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Northwest Renal Network

News Bulletins 2012
Part I - January through March

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  Topic Index  

 
    LATER BULLETINS
30 Mar 2012
    KCER Summit near Washington DC May 9
30 Mar 2012
    CROWNWeb and Modality Reports Extension
27 Mar 2012
    Argatroban Injection Recall
27 Mar 2012
    National Healthcare Decision Day April 16, 2012
27 Mar 2012
    Depression and Dialysis Poster/Flyer
22 Mar 2012
    DPC Patient Education Call on Diet March 27, 2012
15 Mar 2012
    NHSN Enrollment Webinar Part II March 28, 2012
12 Mar 2012
    DFR, DFC and PSR - What Do These Mean?
12 Mar 2012
    Involuntary Discharge Notification Requirements
9 Mar 2012
    March is National Kidney Month
9 Mar 2012
    Free Patient Education Symposium in Portland March 18, 2012
9 Mar 2012
    Educational Resources for Facilities on Patient Safety, Professionalism, and Communication
5 Mar 2012
    New MEI Mini-Movie on Dialysis Treatment Options
5 Mar 2012
    Label Changes on Statin Drugs
5 Mar 2012
    Cardiac Science Defibrillator Class I Recall
5 Mar 2012
    PPS MLN Fact Sheet Updates
1 Mar 2012
    Free NHSN Registration Webinars March 7 and 28
1 Mar 2012
    CROWNWeb Phase III Pilot Extended
28 Feb 2012
    New Patient Education Poster on Dialysis Treatment Options
28 Feb 2012
    Quality Conference in Baltimore September 11-12, 2012
28 Feb 2012
    CNSW Spring Symposium April 26-27, 2012 near Seattle
24 Feb 2012
    Network Reaches 68% AVF-in-Use Goal - Congratulations!
24 Feb 2012
    Billings and Portland Kidney Walks June 9 and 16, 2012
24 Feb 2012
    Provider Newsletter "16 Network News"
24 Feb 2012
    New NKDEP Web Page on CKD Education
16 Feb 2012
    Improving Dialysis Adequacy
15 Feb 2012
    Quality Incentive Program Open Door Forum Transcript and Audio
15 Feb 2012
    FDA Warning on Stomach Acid Drugs and Clostridium
15 Feb 2012
    Fresenius Optiflux F250NRe Hemodialyzer Recall
15 Feb 2012
    December 2011 Modality Reports Now Available
8 Feb 2012
    Convenience Kits with Triad Povidone Iodine Prep Pads
6 Feb 2012
    Public Comment on Organ Procurement until April 6, 2012
6 Feb 2012
    New Fistula First Newsletter
6 Feb 2012
    Depression and Shared Decision Making CEU Webinars February 23 and March 1, 2012
6 Feb 2012
    Free Kidney Health Screening in Portland March 17, 2012
6 Feb 2012
    Home Hemo Seminar for Patients Online
6 Feb 2012
    NKF Patient Educational Symposium Update
1 Feb 2012
    Renastart Recall in 400g Cans, Batch #12832 Only
30 Jan 2012
    NKF Patient Education Symposium March 18, 2012 in Portland OR
30 Jan 2012
    Vocation Rehabilitation Toolkit Updated
30 Jan 2012
    CROWNWeb - All Facilities Begin Enrollment February 1, 2012
26 Jan 2012
    Quality Incentive Program 2013-14 Open Door Forum February 2
24 Jan 2012
    Patient Poster/Flyer on Protecting Your Access
24 Jan 2012
    AAKP Annual Patient Meeting August 9-11, 2012 in Atlanta
20 Jan 2012
    Facility Closures
13 Jan 2012
    NWRD Annual Meeting March 1-2, 2012 in Seattle
13 Jan 2012
    Polymyxin B Recall
13 Jan 2012
    Excedrin, Bufferin, Gas-X Recall
13 Jan 2012
    Endo/Novartis Opiates Recall
13 Jan 2012
    Sub-optimal Hemoglobin
9 Jan 2012
    ANNA National Symposium in Orlando April 29-May 2, 2012
9 Jan 2012
    ANNA Winter Webinar February 21 and 28, 2012
9 Jan 2012
    Renal Update 2012 near Seattle March 1-2, 2012
9 Jan 2012
    Dialysis Conference February 26-28, 2012 in San Antonio
6 Jan 2012
    Mid-Columbia Nephrology Seminar in Spokane March 18, 2012
6 Jan 2012
    Managing Conflict Online Seminar with CEUs January 31, 2012
4 Jan 2012
    Dialysis Facility Compare Updated with Quality Incentive Program Information
      EARLIER BULLETINS

  Topic Index  

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March 30, 2012
KCER Summit near Washington DC May 9
There are later articles on Professional Meetings and on Emergency Preparedness.
The Kidney Community Emergency Response Coalition (KCER) will hold their 7th Annual KCER Summit in conjunction with the NKF 2012 Spring Clinical Meetings, on May 9, 2012, near Washington DC.   The meeting is free and open to the public, but early registration is requested due to limited space.   You may register at http://www.kcercoalition.com/pdf/kcer_2012_summit_registration_form.pdf, find a Save-The-Date poster at http://www.kcercoalition.com/pdf/kcer_2012_summit_save_the_date.pdf, and make hotel reservations at http://www.kidney.org/news/meetings/clinical/registration/housing.cfm.   For more information on the NKF Sprint Clinical Meetings, see http://www.kidney.org/news/meetings/clinical/index.cfm.   There are earlier articles on Professional Meetings and on Emergency Preparedness.

