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What's New at ESRD in 2006

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Nov. 30, 2006
Medicare Preventive Benefits

Starting January 1, 2007, Medicare will provide more coverage for services that affect people with diabetes. The attached new tip sheet on Important New Updates to Medicare’s Diabetes-related Covered Services in 2007 is also available on the web at: www.cms.hhs.gov/partnerships/downloads/diabetesupdate.pdf

Also, the week of November 27 to December 3 has been designated 2006 National Influenza Vaccination Week by the Centers for Disease Control and Prevention (CDC) to emphasize the importance of influenza vaccination and the need to continue vaccination activities into December and January. For more information, click the link " Don't Let the Flu Ruin Your Holidays! or click on "Frosty Flu Man" at http://www.cms.hhs.gov/.

Of the 36,000 people in the U.S. who die on average each year from influenza and complications of the virus, greater than 90 percent of deaths occur in persons 65 years of age and older. Please help us spread the word to individuals with Medicare patients about the importance of getting their annual flu shot - influenza vaccination is a covered Part B benefit.

For a complete list and details of Medicare’s preventive services, go to http://www.cms.hhs.gov/PrevntionGenInfo/ Or go to http://www.medicare.gov and select “Preventive Services” and order your free copy of “Guide to Medicare’s Preventive Services” by selecting “Find a Medicare Publication."

Oct. 23, 2006
NPI: Get It. Share It. Use It.
Only 7 months remain until the National Provider Identifier (NPI) compliance date. Over 1,300,000 NPIs have been issued so far --- do you have your NPI yet?

Act Now!

Don’t procrastinate; getting your NPI is only the first step in preparing for the compliance date. You should allow time to share your NPI with payers and other trading partners, update your referral lists, as well as modify and test computer systems.

Still not sure what an NPI is and how you can get it, share it and use it? As always, more information and education on the NPI can be found at the CMS NPI page www.cms.hhs.gov/NationalProvIdentStand on the CMS website. Providers can apply for an NPI online at https://nppes.cms.hhs.gov or can call the NPI enumerator to request a paper application at 1-800-465-3203.
Oct. 19, 2006
CDC Urges Hospitals and Healthcare Facilities to Increase Efforts to Reduce Drug-Resistant Infections
The Centers for Disease Control and Prevention (CDC) today released new guidelines outlining strategies to prevent the spread of drug-resistant infections in healthcare settings. The new guidelines seek to halt the rising rates of drug-resistant infections by calling on hospitals and other healthcare facilities to make comprehensive infection control programs a priority and to take aggressive steps to reduces rates of drug resistance.

Read more...
Oct. 19, 2006
CDC forms partnership with NKF
Saving lives and reducing suffering through early detection and treatment of chronic kidney disease is the focus of a new partnership between the Centers for Disease Control and Prevention and the National Kidney Foundation. The CDC has awarded a grant to the NKF to support the research, planning, and implementation of a chronic kidney disease screening program on both the federal and state levels, the foundation announced today. The program will target Americans at high risk of chronic kidney disease in order to identify individuals with CKD to improve outcomes.
Sept. 21, 2006
CDC Recommends Routine, Voluntary HIV Screening in Health Care Settings

New recommendations designed to increase early diagnosis of HIV infection as a pathway to improved treatment and prevention

The U.S. Centers for Disease Control and Prevention (CDC) today published new recommendations for health care providers that are designed to make voluntary HIV screening a routine part of medical care for all patients aged 13 to 64. The recommendations aim to simplify the HIV testing process in health care settings and increase early HIV diagnosis among the estimated more than 250,000 HIV-positive Americans who are unaware of their infection. The recommendations also include new measures to improve diagnosis among pregnant women and further reduce mother-to-child HIV transmission. The Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health Care Settings were published today in CDC’s Morbidity and Mortality Weekly Report (MMWR).

Read more...

Sept. 18, 2006
Seasonal Flu Materials
Flu season will shortly be upon us. The Department of Public Health's Asthma and Immunization Programs have provided information for reference and educational purposes for partners who provide flu immunizations.

We hope you find the information helpful.

State of Connecticut, Department of Public Health: Flu Vaccine Letter 2006
CDC: Key Facts About Influenza (Flu) Vaccine
AAP Flu Policy: Recommendations for Influenza Immunization for Children

August 28, 2006
AAKP Unveils New Web Site
The American Association of Kidney Patients (AAKP) invited kidney patients and their families to explore its new patient-friendly Web site: www.aakp.org. The site features a new look with emphasis on specialized renal related content, easy to use navigation, search functions and a new interactive section.

