Important Updates
Deadline Approaching - Don't Wait to Set Up EIDM/QARM Accounts for the New CMS System to Access CROWNWeb and Quality Incentive Program Reports
The QualityNet Identity Management System (QIMS), used to access CROWNWeb and Quality Incentive Program (QIP) reports, will be replaced by the new QualityNet Authorization and Role Management (QARM) system and the Enterprise Identity Management System (EIDM) in July, 2016. The QIMS / CROWNWeb / QIP user information from QIMS will be transferred to QARM. To access Performance Score Reports and Certificates during the preview period of Quality Incentive Program (QIP), which starts on August 1, 2016, every facility should have users created in EIDM/QARM system (and at least one user as "Facility Point of Contact"). Since the deadline to submit clinical data for May 2016 is July 31, 2016, it is important that every facility has users set up as "Security Official" and "End Users" in EIDM / QARM.

The Network recommends that:
  • All clinical data for May be submitted by July 14, 2016 (before QIMS is retired)
  • Every facility should have users set up in EIDM/QARM before July 21, 2016 
For further information, please see the "Special edition of CROWNWeb newsletter" and
Steps to take NOW:
1. Take the EIDM/QARM training. The training schedule and registration can be found here.
2. Complete registration in EIDM
  • New user registration for EIDM: (all existing QIMS users must sign up as a new user)
  • Leave QualityNet Authorization and Role Management (QARM) in the "Application Description Field"
  • Select QualityNet User as you role - do not select any other field

3. Do Not Miss: July 19 - 21, 2016- Log in and out of QARM- Missing this step means your QIMS data will not be transferred over. You only need to do this step once, this will save time and effort in the future


Other Important Dates:

  • July 8, 2016: QIMS registration ended
  • July 14-20, 2016: CROWNWeb system is down for maintenance in preparation for EIDM/QARM. Keep this downtime in mind for form due dates and clinical data entry
  • July 31, 2016: May clinical month closes
  • August 1 - September 6, 2016: ESRD QIP Preview Period 

4th Annual ESRD New England Fall Meeting - Save the Date
Save the Date for the 4th Annual ESRD New England Fall Meeting


When: Thursday, October 27, 2016

Where: Mohegan Sun Conference Center, Uncasville, CT

Registration: Participant registration will open August 8, 2016


For more information, visit the Network website.

Quality Improvement
Feedback Requested - Understanding Dialysis Access to Hospital EMRs
In an effort to better understand referral patterns and continuity of patient care between dialysis facilities and hospital systems the Network requests that you respond to a brief questionnaire about your facility's hospital partners. The Network is seeking to understand the hospital systems your patients most frequently receive care from and your access to each hospital's electronic medical record (EMR) for information about your patient's stay such as laboratory results, other testing results, and admission/discharge summaries.  This should take approximately five minutes to complete. We appreciate your time and attention to this information sharing.
Click here to complete the questionnaire regarding access to hospital EMRs.
CMS Proposes Rule to Improve Health Equity and Care Quality in Hospitals
On June 13, CMS proposed new standards to improve the quality of care and advance health equity in our nation's hospitals. The proposal applies to the 6,228 hospitals and critical access hospitals that participate in Medicare or Medicaid. The rule proposes to reduce overuse of antibiotics and implement comprehensive requirements for infection prevention. CMS estimates that these new requirements could save hospitals up to $284 million annually, while also improving care and potentially saving lives. The proposed rule also:
  • Advances protections for traditionally underserved and often excluded populations based on race, color, religion, national origin, sex (including gender identity), age, disability, or sexual orientation
  • Requires critical access hospitals to implement and maintain a Quality Assessment and Performance Improvement (QAPI) program
For More Information:
Top 50 Children's Hospitals for Pediatric Nephrology
U.S. News & World Report has ranked the top 50 children's hospitals number for pediatric nephrology in the United States. Several hospitals in the IPRO ESRD Network of New England have been recognized including Boston Children's Hospital and MassGeneral Hospital in Boston, Massachusetts. The magazine ranked the top pediatric hospitals for nephrology for 2016-2017 using data on survival following kidney transplant, biopsy complications and overall infection prevention.

The rankings are based on clinical data obtained from 183 pediatric centers and on the opinions of nearly 11,000 surveyed pediatric specialists and subspecialists. RTI International, a North Carolina-based research and consulting firm, directed the data collection with the help of more than 100 medical directors, pediatric specialists and other experts, and analyzed the results. Boston Children's Hospital has been ranked number one for pediatric nephrology seven years in a row. The hospital ranked number one in eight out of 10 specialties.

