COVID-19



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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. 


Project American Strong - 5/6/20
The federal government launched “Project America Strong” to distribute reusable cotton face coverings in support of the critical infrastructure sectors across the country. CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores, pharmacies, traveling to and from medical appointments) especially in areas of significant community-based transmission.


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

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)
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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)
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Past Events, Recordings, Presentations


CMS COVID-19 Stakeholder Call Recording/Transcripts
On-going updates on this link

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State Partnerships to Support COVID-19 Prevention and Response in Nursing Homes - 6/30/20
Hosted by CMS 


Personal Protective Equipment (PPE) Stategies for COVID Care - 6/25/20
Hosted by CMS 

The COVID-19 Impact: Changes and Challenges for Dialysis Providers Webinar Series - 6/24/20
Part 3: Paid Leave Under the Families First Coronavirus Act
Hosted by NRAA

Your COVID-19 Questions Answered: Daily Life, Social Interaction, Returning to Work, and More - 6/24/20
Hosted by CDC Emergency Partners Information Connection (EPIC)

Navigating COVID-19: Supporting Individuals with Dementia and their Caregivers - 6/23/20
Hosted by  CMS

Roundtable: Telehealth for Kidney Care, Beyond COVID-19 - 6/23/20
Hosted by ASN

Clinical Care: Managing COVID Positive Residents - 6/18/20
Hosted by CMS 

COVID-19 Infection Prevention Resources for Dialysis Staff - 6/17/20
Hosted by ESRD Network Community, National Coordinating Center

Applying COVID-19 Infection Prevention and Control Strategies in Nursing Homes - 6/16/20
Hosted by CDC Clinician Outreach and Communication Activity (COCA)

AKI Roundtable: The Kidney/Lung Connection and Fluid Management in COVID-19 - 6/16/20
Hosted by ASN

How Facilities Are Keeping Patients Safe from COVID-19 [For ESRD Patients] - 6/16/20
Hosted by ESRD Network Community, National Coordinating Center


Weekly COVID-19 Quickinar: ASN Response - 6/10/20
Hosted by ASN


Implementation Strategies for COVID-19 Surveillance and Early Detection - 6/4/20
Hosted by Quality Improvement Organizations, CMS


Provider Preparation for Hurricane Season During the COVID-19 Pandemic - 6/3/20
Hosted by Kidney Community Emergency Response (KCER)


COVID-19 and the Kidney - 6/3/20
Hosted by: ASN and the Indian Society of Nephrology (ISN)


Living Well During COVID-19: How to Cope and Manage Your Emotions - 5/28/20
Hosted by Dialysis Patient Citizens 
Webinar Recording  & Presentation Slides

Establishing an Infection Prevention Program, and Conducting Ongoing Infection Surveillance in the Nursing Home - 5/28/20
Hosted by CMS 

2020 Hurricane Season During COVID-19 - 5/27/20
Hosted by CDC EPIC Team

UNITE Part 1: Long-term Care Facilities' Response to COVID-19 - 5/27/20
Hosted by CMS


COVID-19 Communications: Quick Tips to Connect - 5/27/20
Weekly event hosted by CMS and ESRD NCC


The Provision of Dialysis for Patients Post-COVID Diagnosis - 5/21/20
Hosted by American Society of Nephrology (ASN) 
Webinar Recording  |  Presentation Slides 


Toward the "New Normal": Protecting Public Health as American Reopens - 5/15/20
Hosted by National Association of Medicine (NAM) and American Public Health Association (APHA)

Surviving COVID-19 : Mental Health Support for Kidney Disease Professionals - 5/14/20
Hosted by ASN, ANNA, and NANT 
Webinar Recording Presentation Slides 

PPE! You've Got Questions. We've Got Answers. - 5/13/20
Hosted by National Emerging Special Pathogens Training and Education Center (NETEC)

The COVID-19 Impact: Outlook on Future Legislation and Regulatory Changes - 5/13/20
Hosted by National Renal Administrators Association (NRAA)
Webinar Recording & Presentation Slides 

COVID-19: Healthcare System Operations Strategies and Experiences  - 5/11/20
Hosted by HHS ASPR - Technical Resources, Assistance Center, and Information Exchange (TRACIE) 

Dialysis after Discharge: Transitions of Care for COVID-19 Positive Patients - 5/7/20
Hosted by American Society of Nephrology (ASN)
Webinar Recording  |  Presentation Slides 

Paid Leave Under the Families First Coronavirus Response Act  - 5/1/20
Hosted by Renal Physicians Association (RPA)


Overcoming Challenges to the Provision of Acute Dialysis for COVID-19 Positive Patients - 4/30/20
Hosted by American Society of Nephrology (ASN)
Webinar Recording  |  Presentation Slides 

