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Northwest Renal Network

News Bulletins 2007
Part I - January through June

  Topic Index  

 
    LATER BULLETINS
19 June 2007
    Public Comment Sought on Proposed Organ Allocation Policy Changes
19 June 2007
    Re-Certification Required for Transplant Centers
8 June 2007
    Fistula First Progress for March-April 2007
8 June 2007
    Catheter Rates Have Not Increased with AVF Rates
8 June 2007
    Stenosis and Cannulation Resource Documents Updated
5 June 2007
    CDC National Healthcare Safety Network Open Enrollment
5 June 2007
    March 2007 Modality Reports Show 4.2% Dialysis Population Growth
29 May 2007
    2007 CPM Forms Due Back by June 18, 2007
29 May 2007
    Facility Outcome Comparison Tool for Hemodialysis CPMs
25 May 2007
    CMS to Publish NPI Application Data in June
25 May 2007
    OSHA Issues Healthcare Provider Guidance for Pandemic Influenza
25 May 2007
    Transcript Available for April 18 NPI Roundtable
23 May 2007
    FDA Alert on Gadolinium-Based MRI Contrast Agents
23 May 2007
    FDA Alert on Avandia Diabetes Medication
22 May 2007
    May is National Osteoporosis Awareness and Prevention Month
22 May 2007
    NKF Checklist for Evaluating Long-Term Residential Care for CKD Patients
4 May 2007
    KidneyTalk Online Audio Talks from RSN
4 May 2007
    New Anemia Brochure from AAKP
4 May 2007
    "Diet Tips & Bits" Online Newsletter from AAKP
2 May 2007
    Tools and Resources for Assessing Functional Status of ESRD Patients
2 May 2007
    Conferences on Empowering Patients to Overcome Barriers to Adherence
30 April 2007
    CMS Open Door Forum on NPI Contingency Plan
30 April 2007
    Three New Emergency Preparedness Documents
30 April 2007
    New HIPAA Privacy Compliance/Enforcement Website
27 Apr 2007
    Recall of ResMed Flow Generator or CPAP (Continuous Postive Air Pressure) Devices
25 Apr 2007
    2007 Dialysis Facility Report Schedule
25 Apr 2007
    Correction to 2006 Dialysis Facility Report Summary
25 Apr 2007
    Mineral Metabolism Clinical Performance Measures
23 Apr 2007
    April Is Organ Donor Month
23 Apr 2007
    "Paired Donations" Declared Legal
5 Apr 2007
    National Provider Identifier (NPI) Enforcement Plan Published
5 Apr 2007
    2006 Dialysis Facility Report (DFR) Modality Error
30 Mar 2007
    December 2006 Fistula and Catheter Rates
30 Mar 2007
    AVF Rates and Early Referral Rates from Medical Evidence Report Forms
30 Mar 2007
    2006 Clinical Performance Measures (CPM) Project Results
28 Mar 2007
    New Network Emergency Preparedness Web Page
28 Mar 2007
    NKF Seize CKD Staff Collaboration Program
26 Mar 2007
    NPI (National Provider Identifier) Required after May 23, 2007
26 Mar 2007
    Dialysis Facility Reports Summarized
26 Mar 2007
    Network News - Provider Newsletter with Patient Assessment Focus
23 Mar 2007
    Renal Support Network launches KidneyTimes Online Kidney Library
23 Mar 2007
    CMS Issues Final Conditions of Participation for Transplant Centers
21 Mar 2007
    Hope Street: NKF Patient Empowerment Project Seeks Volunteers
21 Mar 2007
    March is National Kidney Month
19 Mar 2007
    March is National Nutrition Month
19 Mar 2007
    March is Social Work Month
19 Mar 2007
    Article on Mental Health Strategies
15 Mar 2007
    CDC Issues MMWR on Status of MRSA in Dialysis Patients
15 Mar 2007
    Infection Prevention and Control Best Practices for Hemodialysis Access
15 Mar 2007
    May 2007 BONENT Technician Certification Exam near Tacoma
12 Mar 2007
    Recall of Lifeline and ReviveR AEDs Defibillators
12 Mar 2007
    FDA Safety Alert on Actos (Pioglitazone)
12 Mar 2007
    FDA Public Health Advisory Update on Aranesp/Epogen/Procrit
5 Mar 2007
    FDA Medical Device Alert re Daylight Savings Time
5 Mar 2007
    Public Comment on Proposed Transplant Policy Changes Wanted
26 Feb 2007
    National Patient Safety Awareness Week March 4-10
15 Feb 2007
    New UNOS Phone Line for Reporting Safety Issues and Policy Violations
8 Feb 2007
    FDA Alert on Topical Anesthetic Drugs
6 Feb 2007
    Aranesp Medical Safety Alert
6 Feb 2007
    December Modality Report
7 Jan 2007
    Consumer News Patient Newsletter New Edition
7 Jan 2007
    Patients Educating Patients & Professionals (PEPP) Seeking Speakers
      EARLIER BULLETINS