The site also includes a new library, which contains past and present published information from AAKP; pages dedicated to chronic kidney disease (CKD), dialysis, transplant and pediatric kidney disease information; and AAKP Chapter events going on across the country.

July 5, 2006
The Health Care Response to Pandemic Influenza
Position paper from the American College of Physicians via the Annals of Internal Medicine. Related paper on "Planning for Avian Influenza".

http://www.annals.org/cgi/content/full/0000605-200607180-00131v1
July 5, 2006
Risk of Kidney Disease Progression is Higher in US than Europe
ASN press release via PharmaLive.com. Faster declines in renal function linked to obesity and diabetes.

http://www.pharmalive.com/News/index.cfm?articleid=353433&categoryid=10
July 5, 2006
Patient Safety News
FDA Patient Safety News (PSN) is a monthly video news show for health care professionals. It covers significant new product approvals, recalls and safety alerts, and offers important tips on protecting patients. Read the complete stories and watch or download the video program at http://www.fda.gov/psn. You may have already received notification of some of these safety issues through the MedWatch list serve. However, many of these PSN stories contain video footage and demonstrations that may be especially useful to educators in healthcare facilities and academic institutions.
June 26, 2006
Availability of "Medicare Basics: A Guide for Families and Friends of People with Medicare"
The revised edition of "Medicare Basics: A Guide for Families and Friends of People with Medicare", CMS Publication # 11034, revised January 2006, is now available in print. You can order copies in two ways:

Go to CMS Publications mailing list at http://pubordering.cms.hhs.gov/mailinglist/ or you can
Call 1-800-MEDICARE.

June 19, 2006
NEW AAKP Team to Focus on Public Policy Issues Affecting Kidney Patients
The American Association of Kidney Patients (AAKP) is proud to announce a new team that includes a partnership with the Washington, DC-based government relations firm Jefferson Government Relations (JGR). JGR will work with AAKP to provide counsel on a wide range of federal regulatory and legislative issues affecting kidney patients and the renal community.

Read more... PDF (106 KB).
June 13, 2006
In the Lead: Execs Who Build Truth-Telling Cultures Learn Fast
The higher executives climb, the easier it is for them to distance themselves from problems. Top company officials are often surrounded by yes people who filter out bad news. They then convince themselves their strategies are working, even when they aren't.

The read more, go to http://www.post-gazette.com/pg/06164/697893-28.stm
May 24, 2006
AAKP Annual Convention Brochure Now Available
Now is the time to register for AAKP’s 33rd Annual Convention – the only national gathering of kidney patients, family members and caregivers. Titled "You’re an Essential Piece of Your Healthcare," the 2006 AAKP Annual Convention will be held Aug. 31 – Sept. 3 in Orlando, Fla. This unique event combines educational forums with several exciting social events.

The Convention brochure is now available and includes a registration form and detailed agenda, along with information on dialysis arrangements and travel discounts. To request a copy of the brochure, or to register for the Convention, please contact the AAKP National Office at (800) 749-2257 or visit www.aakp.org.

May 19, 2006
The FDA Safety Information and Adverse Event Reporting Program
Spectrum Laboratory Products and FDA notified healthcare professionals of the recall of the active pharmaceutical ingredient tacrolimus, an immunosuppressive drug used to prevent rejections of transplanted solid organs such as heart or kidney, after learning that some lots of the ingredient are subpotent. Spectrum tacrolimus API has been used by pharmacies for compounding purposes. The use of sub-potent tacrolimus in compounded drugs for transplant recipients may lead to sub-therapeutic tacrolimus blood levels and an unacceptable increased risk of solid organ transplant rejection. Patients receiving tacrolimus for solid organ transplant should not stop taking their medication, but rather should check with their physician or pharmacist. This recall does not apply to tacrolimus marketed in finished dosage form as Prograf(r) (Astellas Pharma, US) or to Prograf(r) oral capsules that have been used for compounding.

Read the complete MedWatch 2006 Safety summary, including links to the Firm's recall press release at: http://www.fda.gov/medwatch/safety/2006/safety06.htm#tacrolimus

May 16, 2006
Home Dialysis Central Updates Home Hemodialysis Coverage Maps
Madison, Wisconsin - The non-profit Medical Education Institute (MEI) has updated the daily and nocturnal home hemodialysis coverage maps for 2006 on its Home Dialysis Central website. The new maps—and the previous versions—can be viewed and downloaded at http://www.homedialysis.org/v1/types/maps.shtml.

