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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The discussion thread is for
NRAA Members only.

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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

The Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) released an Express message that includes: 

CMS Issued Materials on Medicaid & CHIP Telehealth:

CMS Issued Materials on Medicare Telehealth: 


HIPAA:  Effective immediately, the HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations against health care providers that serve patients in good faith through everyday communications technologies, such as FaceTime or Skype, during the COVID-19 nationwide public health emergency. 


Telehealth Legal Resources 


Practice Guidelines & Additional Telehealth Resources

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Other Resources


Agency Updates 

CARES Act 
Attestation Portal is Open - 4/16/20 
  • Providers who have been allocated a payment from the initial $30 billion general distribution must sign an attestation confirming receipt of the funds. 
HHS Announces Immediate Infusion of $30 Billion into Healthcare System - 4/9/20


Other Resources

Transportation and Cleaning 
resources received from Kidney Community Emergency Response (KCER)
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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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Advancing the Response to COVID-19: Sharing Promising Programs and Practices for Racial and Ethnic Minority Communities - 9/17/20
A Virtual Symposium Hosted by HHS Office of Minority Health

Lessons from the Front Lines: COVID-19 - 9/18/20
Hosted by CMS 

Optimizing Healthcare PPE and Supplies - 9/14/20
Hosted by ASPR TRACIE 
Going Beyond the Statement: Dismantling Systematic Racism in Nephrology - 9/14/20
Hosted by ASN 

Gowns and Other Apparel for Use by Health Care Personnel in COVID-19 Pandemic - 9/15/20
Hosted by CDC National Institute of Occupational Safety and Health 

Telehealth & Health Equity: Considerations for Addressing Health Disparities during COVID-19 - 9/15/20
Hosted by the CDC, Clinical Outreach and Communication Activity (COCA)

Virtual Town Hall: Immediately in Effect Guidance on COVID-19 Diagnostic Tests - 9/16/20
Hosted by the FDA

Living in a Multigenerational Household During COVID-19 - 9/16/20
Hosted by ESRD National Coordinating Center

Using Technology to Expand Access and Improve Resilience in the post-COVID Healthcare Transformation - 9/10/20
Hosted by the National Quality Forum

Webinar Series - FDA Surgical Masks Umbrella EUA - 9/1/20
Hosted by the FDA

Enabling Operating Room Agility in the COVID-19 Environment - 9/3/20
Hosted by the CDC

Lessons from the Frontlines - 9/4/20
Hosted by CMS, FDA, and the White House Coronavirus Task Force

Lessons from the Front Lines - 8/21/20
Hosted by CMS, FDA, and the White House Coronavirus Task Force 


Nursing's Role in Health Equity, Public Health Emergencies, and COVID-19 - Critical Issues for the Future of Nursing 2020-2030 - 8/20/20
Hosted by National Academy of Medicine 

Addressing Kidney Patient's Clinical Needs During COVID-19 - 8/14/20
Hosted by Renal Physicians Association


Physician Fee Schedule Proposed Rule: Understanding 4 Key Topics Listening Session 
Hosted by CMS Medicare Learning Network - 8/13/20

National CMS/CDC Nursing Home COVID-19 Training: Transparency: Resident and Family Notification, Department of Health and Other Notifications - 8/13/20
Hosted by CMS and the CDC

COVID-19 Care Site-Specific Calls: Dialysis Organizations - 8/12/20
Hosted by CMS


COVID-19 & Telehealth Implementation: Stories from the Field - 8/4/20
Hosted by the CDC Clinical Outreach and Communication Activity (COCA)


National CMS/CDC Nursing Home COVID-19 Training Series - 7/30/20
This weeks topic: COVID-19 Knowledge for the Frontline Staff 
Hosted by CMS/CDC 

Telehealth for Community-Based Organizations - Part 1: Services, Payment, and Partners - 7/29/20
Hosted by HHS Office of the Assistant Secretary for Preparedness and Response, the HHS Administration for Community Living and the U.S. Department of Housing and Urban Development

CDC COVID-19 Response: Promising Practices in Health Equity - 7/29/20
Hosted by the CDC 

COVID-19 Contact Tracing: Status, Challenges and Lessons Learned 
- 7/28/20
Hosted by eHealth Initiative 

COVID-19 Updates, Increased Risk, and Complications for People with Diabetes - 7/28/20
Hosted by CDC, Clinical Outreach and Communication Activity (COCA)

CMS COVID-19 Office Hours - 7/28/20
Hosted by CMS

A Shared Vision of the COVID-19 Experience in Renal Units Across the World - 7/23/20
Hosted by European Dialysis and Transplant Nurses/European Renal Care Association 