  Topic Index  

June 19, 2007
Public Comment Sought on Proposed Organ Allocation Policy Changes
There is a later article on this topic.
UNOS is seeking public comment on proposed organ allocation policy changes.   Comment deadline is July 31, 2007.   See http://www.unos.org/policiesAndBylaws/publicComment/proposals.asp for proposal details.   There are earlier articles on this topic.

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June 19, 2007
Re-Certification Required for Transplant Centers
There is a later article on this topic.
The new Conditions of Participation for Transplant Centers require each center to apply for re-certification before December 26, 2007.   For details, see http://www.cms.hhs.gov/CertificationandComplianc/20_Transplant.asp.   There are earlier articles on this topic.

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June 8, 2007
Fistula First Progress for March-April 2007
There is a later article on this topic.
Monthly and quarterly AVF rates for hemodialysis patients are online at http://www.nwrenalnetwork.org/fist1st/fist1st.htm#progress.   The AVF-in-use rate for prevalent patients has fallen from 61.0% in December 2006 to 60.8% in April 2007.   The AVF-in-place rate for prevalent patients has also declined, from 70.2% to 70.0%.   The AVF-in-place rate for incident patients has increased, from 37.1% in the last quarter of 2006 to 39.6% in the first quarter of 2007.   There are earlier articles on this topic.

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June 8, 2007
Catheter Rates Have Not Increased with AVF Rates
There is a later article on this topic.
In response to concerns that increasing AVF rates leads to increased catheter usage, we've looked at the invitees to our 2002 Back to the Basics AVF workshops (see http://www.nwrenalnetwork.org/fist1st/fist1st.htm#btob) to see if their long-term catheter (catheters in use for more than 90 days with no other access in place) rates have grown along with their AVF rates.   We did not have good data on catheter rates until 2004, but 2004-2006 data show no statistically significant increase in catheter rates; see http://www.nwrenalnetwork.org/fist1st/Cath0406.htm.   There are earlier articles on this topic.

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June 8, 2007
Stenosis and Cannulation Resource Documents Updated
There is a later article on this topic.
We’ve updated our stenosis monitoring document to reflect the new KDOQI 2006 Vascular Access Guidelines.   It is located at http://www.nwrenalnetwork.org/fist1st/StenosisMonitoring2007.doc.   We’ve also updated the References page in the “On Course with Cannulation” section of our Fistula First page.   The section is at http://www.nwrenalnetwork.org/fist1st/ffcannu.htm and the References at http://www.nwrenalnetwork.org/fist1st/cannu/Buttonholereferences.pdf.   There are earlier articles on this topic.

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June 5, 2007
CDC National Healthcare Safety Network Open Enrollment
The CDC's National Healthcare Safety Network (NHSN) integrates the Dialysis Surveillance Network, the National Nosocomial Infections Surveillance System, and the National Surveillance System for Healthcare Workers.   The NHSN will collect data on adverse events and adherence, publish trends, and help facilities monitor and improve their own processes.   Enrollment is now open for dialysis facilities to participate.   For details, see http://www.cdc.gov/ncidod/dhqp/nhsn.html.   There are earlier articles on this topic.

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June 5, 2007
March 2007 Modality Reports Show 4.2% Dialysis Population Growth
There is a later article on this topic.
The March 2007 Modality Reports are now online at http://www.nwrenalnetwork.org/modality/mode0307/modality.htm.   The March dialysis census is 4.2% higher than in March 2006.   Historical information can be found at http://www.nwrenalnetwork.org/modality.htm.   If you need immediate notification when the quarterly Modality Reports are available, let us know.   There are earlier articles on this topic.