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March 30, 2012
CROWNWeb and Modality Reports Extension
There are later articles on CROWNWeb and on Patient Census (Modality Reports).
CMS has announced it will be extending CROWNWeb Phase III pilot an additional 4 weeks to April 20, 2012 to allow time for dialysis facilities to complete QIMS registration.   As part of this extension, CMS is inviting all dialysis facilities with a QIMS/CROWNWeb account to join the pilot and log in to the CROWNWeb system.   Participation is for the purpose of pilot testing only and to allow facilities to try out CROWNWeb before your required participation in the National Release.   You must continue to submit all forms (2728 and 2746) and the Network Patient Activity Report as hard copies to the Network, even if you are entering data into CROWNWeb.   This extension will allow us to create Modality Reports (Patient Census) for the January-to-March quarter.   In order for these reports to be complete, the Network must receive all March Network Patient Activity Reports by April 5, 2012.   Contact the Network if you have questions or comments.   There are earlier articles on CROWNWeb and on Patient Census (Modality Reports).

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March 27, 2012
Argatroban Injection Recall
The FDA has announced a recall for four lots of Eagle Pharmaceuticals' Argatroban Injection 50 mg/50 mL (1mg/mL) because of possible suspended particulate.   For details see http://www.fda.gov/Safety/Recalls/ucm297069.htm?source=govdelivery.

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March 27, 2012
National Healthcare Decision Day April 16, 2012
There are later articles on Patient Education.
April 16 will be National Healthcare Decision Day – NHDD.   The objective of NHDD is to improve the ability of healthcare facilities and providers to offer informed and thoughtful guidance about advance healthcare planning to their patients, reduce the number of occasions when a person’s wishes are unknown, and provide resources to help with these aims.   Learn more about NHDD and get free information at http://www.nhdd.org/.   There’s a template for a poster or flyer at http://www.nwrenalnetwork.org/N/NHDDFacilityTemplate.doc, and http://www.nhdd.org/tools provides a long list of resources and ideas to help inform and motivate patients to complete their advance directives.   There are earlier articles on Patient Education and on Advance Directives.

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March 27, 2012
Depression and Dialysis Poster/Flyer
There are later articles on Patient Education.
We’ve added a poster/flyer on “How Depression Affects Dialysis” to our catalog of one-page posters for patients at http://www.nwrenalnetwork.org/P/M/Monthly.htm.   There are earlier articles on Patient Education and on Coping and Depression.

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March 22, 2012
DPC Patient Education Call on Diet March 27, 2012
There are later articles on Patient Education and on Diet and Nutrition.
Dialysis Patient Citizens will host a free conference call for patients on March 27, 2012.   The topic will be “Practical Tips for Living on a Kidney Diet.”   For details see http://www.nwrenalnetwork.org/N/DPC0312.pdf.   There are earlier articles on Patient Education and on Diet and Nutrition.

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March 15, 2012
NHSN Enrollment Webinar Part II March 28, 2012
There are later articles on Infection Control and on Reimbursement.
The second session of the two-part NRAA Webinar series on enrolling in the CDC National Healthcare Safety Network will be held on March 28, 2012.   The first session, on March 7, covered the enrollment process.   The second session will cover infection reporting.   Both sessions are summarized at http://nraa.org/joomla_folder/index.php/news-meetings-top/webinars.   You can also register for the second session at that web page, and review the PowerPoint slides from the first session.   Unfortunately, the slides are white on dark blue, and there are many of them, so try printing one page before you print the whole file.   CDC also provides NHSN training sessions, at http://www.cdc.gov/nhsn/training.html.   NHSN is described at http://www.cdc.gov/nhsn/

All dialysis facilities are required by the CMS Quality Incentive Program to enroll during 2012, and report infections for three months, prior to March 31, 2013.   These requirements are summarized briefly at http://www.cdc.gov/nhsn/PDFs/commup/NHSN-CMS-Rules-Sept-27-2011.pdf, and in greater detail at http://www.cms.gov/ESRDQualityImproveInit/Downloads/13-14QIPODF020212.pdf.   There are earlier articles on Infection Control and on Reimbursement.

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March 12, 2012
DFR, DFC and PSR - What Do These Mean?
There are later articles on Reimbursement and on Quality Improvement.
We’ve added a page with that title to our website, at http://www.nwrenalnetwork.org/N/DFR.DFC.PSR.pdf.    It explains each acronym – DFR or Dialysis Facility Reports that inform facilities of their quality performance relative to various benchmarks; DFC or Dialysis Facility Compare which is CMS’s web page for patients’ use to locate quality facilities; and PSR or Performance Score Reports from the Quality Incentive Program which facilities are to post conspicuously.   We’ve permanently linked to the new page from our Clinical Staff page at http://www.nwrenalnetwork.org/staff.htm, under Technical Assistance.   There are earlier articles on Quality Improvement and on Reimbursement.

