Dialysis in Support of Transplant
- Adding a new Discharge Reason?
- There was a need for a new discharge code for transplant patients who are admitted to a dialysis facility only for dialysis and support, not due to the failed transplant
- Also it was believed the delay transplant function resolve following a transplant discharge option was in response to adding a new discharge reason
- Per Kathleen, it was the suggestion but it has not been launched in the system at this time
- Per Scott, the work has been developed and deployed into production but toggled off
- If there are additional enhancements or requirements, EQRS would like to capture them, plan for development then turn the feature on
Admission and Supportive Transplant
- Per Nathan there were some business rules the EDIs were trying to get clarity on
- Scenario - A patient has a transplant and then they go to clinic A for this new admission reason of "dialysis in support of transplant"; if while they're getting those treatments, the physician says this transplant is failed and you need to go back to regular routine dialysis, How should the EDIs document that scenario?
- The way it works now, without a separate discharge reason, is that initial admission would be changed to just a regular transfer in but then CMS would lose the visibility of the dialysis and supportive transplant
- With out a discharge reason, there's no current valid discharge reason that applies to put the patient leaving clinic A and then immediately coming back in clinic A b/c it's not a transfer
- The scenario brings up a broader discussion as to what are the business rules from the program side on how this should be documented for patients and what is the system behavior
- Porsche and Scott will revisit the scenario above and request regarding documentation and system behavior
- Question from Nathan - If the work has been done, have the EDIs been given the technical documents for all the most recent versions or have they been posted?
- Per Scott, the technical documents have not been updated; we are in a holding pattern
- Question from Nathan - What do we do with pre-emptive transplants?
- For example Nathan has never been on dialysis or is an AKI patient, gets a transplant, needs dialysis and support a transplant at a Medicare certified clinic
- Are the EDIs expected to document that? Would it trigger a 2728?
- Suggested that these questions be discussed with the program
- This group would have opinions on how this is handled if the program wanted to talk through
- Porsche has noted this down to talk to the program
HCP Flu Reporting to NHSN
- Weekly vs Monthly
- Deadline Status
3 2022 Dialysis Flu Vax Reporting Guidance.docx
- See the Dialysis Flu Vax Reporting Guidance document above
- Provides information on the weekly/monthly reporting
- Training was completed 3/8/22; the CDC will be posting the training
- Deadline has been moved to 4/14/22; this deadline should apply to all submitters
- Question from Chris Brown - Have the EDIs received the file specs (CSV file spec) to batch the data to NHSN?
- Per Nathan, they did receive it
- Question from Rachelle - Are the EDIs expected to submit the Annual Flu Summary (once a year report) in addition to the regular last week of each month batching?
- Shalon will check with the CDC on whether the expectation is to submit the Annual Flu Summary report in addition to the regular last week of each month batching
- Per Chris Brown it was mentioned in the training that the annual is waived
Parathyroid Hormone (PTH) and Vitamin D
- Michael and team met with CM (Abby and Nick) and received good information
- The team then met with the EDIs and CM last Friday, 3/4
- It was decided we do not need Vitamin D
- There was discussion around the need for Parathyroid Hormone (PTH) and when we put PTH in production
- Michaels team and the EDIs are meeting again this Friday, 3/11 to discuss further
- Vlad and Nathan are checking internally to see if they can provide a timeframe of data to show that there are no adverse effects to PTH based on medication and no need to put this in EQRS
- Howard will also see if he can get this data as well
- If need to move forward with implementing PTH, the ranges that EDIs are using are similar standards of ranges
- NRAA will not have to use 5 major labs across the country
- We are in a good spot and ahead of schedule right now
- Question from Nathan - Is there a timeline when EDIs will get expectations of what is to be reported? Planning to have a definitive plan by the end of PI17 to develop in PI18 and ready for July
- Question from Vlad - Can the EDIs just give a comma delimited file with results for a whole year?
- Not sure yet, more information will come from the 3/11 meeting
ISG Playbook
APIs