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May 29, 2007
2007 CPM Forms Due Back by June 18, 2007
Blank forms for the 2007 CPM data collection have been mailed to all facilities that have patients in this year's sample. &nbcp The forms are due back to the Network by June 18, 2007.   There are earlier articles on this topic.

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May 29, 2007
Facility Outcome Comparison Tool for Hemodialysis CPMs
In our March CPM mailing to facilities, a matrix was included titled “2006 ESRD Outcome Comparison Tool: CPM for Hemodialysis Patients."   It had a typo in the “Median dialysis session length” line, the last line in the first section on Adequacy.   The median session length for the US was 213 minutes, and for the Network 234 minutes.   We encourage facilities to use this tool to document and compare facility outcomes to national and Network averages.   We’ve put a corrected copy of the matrix at http://www.nwrenalnetwork.org/S/cpm06/2006CPMComparator.htm.   There are earlier articles on this topic.

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May 25, 2007
CMS to Publish NPI Application Data in June
The NPI (National Provider Identifier) is part of CMS’s National Plan and Provider Enumeration System or NPPES.   On May 30, 2007 CMS will publish an NPPES Data Dissemination Notice in the Federal Register describing NPI-application information which the Freedom of Information Act and HIPAA obligate CMS to publish, and how the information will be published.   The Notice encourages providers to review the information they supplied on their NPI application and update it if necessary (and as required by law) to assure its accuracy before the June 28 data publication date.   Providers may also protect some information from publication.   An advance copy of the Federal Register Notice can be found at http://www.cms.hhs.gov/NationalProvIdentStand/06a_DataDissemination.asp, and more information on the NPI at http://www.cms.hhs.gov/NationalProvIdentStand.   There are earlier articles on this topic.

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May 25, 2007
OSHA Issues Healthcare Provider Guidance for Pandemic Influenza
OSHA has issued a 104-page booklet on "Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers."   Find it at http://www.osha.gov/Publications/OSHA_pandemic_health.pdf.   There are earlier articles on this topic.

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May 25, 2007
Transcript Available for April 18 NPI Roundtable
There is a later article on this topic.
A transcript of the April 18, 2007 NPI Roundtable on CMS’s Contingency Plan for enforcement of the NPI is now available at http://www.cms.hhs.gov/NationalProvIdentStand/Downloads/April18_Roundtable_Transcript.pdf.   A transcript of the May 10th Roundtable should be released soon; watch for it at http://www.cms.hhs.gov/NationalProvIdentStand/.   There are earlier articles on this topic.

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May 23, 2007
FDA Alert on Gadolinium-Based MRI Contrast Agents
There is a later article on this topic.
The FDA has warned that gadolinium-based MRI contrast agents should be avoided in patients with certain kinds of renal insufficiency due to risk of nephrogenic systemic fibrosis.   For full details see http://www.fda.gov/medwatch/safety/2007/safety07.htm#Gadolinium.

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May 23, 2007
FDA Alert on Avandia Diabetes Medication
There is a later article on this topic.
The FDA has also warned that the diabetes medication Avandia may increase the risk of cardiovascular events in some patients, and has advised prescribers to carefully individualize treatment decisions involving Avandia.   For full details see http://www.fda.gov/medwatch/safety/2007/safety07.htm#Avandia.

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May 22, 2007
May is National Osteoporosis Awareness and Prevention Month
May is National Osteoporosis Awareness and Prevention Month.   See http://www.nof.org for details.   Bone mass measurement is covered by Medicare - see http://www.cms.hhs.gov/BoneMassMeasurement.   The Surgeon General's report on bone health can be found at http://www.hhs.gov/surgeongeneral/library/bonehealth.   There are earlier articles on this topic.

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May 22, 2007
NKF Checklist for Evaluating Long-Term Residential Care for CKD Patients
The National Kidney Foundation Patient and Family Council, as part of their "People Like Us" series, has created a checklist for evaluating long-term residential care for a patient with chronic kidney disease.   Find it at http://www.kidney.org/patients/pdf/04_10-286A_LongTermResidentCare2.pdf.   There are earlier articles on this topic.

