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. 


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 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
  • 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 Release President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak - 3/17/20 

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 

Other Resources

Transportation and Cleaning 
resources received from Kidney Community Emergency Response (KCER)
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Training Materials


[VIDEO] Coronavirus Q&A - World Health Organization

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

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
Presentation not yet available

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
Recording available here  |  Presentation slides available here 

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
Recording and presentation slides available here

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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Latest Discussions List

  • ​ We are part of a hospital based program, and generally do not admit non funded patients into the outpatient facility. They receive dialysis through our acute hospital. However, we are trying to ease the burden they are feeling right now due to COVID, ... More

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    RE: COVID-19

    ​Minutes from Monday's KCER call ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Administrator, Dialysis Program UVA Health Charlottesville, VA 22908 434-924-5590 ------------------------------ More

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    RE: COVID-19

    UPCOMING EVENTS  CMS "Office Hours" April 7, 2020  |  5:00 PM - 6:00 PM ET The first in a series of opportunities for hospitals, health systems, and providers to ask questions of agency officials regarding CMS's temporary actions that empower ... More

  • Just have to remember that the bleach solution is only good for 24 hours. This electronic mail message contains information which is confidential. If you are not the intended recipient, please be aware that any disclosure, photocopying, ... More

  • ​We did same as Peggy. I followed the CDC guideline above, which as a link at the base for EPA approved disinfectants. Found the brand of bleach we use in our unit, approved and dilutable, and calculated the ratio based on that. It was 1.7ml/100ml, so ... More

  • We switched to 2:100 a few weeks ago based on CDC post... https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html Peggy Peggy Bushey BSN RN, CDN Renal Nurse Supervisor Home Program University of ... More

  • Are facilities using stronger than 1% bleach solution to wipe surfaces, machines, etc. during the pandemic?  Thank you. ------------------------------ [Kate] [Kern] RN BSN CNN] [Dialysis Director] [Tri-State Dialysis] [Dubuque) (Iowa) [563 589 4035] ... More

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    RE: COVID - 19 +

    Hello Mr Turton, The attachment is on In hospital patients. Anil K. Jain, M.D, MRCP ------Original Message------ See the attached webinar from ASN Please let me know how you handle it. Thanks -- ... More

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    RE: COVID-19

    ​Here are the minutes from Friday's KCER provider call. ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Administrator, Dialysis Program UVA Health Charlottesville, VA 22908 434-924-5590 ------------------------------ More

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    RE: COVID - 19 +

    ​This CDC Outpt dialysis facility Preparedness Assessment Tool that is also on the COVID resource area here l might be helpful if you don't have it already. There are other great CDC tools specific to outpatient dialysis the NRAA has posted on this site.  ... More

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    RE: COVID - 19 +

    See the attached webinar from ASN Please let me know how you handle it. Thanks -- *Sincerely,* *Olawanle Turton, RNM , BSN* *RN Manager* Kidney Dialysis Unit* *Deer's Head Hospital Center* *Salisbury, MD* *410-543-4132* * olawanle.turton@maryland.gov ... More

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    Tablo

    ​The UVA is using the Tablo in a chronic setting and an acute setting. The chronic unit we are initiating a self care program with the Tablo. Patients and staff train quickly within hours for set up. ------------------------------ Kim Deaver, MSN RN ... More

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    Tablo

    ​Hello there, Reaching out to my colleague's, wondering if anyone is using  Tablo in their facilities (acute/chronic) to support hemodialysis? ------------------------------ Georgia Wilson MSN-ED, RN, CNN System Director of Dialysis Services Munson ... More

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    RE: COVID - 19 +

    I don't think anyone has the exact answers for this situation. I truly think everyone is just trying to do their best to protect their patients and staff. I followed the CDC and CMS guidance for our policies related to care of these patients in the ... More

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    COVID - 19 +

    Hello, We have an ESRD COVID + patient , admitted in hospital. Please guide us how to manage this patient on return to facility for in center dialysis. We have an isolation room. Do we need a dedicated staff to handle only this pt during the ... More

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    RE: COVID-19

    Good morning everyone, Question: with the CROWNWeb waivers that were recently sent out saying that CMS was not counting data from January 1, 2020 through June 30, 2020 (Q1-Q2) for performance or payment programs, what have some of you decided to do? ... More

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    RE: COVID-19

    ​KCER is holding daily calls with providers and some industry folks, CMS, CDC, ASPR.  Thought people might find the minutes valuable. ------------------------------ Debbie Cote, MSN, RN, CNN, NE-BC Administrator, Dialysis Program UVA Health Charlottesville, ... More

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    RE: COVID-19

    We began masking patients and staff this week any time they enter the treatment area. Mary Liechty Dialysis Administrator Southeastern Renal Dialysis, L.C. 507 South White Mount Pleasant, IA 52641 319-931-0403 ------Original ... More

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    RE: COVID-19

    All of our patients are wearing masks as well as our staff. Cara Giglia, RN Clinical Nurse lll Dialysis _______________________________________________________________ Saint Francis Hospital ... More

  • Thanks Denise...we willl take that into account! 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 ... More