UNOS Zika Virus Update
UNOS/OPTN has issued a bulletin covering Guidance for Organ Donation and Transplantation Professionals Regarding the Zika Virus including notation about transfusion.  Much information remains unknown, and the Guidance revolves around recent donor travel history and risk considerations, with the warning that vulnerability to Zika may also mean vulnerability to Dengue and Chikungunya.  For details see
CDC has also issued a HAN Health Alert on Zika, HAN #392, CDC Recommendations for Subsequent Zika IgM Antibody Testing.  It warns healthcare facilities that they may need to collect a second blood sample if they don't hold back and refrigerate a portion of the original sample for additional testing.  Find the HAN at

Patient Services
Donate Life ECHO: July 10 - 23, 2016
Celebrated each July, Donate Life ECHO is a nationwide observance focusing on donation and transplantation within multicultural communities. Donate Life ECHO encourages individuals to register their decisions to be organ, eye and tissue donors; and then share the life-affirming message of donation within their networks, with other individuals, and with both new and traditional donation partners.
To help with your planning for the observance, many resources--including press materials, eight stories of hope, and implementation ideas--are available on You can also send your volunteers and community partners to to access some of the downloadable tools to help them get involved. ECHO resources are also posted on

Emergency Preparedness:

Seven Summertime Precautions for People with Kidney Disease

Summer means vacation, outdoor activities, and fun in the sun! It's a time when families hit the road to visit national parks or distant relatives. But don't let the sunny days and warm nights fool you. Summer also holds significant weather and water hazards.

There are certain precautions that everyone should take during the sunny and warm summer months. If you have chronic kidney disease (CKD), you'll need to take a few additional steps to protect your health in the summertime or when visiting warmer climates.
  1. Go outside and get moving
  2. Keep good fluid balance
  3. Save your skin from sun exposure
  4. Wear sunglasses
  5. Protect your access if you go swimming
  6. Eat healthy summer foods
  7. Plan your vacation to include dialysis
Vaccinations for Dialysis Patients
Vaccinations, usually given as a shot, protect from serious diseases. Some common diseases are the common flu, diphtheria, tetanus, hepatitis B and pneumococcal disease. Vaccinations not only protect from diseases, they protect others around you. The elderly, people with chronic illness or children in your household could become seriously ill if they are exposed to certain diseases.

Read more about vaccinations for kidney disease patients on the National Kidney Foundation website.

A revised Vaccine and Vaccine Administration Payments under Medicare Part D Fact Sheet is available. Learn about:
  • The difference between Part B and Part D vaccine coverage
  • What Part D covers
  • Elements of vaccine administration
"Like" Us on Facebook
The IPRO ESRD Network Program Facebook page is an interactive community where patients, care partners, and professionals can learn and share information about ESRD.
Check out our most popular posts from last month at:
  • June 1, 2016: Why Be a Donor? Donate Life America
  • June 14, 2016: Saving Lives and Giving Hope by Reducing the Organ Waiting List
  • June 16, 2016: National Kidney Foundation- Kidney Quiz
  • June 28, 2016: Transplant Talks Tuesdays
Have you liked us on Facebook yet?
Data Management
Pain Assessment and Depression Screening Reporting Deadlines
CMS is interested in how Medicare-certified dialysis providers perform pain assessments and clinical depression screenings. To analyze these important issues, CMS incorporated "Clinical Depression Screening and Follow-Up" and "Pain Assessment and Follow-Up" as new reporting measures in the agency's Payment Year (PY) 2018 ESRD Quality Incentive Program (ESRD QIP).
To comply with these new reporting measures, authorized facility representatives are required to use CROWNWeb to indicate, for each qualified patient, whether they conducted a pain assessment and a clinical depression screening during the performance period, and whether a patient was referred for follow-up for either of these conditions. For more information about the ESRD QIP click here.
  • Pain assessment and follow-up reporting to be completed for each qualifying patient once before August 1, 2016 and once before February 1, 2017.
  • Clinical Depression screening and follow-up reporting to be completed for each qualifying patient once before February 1, 2017.


Click here to download the finalized PY 2018 Clinical Measures slides.

2016 Self-Paced Interactive NHSN Trainings Now Available
Updated 2016 self-study training courses are now available on the National Healthcare Safety Network (NHSN) website. Training courses will include: Introduction to Device-associated module, CLABSI, CAUTI, VAP, CLIP, MRSA Bacteremia and CDI LabID Event Reporting, Introduction to Procedure-associated module, and SSI.
These online courses provide instructional slides with detailed graphics, screen shots with step by step examples of form completion for instructional purposes, practice questions, and case study examples. Those taking the courses will need a computer with access to the internet. Hyperlinks to the forms, protocols and NHSN manual are available throughout the courses and available for printing if needed. All trainings are available on the NHSN website under "Self-paced Interactive Training":
Have You Used the Network Data Knowledge Base and Customer Portal?

Get Answers to Your Questions Quickly
With the increase in data that must be submitted, as well as systems through which the data is collected, there are multiple ways in which you can reach the Network Data Support Team for help. 
*Please remember that you should NEVER include any patient-specific information such as Name, Date of Birth, Social Security Number, Medicare Claim Number, etc. The only patient identifier that can safely be communicated is the Unique Patient Identifier (UPI) from CROWNWeb.*
Upcoming Meeting & Events
Monday, August 1, 2016 - The Renal Support Network's (RSN) 14th Annual Essay Contest submission deadline. Visit the RSN website for more information.
September 23-25, 2016 - American Association of Kidney Patients (AAKP) 2016 National Patient Meeting in Nashville, Tennessee.
Wednesday, October 5, 2016 - NKF Fall 2016 CRNNE Conference, College of the Holy Cross, Worcester, MA.
Thursday, October 27, 2016 - Save the date for the 4th Annual ESRD New England Fall Meeting at the Mohegan Sun Conference Center, Uncasville, CT.

IPRO End-Stage Renal Disease Network of New England, the ESRD Organization for Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. CMS Contract Number: HHSM-500-2016-00019C.

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