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May 4, 2007
KidneyTalk Online Audio Talks from RSN
There is a later article on this topic.
The Renal Support Network presents a weekly internet audio program called KidneyTalk, on topics relevant to patients.   Topics have included clinical outcomes, medications, diet, surviving and thriving, complications, coping, treatment options, and many more.   Listen to current and past programs at http://www.rsnhope.org/.   There are earlier articles on this topic.

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May 4, 2007
New Anemia Brochure from AAKP
AAKP has a new brochure on "Understanding Anemia in Kidney Disease."   You can download a copy, or get the phone number to call for a printed copy, at http://www.aakp.org/press/press-releases/2007/ANEMIA-BROCHURE/.   There are earlier articles on this topic.

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May 4, 2007
"Diet Tips & Bits" Online Newsletter from AAKP
There is a later article on nutrition.
The American Association of Kidney Patients is introducing a monthly email newsletter on diet for kidney patients, called "AAKP Diet Tips & Bits."   For details see http://www.aakp.org/press/press-releases/2007/AAKP-DEVELOPS-NUTRITION-ELECTRONIC-NEWSLETTER/.   There are earlier articles on this topic.

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May 2, 2007
Tools and Resources for Assessing Functional Status of ESRD Patients
There is a later article on this topic.
We've added a new web page on "Tools and Resources for Assessing Functional Status of ESRD Patients," at http://www.nwrenalnetwork.org/SW/AssessFunStat.htm, adapted from a page developed by the Florida ESRD Network, and used with permission.   The page also includes some links to resources for patients on coping with depression.   It's also available as a one-page poster at http://www.nwrenalnetwork.org/SW/AssessFunStat.doc.   There are earlier articles on this topic.

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May 2, 2007
Conferences on Empowering Patients to Overcome Barriers to Adherence
There is a later article on this topic.
The American Kidney Fund is sponsoring a series of conferences on "Empowering Patients to Overcome Barriers to Adherence."   The first is August 9, 2007 in Atlanta, and the second October 4, 2007 near Baltimore.   For details see http://www.kidneyfund.org/fpr_regional_con.asp. There are earlier articles on this topic.

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April 30, 2007
CMS Open Door Forum on NPI Contingency Plan
There is a later article on this topic.
The May 10, 2007 CMS Open Door Forum will be a National Roundtable on the recently released National Provider Identifier (NPI) Contingency Plan introduced at http://www.nwrenalnetwork.org/news_bulletins07.htm#npi4a.   For more information on the NPI see http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5595.pdf.   For more information on this Roundtable see http://www2.eventsvc.com/palmettogba/051007.   For more information on CMS' Open Door Forums, see http://www.cms.hhs.gov/OpenDoorForums/.   There are earlier articles on this topic.

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April 30, 2007
Three New Emergency Preparedness Documents
There is a later article on Emergency Preparedness.
We've added three new facility-oriented documents to our Emergency Preparedness page at http://www.nwrenalnetwork.org/E/emergency.htm.   They include Four Keys to Being Prepared for a Disaster (http://www.nwrenalnetwork.org/E/4KeysBPrep.pdf), a summary of Resources and Disaster Response prepared by the Kidney Community Emergency Response Coalition (http://www.nwrenalnetwork.org/E/KCERResources.pdf), and a Dialysis Patient Emergency Planning Needs Assessment questionnaire, available both in English (http://www.nwrenalnetwork.org/E/PatientNeedsEng.pdf) and in Spanish (http://www.nwrenalnetwork.org/E/PatientNeedsSp.pdf).   There are earlier articles on this topic.

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April 30, 2007
New HIPAA Privacy Compliance/Enforcement Website
There is a later article on HIPAA.
The HHS Office of Civil Rights has announced a new website, http://www.hhs.gov/ocr/privacy/enforcement/, which collates information on how HHS enforces the rights and standards in the HIPAA Privacy Rule.   The website is aimed at both healthcare consumers and healthcare providers.   There are earlier articles on this topic.

