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.

Latest News 

August 11 - [CMS] Trump Administration Announces Initiative to Transform Rural Health 
> CHART Model Fact Sheet

August 11 - [CMS] HHS Provider Relief Fund Phase 2 General Distribution Now Accepting Additional Applicants

August 3 - [CMS] Trump Administration Proposes to Expand Telehealth Benefits Permanently for Medicare Beneficiaries Beyond the COVID-19 Public Health Emergency and Advances Access to Care in Rural Areas

July 31 - [CDC] COVID-19 Response Promising Practices in Health Equity II Video

July 31 - [CMS] CMS Updates Medicare Payment Policies for Several Types of Healthcare Providers

July 28 - [CMS] CMS Updates Data on COVID-19 Impacts on Medicare Beneficiaries
> FAQ on this Data Release
> Preliminary Medicare COVID-19 Data Snapshot



Upcoming Events


CMS COVID-19 Office Hours
Hosted by CMS
Call in 833-614-0820  |  Access Passcode 3498643
August 11, 2020  |  5:00 - 6:00 PM ET

COVID-19 Care Site-Specific Calls: Dialysis Organizations
Hosted by CMS
Call in 833-614-0820  |  Access Passcode 1027088
August 12, 2020  |  5:30 - 6:00 PM ET 

Physician Fee Schedule Proposed Rule: Understanding 4 Key Topics Listening Session 
Hosted by CMS Medicare Learning Network
August 13, 2020  |  1:30 - 3:00 PM ET 

National CMS/CDC Nursing Home COVID-19 Training: Transparency: Resident and Family Notification, Department of Health and Other Notifications
Hosted by CMS and the CDC
August 13, 2020  |  4:00 - 5:00 PM ET 

Addressing Kidney Patient's Clinical Needs During COVID-19 
Hosted by Renal Physicians Association
August 14, 2020  |  12:30 PM ET 

CMS Open Door Forum for Physicians, Nurses & Allied Health Professionals
Hosted by CMS 
August 19, 2020  |  2:00 - 3:00 PM ET
Conference Call Only - Dial: 1-888-455-1397 & Conference Passcode: 9375124

Nursing's Role in Health Equity, Public Health Emergencies, and COVID-19 - Critical Issues for the Future of Nursing 2020-2030 
Hosted by National Academy of Medicine 
August 20, 2020  |  2:00 PM ET 


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 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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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

  • Profile Picture

    RE: N95 Masks

    We are wearing surgical masks as well. All our patients are wearing masks as well. If we have a confirmed or suspicious (PUI) Covid-19 patient in isolation then the staff wear an N95. Karri Karri Hoopes, RN Dialysis Manager ... More

  • Profile Picture

    RE: N95 Masks

    We currently have all staff and patients wearing surgical masks at all times. N95s are being worn when caring for a COVID PUI or Positive because the staff member stays in the room the entire dialysis treatment time. ... More

  • Profile Picture

    RE: N95 Masks

    Wendy, We do not routinely wear N95 masks-staff only wear them when caring for Covid positive patients or in code situations.  The other times both patients and staff wear surgical masks (and staff also goggles or shields).   Patients do sometimes wear ... More

  • Profile Picture

    RE: N95 Masks

    Our staff wear universal N95's and face shields when caring for PUI patients and Fitted N95's and face shield for COVID + patients. We will also wear fitted N95's and shields for any resuscitation efforts (Code Blue) on any patients. ... More

  • Profile Picture

    RE: N95 Masks

    Our staff is wearing KN95 masks with shields at all times.  When working with COVID PUI or COVID confirmed  positive or any hospitalized patients, staff are wearing N95's with shields. ------------------------------ [Kate] [Kern] RN BSN CNN] [Dialysis ... More

  • Profile Picture

    RE: N95 Masks

    Hi Wendy- N95 masks are available to all direct care staff. Staff wear them when caring for suspected PUI's and confirmed positives. Staff can wear them at any time if they prefer, however, they are not required because we do not perform ... More

  • Profile Picture

    N95 Masks

    Good day.  I am curious to know how many of your centers have staff wearing N95 masks during patient care. ------------------------------ Wendy Escobedo Director Dialysis & Transplant St. Joseph Hospital Renal Services Orange CA (714) 771-8087 ----- ... More

  • Upcoming Events CMS COVID-19 Office Hours Hosted by CMS Call in 833-614-0820  |  Access Passcode 3498643 August 11, 2020  |  5:00 - 6:00 PM ET COVID-19 Care Site-Specific Calls: Dialysis Organizations Hosted by CMS Call in 833-614-0820  |  Access ... More

  • Maria We had to evacuate today related to tornado in the area. The social worker takes the emergency box and then gets enough saline and tubing for all the patients as well as all the other supplies. Lynn Riesenberg Director of Dialysis ... More

  • I am not sure of the right answer, but on one of our surveys, the surveyor expected that we have supplies for each patient....but...our biggest facility is 18 stations! Peggy Bushey BSN RN, CDN Renal Nurse Supervisor Home Program ... More

  • Profile Picture

    Evacuation Kits

    ​​Hi, We are working on revising our emergency policy. Each of our dialysis facilities has an emergency evacuation box. I was reading V408 that requires your evac kit to have saline and IV tubing. Do you stock saline based on the maximum number of patients ... More

  • Profile Picture

    RE: QIP score

    5132556700 Thanks Anil K. Jain, M.D, MRCP More

  • Profile Picture

    RE: QIP score

    Dr. Jain, Please email me a best time for us to talk, my contact info is below. If I can't help you, I will share a few of my contacts who might be able to assist with QIP. Regards, Naveena ... More

  • Profile Picture

    RE: QIP score

    Hello , Is there education seminar or consulting available to understand quality reporting system ? Anil jain More

  • Profile Picture

    RE: QIP score

    Trudy,  The NHSN Bloodstream Infection score is made up of two measures: – NHSN Bloodstream Infection Clinical Measure and the NHSN Dialysis Event Reporting Measure. The "improvement" range is the scale running from the Improvement Threshold (your ... More

  • Matt, Here is the link to the registration:  https://www.pathlms.com/nraa/courses/22212 ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Administrator, Dialysis Program UVA Health Charlottesville, VA 22908 434-924-5590 ------------- ... More

  • Hi Michelle,   I sent you a private reply about the uses and benefits of Alcavis 50. ------------------------------ Michele Padovan RN CNN Product Education Specialist Angelini Pharma Inc. ------------------------------ More

  • We had (notice "had") what we felt to be a higher than expected number of exit site infections and peritonitis...upon drill down, we noted that the exit site infected patients were MRSA positive...we did the following: Exit site infections (have not ... More

  • ​​​​We recently have seen a spike in our peritonitis cases. We are going to be implementing the use of Alcavis for cleansing, which i'm hoping will help! We also noticed the majority of our cases, the patients use Extraneal for a last fill. Has anyone ... More

  • Dianna, I wanted to see if would be possible for me to register to participate in tomorrow's Webinar on the ESRD PPS proposed rule as part of our corporate membership. If so would you be able to provide me with the required login details to ... More