The maps show centers from the Home Dialysis Central database that are actively training patients. Each dot on the map represents a 120-mile radius (about a 2-hour drive) around each site of care. New maps were needed because the number of daily home hemodialysis centers increased by 106% (from 47 to 97), and nocturnal home hemodialysis centers by 39% (from 71 to 99), since June 2005.

The maps are useful for:
Patients and family members - to see which centers are in their area. A home dialysis center doesn't have to be nearby, since patients only visit once a month after training.
Dialysis providers - to make a business case for a new treatment or center site.
Researchers - to document U.S. home dialysis coverage.

May 15, 2006
Section 1011: Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens – An Update

Physicians, hospitals and ambulance services that provide emergency health services to undocumented aliens should be aware that The Medicare Prescription Drug Improvement and Modernization Act (MMA) (Section 1011) provides $250 million each year, for Fiscal Years (FY) 2005-2008, for payments to eligible providers for emergency health services given to undocumented and other specified aliens. You may not be receiving funds that are available to you for services you furnish to undocumented aliens. We have prepared a Special Edition article to inform and/or remind you about these available funds. Please click on the following url for more details:

http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0633.pdf

May 12, 2006
The Nursing Shortage, By the Numbers - Article from The Robert Wood Johnson Foundation
An interview with Edward O'Neil, director of the Center for Health Professions at the University of California at San Francisco.

http://www.rwjf.org/portfolios/features/featuredetail.jsp?featureID=1623&type=3&iaid=137

Edward O’Neil, M.P.A., Ph.D., F.A.A.N., is the director of the Center for Health Professions at the University of California at San Francisco. The Center houses the Robert Wood Johnson Executive Nurse Fellows Program, an advanced leadership program for nurses in senior executive roles in health services, public health and nursing education who aspire to help lead and shape the U.S. health care system of the future. In the first of a two-part Q&A, O’Neil presents an overview of the current state of the nursing shortage.
April 17, 2006
Free Publications From The National Kidney and Urologic Diseases Information Clearinghouse

The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is extending a one-time opportunity to order bulk quantities of the materials below free of charge. Yes, free. We hope these educational materials will be useful to you and your clients. To order these materials, simply complete the order form.

The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is an information dissemination service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health (NIH), one of eight health agencies of the Public Health Service, which is under the U.S. Department of Health and Human Services.

April 10, 2006
Getting Drugs After the Transition Period

Medicare’s highest priority is making sure that Part D beneficiaries have access to the drugs they need. Millions of prescriptions are being filled every day, with Medicare drug plans generally covering a broader range of drugs than many public and private health insurance plans.

Medicare drug plans have preferred drugs and prior authorization requirements to promote safe and effective drug use and to avoid unnecessary costs. To help ensure smooth transitions to drugs that are covered, and to allow beneficiaries time to obtain exceptions to these requirements when clinically appropriate, Medicare called on plans to implement a three-month initial transitional period for Medicare prescription drug coverage.

For more information and material regarding the transitional period attached please click on the following links:

CMS Fact Sheet :
www.cms.hhs.gov/apps/media/press/release.asp?Counter=1817

"Getting Drugs After Your Transition" : www.medicare.gov/WhatIfTransition_option2.pdf

April 10, 2006
Kidney End-of-Life Coalition Website

Mission: To promote effective interchange between patients, families, caregivers, payers, and providers in support of integrated patient-centered end-of-life care for chronic kidney disease (CKD) patients.

www.kidneyeol.org

March 29, 2006
AAKP Honors H. Keith Johnson, MD, with Medal of Excellence

TAMPA, Fla. – The American Association of Kidney Patients (AAKP) honored H. Keith Johnson, MD, with its Medal of Excellence during the 11th Annual Medal of Excellence Award Dinner. The dinner was held Sunday, March 19, in Baltimore, to recognize Dr. Johnson for his significant contributions to nephrology and transplantation.

The 2006 AAKP Medal of Excellence Award Dinner, held in conjunction with the Renal Physicians Association’s Annual Meeting, received an overwhelming response with an attendance of more than 140 people. “AAKP is honored to have recognized Dr. Johnson for his nationwide achievements in the renal community,” said Brenda Dyson, president of AAKP. “Dr. Johnson has changed the world of nephrology with his vision to improve quality in every aspect of patient care.”