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April 27, 2007
Recall of ResMed Flow Generator or CPAP (Continuous Postive Air Pressure) Devices
The FDA has announced the recall of ResMed S8 Flow Generator or "CPAP" (Continuous Positive Air Pressure) devices manufactured between July 2004 and May 2006 because there is danger of a short circuit in the power supply.   Patients using supplemental oxygen, and patients noticing electrical problems, should immediately contact their home healthcare provider for a replacement.   Electrical problems would present themselves as power interruptions, sparking, cracking sounds, or charred smells.   Other users should contact their home healthcare provider on a non-emergency basis.   Full details, including serial numbers of the recalled devices, can be found at http://www.fda.gov/medwatch/safety/2007/safety07.htm#ResMed, http://www.fda.gov/oc/po/firmrecalls/resmed04_07.html, and http://www.resmed.com/en-us/s8program/s8program.html.

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April 25, 2007
2007 Dialysis Facility Report Schedule
There is a later article on this topic.
The schedule for the 2007 Dialysis Facility Reports (DFRs) has the Network receiving them from the University of Michigan Kidney Epidemiology Cost Center and mailing them to Medical Directors and Facility Administrators in late July or early August.   You will have until September 10 to register comments on the website at http://www.ArborResearch.org/esrdmeasures.   CMS will review your comments and evaluate errors and outliers.   Your comments will also be forwarded with your DFR to your State Survey Agency.   There are earlier articles on this topic.

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April 25, 2007
Correction to 2006 Dialysis Facility Report Summary
There is a later article on this topic.
We've replaced the incorrect by-state modality percentages in the Summary of the 2006 DFRs, from the University of Michigan Kidney Epidemiology Cost Center, with correct percentages from the Network's Modality Reports (see http://www.nwrenalnetwork.org/modality.htm).   The DFR Summary is at http://www.nwrenalnetwork.org/S/statsdfr.htm and the corrected numbers are at http://www.nwrenalnetwork.org/S/dfr06/dfr3.htm.   There are earlier articles on this topic.

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April 25, 2007
Mineral Metabolism Clinical Performance Measures
There is are later articles on bone health and on CPMs.
CMS has revised Appendices 6-8 of the 2006 CPM Annual Report to include the CPM mineral metabolism measures.   Appendices 6-8 include summaries of the CPMs themselves, along with tables and graphs you may use to compare your own facility's performance with the national and Network averages.   For the new appendices, see http://www.nwrenalnetwork.org/S/CPM06/CPM2006A6-8.pdf.   For our full CPM page, see http://www.nwrenalnetwork.org/S/statscpm.htm.   There are earlier articles on CPMs and on bone health.

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April 23, 2007
April Is Organ Donor Month
There is a later article on this topic.
The month of April is Organ Donor Month.   For details see http://www.organdonor.gov/get_involved/donatelifemonth.htm.   There are earlier articles on this topic.

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April 23, 2007
"Paired Donations" Declared Legal
There is a later article on this topic.
The US Department of Justice has ruled that "paired donations," where two pairs of donor-recipients who don't know one another may trade donors to find compatible kidneys, do not violate the legal ban on "transfer of organs for valuable consideration."   See http://www.usdoj.gov/olc/2007/organtransplant.pdf.   There are earlier articles on this topic.

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April 5, 2007
National Provider Identifier (NPI) Enforcement Plan Published
There is a later article on this topic.
CMS has published guidelines for enforcement of National Provider Identifier (NPI) use after the May 23, 2007 deadline.   They describe how CMS will handle providers that have been unable to comply with the deadline, and how a provider without an NPI may document good-faith efforts to comply.   The guidelines, described in an April 2 press release at https://www.cms.hhs.gov/apps/media/press_releases.asp, can be found at https://www.cms.hhs.gov/NationalProvIdentStand/Downloads/NPI_Contingency.pdf.   The full NPI story is at http://www.cms.hhs.gov/NationalProvIdentStand/.   There are earlier articles on this topic.

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April 5, 2007
2006 Dialysis Facility Report (DFR) Modality Error
There is a later article on this topic.
The Dialysis Facility Reports (DFRs) prepared by the University of Michigan Kidney Epidemiology Cost Center (UM/KECC) and mailed to each facility last summer have been found to have a software error that misstates the percentage distribution of patients by modality.   We recently summarized the DFRs in our March facility mailing and at http://www.nwrenalnetwork.org/S/statsdfr.htm.   The incorrect entries are in Table 5 of your DFR, in the Modality section of the DFR Summary recently mailed to each facility, and on our web page http://www.nwrenalnetwork.org/S/dfr06/dfr3.htm.   The correct percentages may be calculated from the data available at http://www.nwrenalnetwork.org/modality.htm.   Use the columns labeled "HD" (in-center hemodialysis), "HPD" (home peritoneal dialysis), and HHD (home hemodialysis) on the "All Network Patients" pages.   There are earlier articles on this topic.

