Quality Insights Renal Network 4 
A Periodic Newsletter from Quality Insights Renal Network 4 | www.qirn4.org
In This Issue
Alerts and Recalls
Sterile Drug Products by Unique Pharmaceuticals Ltd.: Alerting Health Care Professionals - Lack of Sterility Assurance

Bristol-Myers Squibb Issues Voluntary Nationwide Recall of COUMADIN® (Warfarin Sodium) for Injection Due to Presence of Particulate Matter

Hospira Issues Voluntary Nationwide Recall of One Lot of Lactated Ringers and 5% Dextrose Injection, Usp, 1000 ML, Flexible Containers Due to Mold Contamination
Quick Links
QIRN 4 Staff
Executive Director
Quality Improvement Director
Quality Improvement Coordinator
Patient Services Director
Patient Services Coordinator
Data Manager
Administrative Assistant
July 2014 
Greetings from QIRN 4
Quality Insights Renal Network 4 (QIRN 4) is committed to providing valuable resources that help improve the quality of renal care in Pennsylvania and Delaware. 
We encourage you to visit our Web site for the most up-to-date information or to contact us with questions, comments or suggestions. 
IMPORTANT NOTE: In an effort to bring you the most important information in the most convenient way, we have decided to send our newsletter on a bi-weekly basis starting in August. Look for important updates about alerts and recalls, Quality Incentive Program news, Infection Prevention updates, and much more in your inbox every other week. This will serve as our primary method of communicating important news and updates. 
Your QIRN 4 Team
Me, too! Campaign: Increasing Transplant Referral for Patients 65 Years of Age and Older
QIRN 4, under the direction of the Centers for Medicare & Medicaid Services (CMS), assists dialysis and transplant facilities in improving the quality of care they provide to End Stage Renal Disease (ESRD) patients.
  • Research has clearly proven that kidney transplantation offers advantages over dialysis for most ESRD patients in both quality of life and survival.
  • Network 4 transplant rates show that many fewer patients aged 65 and older are referred to a transplant center to learn about their transplant options.
The purpose of this campaign is to focus attention on improving an identified age disparity for transplant patients in Network 4. Facilities will be asked to take part in the Me, too! Campaign. The goal of this campaign is to aid those patients 65 years of age and older in taking the first step to be referred to a transplant center. 

To learn more, visit the QIRN 4 Web site 
Register Now: Upcoming MLN Connects™ National Provider Calls
CMS is encouraging renal facilities to attend the following webinars: 
ESRD Quality Incentive Program: Reviewing Your Facility's PY 2015 Performance Data
Wednesday, July 16 from 2:00 p.m. to 3:00 p.m. EST

This MLN Connects National Provider Call will focus on the steps dialysis facilities need to take to review the data CMS will use to evaluate performance as part of the PY 2015 program. After the presentation, participants will have an opportunity to ask questions of subject matter experts. On July 15, 2014, each dialysis facility will have access to a preliminary PY 2015 Performance Score Report (PSR) that "previews" how well it scored on the quality measures that CMS will use for determining any payment reductions.
ESRD Quality Incentive Program: Notice of Proposed Rulemaking for PY 2017 and 2018
Wednesday, July 23 from 2:00 p.m. to 3:30 p.m. EST
This MLN Connects™ National Provider Call will focus on the upcoming ESRD Prospective Payment System (PPS) proposed rule with 30-day comment period, which includes rules for operationalizing the ESRD QIP in PY 2017 and PY 2018. A question and answer session will follow the presentation giving participants an opportunity to ask questions of subject matter experts. 
Space may be limited. Please register early. 
To register for these sessions, visit the MLN Connects™ Upcoming Events Web page. 
Mid-Atlantic Renal Coalition (MARC) Peer Support Special Innovation Project
Do you know any programs involving patients that support, mentor, or educate other patients with kidney disease? Do you have a program or have you participated in one? The Peer-to-Peer (P2P) Project at the Mid Atlantic Renal Coalition (MARC) needs assistance in identifying programs for ESRD patients and we would appreciate your completion of an online voluntary Environmental Scan that should no more than 5 minutes.

The P2P project will look at how peer mentoring (support among patients) can increase self-management and reduce hospital admissions among adults with ESRD. Overall responses will be summarized to build a list of programs that exist (or have existed) within the renal community.

Responses will be accepted until Monday, July 28, 2014.

For more details on the P2P project, read the MARC press release or contact Jennifer St. Clair Russell, P2P Project Director, at jrussell@nw5.esrd.net

Thank you in advance for your participation. 