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March 12, 2012
Involuntary Discharge Notification Requirements
There are later articles on Conditions for Coverage, on Conflict Resolution, and on Regulations and Standards.
The Conditions for Coverage (CfC) require all facilities to notify both the Network and your State Survey Agency, within specified time parameters, of all involuntary discharges and transfers.   We would like to remind facilities of the document "Notifying the Network of Involuntary Discharges and Involuntary Transfers," available at http://www.nwrenalnetwork.org/G/Involuntary.pdf.   This document was created to assist dialysis facilities in complying with the requirements of the CfC and Survey Interpretative Guidelines, and to help facilities understand what the Network will be requesting in order for it to fulfill Network goals and the terms of its current CMS Contract.   If you ever want to find the page again, look under "Social Workers" on our Clinical Staff page, at http://www.nwrenalnetwork.org/staff.htm.   There are earlier articles on Conditions for Coverage, on Conflict Resolution, and on Regulations and Standards.

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March 9, 2012
March is National Kidney Month
The NIH National Kidney Disease Education Program offers ten ways for us to "Get Involved" for National Kidney Month, at http://www.nkdep.nih.gov/kidneymonth/. &nbdp One of their suggestions is to arrange an event for National Kidney Sunday on March 25.   We're too late for World Kidney Day (March 8), but NKF offers many ways to acknowledge National Kidney Month, at http://www.kidney.org/news/wkd/index.cfm, and Dialysis Patient Citizens does the same at http://www.dialysispatients.org/world-kidney-day-2012.

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March 9, 2012
Free Patient Education Symposium in Portland March 18, 2012
There are later articles on Patient Education, on Diet and Nutrition, on Treatment Options, and on Transplantation.
There's still space available in the free Spring 2012 NKF Patient & Community Education Symposium in Portland on March 18, 2012.   Lunch is also free.   The Symposium theme is "Thriving with Kidney Disease: Diet and Wellness."   The sponsors tell us that "There will be some really good content on diet and CKD that we think everyone will find valuable.   Not to mention the wonderful panels planned!"   The panels are on "The Cheese and Chocolate Wars," "How I Taught My Kidneys to Pee," the Post-Transplant Process, and Treatment Modalities.   Register ahead of time to make sure there's still space open.   You can find details, and the registration form, at http://www.nwrenalnetwork.org/N/Keep2012Bro.pdf.   There are earlier articles on Patient Education, on Diet and Nutrition, on Treatment Options, and on Transplant.

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March 9, 2012
Educational Resources for Facilities on Patient Safety, Professionalism, and Communication
There are later articles on Patient Safety and on Communication.
The Network reviews consumer complaints to identify trends.   Our review of complaints received during 2011 revealed that the majority were safety related, with staff professionalism and communication the second-most-commonly reported concern.   A number of free resources are available to help you address these issues in your facility:

There are earlier articles on Patient Safety and on Communication.

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March 5, 2012
New MEI Mini-Movie on Dialysis Treatment Options
There are later articles on Patient Education and on Treatment Options.
The Medical Education Institute has published a 3-minute online movie called "Let's Talk About...Dialysis Options," available in English and Spanish on the MEI website at http://www.lifeoptions.org/letstalk.   The movie quickly and graphically explains hemodialysis and peritoneal dialysis; the impact of treatment options on lifestyle, symptoms, and quality of life; benefits of PD and longer and/or more-frequent hemodialysis; and home treatment as a practical choice.   There are earlier articles on Patient Education and on Treatment Options.

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March 5, 2012
Label Changes on Statin Drugs
The FDA has announced changes to the safety labeling for statin drugs, including Lipitor (atorvastatin), Lescol (fluvastatin), Mevacor (lovastatin), Altoprev (lovastatin extended-release), Livalo (pitavastatin), Pravachol (pravastatin), Crestor (rosuvastatin), Zocor (simvastatin), Advicor (lovastatin/niacin extended-release), Simcor (simvastatin/niacin extended-release),and Vytorin (simvastatin/ezetimibe).   The changes relate to a danger of serious liver injury.   For details see http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm293670.htm.

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March 5, 2012
Cardiac Science Defibrillator Class I Recall
There are later articles on Defibrillator Recalls.
The FDA has issued a Class I recall of automated external defibrillators made by Cardiac Science and sold under the brand names Powerheart, CardioVive, CardioLife; GE Responder and Responder Pro; and Nihon-Kohden.   Find full details, including affected models and serial numbers, at http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals/ListofRecalls/ucm294452.htm.   There are earlier articles on Defibrillator Recalls.

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March 5, 2012
PPS MLN Fact Sheet Updates
There are later articles on Quality Improvement and on Reimbursement.
CMS has updated two Fact Sheets in the Medicare Learning Network (MLN), the first on the "ESRD Prospective Payment System" (PPS).   It isn't yet updated on the CMS website, so we've added it to the Network website, at http://www.nwrenalnetwork.org/N/ESRD.PPS.pdf.   The second is on the "Composite Rate Portion of the ESRD PPS."   Find it for now at http://www.nwrenalnetwork.org/N/ESRD.Comp.PPS.pdf.   The Medicare Learning Network web pages can be found at https://www.cms.gov/MLNGenInfo/.   Look for the Fact Sheets in the "MLN Catalog of Products."   There are earlier articles on Reimbursement and on Quality Improvement.

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March 1, 2012
Free NHSN Registration Webinars March 7 and 28, 2012
There are later articles on Infection Control.
The NRAA will host two free webinars (online seminars) on how to meet the 2012 CMS Quality Incentive Program requirements for enrolling and reporting on the CDC National Healthcare Safety Network (NHSN).   They will be held March 7 and March 28, 2012.   You will want to attend both sessions.    For details see http://www.nephrologynews.com/renal-policy/article/nraa-to-host-cdc-nhsn-webinars.   There are earlier articles on Infection Control.

