes, and a lot more
available on its website at https://www.kidney.org/.
Like us on Facebook.
To access go to www.facebook.com and
log in to your account. Look under “liked
pages,” and type in ESRD Network of
Texas.
Follow us on Twitter
@ESRDNetworkofTX
The DPC Education Center is a great resource for dialysis patients and their families.
For more information, go to the DPC website at http://dpcedcenter.org/.
To contact the Network for assistance or to file a grievance:
Patient Toll-free Number: 1-877-886-4435 (patients only please)
Facility staff: 972-503-3215
Email: info@nw14.esrd.net
Facility staff: Post both the English and Spanish pages by the patients’ scales, as well
as near the sink that the patients use to wash their accesses, and in the lobby/waiting
room.
Page 10
NetLink
January 2016
You are invited to the
National Kidney Foundation's
Patient and Community Education Seminar and
Luncheon
Everyday Heroes Living with Kidney Disease
Featuring "Ask the Nephrologist"
and sessions covering transplant, nutrition and cooking demonstration, podiatry, and
much more!
Sunday, March 13, 2016
12:00-4:00 pm
DoubleTree by Hilton-Campbell Centre
8250 North Central Expressway
Dallas, TX 75026
For anyone who has kidney disease or has one of the risk factors including
diabetes, high blood pressure, over the age of 60, or a family history of kidney
failure.
Space is limited! Plated lunch provided.
Tickets are $5 in advance or $10 at the door.
Registration forms can be located at http://kidney14.informz.net/z/cjUucD9taT00ODEzNTYxJnA9MSZ1PTc1ODY5OTQ4NyZsaT0zMTE0OT
MzMA/index.html or call (877) 543-6397 for more information.
Page 11
NetLink
January 2016
Patient Engagement and Patient- and Family-centered Care
2016 Patient and Family Subject Matter Expert (SME) recruiting started in
December!
PATIENTS: Are you interested in helping the Network understand how patients feel
about different subjects? Would you like to be a voice for other patients? STAFF: Do
you have engaged patients and families and/or active Facility Patient Representatives
(FPRs) that would like to speak up on behalf of your other patients? Be an SME!
What do patient SMEs, family members, and caregivers do?
Provide your voice as part of a larger whole, the entire ESRD patient population in the
state of Texas. • Represent patients of all treatment modalities. • Share ideas to help
improve patient-centered care and communication. • Review patient education
materials to ensure they are helpful for patients. • Teach your fellow patients,
providers and other stakeholders. • Learn from your fellow patients, providers, and
other stakeholders. • Celebrate the success of your efforts.
What projects do SMEs work on? Here are some examples:
 Patient Advisory Committee (PAC): Advise the Network on issues that affect
all the dialysis and transplant patients in Texas.
 Patient Grievances: Help improve communication between patients and staff to
reduce conflict.
 Patient Experience of Care (ICH CAHPS): Improve the quality and experience
of care across the state.
 Vascular Access: Help increase fistulas and decrease catheters to improve
patient health.
 Infection Prevention: Contribute ideas on ways to reduce infections, prevent
sepsis, and keep patients healthy.
 Vaccinations: Share your ideas on ways to encourage patients to accept
recommended vaccinations.
 Home Dialysis: Help the Network understand how to educate patients on home
therapy programs.
 Emergency Preparedness: Help patients learn how to prepare for and respond
to an emergency.
 Facility Patient Representatives (FPRs): Improve the tools used to recruit and
train FPRs using the Network 14 FPR Toolkit.
2016 Patient and Family SME Application Form COMING SOON to our website at
www.esrd.network.org.
Página 12
NetLink
Enero 2016
Rincón del paciente
Escrito por pacientes
La Fundación Nacional del Riñón (NKF) tiene educación para el paciente, sugerencias,
recetas y mucho más.
Para acceder esta información, consulta https://
www.kidney.org.
Diga que le agrada nuestro sitio (Like) en Facebook
¡¡¡La Red de ESRD de Texas ha entrado al mundo de los Medios Sociales!!!
Diga que le agrada nuestro sitio (Like) en Facebook
https://www.facebook.com/pages/ESRD-Network-of-Texas/415497655222823
El Centro de Educación de DPC
El Centro de Educación de DPC es un magnífico recurso para los pacientes de diálisis y
sus familias. Si desea obtener más información, visite el sitio de DPC en http://
dpcedcenter.org/.
