COVID-19 Hub



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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 

June 4 - [CMS] Nursing Home COVID-19 Data and Inspections Results Available on Nursing Home Compare

June 3 - [CMS] CMS Innovation Center Releases Information Providing New Flexibilities and Adjustments In Response to COVID-19 Public Health Emergency

June 1 - [CMS] Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)

June 1 - [CMS] Trump Administration Unveils Enhanced Enforcement Actions Based on Nursing Home COVID-19 Data and Inspection Results


Upcoming Events


For CMS Weekly Calls,
CLICK HERE
  • CMS COVID-19 Office Hours Calls 
  • Lessons From the Front Lines: COVID-19 
The Meetup: Weekly Discussion on Renal Healthcare Industry-Critical Issues; Including COVID-19 
Hosted by NRAA
June 8, 2020  |  1:00 PM - 2:00 PM ET  (occurs every Monday)

Weekly COVID-19 Quickinar: ASN Response
Hosted by ASN
June 10, 2020  |  5:00 PM - 5:30 PM ET

The COVID-19 Impact: Changes and Challenges for Dialysis Providers Webinar Series 
Part 3: Paid Leave Under the Families First Coronavirus Act
Hosted by NRAA
June 24, 2020  |  1:00 PM - 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 community spread of coronavirus disease (COVID-19). 


Additional CDC Resource Links
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CMS Resources


CMS WEEKLY CALLS - WEEK OF 6/1/20
CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. 

CMS COVID-19 Office Hours Calls
Occurs weekly, access links and numbers vary 
Tuesday, June 2  |  5:00 - 6:00 PM ET 
Dial In: 833-614-0820 
Access Code: 447 4407
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, June 5  |  12:30 - 2:00 PM ET 
Dial In: 877-251-0301 
Access Code: 658 3696
Web link - click here

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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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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

    COVID testing

    I am looking for information on doing the COVID testing in my facilities.  Particularly, the equipment used and the training of staff to do the testing.  Anyone willing to share, I would appreciate it.  Thanks ------------------------------ Jackie Hames ... More

  • 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 from CMS ... More

  • UPCOMING EVENTS  COVID-19 and the Kidney Hosted by: ASN and the Indian Society of Nephrology (ISN) June 3, 2020  |  8:30 AM - 10:00 AM ET Provider Preparation for Hurricane Season During the COVID-19 Pandemic  Hosted by: Kidney Community ... More

  • When COVID first hit, our organization discontinued the practice of accepting visitors and disallowed our patients from returning to our units if they chose to travel. We have just changed our practice to allow visitors and our patients to travel/return ... More

  • Profile Picture

    Transient Visits

    I'm wondering what policies different dialysis units have for patients wishing to travel out of the dialysis unit to a different part of the country.  Also, are you allowing visiting patients to your unit?  ------------------------------ Jess Adams ... More

  • "Arkansas received federal approval Wednesday to use $55 million in Medicaid funds to give bonus payments of up to $500 a week to workers in nursing homes and other long-term-care settings, as well as to workers who care for elderly or disabled people ... More

  • I am just wondering if any outpatient dialysis facilities' staff have received any federal or state "bonus" money ​for helping care for COVID-19 patients?  Thanks ------------------------------ Yolanda Atkins Quality Coordinator & Educator St. Bernards ... More

  • 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

  • Profile Picture

    RE: CEU's

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

  • Profile Picture

    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

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    RE: Visitors/Guests

    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

  • Profile Picture

    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

  • Profile Picture

    RE: Visitors/Guests

    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

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    RE: Visitors/Guests

    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