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March 1, 2012
CROWNWeb Phase III Pilot Extended
There are later articles on CROWNWeb.
CMS Announces CROWNWeb Phase III Pilot Extension.
On February 29, 2012, CMS announced an extension of the CROWNWeb Phase III Pilot.   Based on findings during the Phase III Pilot as well as feedback from users, CMS has decided to extend the Phase III Pilot for a minimum of three additional weeks.   This extended Pilot period will allow participants to continue to utilize the CROWNWeb system and provide critical feedback to CMS, as well as provide CMS with an extended opportunity to optimize CROWNWeb’s readiness for the National Release.   At the conclusion of this three-week period, CMS will provide an update to the community on the status and/or scheduled termination date of the Phase III Pilot.   In response to the Phase III Pilot extension period, CMS will provide further information on the timeline of the CROWNWeb National Release as it becomes available.   QIMS registration for all Dialysis facilities remains open during this time.   Any facilities without a QIMS Security Official and/or QIMS End User Manager need to continue to actively work to have a user signed up for each role.   Our Information Management page, http://www.nwrenalnetwork.org/IM/IM.htm, reports ongoing news.   There are earlier articles on CROWNWeb.

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February 28, 2012
New Patient Education Poster on Dialysis Treatment Options
There are later articles on Patient Education and on Treatment Options.
We’ve added a poster/flyer for patients on “Dialysis – You Have Options” to our catalog of one-page patient education letters at http://www.nwrenalnetwork.org/P/M/Monthly.htm.   The Dialysis Treatment Options poster is at http://www.nwrenalnetwork.org/P/M/TxOpts0212.pdf.   There are earlier articles on Patient Education and on Treatment Options.

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February 28, 2012
Quality Conference in Baltimore September 11-12, 2012
There are later articles on Quality Improvement and on Professional Meetings.
The second annual Creating a Culture of Quality Conference, hosted by the Forum of ESRD Networks, dialysis organizations, and the RPA, will be held in Baltimore MD on September 11-12, 2012.   The Conference theme will be “Pursuing Excellence in Care Transitions: Enhancing Safety in Kidney Patient Care.”   We’ve placed a statement of Conference objectives at http://www.nwrenalnetwork.org/N/Quality2012Object.pdf, and a Save-the-Date poster at http://www.nwrenalnetwork.org/N/Quality2012Save.pdf.   There are earlier articles on Professional Meetings and on Quality Improvement.

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February 28, 2012
CNSW Spring Symposium April 26-27, 2012 near Seattle
There are later articles on Professional Meetings.
The Spring 2012 CNSW Northwest Chapter Educational Symposium on “Keeping Your Clinical Practice Skills Current in the Changing Dialysis World” will be held in Issaquah WA on April 26-27, 2012.   Topics include Symptom Targeted Intervention, the CAHPS Survey, Health Literacy, Health Care Reform, and Licensure Requirements.   For full details see http://www.nwrenalnetwork.org/N/CNSW2012Spring.pdf.   There are earlier articles on Professional Meetings.

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February 24, 2012
Network Reaches 68% AVF-in-Use Goal - Congratulations!
There are later articles on Vascular Access.

Congratulations and thanks to all of you who have worked so hard to bring the Network up over its 68% AVF-in-use goal!

Many people said it couldn’t be done.   The overall Network AVF-in-use rate among prevalent patients at the end of 2011 was 68.2%, and the long-term catheter rate 7.0%.   That’s the lowest long-term catheter rate we’ve seen since we began collecting this data nine years ago.   The aggregate rate for catheter usage of any duration was 12.2%, also the lowest we’ve ever achieved.   The overall Network AVF-in-place rate among incident patients during 2011 was 43.2%, another record.   We’ve updated many of our progress graphs at http://www.nwrenalnetwork.org/fist1st/fist1st.htm#progress, and we’ll be updating the rest soon.

The Blue Ribbon goes to Idaho facilities, which collectively added 5.2 percentage points to their AVF-in-use rate and reduced their long-term catheter rate by 1.8 points among prevalent patients, while adding 9.1 points to their AVF-in-place rate for incident patients!   Congratulations, and keep up the good work!

Honorable mention goes to the facilities in Oregon (excluding the Portland Area), Western Washington (excluding the Seattle-Tacoma Area), and the Seattle-Tacoma Area.   Oregon facilities added 2.3 AVF-in-use points and subtracted 1.7 long-term-catheter points from their aggregate rates among prevalent patients, to end the year at 73.7% AVF and 5.2% LTC.   Western Washington facilities collectively added 3.0 points to their AVF-in-use rate and took 1.0 point off their long-term catheter rate among prevalent patients, culminating at 71.3% AVF and 5.2% LTC.   Seattle-Tacoma facilities gained 1.9 points in their total AVF-in-use rate, and shaved 1.1 points off their long-term catheter rate, finishing up at 68.4% AVF and 5.7% LTC.

Portland-Area facilities added 1.9 percentage points to their aggregate prevalent-patient AVF-in-use rate, but increased their long-term catheter rate by 0.3 points.   Eastern Washington facilities left their collective long-term catheter rate unchanged, while their AVF-in-use rate sagged by 0.4 points.

Montana facilities peeled 2.5 percentage points off their aggregate prevalent-patient AVF-in-use rate and added 1.5 points to their long-term catheter rate.   Alaska facilities lowered their collective AVF-in-use rate by 1.5 points, and added 1.4 points to their long-term catheter rate.

There are earlier articles on Vascular Access.