During the ceremony, AAKP celebrated the accomplishments of Dr. Johnson with poignant presentations by Thomas Peters, MD, and 2005 Medal of Excellence recipient, John Sadler, MD. For nearly four decades, Dr. Johnson has made noteworthy contributions to nephrology and transplantation, while devoting his career to patients. He is the founding and principal nephrologist for Dialysis Clinic, Inc. (DCI), the only large non-profit dialysis organization in the U.S., dedicated to the care of renal patients. Dr. Johnson’s legendary leadership has allowed DCI to commit more than $100 million to research, education and non-profit activities. A key contribution for which Dr. Johnson is known started in 1975 when he and his wife, Nancy, founded Camp Okawehna, a week long summer experience for children with kidney disease.

The Medal of Excellence Award was created to honor a renal physician who has dedicated his or her career to improving the lives of kidney patients. A panel of renal community peers reviewed the nominations and selected Dr. Johnson as this year’s recipient of AAKP’s most prestigious award.

March 27, 2006
Medicare Disease Management

“Land grab.”

That’s how a top executive with a leading disease management company recently described what DM and provider organizations are gearing up for as the ongoing Medicare-sponsored disease management demonstration projects – designed to test DM concepts with the Medicare FFS population – begin to document their results.

It is just a matter of time now until 15 million Medicare recipients become fair game for DM providers, and your competitors are racing to stake their claim in this massive new market.

Your organization must begin preparing NOW to make sure you get your share of this massive marketplace, and to make sure you are ready for the many clinical, operational, regulatory, and business challenges you are sure to face.

That’s why National Health Information is offering a free trial to our newest newsletter, Medicare Disease Management, the FIRST and ONLY publication devoted to helping you successfully navigate this uncharted territory. Each monthly issue is filled with detailed clinical guidance, success strategies and case studies, business models, contracting opportunities, compliance advice, proven program management initiatives, and much more! Our veteran team of journalists and DM experts gives you a key competitive edge in the battle for market share -- and in the struggle for positive outcomes and ROI in the senior population.

We are offering our customers a $50 discount and a three-issue free trial subscription. To request a free trial, order online at nhionline.net or call 800-597-6300. Please mention offer “MDME46.”

March 24, 2006
New Name for Medlearn Matters Articles

The Medicare Learning Network is pleased to announce a new name for its very popular Medicare fee-for-service provider education articles.

Click here for all of the details—
www.cms.hhs.gov/MLNMattersArticles/downloads/SE0620.pdf

March 21, 2006
ANNOUNCEMENT - New Information on www.kidneydrugcoverage.org

The Kidney Medicare Drugs Awareness and Education Initiative has developed a Compare Drug Plans packet (www.kidneydrugcoverage.org/choose.htm), which will update its formularies monthly. Medicare updates the Drug Plan Finder and Formulary Finder at www.medicare.gov on the first Monday of each month.

The current version of the Compare Drug Plans packet is available on www.kidneydrugcoverage.org and was updated on Wednesday, March 15, 2006. This packet includes a FAQ on how drugs and plans were chosen, search tips, and two charts that allow you to search for what drugs a specific plan covers (by plan) and what plans cover a specific drug (by drug).

We hope that the updated packet will save you time when educating your patients. Look for other labor-saving tools, educational materials for patients and professionals, resources or links, and much more on www.kidneydrugcoverage.org.

March 21, 2006
AAKP & MEI Announce Joint Effort to Identify, Improve Quality of Life Measurements in ESRD

TAMPA, Fla. – In conjunction with National Kidney Month in March, the American Association of Kidney Patients (AAKP) and the Medical Education Institute, Inc., (MEI) announce a new partnership effort to identify and implement quality of life measurements with the goal of improving patient outcomes in the more than 300,000 Americans on dialysis. The new initiative joins the strengths of both organizations in a push for improved kidney care quality and accountability.

“AAKP has a longstanding focus on both quality of life and quality of dialysis care. This initiative, for AAKP, is part of a larger strategy that encompasses numerous educational programs and initiatives to use quality of life markers to improve patients’ overall well-being. It’s time for patients to be a key part of the dialog and to help set the targets that define a high caliber of quality dialysis care,” says AAKP Executive Director and CEO Kris Robinson. “We approached MEI to work with us on this important project because they have always championed the importance of clinical outcomes and they hold the belief that quality of life indicators lead to better health outcomes.”

“I believe that the exclusive focus of the kidney community on blood test values as quality indicators does not account for the many other outcome measures that contribute to patient well-being – such as how active patients can be, their quality of life and whether they are employed if they are working-age,” says MEI Executive Director Dori Schatell, MS. “Our combined efforts will drive a more patient-driven and person-centered approach, based on assessment of physical activity and emotional well-being, which are associated with morbidity and mortality. We’re delighted to be working with the AAKP on this effort, because AAKP represents a national patient voice and has tremendous credibility in the community.”