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March 30, 2007
December 2006 Fistula and Catheter Rates
There is a later article on this topic.
As of December 31, 2006, the Network AVF-in-use rate for prevalent hemodialysis patients was 60.9%, compared to the Network goal of 64%.   We've updated our goals and the monthly, quarterly, and annual charts of our progress at http://www.nwrenalnetwork.org/fist1st/fist1st.htm#progress.   There are earlier articles on this topic.

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March 30, 2007
AVF Rates and Early Referral Rates from Medical Evidence Report Forms
There is a later article on this topic.
The first 18 months of access and early-referral questions on Medical Evidence Report Forms 2728 show that among the 72% of incident Network hemodialysis patients who had been under a nephrologist's care prior to initiating chronic dialysis, 51% began dialysis with an AVF in place.   Among all Network incident hemodialysis patients, 41% began dialysis with an AVF in place, compared to a Network goal of 60%.   We've placed our report on this data at http://www.nwrenalnetwork.org/fist1st/2728AVFReport.htm.   There are earlier articles on this topic.

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March 30, 2007
2006 Clinical Performance Measures (CPM) Project Results
There is a later article on this topic.
We've summarized the 2006 CPM results, for the last quarter of 2005, at http://www.nwrenalnetwork.org/S/statscpm.htm, along with our 2007 CPM goals.   We're last in the country on serum albumin and transferin saturation, but we lead the nation in dialysis adequacy and vascular access.   And we still have room to improve in anemia management and stenosis monitoring.   There are earlier articles on this topic.

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March 28, 2007
New Network Emergency Preparedness Web Page
There is a later article on this topic.
Visit our website to see the new web page centralizing our documents and links on Emergency Preparedness, at http://www.nwrenalnetwork.org/E/emergency.htm.   It includes two new documents - The Role of the Network in a Disaster (http://www.nwrenalnetwork.org/E/DisasterNWRole.pdf) and What if a Disaster Happens Here? (http://www.nwrenalnetwork.org/E/DisasterHere.pdf).   There are earlier articles on this topic.

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March 28, 2007
NKF SeizeCKD Staff Collaboration Program
There is a later article on this topic.
NKF is sponsoring four full-day regional continuing education symposia called "Seize Chronic Kidney Disease, Celebrate Collaboration," designed to teach nurses, dietitians, technicians, and social workers how to develop relationships between staff, patients, and family that celebrate collaboration, knowledge, and diversity.   The workshops are in early May in Los Angeles, and in June in Baltimore, Houston, and New York City.   For details see http://www.seizeckd.org.   There are earlier articles on this topic.

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March 26, 2007
NPI (National Provider Identifier) Required after May 23, 2007
There is a later article on this topic.
CMS has redesigned their website on the National Provider Identifier - http://www.cms.hhs.gov/NationalProvIdentStand.   The NPI is replacing all legacy provider numbers for all healthcare providers, and will be required after May 23, 2007.   There are earlier articles on this topic.

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March 26, 2007
Dialysis Facility Reports Summarized
There is a later article on this topic.
We've summarized the 2006 Dialysis Facility Reports by state, at http://www.nwrenalnetwork.org/S/statsdfr.htm, and mailed copies to each facility.   The summary includes data on prevalent and incident patient characteristics, clinical performance measures, modality, mortality, hospitalization, and transplantation and waitlist rates.   There are earlier articles on this topic.

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March 26, 2007
Network News - Provider Newsletter with Patient Assessment Focus
There is a later article on Network News.
The Spring 2007 edition of Network News has been mailed to each Network facility.   This issue includes articles on advance care planning, assessing for home dialysis, vocational rehabilitation, quality of life measures, and timely assessment and appropriate referral for transplant.   Find it at http://www.nwrenalnetwork.org/N/NetworkNews307.pdf.   Included with the newsletter were copies of a Nutrition Poster (http://www.nwrenalnetwork.org/N/albumin.pdf), a summary of the types of Technical Assistance the Network is available to provide to the renal community (http://www.nwrenalnetwork.org/N/TechAssistFlyer.pdf), and a summary of the role of the Network during a disaster/emergency response (http://www.nwrenalnetwork.org/E/DisasterNWRole.pdf).   There are earlier articles on related topics.