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February 24, 2012
Billings and Portland Kidney Walks June 9 and 16, 2012
There are later articles on Patient Meetings.
The National Kidney Foundation will hold Kidney Walks in Billings on June 9, 2012, and in Portland on June 16.   Details for the Billings Walk can be found at http://donate.kidney.org/site/TR/Walk/COMTampWY?pg=entry&fr_id=4440, and there’s a poster at http://www.nwrenalnetwork.org/N/2012BillingsKWalk.pdf.   Portland details are at http://donate.kidney.org/site/TR/Walk/NorthernCaliforniaNorthernNevadaOregonWashingtonandAlaska?pg=entry&fr_id=4650, and you can print a brochure from http://www.nwrenalnetwork.org/N/2012WalkerWelcome.pdf.   For general information on NKF Kidney Walks, see http://www.kidneywalk.org/.   There are earlier articles on Patient Meetings.

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February 24, 2012
Provider Newsletter "16 Network News"
There are later articles on Emergency Preparedness.
We’ve dedicated a web page to collecting all of the issues of 16 Network News that we’ve published so far.   You can find it, including the latest issue on “Communication Critical Component in Disaster Response,” at http://www.nwrenalnetwork.org/16NN/16NN.htm.   The February issue also includes notes on using the Vocational Rehabilitation Toolkit, and on resources from the Explore Transplant seminars.   We’ve put the new page’s main menu entry onto the Resources for Clinical Staff page at http://www.nwrenalnetwork.org/staff.htm#nb.   There are earlier articles on Network News and on Emergency Preparedness.

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February 24, 2012
New NKDEP Web Page on CKD Education
There are later articles on Patient Education.
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)’s National Kidney Disease Education Program (NKDEP) has created a new website section called “Get Involved” to provide CKD educational tools for providers, patients, families, and interest groups.   Their introductory press release can be found at http://www.nih.gov/news/health/jan2012/niddk-25.htm.   The Get Involved section is at http://www.nkdep.nih.gov/about/getinvolved/.   The overall NKDEP program is based at http://www.nkdep.nih.gov/.   There are earlier articles on Patient Education and on CKD.

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February 16, 2012
Improving Dialysis Adequacy
There are later articles on Quality Improvement and on Dialysis Adequacy.
Several Network facilities received a reduction in reimbursement based on dialysis adequacy under the Quality Incentive Program.   It’s been a while since we’ve worked on adequacy in this Network, because the overall adequacy rate in the Northwest is pretty good.   For facilities that are working to improve their adequacy rates, we’ve scouted out some very helpful-looking materials from other Networks…

  There are earlier articles on Dialysis Adequacy and on Quality Improvement.

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February 15, 2012
Quality Incentive Program Open Door Forum Transcript and Audio
There are later articles on Quality Improvement and on Reimbursement.
CMS has published the transcript and audio file of the February 2 Special Open Door Forum on the Quality Incentive Program, at http://www.cms.gov/OpenDoorForums/Downloads/020212SODFTranscript.pdf.   The background-material downloads at http://www.cms.gov/ESRDQualityImproveInit/Downloads/13-14QIPODF020212.pdf are particularly useful.   They describe how facility performance during the calendar year 2012 will impact facility reimbursement in 2014.   In addition to being scored on hemoglobin, adequacy, AVF rate, and catheter rate, to get a full score each facility will need to attest (on CROWNWeb) that all Medicare patients have had their serum calcium and serum phosphorus measured at least once a month during 2012, administer the ICH CAHPS survey (see https://www.cahps.ahrq.gov/default.asp) to their patients, register for the National Healthcare Safety Network (“NHSN”; see http://www.cdc.gov/nhsn/), and use NHSN to report at least three consecutive months of dialysis event data.   It’s not too early to get started on these efforts.   There are earlier articles on Reimbursement and on Quality Improvement.

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February 15, 2012
FDA Warning on Stomach Acid Drugs and Clostridium
The FDA has warned that the use of prescription and over-the-counter stomach acid drugs known as proton pump inhibitors or PPIs may be associated with an increased risk of Clostridium difficile–associated diarrhea.   The FDA is also reviewing histamine H2 receptor blockers.   They recommend seeking medical treatment for diarrhea that does not improve.   The list of PPI products includes AcipHex (rabeprazole sodium), Dexilant (dexlansoprazole), Nexium (esomeprazole magnesium), Omeprazole (omeprazole), Prevacid (lansoprazole) and Prevacid 24hr, Prilosec (omeprazole), Protonix (pantoprazole sodium), Vimovo (esomeprazole magnesium and naproxen), and Zegerid (omeprazole and Sodium bicarbonate).   For details, see http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm290838.htm?source=govdelivery.

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February 15, 2012
Fresenius Optiflux F250NRe Hemodialyzer Recall
The FDA has announced a Class 2 recall of some lots of the Fresenius Optiflux F250NRe Hemodialyzer.   For details and lot numbers, see http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRes/resCollection_2.cfm?ID=106328&CREATE_DT=2012-01-20.

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February 15, 2012
December 2011 Modality Reports Now Available
There are later articles on Patient Census (Modality Reports).
You can find the December 2011 Modality Reports at http://www.nwrenalnetwork.org/modality/mode1211/modality.htm.   Total Network patient census has increased by 4.0% over the last year.   Growth was 5.2% in Washington, 5.0% in Alaska, 3.7% in Oregon, 1.2% in Montana, and nil in Idaho.   Home hemodialysis grew by 12.5%, home peritoneal dialysis by 6.2%, and in-center hemodialysis by 3.3%.   14.8% of Network patients now dialyze at home – 2.6% home hemo, and 12.2% home PD.   You can find historical Modality Reports at http://www.nwrenalnetwork.org/statsmode.htm.   There are earlier articles on Patient Census (Modality Reports).