Making Kidney Transplantation Possible During COVID-19 - 7/22/20
Hosted by KCER 


Supporting Family Caregivers of Older Adults through Times of Stress and Isolation: A Panel Discussion - 7/16/20
Hosted by CMS - Medicare-Medicaid Coordination Office

Lessons from the Front Lines - 7/17/20
Hosted by CMS 

Managing Staffing Challenges (in the era of COVID-19) - 7/9/20
Hosted by CMS 


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

  • Maybe we could ask Becky - she did a wonderful job adapting the QAPI tool for our use ​ ------------------------------ Caprice Vanderkolk RN, BS, MS, BC-NE Nurse Manager Dialysis and Pediatrics Kidney Center Office ... More

  • I agree that this is going to be extremely challenging and hopefully we will have some data nerds volunteer to help create a tool.  I am not sure how CMS expects the small and/or independent providers to have the bench strength to figure out the scoring ... More

  • The challenge is going to be finding out what the "comparison geographic region" is for each HRR and what that comparison region's home modality and transplant rates are. Otherwise, the only measure within a facility's control is their improvement score ... More

  • Since the release of the final rule for the ESRD Treatment Choices Payment Model on September 28th, has anyone come up with an easy to use tool to guestimate a dialysis program's score? ------------------------------ Sarah Tolson Director of Operations ... More

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    RE: Covid vaccine

    Hi, I have clinics in the upper Midwest (4 states). One of the states that we have four dialysis clinics in required us to fill out paperwork called a "provider enrollment form" and submit by yesterday deadline. This form will provide information to ... More

  • Debbie Hope you are well though I see you responded to the incorrect Kathy Have a great day More

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    RE: Covid vaccine

    Kathy, I have been monitoring this closely and I think that press release CVS/Walgreens and the efforts to get the vaccine to LTC facilities is the only announcement I have seen.  To date there is not an approved vaccine.  The NRAA will continue to watch ... More

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    Covid vaccine

    I see there is a plan developing for the Long Term Care and Assisted Living facilities by the CDC to get the Covid vaccine to these vulnerable people as soon as available. I am wondering, does anyone know of any plan for our vulnerable dialysis patients? ... More

  • Hi Chad I think we are all in the midst of trying to figure out the significant reimbursement drop in calcimimetics that are proposed to hit 1/1/2021.  Just looking at the CMS impact file attached to the proposed rule, we calculated we are going to have ... More

  • All, Since CMS is changing the medication reimbursement for next year, we are looking at different options to administer calcimimetics.  With that said, would anyone be able to share any feedback from their physicians about how they are utilizing off-label ... More

  • APIC is Celebrating IPs and Teamwork to Fight COVID-19 at IIPW 2020 October 18–24, 2020   |   We Love IPs We have discussed if we need a second webinar regarding MA. Is this something people are interested in? What types International Infection ... More

  • We have discussed if we need a second webinar regarding MA. Is this something people are interested in? What types of topics related to this new payer option would you like to hear about? What information about MA plans would you like further information ... More

  • Ha...that's what we're afraid of J Peggy Bushey BSN RN, CDN Renal Nurse Supervisor Home Program University of VT Medical Center Burlington, VT 05401 Home Program (802) 847-4240 This message and any attachments ... More

  • Thanks Peggy, and we only scratched the surface... This email and its attachments may contain privileged and confidential information and/or protected health information (PHI) intended solely for the use of Centers For Dialysis Care(CDC) and the ... More

  • Awesome MA presentation!!! Lot's to think about and keep you busy for awhile...thanks Peggy Bushey BSN RN, CDN Renal Nurse Supervisor Home Program University of VT Medical Center Burlington, VT 05401 Home Program (802) ... More

  • Yes, it was recorded and will be available shortly. Sent from my phone, please forgive any typos Thank you This email and its attachments may contain privileged and confidential information and/or protected health information (PHI) ... More

  • Will there be a replay of this offering?  Thanks! ------------------------------ Karen Lewis Key Account Manager Amgen, Inc. Port Allen LA ------------------------------ More

  • Don't miss today's webinar!  Register now for ESRD and Medicare Advantage in 2021:  The Plans, Providers and Patients presented by NRAA Treasurer David Oppenlander, Cheryl Winterich, and Howard Thomas.  DATE:    Today - Wednesday, October ... More

  • Hello.  I have been trying to find the same information myself.  I have been reading the CMS website and it looks like we may need to modify our 3427 to be able to go into the SNF setting.  Perhaps we could talk and compare note/information. Thanks, ... More

  • I was wondering if anyone can share a sample contract for doing HD in the nursing home setting. We have an outpatient dialysis unit and was approached by a couple of nursing homes to provide our services in-house at their facilities.  I would really ... More