Para comunicarse con la Red y pedir ayuda o presentar una queja:
Número de Teléfono Gratuito para Pacientes: 1-877-886-4435 (solamente pacientes por favor)
Personal de las Instalaciones: 972-503-3215
Correo electrónico: info@nw14.esrd.net
Instrucciones al Personal de las Instalaciones- cuelgue las paginas en inglés y español
cerca de las basculas de los pacientes y el fregadero que usan los pacientes para
lavar sus accesos y en el vestíbulo/sala de espera.
Página 13
NetLink
Enero 2016
Usted está invitado al
Seminario sobre Educación para pacientes y
la comunidad y a un Almuerzo
de la Fundación Nacional del Riñón
Héroes normales que viven con insuficiencia renal
Presentando "Pregunte al nefrólogo"
y sesiones que abarcan trasplante, nutrición y demostración de cocina, podología y
¡mucho más!
Domingo, 13 de marzo de 2016
de 12:00 a 4:00 p. m.
DoubleTree por Hilton-Campbell Centre
8250 North Central Expressway
Dallas, TX 75026
Para toda persona que padezca insuficiencia renal o tenga uno de los factores de riesgo, incluyendo:
diabetes, hipertensión, ser mayor de 60 años de edad o tenga un historial familiar de
insuficiencia renal.
¡Espacio limitado! Plato servido en la mesa.
Los boletos tienen un valor de $5 si se compran por anticipado o $10 el día
del evento.
Los formularios de registro se pueden encontrar en http://kidney14.informz.net/z/cjUucD9taT00ODEzNTYxJnA9MSZ1PTc1ODY5OTQ4NyZsaT0zMTE0OT
MzMA/index.html o llame al (877) 543-6397 para obtener más información.
Página 14
NetLink
Enero 2016
Compromiso del paciente y atención centrada en el paciente y en la familia
¡El reclutamiento para Experto en temas (SME) de pacientes y familias 2016 inició en
diciembre!
PACIENTES: ¿Están interesados en ayudar a la Red a comprender cómo se sienten los
pacientes acerca de los diferentes temas? ¿Le gustaría ser una voz para otros
pacientes? PERSONAL: ¿Cuenta con pacientes y familias comprometidas y/o
Representantes del paciente en el centro (FPR) que quisieran manifestarse en nombre
de otros pacientes? ¡Sea un SME!
¿Qué hacen los SME, familiares y encargados de cuidados?
Proporcione su voz como parte del conjunto más grande, la población total de
pacientes de ESRD en el estado de Texas. • Represente a los pacientes de las
modalidades de todos los tratamientos. • Comparta ideas para ayudar a mejorar la
atención y comunicación centrada en el paciente. • Revise los materiales para
educación de los pacientes para garantizar que estos son útiles para los pacientes. •
Enseñe a sus pacientes, proveedores y a otras partes interesadas. • Aprenda de sus
pacientes, proveedores y a otras partes interesadas. • Celebre el éxito de sus
esfuerzos.
¿En qué proyectos trabajan los SME? A continuación se presentan algunos ejemplos:
 Comité de asesoramiento del paciente (PAC): Informar a la Red sobre asuntos
que afectan a todos los pacientes de diálisis y trasplantes en Texas.
 Quejas del paciente: Ayudar a mejorar la comunicación entre pacientes y el
personal para reducir conflictos.
 Experiencia de atención del paciente (ICH CAHPS): Mejorar la calidad y
experiencia de atención en todo el estado.
 Acceso vascular: Ayudar a mejorar fístulas y disminuir catéteres para mejorar la
salud del paciente.
 Prevención de infecciones: Contribuir con ideas sobre formas de reducir
infecciones, prevenir sepsis y mantener saludables a los pacientes.
 Vacunas:
Compartir sus ideas sobre las maneras de alentar a los pacientes a
aceptar las vacunas recomendadas.
 Diálisis en el hogar: Ayudar a la Red a comprender cómo educar a los pacientes
sobre los programas de terapia en el hogar.
 Preparación en caso de emergencia: Ayudar a los pacientes a aprender cómo
prepararse y responder a una emergencia.
 Representantes del paciente en el centro (FPR): Mejorar las herramientas
usadas para reclutar y entrenar a los FPR usando el kit de herramientas Network
14 para FPR.