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February 8, 2012
Convenience Kits with Triad Povidone Iodine Prep Pads
The FDA is still finding Convenience Kits containing those Triad Povidone Iodine Prep Pads that were recalled in January 2011 (see http://www.nwrenalnetwork.org/news_bulletins11D.htm#lee10b and earlier bulletins in the thread).   The latest are Crickit Convenience Kits from North American Rescue, found in Trauma Kits.   Details on this latest recall are at http://www.fda.gov/Safety/Recalls/ucm290639.htm?source=govdelivery.   There are earlier articles on Iodine Prep Kits.

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February 6, 2012
Public Comment on Organ Procurement until April 6, 2012
There are later articles on Transplantation.
UNOS has rewritten the procedures for dealing with violations of organ procurement rules, and invites public comment until April 6, 2012.   To review the changes, and comment, see http://optn.transplant.hrsa.gov/policiesAndBylaws/publicComment/proposals.asp.   There are earlier articles on Transplantation.

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February 6, 2012
New Fistula First Newsletter
There are later articles on Vascular Access.
The new issue of the Fistula First Breakthrough Initiative (FFBI) newsletter, The Gold Standard, can be found at http://www.fistulafirst.org/LinkClick.aspx?fileticket=f9YAxC41kUg%3d&tabid=39.   It introduces three new tools:The entire Change Concept series is located at http://fistula.memberpath.com/Professionals/FFBIChangeConcepts.aspx.   There are earlier articles on Vascular Access.

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February 6, 2012
Depression and Shared Decision Making CEU Webinars February 23 and March 1, 2012
There are later articles on Quality Improvement, on Advance Directives, on End of Life, and on Professional Meetings.
The Mid-Atlantic Renal Coalition will present a one-hour online workshop (“Webinar”) on “Depression in CKD: The Time to Act Is Now” on February 23, 2012.   CEUs are available.   For details see http://www.esrdnet5.org/Education/Continuing-Education.aspx.   Register before February 16.

They will also present the second webinar of their “Professional Responsibility and Palliative Care: Case Studies on Shared Decision Making for Dialysis Patients” series on March 1, 2012.   This session will focus on the clinical practice guideline recommendation for when it is appropriate to stop dialysis, how to resolve conflict with families over stopping dialysis, estimating prognosis of dialysis patients in order to facilitate advance care planning, explaining legal issues when a family is in conflict over stopping dialysis, and present a case study depicting similar conflict.   CEUs are available for physicians, nurses, technicians, and social workers.   For details see http://www.esrdnet5.org/Education/Continuing-Education.aspx.   Register before February 23.   There are earlier articles on Professional Meetings, on End of Life, on Advance Directives, and on Quality Improvement.

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February 6, 2012
Free Kidney Health Screening in Portland March 17, 2012
There are later articles on Patient Education.
The NKF Kidney Early Evaluation Program (KEEP) will sponsor a free kidney health screening on March 17, 2012 in Portland, Oregon.   For details see http://www.nwrenalnetwork.org/N/Keep2012Eng.pdf (English) or http://www.nwrenalnetwork.org/N/Keep2012esp.pdf (Spanish).   For more details on the KEEP program, see http://www.kidney.org/news/keep/index.cfm.   There are earlier articles on Patient Education.

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February 6, 2012
Home Hemo Seminar for Patients Online
There are later articles on Patient Education, on Home Dialysis, and on Treatment Options.
AAKP has added a "Webinar" (online seminar) on "Home Hemodialysis: Helping Patients Lead a Healthier Life" to it's HealthLine series, at http://notiondevsite.com/aakp/audio/012512aakp/012512aakp.html.   The Webinar will cover the convenience and lifestyle benefits of home hemodialysis, and the medical benefits of more frequent dialysis.   The HealthLine Series is introduced at http://www.aakp.org/events/HealthLine/.   There are earlier articles on Patient Education, on Treatment Options, and on Home Dialysis.

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February 6, 2012
NKF Patient Educational Symposium Update
There are later articles on Patient Education and on Patient Meetings.
We've updated the flyer on our website announcing the NKF Spring Patient & Community Education Symposium, to correct a typo in the email address; see http://www.nwrenalnetwork.org/N/nkfSpring2012.pdf.   It's still March 18, 2012 in Portland, Oregon.   We've also added the conference brochure, which includes a registration form, agenda, speaker biographies, and of course location information.   Breakfast, lunch, and the symposium are all free, but pre-registration is recommended to reserve a space.   The brochure can be found at http://www.nwrenalnetwork.org/N/nkfSpring2012Bro.pdf.   There are earlier articles on Patient Education and on Patient Meetings.

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February 1, 2012
Renastart Recall in 400g Cans, Batch #12832 Only
The FDA has announced the recall of one lot, Batch #12832, of 400g (14.11 oz) cans of Renastart because they may be mislabeled, and their use could lead to hyperkalemia or hypernatremia.   No other batches of cans, and no sachets, are being recalled.   For full details see http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm289705.htm?source=govdelivery.