Supporting Family Caregivers of Older Adults Through Times of Stress And Isolation  - 4/30/20
Hosted by Resources for Integrated Care (Resources for Providers & Plans for Medicare-Medicaid Integration) 

ITU Webinar: Medicare 101 (focus on ITU Staff and provisions for American Indians & Alaska Natives)  - 4/30/20
Hosted by CMS Division of Tribal Affairs 


Managing Your Healthcare Providers' Mental and Physical Wellness in the Time of COVID-19 - 4/29/20
Hosted by Sepsis Alliance 

What the COVID-19 Legislation Means for Healthcare - 4/29/20
Hosted by National Quality Forum 

Reducing the Risk of COVID-19 in the Dialysis Setting - 4/28/20
Hosted by American Nephrology Nurses Association (ANNA)
Registration required for library access

COVID-19 Impact: Addressing Capacity and Cashflow with Virtual Care - 4/28/20
Hosted by eHealth Initiative 

Patient, Family, and Caregiver Engagement Inside a Pandemic - 4/28/20
Hosted by National Quality Forum 


CMS: Lessons from the Front Lines - COVID-19 - 4/24/20
Joint call with CMS, FDA, and White House Task Force (occurs every Friday) 
Call transcript  


Challenges in Transplant Program Operations in the COVID-19 Pandemic: Implications for Patients & Referring Providers - 4/23/20
Hosted by American Society of Nephrology (ASN)
Webinar Recording  |  Presentation Slides

CDC: Psychological First Aid: Addressing Mental Health Distress During Disasters - 4/22/20
Hosted by CDC Emergency Partners Information Connection (EPIC)
Presentation slides

CMS: COVID-19 in Indian Country: Considerations and Resources for LTSS - 4/22/20
Call transcript  

CMS: COVID-19 Care Site-Specific Weekly Call - 4/22/20
Dialysis Organizations - Wednesdays at 5:30 - 6:00 PM ET 
Call transcript  

Dialysis Provision and COVID-19 - 4/22/20
Hosted by Health Services Advisory Group

ASN: COVID-19 Associated AKI Recognition and Management - 4/21/20
Webinar Recording  |  Presentation Slides 

RPA: Financial Support for Nephrology Practices During the COVID-19 Crisis - 4/17/20
Webinar Recording Presentation Slides 

CMS: Lessons from the Front Lines - COVID-19 - 4/17/20
Call transcript  

CDC: COVID-19 in the U.S.: Insights from Healthcare Systems - 4/17/20 
Hosted by CDC Clinician Outreach and Communication Activity (COCA)
Recording will be shared here

ASN: COVID-19 International Roundtable: Recommendations and Lessons Learned - 4/16/20
Webinar Recording  |  Presentation Slides 


​NRAA: The COVID-19 Impact: Legislation, Waivers and Flexibilities for Dialysis Providers - 4/15/20
Webinar recording available here

NAM & APHA: Crisis Standards of Care During COVID-19 - 4/15/20
presented by National Association of Medicine (NAM)  and American Public Health Association (APHA)
Webinar details available here

CMS: COVID-19 Call with Dialysis Facilities - 4/15/20

ASN: COVID-19 - Considerations in the Home Dialysis Setting - 4/9/20
Webinar recording  |   Presentation slides 

CDC: Crisis & Emergency Risk Communication (CERC) Overview for COVID-19 - 4/6/20
Recording and presentation slides available here

RPA: Delivering Care Via Telehealth During COVID-19 - 4/3/20
Webinar Recording  |  Presentation Slides 

CDC: Clinical Management of Critically Ill Adults with COVID-19 - 4/2/20
Recording and presentation slides available here

ASN: Hospital Care and Treatment Options for COVID-19 Positive Patients with ESKD and AKI - 4/2/20 
Recording and presentation slides available here


ANA: Be Confident Protecting Yourself and Providing the Best Care to Your Patients during this COVID-19 Pandemic - On Demand - 3/30/20
Register to receive on-demand link.


ASN Webinar: CDC Recommendations and Policy Updates for Current Challenges in the Dialysis Setting - 3/26/20
Webinar Recording  |  Presentation Slides

CDC Webinar: Underlying Medical Conditions & People at Higher Risk for COVID-19 -  3/27/20
Hosted by CDC, Clinician Outreach and Communication Activity (COCA)
Recording and presentation slides available here 


CDC: COVID-19 Update: Optimization Strategies for Healthcare PPE - 3/25/20
Recording and presentation slides available here

CDC: Coronavirus Disease 2019 Update on Information for Long-term Care Facilities - 3/17/20
Recording and presentation slides available here

CDC: Coronavirus Disease 2019 Update and Infection Prevention and Control Recommendations - 3/13/20
Recording and presentation slides available here 

