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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NRAA is offering access to the 
LIVE COVID-19 Discussion threads to non-members.
Join the discussion! Request access here. 

Latest News 

May 26 - [CMS] Now Available: Fact Sheet for State and Local Governments - CMS Programs & Payment for Care in Hospital Alternate Care Sites 

May 22 - [CMS] Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries 
> Download Final Rule
> Access FAQ 

May 18 - [CMS] Trump Administration Issues Guidance to Ensure States Have a Plan in Place to Safely Reopen Nursing Homes 

May 17 - [CDC] CDC Activities and Initiatives Supporting the COVID-19 Response and the President's Plan for Opening America Up Again - PDF


Upcoming Events


For CMS Weekly Calls,
CLICK HERE
  • CMS COVID-19 Office Hours Calls 
  • Lessons From the Front Lines: COVID-19 
  • Care-Site Specific Calls - Including Home Health, Dialysis, and Nurses

Living Well During COVID-19: How to Cope and Manage Your Emotions
Hosted by Dialysis Patient Citizens 
May 28, 2020  |   12:30 PM - 1:30 PM ET

Establishing an Infection Prevention Program, and Conducting Ongoing Infection Surveillance in the Nursing Home
Hosted by CMS 
May 28, 2020  |  4:00 PM - 5:00 PM ET 

The Meetup: Weekly Discussion on Renal Healthcare Industry-Critical Issues; Including COVID-19 
Hosted by National Renal Administrators Association (NRAA)
June 1, 2020  |  1:00 PM - 2:00 PM ET  (occurs every Monday)

View past events, audio recordings, and presentation materials here 

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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 community spread of coronavirus disease (COVID-19). 


Additional CDC Resource Links
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CMS Resources


CMS WEEKLY CALLS - WEEK OF 5/25/20

CMS COVID-19 Office Hours Calls
Occurs weekly, access links and numbers vary 
Tuesday, May 26  |  5:00 - 6:00 PM ET 
Dial In: 833-614-0820 
Access Code: 897 7438
Web link - click here 

Lessons From the Front Lines: COVID-19 - occurs every Friday, access link and number vary 
Joint effort between CMS, FDA, and the White House Coronavirus Task Force 
Friday, May 29  |  12:30 - 2:00 PM ET 
Dial In: 877-251-0301 
Access Code: 635 0189
Web link - click here

Weekly COVID-19 Care Site-Specific Calls 
Dial In for ALL Calls listed below: 833-614-0820 
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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 - 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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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)


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

  • The Hub Digest:  Updates and upcoming webinars The Hub  is continuously updated throughout the week to provide you the news, webinars, resources, and information available to support renal healthcare professionals and facilities. Latest News ... More

  • Below you will find the responses directly from the CDC regarding the two questions that were posed during a COVID-19 KCER Status call.    Provider received feedback from state survey agency that they should using 1:10 (not the usual 1:100) bleach ... More

  • UPCOMING EVENTS  As webinars are announced, they will be added to the COVID-19 Hub  COVID-19 Communications: Quick Tips to Connect  Weekly event hosted by CMS and ESRD NCC May 27, 2020  |  5:00 - 5:30 PM ET UNITE Part 1: Long-term Care Facilities' ... More

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    RE: CEU's

    Hello Marsha, I found this website with free CEU. https://app.incrediblehealth.com/ . More

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    CEU's

    Can anyone recommend an approved CEU for nursing recertification  Sexual Harassment -- Finding some that you buy for $20/ hoping some "free" ones  out there. Thanks  M. Wilson RN ------------------------------ Marsha Wilson C.N.N. Home Coordinator Renaissance ... More

  • We are still not. We are also not currently allowing family members/helpers in to assist patients in setting up their area (nests). The staff is taking care of this. Karri Karri Hoopes, RN Dialysis Manager Uintah Basin ... More

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    RE: Visitors/Guests

    At this time, we are still not allowing visitors in the centers unless there is a medical reason or the patient needs a sitter.  If that is the case, then the sitter is in full PPE including mask, shield and gown.  All patients, staff and anyone else ... More

  • We are still keeping to our COVID plan,.. no visitors to the in-center dialysis facility.   The same rules apply to our home program.  If a patient comes to the facility, no visitors allowed (unless the pt has special needs).  We are conducting an options ... More

  • UPCOMING EVENTS  As webinars are announced, they will be added to the COVID-19 Hub  The Provision of Dialysis for Patients Post-COVID Diagnosis  Hosted by American Society of Nephrology (ASN)  May 21, 2020  |  4:00 PM ET UNITE Part 1: Long-term ... More

  • Yes, we are allowing visitors but have expanded our screening to include a phone call to the home unit to discuss the current COVID situation at their home unit, and a deeper transient screening.   We are in Branson, so we have many patients with time ... More

  • No -- *Sincerely,* *Olawanle Turton, RNM , BSN* *RN Manager* *Kidney Dialysis Unit* *Deer's Head Hospital Center* *Salisbury, MD* *410-543-4132* * olawanle.turton@maryland.gov < olawanle.turton@maryland.gov >* "Every day, once a day, give yourself ... More

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    Visitors/Guests

    ​​As the country starts to open up, are you allowing visitors/guests to come into the outpatient dialysis units to see patients receiving treatments? ------------------------------ Maria Regnier Senior Director Dialysis Services Sanford Health Fargo, ... More

  • ​I am glad you are finding the meetup useful! I think the building document you are looking for is this one: https://www.rehva.eu/fileadmin/user_upload/REHVA_COVID-19_guidance_document_ver2_20200403_1.pdf I think it is helpful as it highlights ... More

  • Thanks for sharing the document, Susan!   Francine, that doc and more information about the topics discussed on yesterday's Meetup will also be available on the summary.  I will let you know when it is available.  Welcome to Voices! ------------------------------ ... More

  • CMS WEEKLY CALLS - WEEK OF 5/18/20 Calls occur weekly, webcast links and access codes change each week. Here are the details for this week's CMS calls: CMS COVID-19 Office Hours Calls Occurs every Tuesday and Thursday, access links and numbers ... More

  • While we were on the Meet Up, I used the address Brigit was addressing. I sent this to my Properties guy for his reading enjoyment! Thanks. Susan Susan Senich Director of Compliance XCD Management Services LLC North Central ... More

  • Sarabeth: I think I signed the correct document to access information from NRAA. I am looking for something Bridget shared yesterday on the meetup. Do you know how I would contact her for the document she presented on structures and COVID safety? ... More

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    RE: Bleach Wipes

    The CDC recommended 1:50 for disinfection ...that is what we have been using for our stations and machines. This message and any attachments may contain information that is confidential, privileged and/or protected from disclosure under state and ... More

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    Bleach Wipes

    What is the recommended sodium hydrochloride ratio others are using at this time of Covid-19 Pandemic? I currently use 1: 100 bleach wipes for my machines and chairs and 1:10 for my isolation machine and chairs. *Olawanle Turton, RNM , BSN* *RN Manager* ... More

  • The Hub Digest:  Weekly Recap The Hub  is continuously updated throughout the week to provide you the news, webinars, resources, and information available to support renal healthcare professionals and facilities.  We have compiled some of those updates ... More