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January 30, 2012
NKF Patient Education Symposium March 18, 2012 in Portland OR
There are later articles on Patient Education and on Patient Meetings.
The Spring 2012 National Kidney Foundation Patient & Community Educational Symposium will be held in Portland on March 18, 2012, on “Thriving with Kidney Disease: Diet and Wellness.”   It’s free, as is lunch, but since space is limited, pre-registration is recommended.   For details see http://www.nwrenalnetwork.org/N/NKFSpring2012.pdf.   There are earlier articles on Patient Education and on Patient Meetings.

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January 30, 2012
Vocation Rehabilitation Toolkit Updated
There are later articles on Vocational Rehabilitation.
We’ve updated our Vocational Rehabilitation Toolkit and its associated resources, at http://www.nwrenalnetwork.org/SW/VR/VocToolkit.pdf.   You can also locate it through our Social Worker or Clinical Staff pages, at http://www.nwrenalnetwork.org/SW/SW.htm or http://www.nwrenalnetwork.org/staff.htm#SW.   There are earlier articles on Vocational Rehabilitation.

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January 30, 2012
CROWNWeb - All Facilities Begin Enrollment February 1, 2012
There are later articles on CROWNWeb.
CMS Schedules CROWNWeb National Release for March 2012
CMS has announced it has targeted March 2012 for the national release of CROWNWeb.   CROWNWeb is a CMS-mandated data collection system that all facilities will be required to use upon national implementation.     In order to have access to CROWNWeb, all Network 16 facilities must register a Security Official and an End User Manager prior to the national release using QIMS (QualityNet Identity Management System).   QIMS is linked to, but is a separate system from CROWNWeb and is used to create and manage user IDs and passwords for CROWNWeb access.   QIMS Registration for all Network 16 facilities begins February 1, 2012.   Prior to registration, all users need to complete online Security Awareness Training (SAT).   You may begin the Online Security Awareness Training immediately, at http://iase.disa.mil/eta/iss_icv5/launchpage.htm.   Print a copy of your Security Awareness Training Certificate and keep it on file.   You will need this later in the QIMS application process.    More information about QIMS Registration is located on http://www.projectcrownweb.org and on the Network website at   http://www.nwrenalnetwork.org/IM/CW3enrol.htm.   There are earlier articles on CROWNWeb.

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January 30, 2012
Quality Incentive Program 2013-14 Open Door Forum February 2, 2012
There are later articles on Quality Improvement and on Reimbursement.
CMS will hold a Special Open Door Forum on February 2, 2012 about the ESRD Quality Incentive Program: Payment Years 2013/2014 Final Rule and Benchmark Data Overview.   For details see http://www.cms.gov/OpenDoorForums/15_ODF_ESRD.asp.   There are earlier articles on Reimbursement and on Quality Improvement.

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January 24, 2012
Patient Poster/Flyer on Protecting Your Access
There are later articles on Patient Education and on Vascular Access.
We’ve added our January monthly patient poster to our catalog of poster/flyers at http://www.nwrenalnetwork.org/P/M/Monthly.htm.   This month’s flyer is on “Protect Your Access – It’s Your Lifeline!”   There are earlier articles on Patient Education and on Vascular Access.

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January 24, 2012
AAKP Annual Patient Meeting August 9-11, 2012 in Atlanta
There are later articles on Patient Meetings.
The American Association of Kidney Patients will hold their 39th Annual Patient Meeting on August 9-11, 2012 in Atlanta, Georgia.   The convention theme will be “Kidney Care – Innovations in a Changing Environment.”   You can find details at http://www.aakp.org/events/convention/2012-convention/.   There are earlier articles on Patient Meetings.

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January 20, 2012
Facility Closures
There are later articles on Emergency Preparedness.
Northwest Renal Network will continue to monitor the impact of nasty weather conditions and other disruptions on facility operations throughout the winter.   Facility closures are posted at http://www.nwrenalnetwork.org/facilities.htm and http://www.dialysisunits.com/.   Please contact the Network with information about facility closures, or if you need Network assistance in addressing barriers to patient care.   Phone: 206-923-0716, ext. 109, Fax: 206-923-0714, Email: LHall@nw16.esrd.net.   Please remember never to email patient-identifying information, as email is not secure.   There are earlier articles on Emergency Preparedness.

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January 13, 2012
NWRD Annual Meeting March 1-2, 2012 in Seattle
There are later articles on Professional Meetings.
The Northwest Renal Dietitians will hold their 2012 Annual Meeting in Seattle on March 1 and 2, 2012.   Among others, topics include treatment modalities, CKD, ileostomy, adherence, ethics, and research.   For the full agenda, registration form, location, CE information, and other details, see http://www.nwrenalnetwork.org/N/NWRD2012.pdf.   There are earlier articles on Professional Meetings.

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January 13, 2012
Polymyxin B Recall
The FDA has announced additional guidance on the August recall by Bedford Laboratories of Polymixin B for Injection USP and Vecuronium Bromide for Injection USP.   For details see http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm287411.htm?source=govdelivery.

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January 13, 2012
Excedrin, Bufferin, Gas-X Recall
Novartis Consumer Health Inc. is voluntarily recalling specific lots of over-the-counter products Excedrin, Bufferin, Gas-X Prevention and NoDoz because of possible foreign particles and incorrect labeling.   For details see http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm286265.htm.