CROWNWeb New User Training
CROWNWeb recently provided a New User Training that offered a comprehensive introduction to CROWNWeb. The classes provided students with the basic knowledge of using CROWNWeb to manually enter and submit data to CMS.

Day 1
  • Overview of CROWNWeb and QIMS
  • Managing Role and Scope
  • Adding and Editing Facility Personnel
  • Admitting New Patients and Transfer Patients
  • Viewing and Editing Patient Attributes
  • Accessing and Submitting CMS-2728 Forms
Day 2
  • Viewing and Adding Treatment Information
  • Submitting Clinical Data - Hemodialysis and Peritoneal Dialysis
  • Submitting Clinical Data - Vascular Access
  • Discharging a Patient
  • Viewing and Verifying PART Data
  • Submitting a CMS-2746 Form 

Unable to Attend?


The recordings of the New User Training sessions will be available from the CROWNWeb Training Videos page on http://www.projectcrownweb.org. Click on any link in the left sidebar of this page to access and view these recordings. Recordings will be published approximately one week after the training dates, which took place on July 15 and 16.   


Kidney Donation Appears Safe for Healthy Older Adults

In a study of 3,368 older kidney donors who were matched 1:1 to older healthy non-donors and followed for a median of 7.8 years, mortality rates did not differ between donors and matched pairs. Among donors with Medicare, death or cardiovascular disease rates were similar between donors and non-donors. Donors also did not have an elevated risk of diabetes compared with matched non-donors. The findings are published in the American Journal of Transplantation.   


ESRD NCC "Lifeline for a Lifetime" Toolkit
The ESRD Network Coordinating Center (NCC) has developed a new audiovisual educational tool presenting a simple test that providers and their patients can perform together to save patients' vascular access. 

To learn more about the "Lifeline for a Lifetime" One-Minute Access Check toolkit, you can download this flyer, or visit the ESRD NCC Web site

CMS Releases Proposed ESRD QIP Measures
CMS will accept comments on the proposed rule until September 2, 2014. 

Fact Sheet: CMS Proposals to Update Policies and 
Payment Rates for ESRD Providers for CY 2015 and Proposals for Implementation of Competitive Bidding-Based Prices for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

Fact Sheet: CMS Proposals to Update Quality Measures for ESRD PPS for CY 2015

Dialysis Component Coming Soon to NHSN
NHSN is excited to announce the creation of the new Dialysis Component with the release of version 8.2 in July 2014. Currently, dialysis facilities report under the NHSN Patient Safety Component along with acute care hospitals. With this redesign, outpatient dialysis facilities that participate in the ESRD Quality Incentive Program (QIP) will have a simplified interface tailored to their specific reporting and analysis needs.

Do users need to do anything? 

No, the transition to the new Dialysis Component will be automatic for users in "AMB-HEMO - Outpatient Hemodialysis Center" facility types. Users will simply have to select "Dialysis" from the dropdown menu on the NHSN Landing Page upon login (see image, right).

What will change about analysis?
  1. Analysis in the new Dialysis Component will provide tools and reports that are relevant to dialysis facilities only. Hospital reports will be excluded.
  2. Reports for Prevention Process Measures Surveillance (Hand Hygiene Adherence) will be added: http://www.cdc.gov/nhsn/dialysis/prevention-process-measures.html.
What are the new features?
  1. Event search will be modified: You will be able to search for specific dialysis event types (i.e. positive blood cultures; pus, redness, and increased swelling events; and IV antimicrobial starts) on the "Find Events" screen.
  2. New Dialysis Patient Influenza Vaccination Module will be added: Facilities will have the option to track influenza vaccination rates among all dialysis patients.
  3. A simpler Define Rights template for Group users: The Define Rights template will include information specific to dialysis facilities. Your Group's template will transition automatically and existing facility data sharing arrangements will not change. Groups that have been using the Patient Safety template to collect data from dialysis facilities and hospitals will now have two separate Define Rights templates, one to obtain Patient Safety Component data from hospitals and one to obtain Dialysis Component data from outpatient dialysis facilities. If a facility adds a new reporting location, their Confer Rights template will automatically update to include that location.
Questions? Email the NHSN Helpdesk at NHSN@cdc.gov and include "Dialysis Event" in the subject line.

Renal Network 4 Logo
Quality Insights Renal Network 4
 630 Freedom Business Center, Suite 116
King of Prussia, PA 19406
800-548-9205 (patients only) 
610-783-0374 (fax)
This material was prepared by Quality Insights Renal Network 4 under contract with the Centers for Medicare & Medicaid Services (CMS). The contents do not necessarily reflect CMS policy. 
Publication No. ESRD4-MV-071514 App. 07/14

Copyright © 2014. All Rights Reserved.