ASN COVID-19 Information for Providers of Dialysis Services - 3/11/20
Webinar Recording  |  Presentation Slides 

ASPR TRACIE: Highly Pathogenic Infections Disease Training and Exercise Resources Webinar - 3/5/20
Presentation slides available here

CDC: What Clinicians Need to Know to Prepare for COVID-19 - 3/5/20
Recording available here



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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

  • Hi Kate, If the employee is asymptomatic post exposure to DIRECT contact with someone who has tested positive for Coronavirus, we consider the employee to be a PUI. The employee will not be permitted to work for at least 7 days post-exposure ... More

  • Kate, If the patients are tested for symptoms or positive screening we isolate.  It they are tested for pre-procedure or SNF screening with no contact or symptoms we do not isolate.  If someone was exposed to someone who is positive and there is a risk, ... More

  • As our PD patient volume increases in our program it is leading to a higher volume of PD patient hospitalization at times. Currently we have 4 PD RNs that manage the day-to-day management (clinic appt, education, route patient care, care coordination ... More

  • If someone is under investigation, I am wondering if other units are doing full isolation until resulted.  Many patients are being tested now from indirect contact- i.e. someone that they have been around was around someone positive.  Thank you for any ... More

  • My bio-med's do not open or close. Our staff perform those functions. Take care, Jackie Chandler Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and ... More

  • ​Amy, Just my opinion, but  I would say you have more than enough FTE's to cover-we have 12 facilities-245 chairs, large home hemo program, 5 acute units, a rehab hospital contract and an LTACH contract and we only have 10 FTE biomed staff with a biomed ... More

  • ​They are responsible for maintenance and repair of 24 outpatient machines and 4 machines in our inpatient unit across the street.  They also do all the water testing and disinfection.  They open and close the facility. ------------------------------ ... More

  • Hi Michelle, At a previous work place we used the data from the Imp SFB7 Bioimpedance Spectroscopy (BIS) sold by ImpediMed in Carlsbad, CA to determine total body water (TBW), extracellular fluid (ECF) and intracellular fluid (ICF). It was ... More

  • Hi Amy, Our units are hospital based. 16 chairs and 24 chairs in the OP units and an inpatient unit. We have one biomed person for each unit. When not doing dialysis related duties they take care of other assigned areas of the hospital. Teri ... More

  • What are your biomeds responsible for? I had one biomed for 2 OP clinics and an acute program. They were responsible for machine maintenance and repair of 29 HD machines, two CRRT's, cultures and disinfecting all units. Confidentiality Notice: ... More

  • ​​Hello.  I am looking for opinions from other facilities on staffing ratios for Biomed/Technical staff.  We are a hospital based non profit,  24 chair clinic running six days a week.  Our biomed staff generally open our clinic and they do cover our inpatient ... More

  • Hi Jackie, I hope all is going well. Sincerely, Bruce Thompson, Founder & CEO Direct: (720) 961-0708 Gaia Software, LLC. & Drason Consulting Services, LLC Working Together ... More

  • I was just having this discussion with one of the Nephrologists today! Considering using it with CritLine to correlate. I would be very interested also if anyone is using it! Confidentiality Notice: This e-mail message, including any attachments, ... More

  • All of our Univ of VT Med Ctr dialysis facilities require patients to remain masked at all times while they are in the facility. The patients have been given 5 cloth masks to wear to and from the facility, and are given surgical masks when they enter ... More

  • ​​Hello, i'm wondering if any facilities use Bioelectrical Impedance Analysis to help assess fluid status and establish dry weights with their dialysis patients? ------------------------------ Michelle Kukuczka Aspirus Wausau Hospital Wausau WI 715-847-0046 ... More

  • We are universal masking both dialysis patients and staff at all times except for when staff are eating. Staff must maintain social distance during break time while mask is off. Patients are not allowed to eat or drink within the dialysis facility. ... More

  • Our 5 centers in rural Pennsylvania all require patients to wear masks over their nose for the duration of the treatment. We are also not permitting visitors in the lobby or on the treatment floor. More

  • I watched the recording of the Meetup from 6/22/2020. During this meetup I was lead to believe that many centers are not using patient masking, and that some centers are basing masking on local guidance and situations.   The CDC Interim Additional Guidance ... More

  • The Hub Digest The NRAA COVID-19 Hub provides the most up to date news, webinars, resources, and information available to support renal healthcare professionals and facilities.  We have compiled some of those updates you may have missed below: ... More

  • Does anyone have a policy that they are willing to share regarding fair treatment, neglect, etc. and also wondering what kind of training all are providing for staff that would be able to show surveyors regarding the same?  All input appreciated. ------------------------------ ... More