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January 13, 2012
Endo/Novartis Opiates Recall
Endo Pharmaceuticals and Novartis Consumer Health have warned that opiate products made by Endo may contain medications other than what the label specifies.    These products include
  • Opana ER (oxymorphone hydrochloride) Extended-Release Tablets CII,
  • Opana (oxymorphone hydrochloride) CII,
  • Oxymorphone hydrochloride Tablets CII,
  • PERCOCET (oxycodone hydrochloride and acetaminophen USP) Tablets CII,
  • PERCODAN (oxycodone hydrochloride and aspirin, USP) Tablets CII,
  • ENDOCET (oxycodone hydrochloride and acetaminophen USP) Tablets CII,
  • ENDODAN (oxycodone hydrochloride and aspirin, USP) Tablets CII,
  • MORPHINE SULFATE Extended-Release Tablets CII, and
  • ZYDONE (hydrocodone bitartrate/acetaminophen tablets, USP) CIII. 
For details and recommendations, see
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm286280.htm.

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January 13, 2012
Sub-optimal Hemoglobin
There are later articles on Reimbursement, on Hemoglobin, and on Quality Improvement.
The percentage of patients with sub-optimal hemoglobin (<10g/dL) is one of the measures used by the CMS Quality Incentive Program to help determine how dialysis facilities are reimbursed.   We have successfully completed several Quality Improvement Projects on raising sub-optimal hemoglobin over the last several years.   Our primary tool has been to identify subsets of patients who are at greater risk for anemia, and provide them with more proactive and assertive treatment.   We have identified new patients, recently hospitalized patients, patients using catheters, and patients with co-morbidities as subsets appropriate for this.   Our PowerPoint presentation from these Quality Improvement Projects, Improving Sub-Optimal Hemoglobins, can be found at http://www.nwrenalnetwork.org/QI/QI.htm#qip10.   There are earlier articles on Hemoglobin, on Quality Improvement, and on Reimbursement.

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January 9, 2012
ANNA National Symposium in Orlando April 29-May 2, 2012
There are later articles on Professional Meetings.
The American National Nurses Association’s National Symposium will be held April 29-May 2, 2012 in Orlando FL.   For details see http://www.annanurse.org/cgi-bin/WebObjects/ANNANurse.woa/wa/viewSection?s_id=1073744233.   There are earlier articles on Professional Meetings.

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January 9, 2012
ANNA Winter Webinar February 21 and 28, 2012
There are later articles on Professional Meetings and on Diabetes.
ANNA’s Winter Webinar will be on Prevention and Management of Diabetes Complications, on February 21, and repeated on February 28.   For details see http://www.annanurse.org/cgi-bin/WebObjects/ANNANurse.woa/wa/viewSection?s_id=1073744055&ss_id=1&tName=currentAudioConference.   There are earlier articles on Professional Meetings and on Diabetes.

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January 9, 2012
Renal Update 2012 near Seattle March 1-2, 2012
There are later articles on Professional Meetings.
ANNA Chapter 503’s 2012 Renal Update conference will be held March 1-2, 2012 in Lynnwood WA.   Topics include, among others, treatment options, public health, reimbursement, surveys, patient education, hypertension, phosphorus management, PD, pregnancy, adequacy, and transplant.   CEUs are anticipated.   For details, including schedule, registration form, and directions, see http://www.nwrenalnetwork.org/N/RenalUpdate2012.pdf.   There are earlier articles on Professional Meetings.

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January 9, 2012
Dialysis Conference February 26-28, 2012 in San Antonio
There are later articles on Professional Meetings.
The University of Missouri School of Medicine will present the 32nd Annual Dialysis Conference in San Antonio February 26-28, 2012.   The Conference includes the 18th International Symposium on Hemodialysis and the 23rd Annual Symposium on Pediatric Dialysis.   See http://som.missouri.edu/Dialysis/ for details.   There are earlier articles on Professional Meetings.

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January 6, 2012
Mid-Columbia Nephrology Seminar in Spokane March 18, 2012
There are later articles on Professional Meetings.
The Mid-Columbia Nephrology Seminar will be held in Spokane this year, on March 18.   Topics include continuous dialysis, nocturnal dialysis, short daily HD, access planning and care complications, intradialytic parenteral nutrition, PD, and CKD.   CEUs are available for nurses and PCTs.   See http://www.nwrenalnetwork.org/N/MidCol.2012.pdf for details.   There are earlier articles on Professional Meetings.

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January 6, 2012
Managing Conflict Online Seminar with CEUs January 31, 2012
There are later articles on Professional Meetings and on Conflict Resolution.
The Mid-Atlantic Renal Coalition will present a one-hour online workshop (“Webinar”) on Managing Conflict in Your Dialysis Center on January 31.   CEUs are available.    For details see http://www.esrdnet5.org/Education/Continuing-Education.aspx.   There are earlier articles on Conflict Resolution and on Professional Meetings.

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January 4, 2012
Dialysis Facility Compare Updated with Quality Incentive Program Information
There are later articles on Quality Improvement and on Reimbursement.
CMS has updated its Dialysis Facility Compare (DFC) webpage to include information from the Quality Incentive Program (QIP).   DFC allows you to compare facility performance on anemia, dialysis adequacy, and survival measures.   You can find DFC at http://www.medicare.gov/Dialysis/Include/DataSection/Questions/SearchCriteria.asp?, and more information about the QIP at http://www.cms.gov/esrdqualityimproveinit/01_overview.asp.   There are earlier articles on Quality Improvement, on DFC, and on Reimbursement.

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EARLIER BULLETINS

  Topic Index  

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Page updated February 4, 2013                 
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