In the late spring, a multidisciplinary, invitation-only meeting will be held to identify and address ways to incorporate quality measures into the renal community. A report of joint recommendations and next steps will be released later this year.

March 13, 2006
Free Patient Education Materials for Kidney Month
Madison, Wisconsin - March is National Kidney month! The non-profit Medical Education Institute, Inc. (MEI) reminds health care providers and patient educators that free chronic kidney disease (CKD) materials are available for kidney health education programs.

Free materials from the Life Options Program can be downloaded or ordered at www.lifeoptions.org. These booklets, fact sheets, newsletters, video and audiotapes, and posters--based on research with thousands of people with CKD--provide valuable information about how to live long and live well with kidney disease.

Also available for free is Kidney School, www.kidneyschool.org, an interactive kidney learning center tailored to meet the needs of patients and families. Written at the 7th-9th grade level and loaded with information on topics like treatment options, diet, coping, sexuality and fertility, and much more, Kidney School’s 16, 30-minute modules attract more than 10,000 unique visitors a month. Kidney School is available 24 hours a day without log-in or registration, and all of the modules can also be downloaded.

Did you know that dialysis can be done at home? It’s true--and home patients have fewer diet and fluid limits, more freedom and flexibility, and are better able to keep their jobs. MEI provides free information on user-friendly home treatment options on Home Dialysis Central, www.homedialysis.org. Visitors can learn about home treatments, compare pros and cons, read real-life patient stories, find a nearby center, and talk with home patients and professionals.

The Medical Education Institute, Inc. is a nonprofit, 501(c)3 private foundation dedicated to helping people with chronic diseases learn to manage and improve their health. For reliable, unbiased information about CKD, you can turn to the MEI. To learn more, call 608-833-8033, email info@meireseach.org, or visit www.medicaleducationinstitute.org.
Feb. 2, 2006
Proceedings of NIH Conference on Improving End of Life Care Published
 WHY
In an introduction to the proceedings Patricia A. Grady, Ph.D., RN, Director of the National Institute of Nursing Research, points to "a growing public concern about the quality of care in the US health care system for persons at the end of life." The conference identified "gaps in our understanding," Dr. Grady writes. The dramatic increase in the number of older adults facing the need for end-of-life care warrants development of a research infrastructure and resources to enhance that care for patients and their families. These experts synthesized research on key issues: defining end of life, understanding major considerations related to end of life care, and developing interventions that positively impact symptom management, social interactions, spirituality, and caregiver support. An independent panel evaluated the expert testimony and identified critical directions for future research. NINR is the designated lead institute in studying end of life.

WHEN
The proceedings of the Conference are now available in the "Journal of Palliative Medicine", a bimonthly print and online publication that reports on the clinical, educational, legal, and ethical aspects of care for seriously ill and dying patients.

WHERE
The supplement is available free online at www.liebertpub.com/jpm.
Additional information regarding the Conference and the Proceedings can be obtained from Lanny Newman, Public Affairs Officer, NINR, 301-496-0209, newmanl@mail.nih.gov.

Jan. 9, 2006
AAKP Releases Brochure on Peritoneal Dialysis Options
TAMPA, Fla. – The American Association of Kidney Patients (AAKP) is pleased to announce the release of its newest educational brochure – Understanding Your Peritoneal Dialysis Options. The brochure is part of AAKP’s “Options” series, which provides information on dialysis treatments available to kidney disease patients.

Understanding Your Peritoneal Dialysis Options discusses the peritoneal dialysis process from start to finish, including how a dialysis access is placed, how it should be properly cared for, and the benefits and drawbacks of each type of treatment. An overview of each treatment option is provided along with a description of how dialysis is performed.

The brochure also features a Self-Assessment Tool, which includes 10 questions a potential patient should answer and take to their physician to help decide if peritoneal dialysis may fit into their health and lifestyle needs.

AAKP created this brochure to inform and educate current and potential dialysis patients and their loved ones. AAKP would like to thank Baxter Healthcare Corporation for its generous support of the development and distribution of this brochure.

For more information or to order complimentary copies, contact AAKP at (800) 749-2257 or info@aakp.org. The brochure is also available to download at www.aakp.org.

AAKP is the voluntary, patient organization, which for more than 35 years, has been dedicated to improving the lives of fellow kidney patients and their families by helping them deal with the physical, emotional and social impact of kidney disease. The programs offered by AAKP inform and inspire patients and their families to better understand their condition, adjust more readily to their circumstances and assume more normal, productive lives in their communities.

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