Topic	Resources
The Network works with Data Coordinators at each dialysis facility to monitor ESRD patient status and to maintain the completeness, validity and accuracy of the CMS ESRD Forms and Network Reports. Please contact us if you have additional questions or would like technical assistance.
CROWNWeb	CROWNWeb is a CMS-mandated data collection system that all facilities will be required to use upon national implementation.    Currently, CMS has targeted Spring 2012 as its goal for national implementation.   In order to have access to CROWNWeb, each ESRD Network 16 facility needs a minimum of one Security Official and one QIMS End User Manager.   Terms are defined, and additional instructions provided, in CROWNWeb/QIMS Common Terms and Other Resources.   QIMS training videos are also available on the Project CROWNWeb website at http://www.projectcrownweb.org/crown/index.php?page=CROWNWeb_Training&subPage=Training_Materials. QIMS REGISTRATION FOR ALL NETWORK 16 USERS OPENS FEBRUARY 1, 2012. QIMS Enrollment for All Network Facilities The CROWNWeb home page (http://www.projectcrownweb.org) includes a place where you can sign up for weekly updates by entering your email address. CROWNWeb Implementation - Important CMS Announcement (January 2009) Conditions for Coverage Require Use of CROWNWeb by 2/1/2009 - now revised to March 2012 (Letter to Facilities) CROWNWeb Authentication System Info and Training Opportunities ("Conditions for Coverage Impact of CROWNWeb; CROWNWeb Authentication System Info and Training Opportunities," released by CMS October 10, 2008) A list of Network News Bulletins on CROWNWeb
CMS Forms	Medical Evidence Report Form 2728 and instructions       Authorization to Release Medical Evidence Form 2728       2728 Frequently Asked Questions ESRD Death Notification Form 2746 and instructions       2746 Frequently Asked Questions CMS Compliance Standards for Forms 2728 and 2746       Sample Action Plan Fistula First data forms and instructions
Network Forms	Network Patient Activity Report (NPAR)       NPAR instructions       NPAR Frequently Asked Questions Facilities are required to notify the Network when a patient becomes lost to follow-up, by completing a copy of the Lost to Follow-Up Checklist and faxing it to the Network at (206) 923-0716.   It is against federal law to send identifying or personal health information via email. Quarterly Report Frequently Asked Questions Ending Patient Population Guide Facility Directory Update Form
Network Technical Assistance	A flyer on the kinds of Technical Assistance the Network can provide to facilities.
Topic	Resources

                                                                                                         Page updated April 18, 2012

Fistula First	For Patients	For Clinical Staff	News Bulletins	Home
Facility Lists	Complaints & Grievances	Job Postings	Resources & Links	Who We Are
Emergency Preparedness	Consumer News	Quality Improvement	ESRD NCC	Annual Reports
Summary Statistics	Privacy Policy	Data Forms	Conditions for Coverage	Contact Us
		FDA Alerts