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Recognizing Early Signs of Sepsis Critical to Survival

Wed, 09/01/2021 - 04:54 pm / 0 Comments

Sepsis is a life-threatening medical emergency resulting from the body’s response to infection. Early recognition of symptoms and timely intervention can mean the difference between life and death.

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Provider

Community Coalitions

Comagine Health ESRD Network 16 is committed to working with our community partners to advance quality improvement and create a better health care system so that people and communities will flourish. Community coalition members play a vital role in this work.

Are you interested in joining us?

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Network 16 Community Coalitions

  • Home Dialysis
  • Kidney Transplant
  • Patient and Family Engagement
  • Reduce Hospitalizations

What is a community coalition?

Community coalitions function as bodies of stakeholders who collaborate and share knowledge and resources to drive quality improvement. They:

  • Are dedicated to defining a health care issue within the designated community and producing root cause analysis to identify areas for improvement
  • Commit to working as a group to achieve quantitative aims and to implement actions designed to improve health care outcomes within the community
  • Are community driven and empower community members to be involved in their health care and health care choices
  • Form connections and build a strong community framework dedicated to driving quality improvement and providing sustainable solutions

What do community coalition members do?

  • Contribute resources, talents and skills in support of the quality improvement goals
  • Serve as a voice for their community and/or profession
  • Participate in community coalition meetings

Who should join?

Community coalitions are made up of diverse and engaged people who represent our local communities and are dedicated agents of change.

  • Patients, family members of patients, and caregivers
  • Dialysis facility staff (local and regional)
  • Nephrologists
  • Primary care practitioners
  • Mental health experts (psychologists, psychiatrists, licensed therapists, university staff)
  • Transplant center staff (local and regional)
  • Transplant surgeons
  • Living donation organization representatives
  • Organ Procurement Organization (OPO) representatives
  • Nursing home staff
  • Experts and high performers in the area of focus
  • Anyone else interested in improving the lives of ESRD patients

If you’re interested in joining a community coalition, please complete our ESRD Coalition Interest Form.

Vocational Rehabilitation

Comagine Health’s ESRD Network strives to promote optimal care for people with end-stage renal disease. Optimal care includes not only safe and quality care, but also improved patient independence and quality of life. Vocational rehabilitation (VR) provides a path to reduce the impact of kidney disease on your lifestyle and income.

These VR resources can assist you in returning to work or school.

Comagine Health ESRD

Social Security Administration

*Available in other languages at https://www.ssa.gov.

Home Dialysis Central

 

The Network is here to support your vocational rehabilitation efforts and to help remove any barriers. If you have any suggestions or comments or would like assistance with VR, please call Lisa Hall, patient services director, at 800-262-1514.

Emergency Preparedness

Current Closures

  • No current facility closures

Report Closures or Service Interruptions

Report to the Network any changes impacting normal facility operations, schedules or access to treatment as a result of power outage, impassable roads or evacuation. Notify the Network as soon as there is a known problem — including outside of business hours.


Guide to Reporting Emergency Events to the Network

 

Resources for Providers

General

Local Support and Supplies

CMS requires facilities to contact their local disaster management agency at least annually and as needed for support with restoration of services or to obtain medical resources such as PPE in the event of a disaster or an emergency.

 

Network’s Role in Emergencies

Comagine Health ESRD Network 16 is required by the Centers for Medicare & Medicaid Services (CMS) to conduct emergency preparedness and response activities to assist the renal patient and provider communities in Alaska, Idaho, Montana, Oregon and Washington.

In preparation for emergencies, the Network:

  • Encourages dialysis facilities to plan for emergency situations
  • Provides technical assistance in the development of emergency plans
  • Provides educational materials to the patient and provider community on topics related to emergency/disaster
  • Develops an internal Network plan for preparedness and response, including arrangements with backup Networks if local operations are impaired

During emergency responses, and per HIPAA and CMS policy, the Network:

  • Disseminates central contact numbers for dialysis providers in the affected area to assist patients and providers in coordinating the provision of dialysis services
  • Posts information about open and closed status of facilities on the Network website
  • Assists patients with contacting dialysis providers to arrange treatment
  • Assists family members with locating displaced patients
  • Assists treating facilities with obtaining necessary information to care for patients
  • Works with CMS or its contractor to maintain a database tracking system for patient whereabouts (dialysis centers and/or shelter locations)
  • Hosts conference calls with CMS, providers, vendors and other entities to coordinate care for patients
  • Enacts backup Network arrangements if our Network office operations are compromised. We have a CMS-approved mutual backup agreement with ESRD Network 2 in New York.

Contact Us

Phone: 206-923-0714

Patient phone: 800-262-1514

Fax: 206-923-0716

Provider Resources

Grievance Posters

  • Network Grievance Posters
    Download the Network Grievance Posters in English and Spanish. These must be posted in your facility where patients and State Surveyors can easily see them.
    English | Spanish.

Staff Education

Continuing Education

Forum MAC Toolkits

The Medical Advisory Council (MAC) of the National Forum of ESRD Networks has developed toolkits to assist facilities in meeting the Conditions for Coverage.