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March 23, 2007
Renal Support Network launches KidneyTimes Online Kidney Library
There is a later article on this topic.
The Renal Support Network has launched KidneyTimes, at http://kidneytimes.com, to serve as an online library of information on kidney health for patients, family, and healthcare professionals.   There are earlier articles on the Renal Support Network.

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March 23, 2007
CMS Issues Final Conditions of Participation for Transplant Centers
There is a later article on this topic.
CMS has issued final Conditions of Participation for Transplant Centers.   The full final rule can be found at http://www.cms.hhs.gov/CFCsAndCoPs/Downloads/trancenterreg2007.pdf.   A press release dated March 22 summarizes them at http://www.cms.hhs.gov/CFCsAndCoPs/, and there are more details at http://www.cms.hhs.gov/CFCsAndCoPs/11_transplantcenter.asp.   There are earlier articles on this topic.

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March 21, 2007
Hope Street: NKF Patient Empowerment Project Seeks Volunteers
There is a later article on this topic.
NKF is introducing the Hope Street Patient Education and Empowerment Program, a new "graphic novella" tool to inform patients about dialysis.   They are seeking ideas and input from patients and dialysis care providers.   For more information see http://www.kidney.org/professionals/KLS/novella/about.html. There are earlier articles on the Renal Support Network.

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March 21, 2007
March is National Kidney Month
March is National Kidney Month; for details see http://www.kidney.org/news/wkd/index.cfm.

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March 19, 2007
March is National Nutrition Month
There is a later article on this topic.
March is the American Dietetic Association's National Nutrition Month; see http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/nutrition_4920_ENU_HTML.htm.   CMS has provided materials to increase awareness of nutrition, healthy eating, and Medicare medical nutrition therapy coverage.   See http://www.cms.hhs.gov/MedicalNutritionTherapy for details.   There are earlier articles on this topic.

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March 19, 2007
March is Social Work Month
March is also Social Work Month.   This year's National Association of Social Workers theme is "Hope + Health: Help Starts Here."   For details see http://www.socialworkers.org/pressroom/swMonth/2007/default.asp.

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March 19, 2007
Article on Mental Health Strategies
There is a later article on this topic.
December's Nephrology News & Issues has a feature article on Managing Mental Illness in the Dialysis Treatment Environment: A Team Approach.   See http://www.kidney.org/professionals/CNSW/pdf/NNI12-06-Depression.pdf for a copy.

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15 Mar 2007
CDC Issues MMWR on Status of MRSA in Dialysis Patients
There is a later article on this topic.
Last week's CDC MMWR reviewed the current status of MRSA among dialysis patients.   See http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5609a3.htm?s_cid=mm5609a3_e.   There is an earlier article on this topic.

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15 Mar 2007
Infection Prevention and Control Best Practices for Hemodialysis Access
There is a later article on this topic.
The National Kidney Foundation has produced an 8-panel tool on Infection Prevention and Control Best Practices for Hemodialysis Vascular Access.   Individual laminated copies can be ordered free from http://www.kidney.org/professionals/.   There is an earlier article on this topic.

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15 Mar 2007
May 2007 BONENT Technician Certification Exam near Tacoma
A BONENT exam for certifying dialysis technicians will be held near Tacoma on May 24, 2007.   Applications must be received by April 6.   For details, on a flyer you can post, see http://www.nwrenalnetwork.org/news\BONENTExamFlyer507.htm. There is an earlier article on this topic.

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12 Mar 2007
Recall of Lifeline and ReviveR AEDs Defibillators
Lifeline and ReviveR AEDs defibillators with software versions 2.002 and earlier have been recalled by the FDA and the manufacturer, Defibtech, because in some circumstances they may not resuscitate a patient.   For details see http://www.fda.gov/medwatch/safety/2007/safety07.htm#Lifeline and http://www.defibtech.com/fa2007.

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12 Mar 2007
FDA Safety Alert on Actos (Pioglitazone)
The FDA has issued a safety alert concerning possible increased bone fracture rates in female patients taking pioglitazone (Actos).   For details see http://www.fda.gov/medwatch/safety/2007/safety07.htm#Actos.

