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

    • Posted in: Voices Community

      Thank you Julie. ------------------------------ Jeannine Farina MSN, RN, CNN Clinical Manager Home Options Network Deerfield, IL 412-337-0448 ------------------------------ More

    • Posted in: Voices Community

      Hi Jeannine - Contracts can be challenging to share and hopefully we will have a generic template available for our members soon.  In the meantime, I have talked to some people who have told me they simply use what is outlined in the attached document ... More

    • Posted in: Voices Community

      Requesting an agreement for the provision of dialysis (HHD or PD) in the SNF. ------------------------------ Jeannine Farina MSN, RN, CNN Clinical Manager Home Options Network Deerfield, IL 412-337-0448 ------------------------------ More

    • Posted in: Voices Community

      Please clarify: are you looking for an agreement on the collaborative care of an incenter HD patient? Or are you looking for an agreement for the provision of dialysis (HHD or PD) in the SNF? More

    • Posted in: Voices Community

      Hello, can anyone share a written agreement template between a dialysis facility and SNF containing delineation of responsibilities for each entity?  Thank you. ------------------------------ Jeannine Farina MSN, RN, CNN Clinical Manager Home Options ... More

    • Posted in: Voices Community

      Julie, you bring up a good point on the MA plan's timely filing limit. Many years ago, it was generally accepted in contract templates of payers to have 365 days to file a claim, then that time was shortened to 180 and its now standard contract language ... More

    • Posted in: Voices Community

      We had a discussion on our HOME hotline call this morning and the group was in agreement that it can be confusing when SNF billing has a lengthy history and some of the historical documents say something that conflicts with the current documents and CMS ... More

    • Posted in: Voices Community

      Adrian, I read that as dialysis being specifically excluded from the consolidated billing-prior to the BBA the SNF's could bundle or exclude, when the BBA passed in 1997, it was a consolidated payment for everything except specific excluded services-which ... More

    • Profile Picture

      RE: SNF and dialysis

      Posted in: Voices Community

      Thank you. These documents are very helpful. Appreciate the collaboration of everyone helping enlighten and supporting others. ------------------------------ Kim Deaver, MSN RN CNN Administrator UVA Dialysis Programs Charlottesville, VA Office: 540-213-0476 ... More

    • Posted in: Voices Community

      We did a little more digging and came across these resources.  It looks like  SNFs have the option of bundling or unbundling dialysis services. ------------------------------ [Adrian] [Amedia] [Independent Dialysis Group] [Youngstown] [OH] [330.781.6212 ... More

    • Posted in: Voices Community

      Hi Julie, I will call you to explain the details. If others have these kinds of questions, feel free to reach out as well. ~Rich Fatzinger 484-523-8491 ------------------------------ Richard Fatzinger Senior Director - Skilled Nursing Dialysis NxStage ... More

    • Profile Picture

      SNF and dialysis

      Posted in: Voices Community

      Friday brainteaser from Julie & Adrian... In the past month both Adrian and I have been presented with contracts from local SNF to provide dialysis to ESRD patients.  We are confused because we have always billed for our ESRD services directly to the ... More

    • Posted in: Voices Community

      ​Here is one that I found. ------------------------------ Lynn Riesenberg Director of Dialysis St. Anthony Regional Hospital Carroll IA (712) 792-5829 ------------------------------ More

    • Posted in: Voices Community

      Hello, Does anyone have a Korsuva protocol that they are willing to share? Thanks in advance, Suzette Siblesz ------------------------------ Suzette Siblesz Administrator Lakes Dialysis Center Hialeah FL (305) 817-8508 ------------------------------ More

    • Posted in: Voices Community

      Here are a couple of environmental tracers that we utilize. Yolanda Atkins, RN, CDN St. Bernards Medical Center Dialysis Quality Coordinator Dialysis Clinical Specialists Office: 870-207-7387 or 870-207-7380 Cell: ... More

    • Posted in: Voices Community

      If any one has this type of list I too would greatly appreciate your sharing. ------------------------------ Kathy Hocking Director of Clinical Services Renal Management Group Washington IL 309-698-1800 ------------------------------ More

    • Posted in: Voices Community

      Hello fellow Administrators.   I would like to request if any of you have an environmental checklist (think broken ceiling tiles, rusty plumbing, burnt out bulbs, etc.)  I would be grateful.  Our recent 3 yr CMS survey was very focused on the building ... More

    • Posted in: Voices Community

      Hi Nemat, I apologize for the issues that you had along the way.  We were having an unknown technical issue with our phones and IT confirmed that is now fixed.  Additionally,  I got to the bottom of the issue with your ability to download the calculator ... More

    • Profile Picture

      RE: CALCULATOR

      Posted in: Voices Community

      No harm, no foul - We are all working together! B ------------------------------ William D. Cundiff Chief Operating Officer Novo Dialysis Management, LLC New York, NY 941-216-2997 ------------------------------ More

    • Profile Picture

      RE: CALCULATOR

      Posted in: Voices Community

      thanks to all, each and everyone of you guys. No apologies needed. Thanks again guys for everything Nemat (Ninette) More