  • Emergency Preparedness in the Dialysis Unit
  • Medication Conversion Guide
  • MAC Speakers Bureau Brochure
  • Inpatient Medical Director Toolkit
  • Transitions of Care Toolkit
  • Outpatient Medical Director Toolkit
  • Vaccination Toolkit
  • Kidney Transplant Toolkit
  • Home Dialysis Toolkit
  • QAPI Toolkit
  • Catheter Reduction Toolkit

Access the MAC toolkits

Kidney Education and Resources

Support Groups

Download our Virtual Peer Support information sheet.

Regional Support Groups

Virtual Support Groups

Home Dialysis Central (HDC) Discussion Groups

National Kidney Foundation (NKF) Online Community and Helpline

  • Kidney Transplant on HealthUnlocked
    Online community where you can share your experiences, ask questions and get answers that are accurate and up to date. Visit https://healthunlocked.com/nkf-kidneytransplant/about.
  • NKF Cares
    Helpline offering support for people affected by kidney disease. Designed for patients, family members and care partners. Call 1-855-NKF-CARES (855-653-2273) or email nkfcares@kidney.org.
  • NKF Peers
    Speak with a peer mentor who shares your experiences with dialysis, transplant, living kidney donation or COVID-19. Visit https://www.kidney.org/patients/peers to learn more.

 

If you know of a support group not listed here, please fill out this form so we can add it to our list.

 

Other Resources for Patients

We encourage patients to bring questions about these resources to their health care team.

Health care professionals who use these resources are responsible for evaluating the appropriateness of the content.

  • American Association of Kidney Patients (AAKP)
    Organization for kidney patients that provides educational material about treatment options and resources.
    http://www.aakp.org
  • American Kidney Fund (AKF)
    Kidney health awareness, education and prevention, along with financial assistance to help low-income dialysis and transplant patients access health care.
    http://www.kidneyfund.org
  • Centers for Disease Control & Prevention (CDC)
    Infection prevention for dialysis patients, including dialysis access.
    https://www.cdc.gov/dialysis/patient
  • Dialysis Patient Depression Toolkit
    Depression toolkit designed by patients for patients with contributions from professional collaborators.
    English | Spanish
  • Depression & Dialysis: Removing the Stigma and Strengthening our Mental Health
    Recording and slides of October 2018 webinar hosted by patient leaders in collaboration with AAKP and NKF.
    https://bit.ly/3jsAByW
  • Federal Communications Commission (FCC) Internet Access Assistance Program
    FCC Affordable Connectivity Program (ACP) that provides eligible households with a discount on broadband internet services and connected devices.
    https://www.fcc.gov/sites/default/files/acp-flyer-i.pdf
  • Home Dialysis Central
    Information for kidney patients about all types of treatment options.
    https://www.homedialysis.org
  • Kidney School
    Dialysis-related learning modules for patients and staff.
    https://www.kidneyschool.org
  • My Kidney Life Plan
    Tool to assist patients with selecting a treatment option to fit their lifestyle
    https://mykidneylifeplan.org
  • Medical Education Institute (MEI) Life Options Rehabilitation
    Materials for kidney patients about treatment options, rehabilitation and maintaining an active lifestyle.
    http://www.lifeoptions.org
  • National Coordinating Center (NCC)
    Educational materials for the ESRD community, including new dialysis patients.
    https://esrdncc.org/en/patients
  • National Kidney Foundation (NKF)
    Information and resources for kidney patients about kidney disease and treatment options
    http://www.kidney.org
  • Neighborhood Navigator (AAFP)
    Interactive tool to connect patients with resources in their community
    https://www.aafp.org/family-physician/patient-care/the-everyone-project/neighborhood-navigator.html
  • Renal Support Network (RSN)
    Patient-run organization providing support for patients affected by chronic kidney disease.
    https://www.rsnhope.org

 

Decreasing Patient-Provider Conflict

The Decreasing Dialysis Patient-Provider Conflict Toolkit provides resources to help nurses, physicians, social workers, patient care technicians, dieticians, administrators, unit secretaries and all other staff involved in the daily operations of the dialysis clinic to better understand, respond to and decrease conflict.

The DPC Toolkit is designed to help:

  • Create safe dialysis facilities
  • Provide training resources for handling conflict
  • Improve patient-provider relations
  • Improve patient-provider satisfaction with the dialysis experience

Decreasing Dialysis Patient-Provider Conflict Toolkit

Decreasing Patient-Provider Conflict (DPC) Revised Modules 2024

Kidney Transplant

A kidney transplant is when a kidney from another person (living or deceased) is placed inside your body to do the work that your own kidneys can no longer do. With a kidney transplant you can live a normal life and do not require any form of dialysis while the kidney continues to function. Every patient has the right to be referred and evaluated for a transplant.

You need to pass some medical tests to get a transplant. These tests look to see if your body is healthy enough for the surgery and if you will be able to take the medications needed after surgery to help your body adapt to the new kidney.

Trained staff work with you to determine if transplant is right for you. If you have been told by one transplant center that you are not a candidate, you may qualify at another transplant center with different criteria.

Your doctor should discuss all of the risks and benefits of kidney transplant. Transplants are not always successful. If your transplant fails, you can still pursue other treatment options and get back on the transplant list.

Selecting a Transplant Center

Kidney transplant centers have varying criteria for patients. Use the Kidney Transplant Compare tool to find the best match for your needs. You can search, save and compare centers by medical criteria, support services, wait times, survival rates and location.

Living Kidney Donation

Oregon Transplant Centers

Washington Transplant Centers

Kidney Transplant Resources

Transplant Financial Assistance