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12 Mar 2007
FDA Public Health Advisory Update on Aranesp/Epogen/Procrit
The FDA has updated their Public Health Advisory on erythropoiesis stimulating agents ("ESAs"), including Aranesp, Epogen or "EPO," and Procrit.   The update is summarized at http://www.fda.gov/cder/drug/infopage/RHE/default.htm, which links directly to a Healthcare Professional Sheet, the Public Health Advisory, a news release, and a series of questions and answers.   The Healthcare Professional Sheet, http://www.fda.gov/cder/drug/InfoSheets/HCP/RHE2007HCP.htm, recommends that hemoglobin be monitored twice a week when adjusting ESA dosages.   There is an earlier article on this topic.

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5 Mar 2007
FDA Medical Device Alert re Daylight Savings Time
Since the beginning and ending dates for Daylight Savings Time have changed, the FDA recommends that all medical devices which use, create, or record time information be updated by the manufacturer, to avoid potentially serious medical errors. For details see http://www.fda.gov/medwatch/safety/2007/safety07.htm#time.

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5 Mar 2007
Public Comment on Proposed Transplant Policy Changes Wanted
There is a later article on this topic.
UNOS has offered seven proposed policy changes for public comment before April 30, 2007.   details and comment instructions are at http://www.unos.org/policiesAndBylaws/publicComment/proposals.asp.   There are earlier articles on this topic.

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26 Feb 2007
National Patient Safety Awareness Week March 4-10
March 4-10 is National Patient Safety Awareness Week.   Full details are at http://www.npsf.org/html/psaw.html.   The New England Network has donated a poster to the cause.   Download it from http://www.nwrenalnetwork.org/news/BABSposter.pdf, or put your own logo and contact information on the MSWord version at http://www.nwrenalnetwork.org/news/BABSposter.doc.

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15 Feb 2007
New UNOS Phone Line for Reporting Safety Issues and Policy Violations
There is a later article on this topic.
UNOS now provides a member reporting line, 866-787-4909, for transplant professionals to report potential patient safety issues or policy violations at member institutions.   For more information see http://www.unos.org/news/newsDetail.asp?id=805.   There are earlier articles on this topic.

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8 Feb 2007
FDA Alert on Topical Anesthetic Drugs
If you have patients using topical anesthetic for hemodialysis needle placement, please read the safety warning at http://www.fda.gov/medwatch/safety/2007/safety07.htm#Anesthetics.   In the educational program "On Course With Cannulation" and the companion publication "Improving AVF Cannulation Skills" (see http://www.nwrenalnetwork.org/fist1st/ffcannu.htm), Network Quality Improvement Director Lynda Ball addresses this issue.   If you have further questions or concerns regarding topical anesthetics, please contact Lynda at 206-923-0714 ext 111.

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6 Feb 2007
Aranesp Medical Safety Alert
The FDA has issued an alert on Aranesp (EPO), at http://www.fda.gov/medwatch/safety/2007/safety07.htm#Aranesp.

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6 Feb 2007
December Modality Report
There is a later article on this topic.
The 2006 end-of-year Modality Reports are now available at http://www.nwrenalnetwork.org/modality/mode1206/modality.htm.   The year-over-year growth rate was 3.7%. There is an earlier article on this topic.

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7 Jan 2007
Consumer News Patient Newsletter New Edition
There is a later article on this topic.
We've posted a new edition of our Consumer News patient newsletter at http://www.nwrenalnetwork.org/CN/consumernews1206.pdf and mailed copies out to each facility for distribution to patients.   The contents of each issue are summarized at http://www.nwrenalnetwork.org/consumernews.htm.   There is an earlier article on this topic.

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7 Jan 2007
Patients Educating Patients & Professionals (PEPP) Seeking Speakers
There is a later article on this topic.
The Renal Support Network (RSN) is seeking patient volunteers to be trained as patient-speakers for their Patients Educating Patients and Professionals (PEPP) program.   Selected volunteers would speak at local and national meetings of patients and health-care professionals.   Prior speaking experience is required.   For details see http://rsnhope.org/programs/pepp/2007-12_pepp_needs_speakers.php.   Application deadline is February 5.

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